Background: Almost three-quarters of hospitals with 50 or more beds have a palliative care program, and the percentage of annual hospital admissions receiving an initial palliative care consultation is more than 5%. Methylnaltrexone (MNTX) is a peripherally acting µ-opioid receptor antagonist indicated for opioid-induced constipation (OIC) in patients with advanced illness who are receiving palliative [...]

Background: Written discharge instructions frequently lack guidance on how patients should address problems and questions that arise at home, and this represents an opportunity to enhance discharge safety and prevent readmissions. This study aimed to increase the number of discharge instructions that included anticipatory guidance and self-management among patients discharged from internal medicine teaching services [...]

Background: One of the tools providers use in the discharge process to promote a safe transition of care is the written discharge instructions. Optimization of these instructions has been identified by physicians as a potential strategy to prevent readmissions. Our survey aimed to assess knowledge, attitudes, and self-reported practices of providers related to anticipatory guidance [...]

Background: Racial minorities are underrepresented in cancer-related clinical trials. One commonly recognized contributor to this is medical mistrust. Methods: This study used data from the 2020 National Cancer Institute’s Health Information National Trends Survey (HINTS), a cross-sectional, nationally representative sample of 3865 participants. We sought to determine the prevalence of medical mistrust and its impact [...]

Case Presentation: Reports of COVID-19 Associated Pulmonary Aspergillosis (CAPA) have increased. Most cases are in persons older than 65 years of age, who are mechanically ventilated, have chronic lung disease, and/or are immunocompromised. Aspergillus can lead to infections such as chronic pulmonary aspergillosis, allergic bronchopulmonary aspergillosis, and invasive pulmonary aspergillosis (IPA). IPA has the highest [...]

Case Presentation: A healthy 43-year-old Caucasian male who recently traveled to East Africa was presented to the emergency department with a high-grade fever (105.3F), and myalgia. He denied taking malaria chemoprophylaxis. On presentation, he was febrile, hypotensive, and tachycardic. He appeared to be ill, and toxic with no palpable organomegaly. His initial blood tests revealed [...]