Background: Hospital Medicine is being increasingly involved in improving various metrices of inpatient care such as length of stay and cost of care. Patients who do not meet ‘inpatient criteria’ often contribute to significant financial costs to hospitals and remain in ‘observation status’ during their hospital stay. Observations units which were introduced by emergency doctors […]

Case Presentation: A 63‐year‐old man with diabetes complicated by peripheral neuropathy presented with increasing right lower‐extremity weakness and a recent fall 2 days prior to admission. His vital signs and physical exam were unremarkable with the exception of a 2 × 2 cm nontender, nonfluctuant stage 2 decubitus ulcer on his right gluteal fold. After […]

Case Presentation: Cannabis has gained worldwide recognition of its medicinal value hailed as “the aspirin of the 21st century.” It is common knowledge that cannabis has an antiemetic entity; proven to act as a partial 5HT1A agonist. However, less commonly discussed are the negative consequences of its use in high doses. The following case demonstrates […]

Background: Care fragmentation is associated with a number of clinical and socio-demographic features which have been thought to increase hospital utilization as well as morbidity and mortality. Patients who receive fragmented care at the hospital level are often underinsured and uninsured. It is unclear to what degree lack of insurance and subsequently lack of continuous […]