Home2019-05-14T15:14:56+00:00
August 21, 2019 |  0
I lost my dad a couple of years ago to bladder cancer at age 86, but the truth is, he had already been quietly slipping away from us for several years into the twilight of Alzheimer’s Disease. More recently, I have watched my friend Sheri struggle with the challenges of being a full-time caregiver for […]

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August 7, 2019 |  4
In 2017, Dr. Don Berwick wrote about “breaking the rules for better care.” He was discussing a more systematic way for organizations to ask clinicians, staff, and patients about the “habits and rules [that] appear to be harming care without commensurate benefits and, with prudence and circumspection, to change them.” As I spent long hours […]
August 1, 2019 |  1
My bugaboo on the nutrition front has been and will always be, sugar-sweetened beverages (SSB), aka, liquid candy (or death).  The causes for widespread use are many: sugar subsidies, marketing, social mores  (think soda in baby bottles or at nightly meals within certain groups), and education. The only proven strategy to reduce consumption, not just in select […]
July 18, 2019 |  0
7 on/7 off. The backbone that sets the routine for about 50% of hospitalist groups. The 7 days on seem endless, and those days off flash by in an instant. From working hard to hardly working. The Systole-Diastole model with blood rushing from highs to lows, coursing through the hospital thrill ride for a week, […]
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Featured Posts

June 26, 2019 |  1
It is that time of year… it’s hotter, more humid and more hazy. However, while most of the academic world slows down in the summer for sabbatical, hospitals everywhere are frantically orienting new interns before unleashing them to take care of patients… supervised, of course. While much attention is paid to the “July effect” and […]
By Nagendra Gupta, MD
June 13, 2019 |  2
In a medical malpractice lawsuit, the entire lawsuit – including the plaintiff’s allegations as well as the physician’s defense – is structured around the patient’s medical record. It has been proven beyond doubt that a well-written note can go a long way in formulating a good defense against lawsuits. Your documentation is not only a piece of […]
May 28, 2019 |  0
This past year, I reviewed a lot of journal articles to prepare for the Updates in Hospital Medicine talk with Dr. Carrie Herzke at Hospital Medicine 2019. But for the last six weeks or so, I simply monitored the headlines to ensure there wasn’t a blockbuster finding that we would have to integrate last minute […]