Background: At our 583-bed tertiary care nonprofit teaching hospital serving the greater metropolitan New York area, ESRD (End-Stage Renal Disease) patients on hemodialysis presenting with complaints like chest pain, shortness of breath, hypertensive urgency, pulmonary edema, would sometimes wait for more than 6 hours to get dialysis started. While they were “waiting” to get admitted [...]

Case Presentation: 74-year-old female with history of heart failure, hypertension, diabetes, CKD Stage 3, obstructive sleep apnea, and COPD (2L O2 baseline) presented with weakness and shortness of breath for the last few days. She also endorsed having weight gain, despite a decrease in appetite. Apart from this, she reported a recent tick bite. On [...]

Case Presentation: 68-year-old white female presented with upper respiratory tract symptoms which progressed to cough in 4 days and she was found to have a right lower lobe pneumonia. Her sputum culture revealed MSSA (Methicillin Susceptible Staphylococcus Aureus) and she was treated with ceftriaxone and azithromycin. But her pneumonia worsened and she developed parapneumonic effusion, [...]