Virginia is a well put-together woman in no apparent distress. Her vital signs this morning include a temperature of 98.6 F, heart rate of 55, and respiratory rate of 16. She has a BMI of 28. Virginia tells you that she has been feeling very fatigued lately. She has barely been able to get through her days without taking a nap, and she has definitely not been making it to the gym.
Roberta is a 56-year-old woman with a history of well-managed type 2 diabetes, hypertension, and peripheral vascular disease. She was first diagnosed with diabetes 5 years ago, but she has been working hard on managing her chronic disease since that time.
Between Thanksgiving and the winter holidays, clinic has been busier than ever with patients making last-minute appointments for sick visits. Some of your patients have been cycling in and out of clinic for weeks, toggling between upper respiratory symptoms and gastrointestinal illnesses. For example, when you last saw Mark three weeks ago, he had been sick with a fever, runny nose, and cough.
Case study: Mildred is an 80-year-old woman who has been in good health except for elevated cholesterol and cataracts for as long as you have known her. Mildred’s daughter call and tells you, “Mom was deep frying the turkey and got burned.”
When you enter the exam room, you see a 35-year-old woman in no apparent distress, scrolling through her cell phone. The patient, Amanda, looks up and cheerfully greets you. You remember her from her last visit, when she told you about her worsening pelvic pressure, low back pain, and excessive menstrual bleeding.
You are in the middle of your clinic day, when you note that your next patient is here to follow-up for recurrent gastroesophageal reflux disease (GERD). Ben is a 55-year-old man with a current history of obesity and cigarette smoking. When you walk into the exam room, he greets you with the following words: “The heartburn just keeps getting worse. I can’t eat anything anymore without it wrecking my day.”
Your clinic days have slowed down considerably after the rush at the end of the school year. With fewer patients and your own vacation not scheduled until August, you have time to think through some of your chronic disease management plans. One of these plans is for the management of chronic asthma in your adult patients. In fact, one of these patients, a 28-year-old woman named Maria, is coming to see you in clinic this morning.
March is National Colorectal Cancer Awareness Month. The Colorectal Cancer Alliance’s 2019 public awareness campaign is “Don’t Assume”. The goal is to challenge assumptions and misconceptions about colorectal cancer by dispelling myths, raising awareness, and connecting people across the country with information and support.
Case study: Frank is a 68-year-old man with a history of diabetes, hypertension and hypercholesterolemia. You have been managing his care for the past five years.
Case study: Mildred is an 80-year-old woman who has been in good health except for elevated cholesterol and cataracts for as long as you have known her. Mildred’s daughter call and tells you, “Mom was deep-frying the turkey and got burned. She doesn’t want to go to the ER, but we think that she should go. Can you talk some sense into her?”