This book is a work in progress. It is meant to continue to be that for the mid-level practitioners who own it. During my years as a Nurse Practitioner, I jotted down pearls, notes and quick guides as I learned during my everyday practice. These notes became invaluable to me as I continued in my practice. You will find that you will do this too. This book is to give you a heads up on that idea. Please add your own notes/pearls and make this book your own. I hope that it gives you help when you need it. I have included "My notes" pages for you to write on to add your own pearls and cheat notes.