Background: Pain remains a major concern for medically hospitalized adults, and pain treatment is a focus of hospital quality reporting and improvement efforts. Pharmacologic treatment during hospitalization for acute pain and cancer pain rest on some evidence, but as many as 1 in 3 adult medical inpatients suffer from chronic pain. Little is known about [...]

Case Presentation: 46 yo man with chronic pain due to T8-T10 compression fractures from renal osteodystrophy related to tertiary hyperparathyroidism in the setting of end-stage renal disease from sickle cell nephropathy had recurrent prolonged admissions due to uncontrolled pain to the point where the patient was unable to perform his activities of daily living. Traditional [...]

Case Presentation: A 50-year-old female with history of seropositive rheumatoid arthritis, peptic ulcer disease, and chronic idiopathic pancreatitis status post Whipple procedure presented with one-week history of nausea, vomiting, and diarrhea. Her symptoms began prior to a cruise vacation, though she denied any other recent travel or sick contacts. The patient endorsed similar episodes up [...]