The Inpatient Blood Pressure Olympics: Why We Must Stop Treating Numbers Instead of Patients

Published 10:14 am EDT,

Updated 10:07 am EDT,

There are few things in hospital medicine as predictable as sunrise, shift change, and the 2 a.m. phone call announcing that a patient’s blood pressure has reached a number so large it should have its own congressional district. The nurse’s tone is urgent, the vitals are highlighted in red, and the expectation is clear: Do […]

Impact Your Six-Foot Circle

Published 10:08 am EDT,

Updated 10:10 am EDT,

The guitar player of my band, LK, is one of my oldest friends. He can be headstrong sometimes and if you piss him off then Heaven help you, but he works hard to help those around him. During the peak of the pandemic I, as a hospitalist physician, worked in COVID units. As hospitals restricted […]

“The Goat Rodeo”

Published 12:33 pm EDT,

Updated 12:38 pm EDT,

While the more overt consequences—vaccine refusal, slowed outbreak response, weakened emergency stockpiles—are already the subject of widespread concern, there are more subtle avenues through which this “goat rodeo” undermines public health.

“Discharging the (Old) Discharge Summary: How AI is Rewriting the Last Chapter of the Hospital Stay”

Published 11:31 am EDT,

Updated 11:35 am EDT,

“Discharging the (Old) Discharge Summary: How AI is Rewriting the Last Chapter of the Hospital Stay” Hospital discharge summaries have always been the awkward epilogue of the patient’s inpatient journey—something between a clinical record, a legal form, and a lengthy regurgitation of disconnected items from within the chart. Traditionally, they’ve been authored by overworked residents […]

How To Reduce CHF Readmissions

Published 1:19 pm EDT,

Updated 1:24 pm EDT,

Reducing readmission rates, with a particular focus on Congestive Heart Failure, which is our index disease process due for this effort to its frequency, complexity, and high rates of both mortality and readmissions.

All That Wheezes is Not Asthma

Published 5:04 pm EST,

Updated 5:05 pm EST,

Translating a physical finding or a symptom directly into a diagnosis truly tests the skill and expertise of physicians and other providers.

Open The Portal

Published 7:56 pm EST,

Updated 12:50 pm EST,

Patient portals – changing the dynamic of who gets results first and what you can and can’t say in your notes.

Failure of heart care in our care of heart failure

Published 3:07 pm EDT,

Updated 3:12 pm EDT,

In the last several years with a mixture of old and new medications that are effective individually and synergistically effective when used in combination. They are referred to as the 4 pillars of medical management of CHF.

Echos of Failure or Failure of Echos

Published 6:12 pm EDT,

Updated 6:15 pm EDT,

Congestive heart failure has been on our front burner for a long time, for both inpatient and outpatient care, and for good reason.

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