Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.

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Syphilis and Private Equity

Syphilis and Private Equity

Private equity ownership of hospitals consistently leads to staffing cuts, higher ED mortality, and more critically ill patients being transferred out. Meanwhile, syphilis is resurging nationwide, with rising cases across all demographics and important implications for ED recognition, testing, and treatment. Understanding RPR interpretation and correctly staging asymptomatic patients is essential, since unknown-duration infections must be treated as late latent to prevent progression.

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