JUCM, The Journal of Urgent Care Medicine May 2008

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™ MAY 2008 VOLUME 2, NUMBER 8 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE A BRAVEHEART PUBLICATION FEATURES 11 Rx Drug Abuse and the Drug-Seeking Patient 21 Bouncebacks: The Case of a 71-Year-Old Man with Back Pain DEPARTMENTS 27 Insights in Images: Clinical Challenge 29 Abstracts in Urgent Care 31 Coding Q&A 33 Health Law 34 Occupational Medicine 40 Developing Data INSIGHTS IN IMAGES CLINICAL CHALLENGE In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urge <a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 29" href="http://viewer.zmags.com/publication/5749c2ad?page=29">INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac</a> INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 39" href="http://viewer.zmags.com/publication/5749c2ad?page=39">CareerOpportunities IMMEDIATE OP</a> CareerOpportunities IMMEDIATE OP<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 34" href="http://viewer.zmags.com/publication/5749c2ad?page=34">CODING Q&A you operate x-ray on site</a> CODING Q&A you operate x-ray on site<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 3" href="http://viewer.zmags.com/publication/5749c2ad?page=3">LETTER FROM THE EDITOR-IN-CHIEFRekindling the</a> LETTER FROM THE EDITOR-IN-CHIEFRekindling the<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 20" href="http://viewer.zmags.com/publication/5749c2ad?page=20">PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI</a> PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 7" href="http://viewer.zmags.com/publication/5749c2ad?page=7"></a> <a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 1" href="http://viewer.zmags.com/publication/5749c2ad?page=1">™ MAY 2008</a> ™ MAY 2008<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 38" href="http://viewer.zmags.com/publication/5749c2ad?page=38">CareerOpportunitiesSEATTLE, WASHINGTON – UR</a> CareerOpportunitiesSEATTLE, WASHINGTON – UR<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 26" href="http://viewer.zmags.com/publication/5749c2ad?page=26">THE CASE OF A 71-YEAR-OLD MAN WITH BACK PAIN</a> THE CASE OF A 71-YEAR-OLD MAN WITH BACK PAIN<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 24" href="http://viewer.zmags.com/publication/5749c2ad?page=24">Western New York sWestern New York</a> Western New York sWestern New York<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 40" href="http://viewer.zmags.com/publication/5749c2ad?page=40">CareerOpportunitiesURGENT CARE MEDICAL DIRECTOR</a> CareerOpportunitiesURGENT CARE MEDICAL DIRECTOR<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 13" href="http://viewer.zmags.com/publication/5749c2ad?page=13">ClinicalPrescription Drug Abuse andthe Drug-See</a> ClinicalPrescription Drug Abuse andthe Drug-See<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 11" href="http://viewer.zmags.com/publication/5749c2ad?page=11">Go digital for what you currently spend on conven</a> Go digital for what you currently spend on conven<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 32" href="http://viewer.zmags.com/publication/5749c2ad?page=32">ABSTRACTS IN URGENT CAREdiac resuscitation by</a> ABSTRACTS IN URGENT CAREdiac resuscitation by<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 30" href="http://viewer.zmags.com/publication/5749c2ad?page=30">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 19" href="http://viewer.zmags.com/publication/5749c2ad?page=19">PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI</a> PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 23" href="http://viewer.zmags.com/publication/5749c2ad?page=23">ComprehensiveresultswithoutrestrictionsTh</a> ComprehensiveresultswithoutrestrictionsTh<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 2" href="http://viewer.zmags.com/publication/5749c2ad?page=2"></a> <a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 21" href="http://viewer.zmags.com/publication/5749c2ad?page=21">zFm£z!m=!¨:“Ah.”</a> zFm£z!m=!¨:“Ah.”<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 28" href="http://viewer.zmags.com/publication/5749c2ad?page=28">THE CASE OF A 71-YEAR-OLD MAN WITH BACK PAIN</a> THE CASE OF A 71-YEAR-OLD MAN WITH BACK PAIN<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 9" href="http://viewer.zmags.com/publication/5749c2ad?page=9">LETTERS TO THE EDITORTo the Editor:The articl</a> LETTERS TO THE EDITORTo the Editor:The articl<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 8" href="http://viewer.zmags.com/publication/5749c2ad?page=8">JUCM CONTRIBUTORSRecently, the mainstream med</a> JUCM CONTRIBUTORSRecently, the mainstream med<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 22" href="http://viewer.zmags.com/publication/5749c2ad?page=22">PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI</a> PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 6" href="http://viewer.zmags.com/publication/5749c2ad?page=6">JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West</a> JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 33" href="http://viewer.zmags.com/publication/5749c2ad?page=33">CODING Q&ACoding for Services Attempted But N</a> CODING Q&ACoding for Services Attempted But N<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 18" href="http://viewer.zmags.com/publication/5749c2ad?page=18">PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI</a> PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 35" href="http://viewer.zmags.com/publication/5749c2ad?page=35">HEALTH LAWThere Will be Blood: Key ReasonsTha</a> HEALTH LAWThere Will be Blood: Key ReasonsTha<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 31" href="http://viewer.zmags.com/publication/5749c2ad?page=31">ABSTRACTS IN URGENT CAREOn Children with Pyelo</a> ABSTRACTS IN URGENT CAREOn Children with Pyelo<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 4" href="http://viewer.zmags.com/publication/5749c2ad?page=4">)NTRODUCINGTHE(/34%$3/,54)/.FOR34)8</a> )NTRODUCINGTHE(/34%$3/,54)/.FOR34)8<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 41" href="http://viewer.zmags.com/publication/5749c2ad?page=41">URGENT CARE OPPORTUNITY availablefor a BE/BC phy</a> URGENT CARE OPPORTUNITY availablefor a BE/BC phy<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 37" href="http://viewer.zmags.com/publication/5749c2ad?page=37">OCCUPATIONAL MEDICINEgreatest health and safety</a> OCCUPATIONAL MEDICINEgreatest health and safety<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 42" href="http://viewer.zmags.com/publication/5749c2ad?page=42">DEVELOPING DATAAseatnspemeceifrigcintog idtsi</a> DEVELOPING DATAAseatnspemeceifrigcintog idtsi<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 25" href="http://viewer.zmags.com/publication/5749c2ad?page=25">BouncebacksThe Case of a 71-Year-Old Manwith B</a> BouncebacksThe Case of a 71-Year-Old Manwith B<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 17" href="http://viewer.zmags.com/publication/5749c2ad?page=17">PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI</a> PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 27" href="http://viewer.zmags.com/publication/5749c2ad?page=27">THE CASE OF A 71-YEAR-OLD MAN WITH BACK PAIN</a> THE CASE OF A 71-YEAR-OLD MAN WITH BACK PAIN<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 16" href="http://viewer.zmags.com/publication/5749c2ad?page=16">TussionexPennkinetic® Rev. 01/2008 1ETU1186-030</a> TussionexPennkinetic® Rev. 01/2008 1ETU1186-030<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 43" href="http://viewer.zmags.com/publication/5749c2ad?page=43">DaysSeptember 26-27, 2008LocationPeabody Hot</a> DaysSeptember 26-27, 2008LocationPeabody Hot<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 44" href="http://viewer.zmags.com/publication/5749c2ad?page=44"></a> <a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 36" href="http://viewer.zmags.com/publication/5749c2ad?page=36">OCCUPATIONAL MEDICINEPerfecting the Clinic Vis</a> OCCUPATIONAL MEDICINEPerfecting the Clinic Vis<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 10" href="http://viewer.zmags.com/publication/5749c2ad?page=10">FROM THE EXECUTIVE DIRECTORUnsung Heroes■</a> FROM THE EXECUTIVE DIRECTORUnsung Heroes■<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 5" href="http://viewer.zmags.com/publication/5749c2ad?page=5">™The Official Publication of the Urgent Care A</a> ™The Official Publication of the Urgent Care A<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 14" href="http://viewer.zmags.com/publication/5749c2ad?page=14">PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI</a> PRESCRIPTION DRUG ABUSE AND THE DRUG-SEEKING PATI<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 15" href="http://viewer.zmags.com/publication/5749c2ad?page=15">It’s Sunday evening, and her coughrequires an ur</a> It’s Sunday evening, and her coughrequires an ur<a title="JUCM, The Journal of Urgent Care Medicine May 2008 page 12" href="http://viewer.zmags.com/publication/5749c2ad?page=12"></a>