American journal of hospital medicine, volume 7, issue 1 (2023 January-March)
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Item Social media : an opportunity for fidelity in extension of the traditional physician-patient relationship(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01) Meyer, Shelby; Fleming, David; Brandt, LeaSocial media (SM) sites are a critical component of our modern society, increasingly present not only in our personal lives, but also in professional spheres.1 Within the medical profession, particularly during the ongoing COVID-19 pandemic, SM has emerged as a major influence in public health, research communications, and even individual health.2 This technology increasingly reinforces and shapes the practice of medicine and the relationship between the physician and the patient. The view that SM is strictly personal is too limiting. SM is a modern tool and concept of care which influences population health and has evolved to become crucially important in healthcare communication. Understanding this nexus is critical to our modern understanding of fidelity in the healing relationship and Pellegrino’s phenomenological core of medicine. The use of SM is an emerging issue of moral concern in bioethics, and guidance is needed to help medical professionals, technology companies, and the public understand and navigate the potential risks and benefits inherent to these platforms.Item A new health emergency : monkeypox outbreak(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01) Hoque, FarzanaMonkeypox, caused by a double-stranded DNA Orthopox virus has recently increased in non-endemic countries outside of Africa. At the time of this writing, 80,850 cases have been reported globally and 29,248 cases in the USA. Endemic countries have also experienced a recent increase in monkeypox cases. In 2003, during an outbreak of monkeypox in Illinois, Indiana, Kansas, Missouri, Ohio, and Wisconsin, 47 cases happened due to contact with prairie dogs. Before 2022, community transmission of monkeypox did not happen outside of Africa, as most cases occurred in the Democratic Republic of the Congo. In addition to the geographic difference between the current and previous monkeypox outbreaks, there are also significant demographic differences. Most recent outbreaks in West and Central Africa have affected individuals of all ages, while early outbreaks mainly affected children. According to the currently available data, 99% of U.S. monkeypox cases occurred in men. The current outbreak of monkeypox is predominantly affecting gay, bisexual men, and other men who have sex with men (GBMSM).Item Clinical outcomes associated with Hypoxia in hospitalized patients with COVID-19(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01) Sharp, Madeline E.; Stuck, Rachel; Naqvi, Syed H.The coronavirus disease 2019 (COVID-19) has majorly impacted millions of people worldwide. The clinical course and outcomes of infection with COVID-19 have been studied, but there remain knowledge gaps. This study aims to investigate the impact of hypoxia necessitating inpatient and postdischarge supplemental oxygen in COVID-19 patients on in-hospital mortality, clinical outcomes, and return rates.Item Severe babesiosis in an asplenic patient requiring red cell exchange(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01) Yang, Xiaoyan; Consing Gangelhoff, Margarita C.; Rose, William N.Babesiosis is a rare, tick-borne infectious disease, caused mostly by the parasite Babesia microti in the United States. It is frequently transmitted through the bite of the Ixodes scapularis tick. Babesiosis is characterized by red cell disruption and intravascular hemolysis. Severe cases can be life-threatening and are associated with asplenia, advanced age, and other causes of impaired immune function. Treatment is typically with antibiotics. However, for severe cases, the use of red cell exchange has been reported with debate about its efficacy. Here, we report a complex case of babesiosis with a parasitemia of 22% that required two red cell exchange procedures and multiple antibiotics in a patient with a history of asplenia.