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New Infectious Diseases - This Time It's Coronavirus.

New and re-emerging infectious diseases are not uncommon. The latest coronavirus from China has gotten lots of attention very quickly. I'm in New Hampshire where we are awaiting lab confirmation of 2 suspected cases. Will your community be next?

It is important that we deal with facts and not fears. This isn't easy as the story unfolds and new information contradicts the information we saw in the media two days ago. So, as clinicians how do we deal with this?

1. Get up to date, accurate information-  Everything you need is right here. Go to the CDC often for updates.

2. Be sure that you ask about recent travel for every patient with a fever or flu like symptoms you see, always.  (Hint- You should be doing this anyways).

3. Use proper precautions to prevent spread of all infectious diseases. Sick? Stay home. Tell your patients this. Your child has a fever? Stay home from school, social events and sports...

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Do You Want to Own Your Own NP Business?

"I would love to work for myself. I don't have  a lot of experience running a business. I don't have a lot of money to start a business. I don't want to have to deal with the stress of billing, coding, credentialing and managing office staff. I'm not sure I could figure out how to have a cash only practice that works. Actually, I wouldn't mind having a part time business. Is this possible.?" 

Oh yes, it is certainly is. 

The key to running a successful NP business is find a niche that answers a community problem and fits you. My niche actually found me. As an avid traveler, my primary care patients would ask me about their trips, their kid's trips, their parent's trips. And I realized a couple of things....

First ,I wanted out after 30 years of running my own primary care practice. The administrative burdens, health care crisis and future uncertainties, never mind the long hours, billing, coding and management issues and all the  things that were taking...

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Preparing the Older Adult for International Travel

Did you know that the majority of all travelers are over age 55?  I am seeing more and more people 85 and over taking trips to China, India and many other locales far away. Many of those I see are quite fit and healthy. Some, not so much...

I work in a travel clinic , so  I am  often seeing these patients for the first time. But if you work in primary care, the older traveler will likely be well known to you. Whether you provide full pretravel care or not, you play an important role in keeping your patient safe and healthy when they travel.

1. Make sure their routine adult immunizations are up to date, especially flu vaccines.

  2. Be sure their chronic health problems aren't just stable but optimized. The stress physically and mentally of travel pose unique effects on many chronic diseases.

 3.  Make sure they have a med list, a problem list and travel health insurance with emergency evacuation for care if needed abroad.

Interested in learning more...

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Do you know what to say when patients ask you about travel shots?

Ever have a patient say, "I am going on a trip. Do I need any shots?" Do you know where to get up to date, accurate information to all their questions about travel shots?Sometimes , they just want to know if any shots are required for their trip. Some people think if a shot isn't required they then don't need anything to protect themselves. Whether you administer travel vaccines or not, you need to know what to say when patients ask you about travel shots.

3  Categories of Immunizations

               1. Routine

               2. Recommended

               3. Required

For starters, everyone needs to have their routine adult immunizations up to date whether they are traveling or not.  Take this as a golden opportunity to update their routine vaccines. Next, look up what recommended immunizations are suggested for their trip at ...

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