INPUT ARTICLE: Article: This process uses light pulses to destroy the root of the hair. It doesn't automatically remove the hair but does cause it to fall out over time. It works best for those with dark hair and light skin and getting it otherwise is very difficult or impossible. It costs several hundred dollars and touch-ups will be needed once a year. It does significantly reduce the appearance of hair, however. This is the only hair removal method currently certified by the FDA as being permanent. It is done by inserting a very small needle into the skin and destroying the cell which cause hair growth. It is very effective and is similar to the cost of laser hair removal. There are 2 types of electrolysis that can cause scarring (Thermolysis and The Blend) and are not recommended for those with darker skin tones (as they are at greater risk of scarring). However, there is one type of electrolysis that is not associated with scarring (as there is no heat in the process) called Galvanic which is suitable for all skin types. There is a prescription cream which will work very similarly to the depilatories above. While it is not usually able permanently remove hair on its own, there is some evidence that it can occasionally produce this effect. However, since it is usually considered an elective treatment, the cream may not be covered under your medical insurance. If your hair thickness and color are hormone-based (only your doctor can determine this), you may be able to return the hair to normal by using hormone treatments or oral contraceptives (which also regulate the hormones). Consult with your doctor about your options and condition.

SUMMARY: Consider laser hair removal. Consider electrolysis. Try prescription creams. Try hormone treatments or oral contraceptives.

INPUT ARTICLE: Article: Look at the diagnoses you wrote in the Assessment portion of the SOAP note, and determine if you need more tests to confirm them. Write down any test that fits with each diagnosis in the order of their importance. For example, you may need to perform an X-ray or CT scan to determine if there are more causes for underlying pain. List what should be done after special tests whether they come back positive or negative. If you believe that the patient needs rehabilitation, such as physical or mental therapy, be sure to list any that can apply. If a prescription medication is more appropriate, then write the type of medication, the dosage, and how long they should take it. Sometimes, you may need to perform surgery depending on the severity of the concern. If the type of care the patient needs is not your specialty, then include references for who to reach out to next. Provide names for all of the diagnoses if you still are narrowing down the cause. Let the patient know what the next steps are so they can stay informed.

SUMMARY: State any tests that the patient should have done next. Write down any therapy or medications the patient should try. Include any referrals to specialists if needed.

INPUT ARTICLE: Article: Place it in a saucepan over medium heat. Stir the cream as it heats, and remove it once it begins to steam. Do not let it come to a boil. You could also heat the cream in the microwave in a microwave-safe bowl. Let the hot cream melt the chocolate for a minute or two, then use a spoon to stir the mixture together until it becomes a smooth, creamy chocolate ganache. This will make it easier to pipe the filling onto the macarons as you fill them. Fit the pastry bag (or sandwich bag) with a small icing tip. Chocolate ganache is a popular macaron filling, but there are many other fillings to choose from. Try a simple buttercream filling, either plain or flavored with your favorite extract. If you like fruity fillings, raspberry, apricot, or blueberry jam make great choices.

SUMMARY: Heat the cream. Pour the cream over the chocolate (you can also other popular options like strawberry, blueberry or even vanilla). Spoon the filling into a clean pastry bag. Consider other fillings.

INPUT ARTICLE: Article: Place an ice pack on your lower back for about 20 minutes during the first 2 days you're experiencing pain. Wrap the ice pack in a towel or an old t-shirt so that it doesn't have direct contact with your skin. You can do these 20-minute sessions as often as once every 2 hours. If you don't have an ice pack, you can use a bag of frozen vegetables. Another trick is to soak a sponge in water, put it in a plastic bag, and freeze it. Then wrap that in cloth. You might want to use a second bag to prevent leaks. Using an ice pack for more than 20 minutes can burn your skin or damage your nerves. If your lower back pain persists, heat can help improve circulation to the area to stimulate healing. Heat also disrupts the pain messages your nerves send to your brain, so your back will feel better as a result. Try using a heating pad with adjustable settings. This way, you can adjust the temperature as necessary to meet your specific needs. Just remember to avoid falling asleep with the heating pad on. If you don't have a hot water bottle or heating pad, you can soak in a warm bath. Moist heat is better than dry heat because it will prevent your skin from getting too dry and itchy. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can provide short-term relief of lower back pain. They decrease inflammation of the muscles in your lower back, reducing the stimulation of your nerves that is causing the pain. Talk to your doctor if you find yourself using these drugs more than 10 days in a row. Continued use can cause gastrointestinal problems. . Regular massage therapy can improve circulation and relax your muscles, providing some relief for your lower back pain. While you may feel a difference after just one session, multiple sessions are typically needed for more long-lasting effects. There are more structured or targeted therapies that treat your lower back specifically. However, a general, therapeutic massage will have similar effects. Massage also reduces stress and tension, which can improve your lower back pain.

SUMMARY:
Soothe the pain with cold therapy. Switch to heat after 2 days. Take an over-the-counter medication. Try massage therapy