Tales of Survival-The Physician’s Stages of Grief (Based upon the Kübler-Ross Model)

August 4, 2017
Tales of Survival-The Physician’s Stages of Grief (Based upon the Kübler-Ross Model)

By Lauren M. Young

Prologue/Narrowing a Diagnosis.  A 61 year-old African American male, with a longstanding history of right knee and lower back pain, presented to the Emergency Department for the fourth time in one month complaining of pain on the right side of his lower back.  He had also fallen – remarkably not the ‘chief complaint’ for this well-muscled, vibrant man who could “walk from Harlem to Coney Island” just a few weeks prior.  He was surprised when recently his knees “just buckled” …

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Can I Safely Use Anticoagulants in my Patient with a Brain Tumor?

August 3, 2017
Can I Safely Use Anticoagulants in my Patient with a Brain Tumor?

By Christopher Sonne, MD

Peer Reviewed

It is the last admission of your admitting night shift. You are called to assess a pleasant, oriented 65-year-old man with lung cancer and metastases to the bone, liver, and brain. You review his history along with his admission labs and imaging, and you quickly feel confident in your diagnosis of a lobar pneumonia. Relieved, tired, the sun peaking through the call window, you begin to put in his orders. Finally, your last task is to choose adequate venous …

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Primecuts – This Week in the Journals

July 31, 2017
Primecuts – This Week in the Journals

By Jiwoon Chang, MD

Peer Reviewed

This past week at the International AIDS Society Conference in Paris, investigators of the mosaic HIV vaccination trial called APPROACH shared their early findings of healthy adults developing immunological responses against HIV after vaccinations . Results from this NIH-funded clinical trial are expected in late 2017, but the preliminary report provides a new hope to protect those at risk of acquiring HIV. This week, our first article evaluates enhanced antimicrobial prophylaxis for HIV patients with low CD4+ count. The …

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Primecuts – This Week in the Journals

July 25, 2017
Primecuts – This Week in the Journals

Kelsey Luoma, MD
Peer Reviewed

Opioid-related morbidity and mortality has reached crisis levels in the United States. According to the CDC, between 1999 and 2014 more than 165,000 people died due to opioid drug overdose . This week, our first article questions whether a multicomponent primary care intervention can mitigate the risk of prescription opioid abuse, thereby potentially saving lives. Next, we’ll review a study on the effects of long-term inhaled corticosteroid use on fracture risk; we’ll compare various non-invasive testing strategies for workup of …

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Primecuts – This Week in the Journals

July 19, 2017
Primecuts – This Week in the Journals

By Cesar Soria Jimenez, MD
Peer Reviewed

In this week’s Primecuts issue, we will be discussing topics related to obesity and its effects on the global population over the past quarter century (the effects are both surprising and worse than you likely imagine), a trial analyzing the potential for a blood serum biomarker to distinguish the infectious etiology of community acquired pneumonia and prevent unnecessary use of empiric antibiotics, and the characterization of a distinct phenotype of heart failure with ejection fraction, a condition that …

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Primecuts-This Week in the Journals

July 6, 2017
Primecuts-This Week in the Journals

By David Rhee, MD
Peer Reviewed
A warm welcome to all the new interns! As the future of healthcare is debated in congress, there has been a great deal of attention on Medicaid and the Affordable Care Act (ACA). This week, our first two articles explore some of the effects Medicaid, Medicare, and the ACA had on patient outcomes either through the Hospital Value-Based Purchasing initiatives or through the growing use of observation units. Our third article reviews a study on non-vitamin K anticoagulation agents …

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Primecuts – This Week in the Journals

June 22, 2017
Primecuts – This Week in the Journals

By David Pineles, MD
Peer Reviewed

In a major blow to the Democratic party, Republican Karen Handel won the special congressional election in Georgia, fending off Democrat Jon Ossoff . While some see this as a victory for President Trump, others are viewing this as a win despite Mr. Trump’s actions . In world news, Britain’s Prince Phillip, the 96-year old husband of Queen Elizabeth, spent his second night in King Edward VII Hospital for an unspecified infection . In sporting news, the the National …

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Primecuts – This Week in the Journals

May 22, 2017
Primecuts – This Week in the Journals

By Michelle Lo, MD

Peer Reviewed

This past week marks the first leg of president Trump’s foreign trip starting at Saudi Arabia, where he was lavished with extravagant gifts. While former president Obama slowed military cooperation with the kingdom from the concerns of the country’s indiscriminate bombing of civilians in Yemen, Trump may seek to expand them.

The number of suspected cases of Ebola has now risen to 29 in less than a week the Democratic Republic of Congo. The risk of spread is high …

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