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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

Clinical Pearl Wednesday #48

Have a patient with unexplained fatigue? Check a serum ferritin level! Remember, ferritin is the major iron storage protein of the body, therefore it is an indirect way to measure how much

Overload Paralysis

Have you ever had so much stuff you had to get done that the thought of it all just paralyzed you to do anything? Ya… This is an interesting phenomenon… Not only

Clinical Pearl Wednesday #47

Have a healthy adult patient with borderline high creatinine levels between 1.3mg/dl to 1.6mg/dl? Assess their athleticism. Individuals who are very athletic and carry more lean muscle mass generally have higher baseline

Selling My Telemedicine Practice

I have good news. I recently experienced one of the end goals of starting a business… Selling it! Yes, that is right, I sold my telemedicine practice! Closing was last week, so

Clinical Pearl Wednesday #46

Have a patient who is taking metformin? Metformin can cause serum Vitamin B12 deficiencies and could potentially lead to anemia. If you put a patient on metformin or have one that has