Danielle Pigneri

Sep 23, 2024 | opmed.doximity.com | Tasia Isbell |Nishant Pandya |Stephanie E. Moss |Danielle Pigneri

The story of "The Boy Who Cried Wolf" is a cautionary tale about the dangers of false alarms. The shepherd boy repeatedly tricks the villagers into believing a wolf is attacking his flock. When a real wolf finally appears, the villagers ignore his cries. The moral is clear: Repeated false alarms lead to skepticism and inattention when genuine danger arises. But what do you do when it is a 14-year-old girl who cried pancreatitis, and not a boy and the threat of a wolf?

Sep 23, 2024 | opmed.doximity.com | Nishant Pandya |Stephanie E. Moss |Danielle Pigneri |Lisa Belisle

The Patient Isn’t Sick, But We Can Still Treat the Parent“Kid’s a level 5. Fever starting six hours ago, runny nose. He’s fine.”Her three-year-old son had developed a fever and rhinorrhea that day. She was worried about an ear infection. His exam showed no signs of otitis media and we discussed how a viral upper respiratory infection likely caused his fever. “Thank god.” The heavy relief in her sigh told me there was something left unsaid.

Aug 26, 2024 | opmed.doximity.com | Miguel Angel Villagra-Diaz |Jessica Reeves |Heather Kristin Schopper |Danielle Pigneri

Editor’s Note: This article by a Doximity Digital Health Fellow covers a new offering, Doximity GPT. As the sun set below the horizon, it cast an amber hue across the room where I stood beside my patient. It was his last day in the hospital, and he anxiously awaited his discharge instructions. However, a language barrier threatened to disrupt our connection. Then I remembered Doximity GPT and quickly navigated to it on my tablet.

Jul 25, 2024 | opmed.doximity.com | Brittany Panico |Heather Kristin Schopper |Mallory Grove |Danielle Pigneri

Practicing medicine is nothing short of variety. No two patients are alike and rarely do our patients follow treatment algorithms exactly. Some may still say this is the “art” of what we tap into as clinicians. I enjoy that I get to see patients for one complaint and diagnose them with something that unifies several other complaints they have. I feel like I “do” something when I start a treatment, because the conditions and symptoms I treat as a rheumatologist are tangible.

Feb 20, 2024 | opmed.doximity.com | Brittany Panico |Danielle Pigneri |Jenna Colturi |Matthew Scott

I sit facing Ms. M in my exam room, looking at her while explaining the role of rituximab, a medication I use frequently for vasculitis and rheumatoid arthritis. Except Ms. M has Sjogrens disease and rituximab is used off-label for her condition. So I am explaining that it is possible her insurance may deny coverage of the medication at first, then we may have to request it from the drug company.