Missouri hospitalist, issue 19 (2009 July 23)
https://hdl.handle.net/10355/65689
2024-03-29T05:57:50ZCase of the month
https://hdl.handle.net/10355/61772
Case of the month
Hall, Les
A 20 year old male was transferred to UMH for ongoing treatment of atypical pneumonia. One week before transfer, he had developed fever, chills, sweats, malaise, a minimally productive cough and shortness of breath. The CXR revealed a diffuse interstitial reticulonodular pattern. When he failed to respond to levofloxacin, he was placed on vancomycin and piperacillin-tazobactam and referred for further evaluation and management. He denied past medical problems. Having emigrated from the Marshall Islands in 2008, he had been living in Missouri over the past year. He denied sick contacts, recent tick bites or significant exposure to animals. He re-ported smoking 5 cigarettes per day. Initial labs revealed a WBC of 4100, with normal Hgb, Hct and platelet count. Renal function was normal but the liver transaminases were mildly elevated: AST 136, ALT 123.
2009-07-01T00:00:00ZDo physicians impose clinical care decisions with life and death implications on patients without their knowledge and consent?
https://hdl.handle.net/10355/61770
Do physicians impose clinical care decisions with life and death implications on patients without their knowledge and consent?
Steinmann, William
This case represents what may be an increasingly common problem: decision making by specialists (including hospitalists) who are less informed than the patient's PCP regarding his/her overall clinical status, prognosis and personal wishes. Yet, such decisions may prove critical in future management, and may not be in the patient's best interest. Even worse, this decision making process may reflect an insensitivity (if not cavalier attitude) by care providers toward these patients, who may be facing the most important decision of their lives.
2009-07-01T00:00:00ZFrom the journals
https://hdl.handle.net/10355/61773
From the journals
Lancey, Robert
Citations, links and brief analysis of three articles of interest to hospitalists.
2009-07-01T00:00:00ZHospitalist conference and luncheon
https://hdl.handle.net/10355/61771
Hospitalist conference and luncheon
Conference announcement with link. Conference topic: Hospital acquired infections.
2009-07-01T00:00:00Z