Health journal
Every article is written by Lisa J. Rivera, MSN, FNP-C, WCC, the provider you will actually see in clinic. Education only, never a substitute for a visit.
Hemostasis, inflammation, proliferation, and remodeling: what each stage of wound healing does, how long it should take, and the warning signs that healing has stalled.
5 min read · Lisa J. Rivera, MSN, FNP-C, WCC
A step-by-step walkthrough of the DOT physical exam from a National Registry certified medical examiner: what is checked, what to bring, and how to avoid a delayed certificate.
5 min read · Lisa J. Rivera, MSN, FNP-C, WCC
A practical daily foot care routine for people living with diabetes: the two-minute check, footwear rules, and the early warning signs that should prompt a call to your provider.
5 min read · Lisa J. Rivera, MSN, FNP-C, WCC
A clinician's plain-English guide to GLP weight loss injections: how they affect appetite, what realistic expectations look like, side effects, and why supervision matters.
5 min read · Lisa J. Rivera, MSN, FNP-C, WCC
How to tell a normally healing wound from a stalled one, the infection signs that should never wait, and what happens at a wound clinic evaluation.
4 min read · Lisa J. Rivera, MSN, FNP-C, WCC
What a PPD tuberculin skin test involves, why some employers require the two step version, the 48 to 72 hour reading window, and how to schedule it right.
4 min read · Lisa J. Rivera, MSN, FNP-C, WCC
How hyperbaric oxygen therapy works, which hard-to-heal wounds it is used for, what a treatment session feels like, and how it fits into a complete wound care plan.
5 min read · Lisa J. Rivera, MSN, FNP-C, WCC
Thick nails, ingrown edges, and calluses are more than cosmetic when you live with diabetes. What professional diabetic nail care includes and how often to schedule it.
4 min read · Lisa J. Rivera, MSN, FNP-C, WCC
What happens during a DOT urine drug screen, what chain of custody really means, the five-panel test explained, and what employers and drivers should expect.
4 min read · Lisa J. Rivera, MSN, FNP-C, WCC
Two leg wounds can look similar and need opposite treatments. How clinicians tell venous from arterial ulcers, and why compression helps one and harms the other.
5 min read · Lisa J. Rivera, MSN, FNP-C, WCC
What a pre-participation sports physical covers for athletes 13 and up, the paperwork and history to bring, and the conditions worth flagging before the season starts.
4 min read · Lisa J. Rivera, MSN, FNP-C, WCC
Most amputations from diabetic foot ulcers begin with preventable small wounds. The limb preservation approach: early evaluation, circulation testing, offloading, and team-based care.
5 min read · Lisa J. Rivera, MSN, FNP-C, WCC