Background: Although procedural sedation has been proposed as a core competency for pediatric hospitalists (PHs), little sedation training is given during pediatric residency. Most PHs are trained on the job and may have received only a didactic lecture on procedural sedation medications along with supervised sedation training. In general, children who need procedural sedation are […]

Background: Transjugular intrahepatic portosystemic shunt (TIPS) creation is a commonly utilized procedure used for patients with chronic liver disease and resistant portal hypertension. Previous studies have explored the trends and short-term outcomes in TIPS procedures. This study aims to further compare short-term in-hospital outcomes of patients with diabetes mellitus (DM) when undergoing TIPS. Methods: This […]

Background: Our facility's 30‐day hospital readmission rate is 18%, which is higher than the accepted rate of 13%. Research shows that interventions emphasizing education on disease self‐management and symptom awareness significantly reduces readmissions. Purpose: Our aim was to develop a multidisciplinary approach to improve the quality of our inpatient education to reduce hospital readmissions. Description: […]

Background: The risk for serious infections and poor treatment outcomes is reported to be higher in patients with diabetes compared to the general population. Omadacycline (OMC) is an intravenous (IV) and oral aminomethylcycline antibiotic approved in the US to treat acute bacterial skin and skin structure infections (ABSSSI) and community-acquired bacterial pneumonia (CABP) in adults. […]

Case Presentation: A 48‐year‐old white man with a medical history significant for 30 years of alcohol abuse presented for alcohol detoxification. At admission, he noted 1 week of fevers and fatigue; he had no abdominal pain, hematemesis, melena, or change in stools. He had not used any medications, including over‐the‐counter or illegal drugs. There was […]

Background: Diabetes is a chronic disease that has turned into a global healthcare epidemic. With time, the focus in diabetes care has shifted to patient education and empowerment. Diabetes educators are professionals who focus on educating individuals with and at risk for diabetes to become effective self-managers. Diabetes educators do not only provide information and […]

Case Presentation: A 56‐year‐old white man presented to an outlying hospital with abdominal pain, melanotic stool. He had hemoglobin of 14 g/dL, white cell count of 19,000, and platelets count of 879,000. Initially the INR was 2, but he was not on anticoagulants. CT abdomen showed pancolitis and pericolic inflammation. He was commenced on IV […]

Background: Fingerstick blood glucose (FSBG) testing allows inpatient providers to adjust insulin in real time to protect patients from significant hypo- or hyperglycemia. Admitted diabetic patients are often placed on sliding scale insulin with four times per day FSBG testing, regardless of home insulin use. FSBG test materials cost $9 per use (1). We estimate […]

Case Presentation: A 66-year-old man with uncontrolled type 2 diabetes mellitus (hemoglobin A1c = 18.1%) presented with one month of worsening pleuritic chest pain, productive cough and 10-pound weight loss. He denied any gastrointestinal (GI) symptoms, including diarrhea or abdominal pain. He worked as a clinical nursing assistant. Patient denied any recent international travel, animal […]

Case Presentation: A 66-year-old man with uncontrolled type 2 diabetes mellitus (hemoglobin A1c = 18.1%) presented with one month of worsening pleuritic chest pain, productive cough and 10-pound weight loss. He denied any gastrointestinal (GI) symptoms, including diarrhea or abdominal pain. He worked as a clinical nursing assistant. Patient denied any recent international travel, animal […]