Background: Large hospital systems receiving transfer from other facilities constantly experience bed shortage and need to have real time awareness of all its’ facilities capacity, capability, and services currently available. Our hospital system receives about 150 inter-hospital transfer requests daily and complete about 60 each day. We have a centralized transfer center where our Transfer [...]

Background: In 2019, Banner Health innovated by launching Cultivating Happiness in Medicine (CHIM), which was Banner’s commitment to supporting physician and APP well-being and reducing burnout. The CHIM strategy is evidence-based, physician and APP driven, and holistic, supporting clinicians from individual wellness and organizational workplace environment perspectives. The six dimensions of the strategy include the [...]

Case Presentation: A 40-year-old male with no significant history presented with acute dizziness, visual disturbances, and gait abnormality, preceded by a viral prodrome. He reported headache, neck stiffness, vertical diplopia, and neurological exam revealed bilateral CN 6 palsy, left CN 3 palsy, restricted extraocular movements, and bilateral dysmetria. Cardiovascular, respiratory, and abdominal exams were unremarkable. [...]

Case Presentation: Milk alkali syndrome (MAS) was initially described in the early 1900s with the utilization of calcium alkali treatments for gastric ulcers and is characterized by the triad of hypercalcemia, metabolic alkalosis, and acute kidney injury (AKI). In modern times, it is usually secondary to calcium supplementation or excessive antacid consumption. Here, we describe [...]

Case Presentation: 22-year-old female presented with worsening lower abdominal pain, diarrhea, and ascending muscle weakness. A lumbar puncture revealed a normal cell count and protein levels, with slightly elevated Campylobacter Jejuni antibody levels at 0.93. The patient was treated with a five-day course of IVIG for presumed Guillain-Barré Syndrome (GBS), resulting in slight improvement in [...]

Case Presentation: A 54-year-old woman with no significant PMH presented with a macular rash, truncal pain, and progressive bilateral lower extremity weakness. She denied recent illness or travel, but did report frequent mosquito bites, as well as multiple recent sexual partners. She had no outdoor exposure except regular strolls on the Beltline, a popular urban [...]

Case Presentation: An 80-year-old female with a past medical history of breast cancer status post bilateral mastectomy and hepatocellular carcinoma status post radiation therapy presented with chest pain and progressive shortness of breath. The Computed tomography (CT) chest revealed a mass in the right ventricle extending into the main pulmonary artery with flattening of the [...]

Case Presentation: A 71-year-old man with history of coronary artery disease, aortic stenosis status post transcatheter aortic valve replacement (TAVR) two years ago, and ankylosing spondylitis presented to the emergency department for evaluation of 3 days of subjective fevers, worsening generalized weakness requiring one-person assist for ambulation, and tachycardia on his smart watch in the [...]

Case Presentation: A 40-year-old woman with a history of bipolar disorder and cannabis use disorder presented with four days of headache, dizziness, and vomiting. Initial examination revealed no focal neurological deficits except inconsistent orientation to time and cognitive slowing. She was treated symptomatically and planned for discharge. As she attempted to leave the ED, she [...]

Case Presentation: A 39-year-old active MMA fighter with hypertension and type 2 diabetes mellitus, both diagnosed in early adulthood, presented with 1 day of crampy, left-sided abdominal pain associated with multiple episodes of vomiting. He also reported episodic dizziness, flushing, headache, and rises in blood pressure (BP) over the two years prior. He denied recent [...]