Background: Code status discussions and documentation are a key part of inpatient care for hospital medicine providers as they become more involved in caring for those with advanced illness. Hospitalists are challenged both with efficiently addressing a complicated subject due to time constraints and by a lack of established patient relationships. If it is not […]

Case Presentation: This 34‐year‐old woman presented with an 8‐month history of frequent emergency department visits related to episodically severe and progressively frequent nausea, vomiting, and abdominal pain. She had no neurological symptoms at the time. Despite of extensive diagnostic tests and procedures, the etiology of the bouts remained elusive. She was treated empirically for gastritis […]

Background: Patients admitted to the hospital without a documented code status specifying what, if any, heroic measures they would consent to in the event of an emergency are at risk for receiving medical interventions that are not goal concordant with their wishes1. This invites patient harm, patient and family dissatisfaction, and may increase hospital length […]

Case Presentation: A 49‐year‐old man presents with acute‐onset fever and confusion for one day. He has a history of type 2 diabetes mellitus and polycythemia vera complicated by myelofibrosis, and he underwent bone marrow transplant 3 months prior to admission. He is maintained on weekly chemotherapy via a mediport. His medications included cyclosporine, prednisone, voriconazole, […]