Self-identified black patients experience higher rates of occult hypoxemia
May 2, 2022
Dr. Long Clinical question: Are there disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and, if so, is there an association with clinical...
Prescriptions for health and happiness
May 2, 2022
In addition to all the fear and chaos it has wreaked, COVID-19 has changed the way we think about our health. Thanks to the psychological, and even the physical, impacts of protracted quarantines and...
Article
Interpretation of the Urine Drug Screen
May 2, 2022
Dr. Cunningham Case A 40-year-old male with depression, post-traumatic stress disorder, and chronic pain presents with somnolence and a respiratory rate of 10 breaths per minute that responded to...
Article
Chapter Spotlight: Kentucky
May 2, 2022
Inpatient beds in Kentucky run the gamut of locations. There are academic medical centers in Lexington and Louisville, a Fort Campbell field hospital along the Tennessee border, and the rural...
Article
SHM’s New President, Dr. Thompson, Talks about the Future
May 2, 2022
Dr. Thompson In February of 2019, I wrote The Amazing Work We Get To Do 10 months before the first case of COVID-19 at Providence Everett in Washington was diagnosed. In that article, I wrote of...
Article
SIG Spotlight: Hospital Medicine Administrators
May 2, 2022
The opening minutes of the monthly online gathering for SHM’s Hospital Medicine Administrators (HMA) Special Interest Group (SIG) can sound more like a support group than anything else. “We go...
Article
Hospitalists Talk about Rebuilding Trust in Health Care
May 2, 2022
Dr. Mehta Trust is fundamental to the practice of medicine. As the foundation of a therapeutic relationship, it’s essential for effective care delivery. Trust is a fragile bond, an agreement...
Article
What Medications Prevent Delirium in Elderly Medical Inpatients?
May 2, 2022
Case A 79-year-old man with a history of ischemic stroke five months ago presents with fever and shortness of breath. He is admitted for hypoxia secondary to suspected aspiration pneumonia and...
Article
SHM Advocates for Hospitalists and Their Patients
May 2, 2022
Advocacy, simply put, is the act of pleading or arguing in favor of something. It’s raising the concerns and voices of a group to efficiently influence decisions and affect change within...
Article
Negative initial CSF studies in HSV encephalitis portend worse neurologic outcomes
May 2, 2022
Clinical question: Does delay in diagnosis of herpes simplex virus (HSV) encephalitis due to negative initial cerebrospinal fluid (CSF) studies affect neurologic outcomes? Dr....