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"You can get past the dead end. You can break through the ceiling. I did and so have countless others."

The Elite NURSE Practitioner

Latest Posts

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Clinical Pearl Wednesday #69

Have a female patient with a history of migraine that wants to start oral contraceptives? You might want to think twice. Combined (estrogen plus progesterone) oral contraceptive therapy can increase migraine frequency,

Announcing The Ketamine Infusion Clinic Course

Many of you have been waiting for this one! In collaboration with Heather Pearce-Shew, CRNA, MSN, who owns a very successful ketamine infusion clinic and is now finishing her NP degree, The

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Accepting HSA and FSA payments

As a cash accepting practice (and even insurance), sometimes patients will want to use their HSA and/or FSA cards. Can they do this? YES! You simply just swipe their card with your

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Clinical Pearl Wednesday #68

Have a patient with opioid use disorder? Are you going to begin treatment with Suboxone or buprenorphine monotherapy? Seriously consider splitting up their dose into twice daily dosing. Patients do better on