Case Presentation: A 55-year-old man with a history of homelessness, poorly controlled type 2 diabetes treated with insulin and complicated by recurrent diabetic ketoacidosis (DKA), peripheral vascular disease and neuropathy with foot ulcers, severe autonomic neuropathy with postural hypotension and recurrent syncope treated chronically with midodrine and fludrocortisone, and chronic heart failure with mid-range ejection [...]

Case Presentation: A 70-year-old African American woman with a past medical history of hypertension, Type II diabetes mellitus, and COPD presented to the emergency department complaining of new-onset right arm bruising and swelling with no history of trauma. The patient had been recently hospitalized a week prior for a chest pain workup that was negative. [...]

Case Presentation: 46-year-old male presented with sudden onset epigastric abdominal pain for 8 days at an outside hospital. He described pain as 6/10 intensity, dull in character, radiating in a band like pattern across the abdomen. Review of system was otherwise negative. CT scan of abdomen was done which showed no acute findings and was [...]

Case Presentation: 26 year old male with a history of intellectual disability, poorly controlled T1DM with Hgb A1c of 16.3% presented with right facial and orbital swelling with complete vision loss, after a recent broken tooth failing outpatient amoxicillin. He was diagnosed with right orbital cellulitis and invasive fungal sinusitis on imaging. Initial MRI brain [...]

Case Presentation: Previously healthy, never-smoker, COVID vaccinated, 45yo male with a history of hypertension presented to urgent care for one month history of shortness of breath on exertion, mild cough, and some weight loss. At urgent care, oxygen saturation was found to be 77% on room air and was transferred to Bronson Hospital for further [...]

Background: Atrial fibrillation (AF) is condition associated with increased risk of death in multiple populations (1). The association between AF and COVID-19 infection has started to be explored, but largely in specific geographic locations and/or within the context of the hospitalization (2). By understanding the relationship between COVID-19 and AF, providers may be better supported [...]

Background: Communication errors in the post-operative period have been shown to contribute to patient harm and excess costs. There are no existing standards for the verbal handoff of post-operative patients to the acute care inpatient unit. There is limited literature describing hospitalist and surgeon experiences of and preferences for such handoffs. Our aim was to [...]

Background: At our institution, late discharge times and low rates of discharge before noon (DBN) have historically been associated with bottlenecks and delays in patient care. During the COVID-19 pandemic, changes in hospital census and staffing further increased the need for efficient and safe patient discharges. To address these barriers, we formed a multidisciplinary quality [...]

Background: Healthcare provider burnout is highly prevalent, has been increasing during the COVID pandemic, and affects both physician and advanced practice providers (APP) wellbeing in hospital medicine (HM). The purpose of this study is to characterize and understand HM physician and APP stressors in their work environment, including workload. Methods: We distributed anonymous, online surveys [...]

Background: Targeted approaches for early discharge times have been utilized to improve patient flow, but literature shows sparse evidence for hospital-wide efforts and mixed benefits for the length of stay and readmission rates. Furthermore, there is limited data for this approach across a large academic medical center. We set an aim to increase the percentage [...]