A Potentially Deadly Duo of Respiratory Viruses Is Descending on Florida. Who Could Be Next?

A Potentially Deadly Duo of Respiratory Viruses Is Descending on Florida. Who Could Be Next?

After a couple of light seasons (presumably due to hygiene precautions designed to reduce spread of COVID-19), a full-force return of seasonal influenza was expected. What may not have been expected, however, is that said return of flu would occur well past what we consider the “season” to be. That’s exactly what’s happening in Florida right now, though—and the surge is coinciding with recent outbreaks of respiratory syncytial virus, as well. All told, there have …

Your Best Investment Is Growing Your Own Business

Your Best Investment Is Growing Your Own Business

Urgent message: Many urgent care operators took full advantage of opportunities to serve their communities during the pandemic, accumulating cash in the process. While many question what comes next, there’s no better time to grow your own urgent care business. Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor of The Journal of Urgent Care Medicine. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and within …

The Calendar Says Peak Flu Season Is Over. The Data Say Otherwise

The Calendar Says Peak Flu Season Is Over. The Data Say Otherwise

On paper, at this time of year, we expect to see incidence of seasonal influenza declining steadily from its December–February peak in the United States. Instead, however, the Centers for Disease Control and Prevention reports that flu activity is actually increasing across most of the country. This reverses a decline from mid-December through January. As recently as March 12 of this year, nearly 7% of all respiratory specimens tested at clinical labs turned up positive …

ACIP Adult Vaccine Update Is a Reminder: COVID-19 Doesn’t Eclipse the Need for ‘Other’ Vaccines

ACIP Adult Vaccine Update Is a Reminder: COVID-19 Doesn’t Eclipse the Need for ‘Other’ Vaccines

With seemingly all eyes focused on COVID-19 for the past 2 years, patients (and even urgent care providers) could be forgiven for “forgetting” that there are countless other infectious diseases existing in the world. They’re out there, though—and release of the 2022 immunization schedule update from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention should be a reminder for urgent care providers to ask patients if they’re up to …

What Else is New in 2022?

The Protecting Medicare and American Farmers from Sequester Cuts Act was signed into law on December 10, 2021. This law addresses the reduction in the 2022 Conversion Factor set by the Physician Final Rule, as reported in my December column, increasing the 2022 Conversion Factor by 3%. The new conversion factor becomes $34.61 compared to $34.89 in 2021. With the increase in Relative Value Units on most E/M codes, the impact to 2022 rates becomes …

A Million Tests Later: Perspectives on COVID-19 Testing in Pediatric Urgent Care

A Million Tests Later: Perspectives on COVID-19 Testing in Pediatric Urgent Care

Urgent message: The depth of COVID-19 testing data specific to the pediatric urgent care market provides insights into the capability of the broader urgent care industry to play a significant role in public health in the United States. David J. Mathison, MD, MBA It’s easy to forget how 24 months ago the urgent care industry was amidst one of the worst influenza seasons in recent memory. Then in February 2020, the first cases of COVID-19 …

Go About It the Wrong Way and COVID Testing Could Cost You in a Number of Ways

Go About It the Wrong Way and COVID Testing Could Cost You in a Number of Ways

Offering COVID-19 testing services could engender good will and bring new patients to your practice—or it could lead to disappointment, lost opportunity, or even legal scrutiny. In New York, the attorney general has warned various entities who advertise a specific turnaround time on COVID-19 tests that they’d better make good on their promises or face stiff consequences. In the Midwest, federal health officials as well as investigators from several states are investigating the practices of …

A 13-Year-Old Girl with Fever, Chills, Dry Cough, and Myalgia

A 13-Year-Old Girl with Fever, Chills, Dry Cough, and Myalgia

A mother brings her 13-year-old daughter to your urgent care center with a complaint of fever, chills, dry cough, and myalgia for 3 days. On exam, the patient is febrile (101°F). In addition, there is conjunctival injection and blanching erythematous patches on the face and neck. The mother mentions that the family returned from a trip to Brazil 10 days prior. While traveling they ate local food, drank local (unfiltered) water, sustained a few mosquito …

Still No ‘Twindemic,’ but Possibly Something Worse

Still No ‘Twindemic,’ but Possibly Something Worse

This is the second flu season in a row that the healthcare community has held its breath waiting to see if the United States would be hit with dual widespread outbreaks of COVID-19 and influenza (aka, a twindemic). And so far, in spite of another COVID surge fueled by the Omicron variant, so good on that front. However, public health officials here and in other countries are reporting an increase in flurona—or, simultaneous diagnoses of …

Archives- 2022

Jump to: January 15, 16(4): 1-49 February 15, 16(5): 1-49 March 15, 16(6): 1-49 April 15, 16(7): 1-49 May 15, 16(8): 1-49           June 15, 16(9): 1-53 July-August 15, 16(10): 1-53 September 15, 16(11): 1-49 October 15, 17(1): 1-49 November 15, 17(2): 1-57 December 15, 17(3): 1-57   January 15, 2022, Vol 16, No. 4, Pages 1-49 Letter From the Editor-In-Chief (PDF) An Underrecognized Epidemic: Toxic Positivity in Medicine Joshua Russell, …

Log In