Journal of Urgent Care Medicine

Walgreens Launches Direct Urgent Care Business

Retail pharmacy giant Walgreens is intensifying its expansion into provider services by launching virtual care in nine states that represent a large swath of its existing customer base, according to Fierce Healthcare. The on-demand telehealth service will cover common health needs, including urgent care services. Patients can schedule virtual consultations with healthcare professionals via chat or video. Notably, Walgreens will not accept insurance for these visits with most chat encounters priced at $33 and video …

New CKM Syndrome Combines Multiple Chronic Conditions

The American Heart Association introduced the concept of a new medical condition called cardiovascular-kidney-metabolic syndrome (CKM) in a recent article in Circulation. The rising incidence of multiple chronic health issues in younger Americans, particularly obesity, diabetes, and heart and kidney disease, calls for earlier diagnosis and risk assessment, the association says. The synergy between metabolic risk factors, such as abdominal fat, high blood pressure, high cholesterol, and elevated blood sugar, has long-term effects on health …

WellNow Fellowship Program Recognizes New Graduates

The fall 2023 class of fellows completing the WellNow Urgent Care Traditional and Accelerated Fellowship program turned their tassels and celebrated their graduation day at the end of September. Since 2018, a total of 216 fellows in 6 states have graduated from WellNow’s development programs, and 90 percent of graduates have gone on to serve in full time positions as advanced practice providers (APPs) at WellNow centers. According to Chief Medical Officer Robert Biernbaum, DO, …

STD Rates Increase 6% In 1 Year

In recent years, the United States has witnessed a surge in cases of sexually transmitted diseases (STDs), notably chlamydia, syphilis, and gonorrhea, as per data sourced from the Centers for Disease Control and Prevention (CDC) and analyzed by US News & World Report. In 2021, gonorrhea cases showed a 28% increase, and syphilis cases showed a spike of 74%. The cumulative burden of STDs was pronounced with more than 2.5 million reported cases of chlamydia, …

Carbon Health Inks Risk-Based Contract with UHC

In a recent webcast, Steve Cain, CEO of UnitedHealthcare of California, and Myoung Cha, Chief Strategy Officer of Carbon Health, announced that the insurer will begin an at-risk primary care arrangement for the state’s commercial PPO market in partnership with Carbon Health, starting in January 2024. The deal represents Carbon Health’s first at-risk arrangement. Under the contract, Carbon Health will be accountable for the total cost of care for UnitedHealthcare’s PPO-covered lives in the state over the …

What Happens If We Do Nothing?

Joshua Russell, MD, MSc, FCUCM, FACEP In its most modern form, medicine revolves around action. We are trained as clinicians to assess, diagnose, and intervene, but it’s the intervention part that patients expect most. This is especially true in urgent care (UC), where patients usually present in anticipation of some swift action for whatever is bothering them. I recently saw a healthy, middle-aged man in our clinic who was complaining of some mild chest pain. …

46-Year-Old Male With Severe, Worsening Chest Pain

A 46-year-old man with a history of hypertension presented in an urgent care center saying he’s had chest pain for 2 days. He also said the pain has been worsening each day, and today it is severe. He denies nausea, vomiting, or shortness of breath. On exam, he appears uncomfortable but has normal vital signs. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is …

8-Year-Old With Facial Lesions

An 8-year-old-boy presented to urgent care with his father for evaluation of 3 weeks of painless facial lesions. The patient had a history of atopic dermatitis and denies systemic symptoms. On examination, he appeared well. A cluster of umbilicated papules were seen over his right cheek. View the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

4-Year-Old With Right-Sided Pelvic Pain

On a Friday afternoon, a worried mother brings her 4-year-old daughter to the urgent care. She says the girl is complaining that her “side hurts.” The mother can’t recall any recent falls or injuries. Review the image of the anterior to posterior (AP) pelvis taken upon presentation and consider possible diagnoses and next steps you would recommend to the family.

Keeping an Eye on Scope Creep

I’m assuming you saw news stories last month with headlines like this: “Walmart and Other Drug Stores Want to Help You Skip Trips to the Doctor.” Walmart Health is set to open 28 new locations in the coming year. Consumers can get testing and treatment for strep, flu, and COVID-19 at a Walmart pharmacy in 12 states, at Walgreens in 13 states, and at CVS in 10 states. Rite Aid is working on it, too. …