Journal of Urgent Care Medicine

New Merger Creates the Busiest Urgent Care Operation in Georgia

Piedmont Urgent Care by WellStreet and Summit Urgent Care have gotten together in a merger that creates the largest urgent care network, by patient visits, in the state of Georgia. The move diversifies the geographic areas for both companies; where Summit’s locations have been primarily in suburbs surrounding the city, Piedmont’s clinics are spread throughout more urban Atlanta neighborhoods. The ability to reach patients in both types of neighborhoods could give the newly formed operation …

Patients Are Not Getting the Point: Vaping Kills

Deaths attributed to e-cigarette, or vaping product use-associated lung injury (EVALI) have started rising so fast that the Centers for Disease Control and Prevention is updating figures weekly. The latest figures, from December 10, note 2,291 cases in which patients have had to be hospitalized across all 50 states plus Puerto Rico and the U.S. Virgin Islands. Fifty-two people in the U.S. have died across 26 states and the District of Columbia. The stereotypical image …

Fresh Insights Into Responsible Antibiotic Prescribing; the Numbers May Surprise You

A study newly published in BMJ reaffirms that too many inappropriate prescriptions for antibiotics are being written, especially during influenza season. It also reflects some ambiguity in prescribers’ reporting habits, however, and offers some insights into which drugs are being prescribed the most. The authors found that 25% of antibiotic prescriptions are written for “inappropriate” reasons, and that 18% reflect cases in which documentation was insufficient to determine whether a prescription was appropriate or not. …

Know the Difference Between Male and Female MI Symptoms? (Hint: It’s a Trick Question)

Conventional wisdom has it that woman and men experience symptoms of heart attack in different ways. As is often the case in life, however, the conventional wisdom may have it all wrong. According to a study just published in the Journal of the American Heart Association, men and woman may actually experience heart attacks in the same ways—information that’s essential for you to know the next time a patient presents while experiencing a possible MI. …

Talk About Good News (Literally): ‘Denver Health’s Urgent Care Helps Patients Lower Bills’

The headline in quotes above actually appeared in Colorado’s Sky-Hi News this week, reflecting a self-assessed trend at Denver Health’s Winter Park Medical Center. The facility opened its own urgent care location almost a year ago, with the notion that the move might help alleviate crowding in its emergency room. Being at the base of a ski resort, however, they’ve seen more volume than a standard business model might predict; more predictably, they’ve found that …

Patterns Emerge as Flu Season Progresses—Know What (and Who) to Look for

In an ordinary year, this would be early to start recognizing trends in the influenza season. Sadly, this is not an ordinary year, however, as the Centers for Disease Control and Prevention says an early start to flu season is hitting more of the most vulnerable patients than ever. Numbers are up across the board, but those over age 64 and under age 4 are being afflicted disproportionately at this point (3.6 cases per 100,000 …

With HIV No Longer in the Spotlight, Testing, Treatment, and Prevention Are Declining

The good news is that HIV no longer equates to a death sentence. The bad news is that its status as a treatable disease has caused many people to stop paying attention to it altogether—to the extent that they no longer see the need for prevention and testing. In fact, according to the Centers for Disease Control and Prevention, 14% of people with HIV were unaware they had it until it was discovered secondary to …

Massachusetts Bill Aims to Define Urgent Care—and Mandate Licensing

Among the key points in the healthcare bill introduced by Massachusetts Governor Charles Baker are efforts to settle on a core definition of urgent care, but also steps to require urgent care centers to be “licensed” by the state and provide mental health services, meet certain primary care standards, and accept MassHealth members. Those elements of the bill, H. 4134, are a nod to the growing influence of urgent care (and retail clinics) in Massachusetts, …

Don’t Let Flu Season Distract You from the Growing Measles Crisis

It’s likely your patients have been so inundated with flu shot messaging that they don’t know the entire world, including the U.S., is in the midst of one of the worst years for measles infection in decades. At the same time, and certainly not coincidentally, vaccination rates are stagnating worldwide, according to the World Health Organization. Measles infected nearly 10 million people around the world in 2018, according to the WHO, but the number of …

NPR Opinion Piece Is a Cold Reminder: Too Many Patients Are Languishing in the ED

How long do you think a patient with chest pain would sit in your waiting room before getting the attention and care they needed? Your answer is probably measured in minutes, as it should be. Certainly it would be less than 47 hours, which is how long one patient waited in the hallway of an ED before space was available in the cardiac unit of a Boston hospital. That clearly is an extreme case, and …

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