April 24, 2020 |  0
The choices for conversations are either COVID or Netflix. Coronavirus or the latest binged show. Sports is no longer an option, unless you want to discuss how I made that putt in the homemade mini golf course. What’s for dinner or what’s the latest graph? We are all meteorologists during hurricane season and now epidemiologists […]
November 8, 2019 |  0
Do you have a stack of journals piling up on your desk, beside your bed or in your email inbox? In 1950, medical knowledge was estimated to double every 50 years, but now the doubling time is every few months. At this rate, it is impossible to keep up with the literature, but a group […]
September 18, 2019 |  2
There is at least one aspect of “Obamacare” that my mother-in-law and I can firmly agree on: hospitals should not get paid for frequent readmissions. The Hospital Readmission Reduction Program (HRRP), enacted by the Centers for Medicare and Medicaid Services (CMS) in 2012 with the goal of penalizing hospitals for excessive readmissions, has great face […]
July 8, 2014 |  2
My patient was a 69 year old lady with metastatic small cell lung cancer. She was on experimental chemotherapy and was admitted from clinic with worsening lower extremity edema and a new oxygen requirement.  She underwent a chest and abdominal CT that revealed new pulmonary masses, tumor and a mass invading her right pulmonary artery, […]
June 2, 2013 |  0
The large multi-center ICU trial randomized ICUs to 1 of 3 strategies: MRSA screening/isolation, MRSA screening/isolation/decolonization, or global decolonization (5 days BID nasal mupiricin and daily chlorhexidine bathing). The hazard ratios for MRSA isolates in the 3 groups were 0.92, 0.75, 0.63 respectively. The hazard ratios for any bloodstream infection in the 3 groups were […]
May 25, 2013 |  0
This trial found no difference in patient outcomes (mortality or LOS) if admitted during a time of 24/7 intensivist coverage, or during a time with only daytime intensivist coverage (with home call at night) in a medical ICU. This study does not show a patient benefit to a 24/7 intensivist staffing model in an academic […]