A 35 year old man with opioid use disorder (prescription opioids which progressed to heroin) has initiated office-based treatment with buprenorphine, advanced to 16mg per day. He reports ceasing opioid use, and his urine toxicologies are consistently negative for all opioids but positive for buprenorphine. However, his urines are intermittently positive for benzodiazepines, and he […]

Joy, a 75-year-old African American female has Lewy body dementia. She has recently been admitted to the short-term unit for rehab after a hip fracture which happened at her assisted living facility. She is now being transferred back to her assisted living facility. You are the assigned social worker for Joy. What are your initial […]

A 53-year-old male school teacher presents for a new patient evaluation at a primary care clinic. He lives in a very rural part of the state with minimal specialist resources. At age 43 he had an abnormal mole removed that turned out to be an early melanoma. On evaluation after excision, the oncologist felt that […]

 70 YoF that presents for a lesion below her left eyebrow. She states she has had a non-healing ulcer there for the last 4-5 months, with it changing from healing to being inflammed. She states today it appears to be healing, but wanted to be sure given her history of skin cancer in the past. […]

revise this evaluation: All of Zayed 4 had very positive feedback to offer for Mel. We really enjoyed having Mel come work with us. Mel was engaged, jumped right in, and was eager to scan patients. She has great attention to detail, asks great questions, and is great with the patients. She is thorough, takes […]