Case Presentation: A 68‐year‐old woman was initially diagnosed with metastatic rectal adenocarcinoma in 2009. She received chemoradiation at that time with excellent response. 2 years after her initial diagnosis, she developed metastatic recurrence in her mediastinal, hilar, and supraclavicular lymph nodes with an increasing CEA level. She was reinitiated on chemotherapy at that time. Three […]

Background: With 81% of Americans having access to smartphones (1) and 58% using the internet for health related questions (2), there is a need for online resources to prepare patients and families for common experiences in the inpatient setting. The creation of Web based sites for patients and caregivers, such as TheHospitalizedPatient.com, attempts to fill […]

Case Presentation: A 55‐year‐old woman with cirrhosis due to hepatitis C and hepatocellular carcinoma presented with 6 months of progressive cognitive impairment and gait imbalance despite treatment for hepatic encephalopathy. On exam, she was easily distracted, inconsistently recognized family members, had short term memory impairment, bilateral hand resting tremors, cogwheeling in wrists, and slow, wide‐based […]

Background: In the quest to improve patient satisfaction scores, providers and health systems alike are frustrated with the inability to obtain real-time satisfaction data. Indeed, HCAHPS data lags by six months, and makes it exceedingly difficult to provide real-time feedback to physicians on their communication with patients. As a result, we developed a patient-centered audit […]

Case Presentation: A 63 year‐old man presented with three weeks of worsening shortness of breath and generalized weakness. He also reported a dry cough and a history of heart failure. He was noted be afebrile, tachycardic, with an oxygen saturation of 100%. He had no lower extremity edema. Proximal muscle groups were weaker than distal […]

Case Presentation: A 60 year old female with past medical history of chronic migraines presents with chief complaint of nausea and vomiting, with associated headache and malaise. She reports recent emergency room visit two weeks prior at an outside hospital for a “cold” with stomach pain. She was told she had a urinary tract infection […]