Background: It is universal practice to restrain incarcerated patients – regardless of age, illness, mobility, or pretrial status – with metal shackles during hospital stays without consideration for less restrictive alternatives. Globally, human rights and legal groups have voiced opposition to this shackling, citing numerous justice, ethics, and medical concerns relating to the practice. Healthcare [...]

Background: Between 5-30% of hospitalized patients screen positive for unhealthy alcohol use (UAU), and roughly 10-15% of patients have alcohol use disorder (AUD). Brief counseling and medications for AUD are shown to reduce alcohol consumption yet are underutilized in hospitals: over 90% of patients nationally are not screened and treated for UAU. Purpose: To increase [...]

Case Presentation: A 31-year-old male with no past medical history presented with fevers and headaches for two days. Patient also complained of malaise, neck stiffness and photophobia. Physical exam notable for positive Kernig’s sign. Labs revealed a leukocytosis with neutrophillic predominance. A lumbar puncture was performed to assess for meningitis. The results were initially consistent [...]

Case Presentation: 35-year-old female with past medical history of mitochondrial disease, asthma, Fanconi syndrome, diabetes mellitus, and GERD presented to the hospital with a four-day history of dyspnea due to Rhinovirus seen on respiratory panel. The patient was managed in the intensive care unit for non-invasive ventilation support, and received solumedrol, albuterol, ipratropium, and azithromycin. [...]