My Practice

It’s important to truly evaluate the risks, demands, expectations etc. before starting a practice and I wanted to go over how I manage some of the hurdles. This list is from the pros/cons of the Private Practice section: Financial Risks: High startup and operational costs, including rent, equipment, and liability insurance.  You can’t really prepare […]

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Steven Johnson Syndrome Cases

Steven Johnson Syndrome/toxic epidermal necrolysis (SJS/TEN) is a very severe reaction, most commonly triggered by medications, that causes skin tissue to die (necrosis) and detach. The mucous membranes of the eyes, mouth, and/or genitals are also commonly affected. SJS and TEN were previously thought to be separate conditions, but they are now considered part of […]

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Apathy Anomaly

I’ve spoken about vision problems with certain medications and adverse reactions but lately, one of my most important S/Es to warn about is apathy. This can be scary if a patient or the provider is not aware of it and it basically made me come out of my cave to rant about it! I somewhat touched […]

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Adult ADHD DSM

Adult ADHD 2.0

I discussed ADHD with children and how tedious it can be with the substance abuse population.  However, with adult ADHD, it’s usually ignored, undiagnosed, or hidden in other behaviors.  Insurances are covering less and the providers, patients, and facilities are getting more of the brunt of this broken health care system. I wish I could […]

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