Background: Since the start of the COVID-19 pandemic, racial and ethnic minorities have experienced disparities in infection rates, hospitalization, and death. Monoclonal antibodies (Mab) decrease hospitalization when given to ambulatory non-severe high-risk patients within 10 day of symptom onset. Disparities in care related to Mabs are not well understood. We describe experience from Mab infusion [...]

Background: Transportation is a social determinant of health that can be a barrier to care and exacerbate disparities. During the COVID pandemic, access to transport was further diminished.Monoclonal antibodies (Mab) are associated decreased hospitalization in high-risk COVID patients. Until 9/2022, the $2000 cost per dose of Mabs was paid by the federal government. However transportation [...]

Case Presentation: A 73-year-old male with history of type 2 diabetes and one-month prior admission for acute renal failure in the setting of stage IV chronic kidney disease presented with symptomatic anemia found to have splenomegaly. A renal biopsy revealed features of membranoproliferative glomerulonephritis and necrotizing crescentic lesions with IgM kappa deposition, suspicious for cryoglobulinemic glomerulonephritis. Immunofixation [...]

Case Presentation: A 79 year old African American female with non-ischemic cardiomyopathy, EF 35-40%, hypertension, chronic kidney disease, hypothyroidism, mild pulmonary hypertension, obesity, and mixed hyperlipidemia, presented with worsening dizziness and bipedal edema for 2 weeks. Patient reported stopping diuretics and carvedilol due to persistent hypotension for several months. Patient noted unintentional weight loss of [...]

Case Presentation: The patient is a 27-year-old male with lupus anticoagulant with hypoprothrombinemia syndrome (LAHPS)/triple positive antiphospholipid syndrome (APLS) in the setting of systemic lupus erythematous (SLE) and immune thrombocytopenia (ITP) on hydroxychloroquine, mycophenolate mofetil (MMF), and prednisone for immunosuppression, who presented to the ER with worsening right upper quadrant and epigastric pain. RUQ US [...]

Case Presentation: A 61 year old African American man with past medical history of hyptertension, diabetes mellitus type 2, chronic kidney disease stage 3, remote intravenous drug use, Hepatitis C presented with worsening hypertension, new onset bilateral lower extremity swelling and worsening kidney function since one month. Patient reported weight gain and urinary frequency at home but [...]

Case Presentation: We present a 31-year-old female patient with a medical history significant for Stage II Breast cancer on Chemo and Immunotherapy (Pembrolizumab) who presents to the Emergency Department for the evaluation of nausea, vomiting, and generalized abdominal pain for 1 day. On arrival, the vital signs were within normal limits. On physical examination, generalized [...]

Case Presentation: A 61-year-old man with a history of hypertension and type 2 diabetes mellitus developed tingling, numbness, and burning pain in his feet and calves. He was prescribed gabapentin for presumed diabetic neuropathy but had no relief. Five years later, on a routine MRI of the spine for chronic low back pain, multiple sclerotic [...]