Background: Patient recruitment for randomized clinical trials is often challenging, especially when the alternatives being studied may require significant changes or have large consequences for the patient. We describe our experience recruiting patients for a clinical trial comparing the Comprehensive Care Program (CCP), a care delivery model in which physicians focus their practice on caring [...]

Case Presentation: A 52-year-old destitute G6P6006 woman with an advanced stage Inflammatory breast cancer (IBC) presented to the OB/GYN for four-month right breast pain and one-month skin changes. The examination was notable for a diffusely dense and hard to left palpation breast, peau d’orange, medial scarring similar to boils without drainage, absent nipple discharge, and [...]

Case Presentation: Neisseria meningitidis, a gram-negative diplococcus, is widely known for causing meningitis and septicemia. However, its potential to trigger rare cardiac manifestations, such as pericarditis, often goes unrecognized. These atypical presentations can mimic common cardiovascular emergencies like myocardial infarction or pulmonary embolism, creating significant diagnostic challenges.A 44-year-old male with a history of type 2 [...]