Background: The rate of young adults with complex medical needs and chronic illnesses hospitalized at children’s hospitals is increasing faster than any other age group of pediatric patients. There have been multiple studies showing the impact of young adult and adult aged patients as they are admitted to a pediatric hospital, however little has been [...]

Case Presentation: A 65-year-old man with a history of bilateral retinal detachment, coronary artery disease, type 2 diabetes, hypothyroidism, and hypertension presented with several days of left eye pain, bitemporal headache and decreased vision. Vital signs were notable for fever (101.2F) and tachycardia (124 bpm). On physical exam, he was unable to open his left [...]

Background: In the US, a small number of patients with complex medical and psychosocial needs disproportionately consume healthcare resources. At our institution, the HOME Program provides dedicated Individualized Care Plans (ICPs) and care coordination for patients with a range of chronic illness. Among such illnesses, Type 1 Diabetes Mellitus accounts for a large portion of [...]

Case Presentation: MG is an 18 year old male with quadriplegia from c-spine injury and chronic respiratory failure with trach/vent dependence who presented with 2-3 weeks of intermittent fevers, chills, malaise, abdominal pain, nausea, emesis, diarrhea, and anorexia. Initial evaluation revealed leukocytosis, thrombocytosis, and mild anemia. Urinalysis was significant for moderate leukocyte esterase, nitrites, pyuria, [...]