Background: Acute decompensated heart failure exacerbation is the leading cause of hospitalization in the United States. It was associated with total medical costs of more than $30 billion in 2012 with projections estimating around $70 billion in costs by 2030. Currently, six million people in the U.S. have heart failure, with a little over half […]

Background: Chronic obstructive pulmonary disease (COPD) exacerbations occur in a significant proportion of hospitalizations but are often treated with substandard care. This may include inappropriate use of medications during and after hospitalization and failing to receive appropriate referrals for subspecialty care and rehabilitation. After discharge, lack of adequate education can lead to inappropriate medication use. […]

Case Presentation: A 58-year-old male presented to the hospital with several days of fatigue and shortness of breath. His vitals were initially stable, and labs showed a hemoglobin of 4.2 (normal 13.5—17.5), white blood cell count WBC 20.1 (4.5—11.0), and platelet count 43 (160—420), BNP 617 (0—900 pg/ml). He received one unit of packed red […]

Case Presentation: A 65 year old Caucasian male with a history of B cell lymphoma on dual anti-checkpoint inhibitor therapy with Pembrolizumab (anti-PD1 antibodies) and IDO(indolamine 2,3-dioxygenase) presented with complaints of left side facial droop, slurred speech and hearing loss. Initial MRI obtained prior to admission was unremarkable but given the progression of the symptoms […]