Background: Patients hospitalized with hematologic malignancy are particularly vulnerable to infection. Clostridium difficile infection (CDI) has become the most common cause of healthcare-associated infections in U. S. hospitals, and the excess healthcare costs related to CDI are estimated to be as much as 4. 8 billion dollars for acute care facilities alone. We sought to [...]

Background: Duplicate medical records, where one patient possesses multiple medical record numbers and corresponding charts within a single electronic health record (EHR), pose significant patient safety risks due to incomplete data and repeated interventions, among other areas. The risk is amplified for patients admitted to the hospital, where rapid pace decision making is the norm. [...]

Background: Hospitalization at Home (HaH) has demonstrated clinical quality and patient experience superiority in general inpatient medical patients. Expansion of this service to sub-specialized inpatient populations would be highly beneficial to patients and health systems. Mount Sinai Health System (MSHS) HaH enrolls oncology patients with active disease admitted for acute general medical conditions and for [...]

Case Presentation: A 49-year-old male presented with shortness of breath, fatigue and four weeks of dark stools. He had previously been diagnosed with IgG lambda multiple myeloma (MM) with renal insufficiency and hypertension. He had MM disease progression despite completing chemotherapy and had declined further treatment. Physical exam revealed an ill-appearing, pale mane with a [...]

Case Presentation: An 84 year-old man with a history of diet-controlled diabetes, atrial fibrillation, and MGUS was admitted for back pain and 30 pounds of unintentional weightloss over 3 months.  His wife also reported that he had had a mild cognitive decline over this period.  On admission, he was noted to have new thrombocytopenia and [...]

Case Presentation: 84 year old previously healthy female with history of hypertension, Diabetes and chronic kidney disease stage 2 presented to the ER with dizziness. She reported light headedness with frequent room spinning while ambulating. She denied any other associated symptoms. In the ER she was noted to have a Blood pressure of 208/103 and [...]

Case Presentation: A 37-year-old Asian-American woman with a past medical history significant for PCOS, HPV, HSV- 1, iron malabsorption/deficiency, and vitamin B12 deficiency-related anemia presented to the ED with body aches, fever, fatigue, cough, and recurrent URI for the past 3 months. Following treatment, she presented two weeks later to the hematology clinic for scheduled [...]

Case Presentation: A 49 year old female with a history of Depression and Multiple sclerosis (MS) presented with acute psychosis in the setting of recent polysubstance abuse.  The patient endorsed both visual and auditory hallucinations; stating she saw bugs and could hear her dead father calling her. In addition, the patient was convinced that her [...]

Case Presentation: Ms. S is a 64 year old woman recently diagnosed with multiple myeloma following a hip fracture and repair, who was transferred from an outside hospital for hematochezia. She was admitted to the outside hospital from a skilled nursing facility for presumed post-operative ileus complicated by nausea and vomiting. During that stay, she [...]

Case Presentation: A 61-year-old man presented to the emergency department with one-month history of intermittent lightheadedness and dizziness. His symptoms were worse when standing from sitting position. He denied vomiting, diarrhea, and his appetite was stable. His past medical history was remarkable for IgM multiple myeloma for which he underwent stem cell transplant a year [...]