EFFECTIVE CLINICIAN STRATEGIES — Four general categories of clinician behaviors lead to effective patient care: ●Cognitive strategies (knowledge-related)…

Among the 11 people killed in the Saturday shooting at Pittsburgh’s Tree of Life synagogue was…

When the Pittsburgh synagogue shooter Robert Bowers was taken to UPMC Hospital, he was treated by…

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I think every one should familiarize themselves with Naloxone because it helps to save a person…

First use Non-Steroidal Anti-Inflammatory Medications- NSAIDS -Don’t underestimate ibuprofen- it helps with pain in lot of…

-7 people a day die of opioid addiction in Pennsylvania alone. -chronic non-cancer pain is real.…

We should treat acute pain. -First consider non-opiate analgesic. -In the Emergency Room, don’t prescribe opioids…

Mandated reporters are required by law to report when they have reasonable cause to suspect a…

  Pennsylvania’s Child Welfare Practice Model guides children, youth, families, child welfare representatives, and other service…

Tragically, many children are being exposed to dangerous drugs and substances right from their conception, during…

Look for Physical Signs like bruises, burns, cigarette marks,  that do not match parent or guardian’s…

-In 1980, no state had more than 15 percent. Now obesity affects 40 percent of US…

Prolactin level over 200 is almost always a prolactinoma. -Do MRI with contrast or CT Scan…

-presents bone pains, depression, pain, kidney stones, loss of appetite.    

TSH goal should be below 3.0 Increase levothyroxine dose by 25-50 percent. -Graves disease: Use PTU…

-It presents with nervousness, palpitations, tremor, heat intolerance, weight loss, mental changes, fatigue, insomnia, increased appetite,…

First Test to diagnose hypothyroidism is TSH.  

In our clinic, one of the diets I strongly recommend is Mayo Clinic Diet. I do…