CARING AND THE MALE NURSE

Back in the ‘80s I ran a clinic for the elderly that was housed in an apartment on the tenth floor of a Chicago high rise. My patients came to see me, a nurse practitioner, in the office but in many instances I would later check up on them in their apartments in the building…… Continue reading CARING AND THE MALE NURSE

THE WEIRDEST HOME VISIT

When I worked in the home care program at a VA hospital in Illinois, medical students sometimes came along with us nurse practitioners while we made our visits. I enjoyed showing them the reality of delivering care in the patient’s home—where we were guests—the subtle line between suggestion and decree, education and instruction, doing for…… Continue reading THE WEIRDEST HOME VISIT

DEMISE OF THE PHYSICAL

Back in the early ‘80s when I ran a not-for-profit clinic on the west side of Chicago for older people before annual physicals were considered “nonspecific” or “inefficient” or “potentially harmful” [“Let’s (Not) Get Physicals” (Elisabeth Rosenthal, The New York Times, June 3, 2012)] I did a complete head to toe exam on each patient who registered, including vaginal…… Continue reading DEMISE OF THE PHYSICAL

NURSE PRACTITIONER VERSUS PHYSICIAN’S ASSISTANT

Last week in a restaurant in Lyon, France, my tablemate turned toward me and asked, “What’s the difference between a nurse practitioner and a physician assistant.” My husband and I were on a tour. Our traveling buddies consisted of older folks like ourselves. The woman knew I was a retired NP and had told me…… Continue reading NURSE PRACTITIONER VERSUS PHYSICIAN’S ASSISTANT