Background: In 2022, healthcare spending in the US accounted for 17.3% of its GDP(1), yet the US ranked near the bottom among high-income nations for key health outcomes. It is unclear if a similar relationship exists between spending and health outcomes across US Hospitals. Centers for Medicare and Medicaid Services (CMS) reports a standardized risk-adjusted [...]

Case Presentation: A 45-year-old female presented with fever, chills, bilateral flank pain radiating anteriorly and intermittent right upper quadrant pain prior to arrival. Medical history included hypertension, stage 3a chronic kidney disease, obesity, uterine fibroids, and treated Helicobacter pylori infection. Her vitals were as follows: 98.6 °F, heart rate 126 beats/minute, respiratory rate 20 breaths/minute, [...]

Case Presentation: We present a case of toxoplasmosis pneumonia in a 56-year-old male with a medical history significant for renal transplantation due to familial focal segmental glomerulosclerosis (FSGS) seven years ago. His post-transplant course was complicated by development of chronic kidney disease (CKD), and he was on maintenance immunosuppression. The patient presented to the emergency [...]

Case Presentation: An 89-year-old female with a history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, and prior left atrial appendage occlusion (Watchman) presented with altered mental status and generalized weakness. On admission, she required intensive care unit (ICU) support, including vasopressors and BiPAP for acute respiratory failure and septic shock. She briefly [...]