By  | February 11, 2019 |  4
“Why are you yelling? Get the f* out of my face!” I was relieved. I was worried about her, having been brought in by ambulance seizing. My resident said she was not waking up for him, which we hoped was just post-ictal, but we were not sure yet. “Oh good! You are gonna be just […]
By  | January 28, 2019 |  4
There are so much evolution and progression with NP/PA practice. States are passing independent practice statutes for NPs; twenty-two states now allow more independent practice. Our own Institute of Medicine has acknowledged the benefit of NP/PA practice related to alleviating work shortages. And there have been rigorously controlled studies that definitively demonstrate the safety, efficacy, […]
By  | January 17, 2019 |  2
By: Gopi Astik, MD, Hospitalist, Medical Director, Northwestern Medical Hospital I walked into a patient room one frigidly cold Chicago morning with the warmest smile on my face. I spoke to the gentleman who was admitted with an acute exacerbation of his COPD a few days prior and had improved over the weekend. He had […]
By  | January 8, 2019 |  0
Florence Nightingale, in her seminal 1859 Notes on Nursing textbook, reminded nurses about the importance of not waking hospitalized patients up. It is not surprising that years later, the American Academy of Nursing, through the Choosing Wisely™ campaign, recommended that hospitalized patients not be woken for routine medical care to protect their sleep, citing numerous […]
By  | December 17, 2018 |  4
According to a new survey report released by The Physicians Foundation, 80% of physicians across all specialties report being at full capacity or overextended, and 78% reported sometimes, often, or always experiencing feelings of burnout. Sixty-two percent of U.S. doctors are pessimistic about the future of medicine, and 49% wouldn’t recommend medicine as a career […]
By  | December 12, 2018 |  1
There are a limited number of things in hospital medicine that we do that decrease the risk of all-cause mortality by up to half. Usually these are the type of things that we don’t even think about possibly missing. Does your hospital give people with STEMIs an aspirin? Even that has a number needed to […]