New JNC 8 Hypertension Guidelines: What Does this Mean for People with Diabetes?

by Jane Kapustin, PhD ,CRNP, BC-ADM, FAANP, FAAN The newly released JNC 8 Hypertension Guidelines created some issues with regards to patients with diabetes.  For years, we have always ordered ace inhibitors (ACEIs) or Angiotensin Receptor Blockers (ARBs) for all patients with diabetes (as long as they do …

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Skin Cancer Awareness

  By: Risha Bellomo, MPAS, PA-C   Plan on joining DMGCME on the Memorial Day Cruise?  If so, you also should consider freshening up on your skin cancer awareness.  In the United States alone there are more than one million cases of non-melanoma skin cancer diagnosed annually – …

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Justify My Love

Article by Krisi Probert, OTD, OTR/L, CHT When I was on my last Level 2 rotation in OT school, I was placed in a long-term care facility. I knew I wanted to concentrate in geriatrics (let me be clear—not pediatrics; beyond that, I wasn’t fussy) and our …

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Influenza 2013-2014

Article By Christy Wilson, PA-C As we come to the end of football season watching the Seattle Seahawks defeat the Denver Broncos in Super Bowl XLVIII, I realize sport seasons can be so unpredictable.  Who would have thought the Atlanta Falcons won their division in 2012 and …

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Asthma Education at the Cutting Edge – Wheeze, Crackle, and Flow: How Asthma Educators Identify Their Patient’s ‘Asthma Community”

By: Douglas E. Masini, EdD, RRT-NPS, RPFT, AE-C, FAARC When you begin your work as an asthma educator, you must first ask “who is it that I am going to educate?” Identifying the patient is easy; finding their ‘asthma community’ requires a bit of detective work and epidemiology, …

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Managing Catastrophic Hand Injuries

By: Krisi Probert, OTD, OTR/L, CHT Many students and young therapists are terrified of the thought of managing a catastrophic hand injury. From crush injuries, to amputations, to deep lacerations, these patients usually present with multiple diagnoses, a wide range of complaints, and a great deal of fear …

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Secrets of Chest Pain: History

          Article Written by John Bielinski History is the most important factor in the work up, treatment and evaluation of someone with cardiac ischemia. The EKG is nice. Lab values are nice. But, most hinges on history then everything else combined. You need …

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