Case Presentation: A 35-year-old man presented to ED with sudden onset weakness on left hand. He denied fever, dizziness, headache, and similar symptoms in the past. He doesn’t take any medication. He had upper respiratory symptoms two weeks ago and resolved. He has not received influenza and COVID-19 vaccine. Examination showed diminished power (4/5) in […]

Background: Non-beneficial treatment can be defined as medical interventions that are ineffective in achieving the desired goals or are “a disservice to patients who are subjected to ongoing and likely uncomfortable conditions with no benefit”. At times, critically ill patients are declined Intensive Care Unit (ICU) admission due to perceived lack of benefit from medical […]

Case Presentation: 20-year-old severely agitated female with history of major depression disorder and anxiety presented after ingesting up to 85 pills including escitalopram, bupropion and alprazolam. Subsequently requiring 4-point restraint due to combative behavior. Labs remarkable for hypokalemia and metabolic acidosis. UDS positive for amphetamines, benzodiazepines cannabis. However negative testing for acetaminophen, salicylates, and ETOH. […]