Background: The benefits of palliative care for hospitalized cancer patients are well known and have become a hallmark of high-quality oncologic care. This evolution in cancer treatment has led to a growing demand for palliative care services, and to questions about how to most effectively integrate this specialty into patient care. Furthermore, the field of [...]

Background: Nationally, inpatient medical oncology services are transitioning from services led by oncologists to hospitalist led with a consultant medical oncology team. There is national literature surrounding inpatient medical oncology services being poorly received by residents for a variety of reasons. Inpatient medical oncology is generally limited to medical complications and challenging goals of care [...]

Background: Improving efficiency and throughput in cancer patients with high acuity is challenging and requires a multi-disciplinary effort to coordinate care delivery. In The James Cancer Hospital, two separate Internal Medicine Divisions (Medical Oncology and Hospital Medicine) have historically provided inpatient oncology hospitalist care to an average daily census of 98 patients throughout The James, [...]

Case Presentation: A 50-year-old male with history of HIV with undetectable viral load on ART presented to the emergency department for evaluation of left eye blurriness, ptosis, and ophthalmoplegia. History was notable for emergency department and outpatient ophthalmology visits one month prior resulting in a diagnosis of cranial nerve six palsy. MR angiography was unremarkable. [...]

Case Presentation: A 79 year old male presented to the hospital for evaluation of acute worsening testicular pain/swelling that had been ongoing for 3 months. When symptoms first began three months prior, he was evaluated by Urology and diagnosed with epididymitis; however, he completed two courses of antibiotics without symptomatic improvement. Testicular and abdominal ultrasound [...]

Case Presentation: We share a case of a 64 year old male with no thrombophilia history who presented with bilateral ascending lower extremity weakness and numbness from feet to bilateral upper extremities, with associated shortness of breath. Physical exam was notable for areflexia along with and decreased strength and sensation in bilateral lower extremities, with [...]