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Heart failure is a common condition. There are 5.8 million Americans living with heart failure. Heart failure is the leading cause of hospitalizations. As in most chronic conditions the patient has actions they can take to manage their condition at home. The goal is to decrease exacerbations […]

Ready for a trip of a lifetime?  I cordially invite you to join me for our exciting 7 Night Eastern Caribbean Cruise Conference, September 30 – October 7.  NEW this year – we’ll be departing from Ft. Lauderdale, and will be sailing on Royal Caribbean’s Allure of

Polypharmacy is defined by Webster’s Dictionary as “the practice of administering many different medicines especially concurrently for the treatment of a single disease” and “the concurrent use of multiple medications by a patient to treat usually coexisting conditions and which may result in adverse drug interactions.” Healthcare

Sport specialization is becoming a significant health and wellness problem in the pediatric population. There is strong evidence in the literature suggesting that children competing in only one sport may hinder their motor skill development and affect their lifelong enjoyment of future recreational activities. Whether it is

As 10,000 baby boomers turn 65 each day, Nurse Practitioners (NPs) encounter an increasing number of issues associated with aging. One of these is osteoarthritis. Over 50% of those over 65 have osteoarthritis.   Approximately seven million people living in the United States have undergone hip or knee

I received a call from a nursing home staff nurse who stated that this patient “suddenly had blisters appear on the right forearm, wrist to elbow. Every now and then you get a patient who is a poor historian and getting a past medical history is impossible.

Abnormal uterine bleeding in reproductive age women is a common presenting problem in both primary care and women’s health care practices.  Historically, there have been many different terms used for different presentations of abnormal bleeding and they lacked clarity, consistency, and generally described a symptom rather than

In the past year, the FDA has approved the use of an implantable device to monitor heart failure management via measurement of the pulmonary artery pressure. Approved for use in HF patients at a NYHA Class III-IV level. NYHA Class III – Marked limitation in activity due

Alopecia categories: Anagen alopecia appears to be broken off or tapered.  It may occur suddenly due to autoimmune disease, inherited loose anagen syndrome or chemotherapy.  If a drug or toxin is removed hair may return within 3 months of the withdrawal.  It is significant as it may

When it comes to the topic of osteoporosis, this is a disease state that can truly be a “silent” disorder, with many only being diagnosed after a fracture. It is estimated that approximately 10 million individuals in the United States have osteoporosis. Up to half of women