Background: We compared 1) monthly rates of hospitalizations by disease severity and heart failure types, 2) measures of in-hospital care process, 3) and 30-day clinical outcomes of patients with acute decompensated heart failure (ADHF) hospitalized during COVID-19 pandemic with those admitted in pre-pandemic periods. Methods: Retrospective study of 8989 ADHF hospitalizations (6769 unique patients, mean [...]

Case Presentation: A 76-year-old male with metastatic renal cell carcinoma presented to the hospital due to multiple syncopal episodes. The patient was prescribed pembrolizumab by infusion every 3 weeks (last dose was a week and a half prior). His presenting vitals were significant for a heart rate of 30 beats per minute and systolic blood [...]

Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a [...]

Background: COVID-19 is an emerging illness that the medical community learns more about with each passing day. As medical students go out on their rotations, they receive differing levels of education about the disease and its treatment modalities. Our study aim was to gather baseline information about the knowledge 4th-year medical students were receiving in [...]

Background: Internal Medicine residency is a three-year experience during which second and third year residents are expected to lead a team of first year residents and medical students. This structure has led to many residents finding themselves in leadership positions by circumstance and often with limited prior leadership training. The purpose of this study is [...]

Background: Homelessness is often underrecognized in the healthcare setting, preventing quality discharge planning, care coordination, and connection to community resources. Once found, effective documentation of homelessness in the electronic medical record (EMR) can inform future providers. We investigated how prior homeless documentation in the EMR influenced the identification of patient homelessness in subsequent encounters. Methods: [...]

Background: Academic hospitalist faculty often feel poorly equipped to meet the variety of teaching and scholarship expectations placed on them. This can contribute to job dissatisfaction and burnout. There is a dearth of faculty development programs for hospital medicine faculty to meet this need. We developed, implemented, and evaluated a faculty development workshop series for [...]

Background: Coronavirus disease 2019 (COVID-19) is an infectious disease that is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)1. On February 29, 2020, the first United States reported its first death3. On March 8, St. Louis County and Missouri saw their first case4. Despite ample research coming out about COVID-19, its causes, and its [...]

Background: In 2020, melanoma exhibited the 5th highest incidence rate of all cancers in the US. While metastatic melanoma constitutes only 4% of new melanoma cases, the 5-year survival rate of metastatic melanoma is 27% [1]. Immune Checkpoint Inhibitors (ICIs) were the first drugs to significantly improve the 5-year survival of late-stage melanoma patients; these [...]

Background: Since the start of the coronavirus disease 2019 (COVID-19) pandemic, millions have succumbed to the infection worldwide. The virus is most well-known for its devastating pulmonary and cardiovascular manifestations, but acute kidney injury (AKI) has been frequent as well (reported incidence ranging from 0.5% to 56.9%), and has been repeatedly observed to be associated [...]