Background: Duplicate medical records, where one patient possesses multiple medical record numbers and corresponding charts within a single electronic health record (EHR), pose significant patient safety risks due to incomplete data and repeated interventions, among other areas. The risk is amplified for patients admitted to the hospital, where rapid pace decision making is the norm. […]

Background: Hospitalization at Home (HaH) has demonstrated clinical quality and patient experience superiority in general inpatient medical patients. Expansion of this service to sub-specialized inpatient populations would be highly beneficial to patients and health systems. Mount Sinai Health System (MSHS) HaH enrolls oncology patients with active disease admitted for acute general medical conditions and for […]

Case Presentation: A 79 year old African American female with non-ischemic cardiomyopathy, EF 35-40%, hypertension, chronic kidney disease, hypothyroidism, mild pulmonary hypertension, obesity, and mixed hyperlipidemia, presented with worsening dizziness and bipedal edema for 2 weeks. Patient reported stopping diuretics and carvedilol due to persistent hypotension for several months. Patient noted unintentional weight loss of […]

Case Presentation: A 29-year-old man was brought to our emergency department with a new-onset witnessed seizure. He was recently prescribed oral omeprazole for heartburn. He had no known medical conditions but had a family history of MEN1 in his father and paternal uncle. Initial labs showed hypercalcemia, with elevated PTH. MRI brain showed a sub-centimeter […]

Case Presentation: A 33-year-old woman presented with self-inflicted stab wounds to her neck and abdomen. Though she was initially alert and following commands, she was unwilling to provide a medical history and only shared that she had been experiencing headaches for three weeks prior to presentation.Labs were unremarkable, but CT scan on admission showed right […]

Case Presentation: The patient is a 58-year-old female who was initially treated at an outside facility for severe COVID-19 infection that presented as a nonverbal encephalopathy. During this, she developed seizures and required intubation for airway protection. Labs were notable for hemoglobin: 7.7g/dL, calcium: 8.1 mg/dL, and arterial ammonia: 107 mcg/dL. Encephalopathy at that time […]

Case Presentation: 80-year-old retired bus driver was admitted to the ER after multiple falls at home, generalized weakness, back pain and body aches. Patient developed generalized weakness over the last two weeks. Patient reported four-day history of blurry vision involving the right eye and observed drooping of the right eyelid over the past two days […]

Case Presentation: A 73 year old female with previous history of IgG lambda multiple myeloma presented to the emergency room with three weeks of gradually worsening shortness of breath, fatigue, and loss of appetite. Her multiple myeloma was diagnosed 2.5 years ago and she had since undergone several rounds of radiation and chemotherapy. Upon arrival […]

Case Presentation: A 72-year-old man with known multiple myeloma is admitted to hospital for initiation of chemotherapy due to cancer progression. He was first diagnosed with smoldering myeloma in 2003. He was then diagnosed with multiple myeloma after a bone marrow biopsy in 2021 revealed 98% plasma cells. One year after diagnosis, he started noticing […]