Background: The SARS-CoV-2 pandemic has required healthcare systems around the world to rapidly innovate and adapt to unprecedented operational and clinical strain. Many healthcare systems have turned to virtual care capabilities as an innovative means to safely and efficiently monitor patients while reducing staff exposure and resource constraints. Purpose: The overarching aim of this project [...]

Case Presentation: A 35-year-old female with tobacco use disorder presented to the emergency department with three months of recurrent fevers, non-productive cough, and dyspnea on exertion. She was initially seen by her primary care physician for these symptoms in the context of multiple sick contacts and was treated empirically for streptococcal pharyngitis with amoxicillin. Due [...]

Case Presentation: A 68-year-old male with COPD and prior lung cancer treated with chemotherapy and radiation presented with three days of progressive dyspnea, malaise, and altered mental status. On admission, he was in acute hypoxemic respiratory failure requiring BiPAP. The patient was unvaccinated against SARS-COV-2 and tested positive for the virus. He received dexamethasone and [...]

Case Presentation: A 23-year-old male with past medical history significant for recovered COVID 19 pneumonia one year prior presented to the Emergency Department with a chief complaint of shortness of breath with exertion that was gradually worsening. He endorsed increased weakness, fatigue, and pallor over a similar time span. The onset was two weeks prior. [...]

Background: High rates of venous thromboembolism (VTE) have been reported with coronavirus disease 2019 (Covid-19). However, studies have predominantly focused on hospitalized patients. The risk of VTE in outpatients with Covid-19 is less known. Methods: We conducted an observational study of adults (age ≥18 years) enrolled in two large, integrated healthcare delivery systems serving >9 [...]

Background: Since early 2020, the entire world has been enveloped within the COVID-19 pandemic. As research surrounding healthcare processes during the pandemic has surged, little has been studied regarding the pandemic’s impact on home-healthcare agencies (HHA). Previous research during the 2009 H1N1 pandemic found varied pandemic preparedness among HHAs. Therefore, this study aims to understand [...]

Background: Nursing facility (NF) quality of care is the subject of many innovations. The Centers for Medicare and Medicaid Services (CMS) allows for public comparison of quality measures. New Mexico (NM) consistently explores how to improve care in these areas. There are 70 NFs in NM; half are scattered in isolated rural areas. The shortage [...]

Case Presentation: A 60-year-old female with a history of ulcerative colitis, hypertension and paternal history of Huntington’s disease was diagnosed with mild COVID 19 infection in September 2021. Three weeks later, she started noticing that she was clumsy, and dropping things. She then started having jerky, spasmodic, involuntary movements of her head, upper extremities, and [...]

Case Presentation: A healthy 32-year-old male presented with fever and myalgia followed by multiple episodes of vomiting and diarrhea for the past few days. On admission, patient had a fever of 101F, tachycardia of 118, blood pressure of 118/66 mmHg. His oxygen saturation was 100% on room air. Physical exam was unremarkable. COVID-19 test was [...]

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 [...]