Background: Misalignment of goals of care at the End-of-Life exposes patients to risk and the health care system to considerable costs. A lack of end of life conversations can lead to unrealistic patient expectations, patient harm, and multiple hospital readmissions. This study aims to identify physician perspectives on the barriers to initiating end of life […]

Case Presentation: A 32‐year‐old man presented with 1 day of left‐sided upper abdominal pain. The pain radiated to the left shoulder and was associated with nausea and vomiting. Initially, he complained of pain with taking a deep breath, but those symptoms resolved by presentation. He denied fever, chills, night sweats, or a history of trauma. […]

Case Presentation: A 67‐year‐old man with long‐standing bipolar disorder presented with acute psychosis. Two weeks after initiation of clozapine, the patient began to experience lethargy, vomiting, diarrhea, low‐grade fevers, and tachycardia. Physical exam revealed a new late‐systolic murmur that was loudest at the left lower sternal border. Labs revealed an elevated white blood cell count […]

Background: Although the vast majority of adult patients in the United States prefer to die at home, most patients die in acute care settings. Barriers include advanced care planning, communication between inpatient and outpatient providers, and delivery of medical equipment. In 2018, our General Medicine Service Line ranked 73rd out of 98 Academic Medical Centers […]