In this issue: Proud to be an Arkansas; So you Want to Open a Med-Spa; Treatment with Hydroxyzine for Paradoical Vocal Cord Dysfunction; Pediatric Osteoporosis Management is Critical; Unrecognized Baclofen Withdrawal Secondary to Inaccurate Medication Reconciliation; Derm Dilemma; Program Deaht 1 Inhibitor-Induced Pigment Epithelial Detachment; Marshallese Pacfic Islander Maternal Health Context. More