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Hospitalist Tracy Gulling-Leftwich, DO, Spends Her Free

In 2015, they had purchased a house in Cleveland when they adopted Boomer, a pug and beagle designer breed, as their family pet. “I had really wanted an English bulldog. They’re just cute, their face is squishy,” she says, adding she had been monitoring English bulldog rescue websites. “I …

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Exam Guidelines | The Hospitalist

Posted: (52 years ago) Nov 01, 2011  · Exam Guidelines. The Hospitalist. 2011 November;2011 (11) Author (s): Carol Pohlig. The extent of the exam should correspond to the nature of the presenting problem, the standard of care, and the physicians’ clinical judgment. Remember, medical necessity issues can arise if the physician performs and submits a claim for a comprehensive ...

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Growth Spurt | The Hospitalist

Posted: (52 years ago) Pet therapy: Incorporation of domestic animals, usually dogs, cats, or birds, into a facility based on findings that patients experience heightened well-being from contact with animals. Reiki: Based on the belief spiritual energy is channeled through a practitioner, this modality is said to heal the patient’s spirit, which in turn heals the ...

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Resetting your compensation | The Hospitalist

Posted: (52 years ago) Aug 20, 2021  · Consider PET/CT when infectious source is a puzzler. Comments Mixed Topics; Clinical. Weathering this storm and the next . Publish date: August 20, 2021. Tocilizumab shortage continues as pandemic wears on . Publish date: August 19, 2021. Empagliflozin gets HFrEF approval from FDA ...

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To Tube or Not to Tube | The Hospitalist

Posted: (52 years ago) With advancing age comes a linear decline in food intake. Involuntary weight loss is common among older adults, especially in those who are chronically ill. Poor caloric intake and weight loss can lead to multiple problems such as muscle wasting, anemia, and depression. There is a strong correlation between weight loss and morbidity and mortality.4 Even with mild weight loss of 5% of their body weight in one month, institutionalized older adults are four times more likely to die within one year.5 Similarly, c…

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The Inpatient with AIDS: What the Hospitalist Needs to ...

Posted: (52 years ago) Sep 14, 2018  · Positron emission tomography (PET) and single photon emission CT (SPECT) are useful adjunctive imaging modalities as they are positive in PCNSL due to the increased metabolic activity of the tumor. Cytologic analysis of the CSF may show lymphomatous cells. Epstein-Barr virus (EBV) DNA is uniformly detected in PCNSL in AIDS patients and ...

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FIND: A framework for success as a first-year hospitalist ...

Posted: (52 years ago) Jun 24, 2021  · What hobbies have you been neglecting: cooking, photography, reading, more time with family, a new pet? You have the power to schedule your off-weeks. Are you interested in academics? Reserve a portion of your time off to explore scholarship opportunities at your institution. Your first job as a hospitalist is a chance to develop your identity ...

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"A Hospitalist Saved My Life" | The Hospitalist

Posted: (52 years ago) Jun 01, 2005  · Orr was scheduled for an immediate CAT scan, PET scan, and MRI. The results were available by Monday: The tests showed a mass of 4.5 x 3 cm to the left retroperitoneum adjacent to the aorta, consistent with metastatic disease.

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A Cure for Rabies | The Hospitalist

Posted: (52 years ago) Sep 14, 2018  · A Cure for Rabies. The Hospitalist. 2007 September;2007 (9) Author (s): John James Ross, MD. In September 2004, animal-loving Wisconsin teenager Jeanna Giese picked up a bat trapped inside her church and took it outside. As she tried to set it free, the bat sank its teeth into her left index finger for an instant before she shook it loose.

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Raj Sehgal, MD | MDedge - The Hospitalist | The Hospitalist

Posted: (52 years ago) HM17 session summary: CT to PET scans – What every hospitalist needs to know Author: Raj Sehgal, MD . Publish date: May 30, 2017. Timothy Kasprzak, MD, director of abdominopelvic and oncologic imaging at Case Western MetroHealth, offered some practical imaging advice for...

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Virus Alerts | The Hospitalist

Posted: (52 years ago) Aug 01, 2006  · While a woman is pregnant, pet rodents should be housed outside the home or in a separate part of the home where other individuals can care for the pets and clean their cages. Counseling a woman already exposed to rodents during pregnancy can be challenging; for assistance, contact your state health department.

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Latest articles for HM17 | The Hospitalist

Posted: (52 years ago) HM17 session summary: CT to PET scans – What every hospitalist needs to know Author: Raj Sehgal, MD . Publish date: May 30, 2017. Timothy Kasprzak, MD, director of abdominopelvic and oncologic imaging at Case Western MetroHealth, offered some practical imaging advice for...

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Round Up Staff for Better Rounds | The Hospitalist

Posted: (52 years ago) Sep 16, 2021  · This includes four physicians, four nurses plus a charge nurse, case manager, pharmacist, and physical or occupational therapist, with the addition of a pet therapist once a week. A typical meeting covers five to six patients and lasts about 15 minutes, according to Ethan Cumbler, MD, director of the service.

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Homegrown Health | The Hospitalist

Posted: (52 years ago) Homegrown Health. The Hospitalist. 2007 April;2007 (4) Author (s): Marlene Piturro, PhD, MBA. Tucked away in the University of Florida (UF), which is—with 50,000 students—the state’s largest university and the nation’s fourth largest, is its School of Medicine’s Community Health and Family Medicine (CHFM) department, along with that ...

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Medicare too Costly? | The Hospitalist

Posted: (52 years ago) Jul 01, 2008  · “DVT is a pet of mine, because we’ve done a lot of work in that area,’’ he notes. “We have good information about what patients are on when they develop DVTs or PEs, and we know that very, very few patients who do were neglected.”

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Hospitalist Horoscopes | The Hospitalist

Posted: (52 years ago) PET Scans. Ultrasounds and Dopplers. You want contrast? That’s no problem! We’ll just Mucomyst and bicarb the patient. You especially love phlebotomy. Every patient gets full lab every day. You would not want to miss a drop in hemoglobin, even if you caused it with excessive phlebotomy. If the patient is a tough stick, you’ll give it a try.

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Tours of Duty | The Hospitalist

Posted: (52 years ago) Tours of Duty. The Hospitalist. 2005 November;2005 (11) Author (s): Jeanette Wick. When a hospitalist steps outside during a seemingly unending shift, and a city is silent but for the bark of dogs, something is wrong. When he returns not to a scheduled shift, but to an undefined “tour of …

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A Brief History | The Hospitalist

Posted: (52 years ago) Auditors recognize two sets of documentation guidelines: “1995” and “1997” guidelines.2,3,4Each set of guidelines has received valid criticism. The 1995 guidelines undoubtedly are vague and subjective in some areas, whereas the 1997 guidelines are known for arduous specificity. However, to benefit all physicians and specialties, both sets of guidelines apply to visit-level selection. In other words, physicians can utilize either set when documenting their services, and auditors must review provider records again…

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Hospitology | The Hospitalist

Posted: (52 years ago)

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Eight things hospitalists need to know about post-acute ...

Posted: (52 years ago) Jan 20, 2017  · More-involved diagnostics, such as an MRI or a PET scan, typically require testing at a remote location. Paul T. Liistro “But, as technology improves and big machines become smaller machines and staff members become more proficient in their positions, PAC facilities will have the ability to care for more patients efficiently,” Mr. Liistro said.

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Information Overload | The Hospitalist

Posted: (52 years ago) The quantity of data available for the busy clinician is always increasing. This data explosion is happening for three reasons: 1. Increased number of sophisticated tests. We test for more diseases, traits, and conditions than ever before. Example: Troponin I, T, and beta natriuretic peptide—all in widespread use today—were not available 10 years ago. Advanced genetic testing will continue this trend; 2. Increased archival capability. The cost of data storage continues to decrease, making it inexpensive to archive dat…

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When Crisis Comes | The Hospitalist

Posted: (52 years ago) Ask if child- or pet-care will be provided during the crisis; Find out if the hospitalist staff has a representative or liaison with the facility’s disaster-planning group; If there is no representative, ask if a hospitalist can be appointed to that role.

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HM17 session summary: CT to PET scans – What every ...

Posted: (52 years ago) May 30, 2017  · • Avoid the use of inpatient PET scans, except for very specific indications (such as obscure infections). Dr. Sehgal is a hospitalist at the South Texas Veterans Health Care System in San Antonio, an associate professor of medicine at University of Texas Health-San Antonio, and a an editorial board member of The Hospitalist.

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Transition Talk | The Hospitalist

Posted: (52 years ago) Dan Osterweil, MD, CMD, is familiar with the hospitalist model through his medical training in Israel during the late 1970s and early 1980s. Hospitalists there routinely handled inpatient care. Dr. Osterweil, a clinical professor of medicine/geriatric medicine at UCLA, research associate with the UCLA Borun Center for Gerontological Research, and former medical director of the Jewish Home for the Aging in Reseda, Calif., has the opportunity to observe hospitalists deal with nursing homes in his current capaci…

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Observation and Discharge Codes | The Hospitalist

Posted: (52 years ago) Sep 14, 2018  · Code: Day 1: Initial Observation Care (99218-99220) Day 2: Initial Hospital Care (99221-99223) Day 3: Discharge Management (99238 or 99239) 3.

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The Obesity Problem in U.S. Hospitals | The Hospitalist

Posted: (52 years ago) The Obesity Problem in U.S. Hospitals. The United States is growing. That is, its individual inhabitants are getting bigger. Depending on the source, anywhere from 30% to 50% of the American population is now obese.1-3 By all accounts, the percentage of obese adults in our country has risen considerably over the past two decades and continues ...

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Getting closer to an accurate early Alzheimer’s test | The ...

Posted: (52 years ago) Dec 09, 2020  · Researchers used mass spectrometry to test volunteers’ stored blood for beta amyloid, then checked if the levels predicted the results of PET scans. Mass spectrometry identified asymptomatic people accumulating beta amyloid in their brains when PET scans were still negative. The scans only showed beta amyloid in the brain years later.

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William G. Wilkoff, MD | MDedge - The Hospitalist

Posted: (52 years ago) William G. Wilkoff, MD. Publish date: May 4, 2021. The person whose primary focus is on avoiding any risk often shuts off the process of creative thinking and problem solving. Read More.

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Newman's Handy Dandy Admit Note | The Hospitalist

Posted: (52 years ago) (CAT scan, PET scan, DOG scan, plain film, complex film, KUB, IVP, XYZ, molybdenum scan, Afghaniscan)—all suggest need for further imaging. ASSESSMENT AND PLAN “Hyperlabemia:” Likely iatrogenic etiology, or not. Correct with supplemental lab results. Pain: Source unclear but …

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What Is the Best Approach to a Cavitary Lung Lesion? | The ...

Posted: (52 years ago) A 66-year-old homeless man with a history of smoking and cirrhosis due to alcoholism presents to the hospital with a productive cough and fever for one month. He has traveled around Arizona and New Mexico but has never left the country. His complete blood count (CBC) is notable for a white blood cell count of 13,000. His chest X-ray reveals a 1.7-cm right upper lobe cavitary lung lesion (see Figure 1). What is the best approach to this patient’s cavitary lung lesion?

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What Is the Best Approach for the Evaluation and ...

Posted: (52 years ago) A 54-year-old man with a history of hypertension treated with hydrocholorothiazide and Type 2 diabetes mellitus is admitted with abdominal pain and found to have an incidental 2.1-cm left adrenal mass on CT scan of the abdomen. He denies symptoms of headache, palpitations, weight gain, or muscle weakness. His exam is significant for mildly elevated blood pressure. What is the best approach for evaluation and management of this incidental finding?

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10 Things Oncologists Think Hospitalists Need to Know ...

Posted: (52 years ago) “If you get a PET scan in the hospital and a patient is admitted for a different diagnosis, there’s a good likelihood that it’s not going to be reimbursed,” Dr. Ramalingam says. Plus, he says, a scan done in the hospital could cloud the radiographic findings used to make decisions.

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Suzanne Bopp | MDedge

Posted: (52 years ago) Getting closer to an accurate early Alzheimer’s test. Author: Suzanne Bopp. Publish date: December 9, 2020. Mass spectrometry identified asymptomatic people accumulating beta amyloid in their brains when PET scans were still negative. Read More.

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Avoid Billing, Coding Discrepancies When Documenting ...

Posted: (52 years ago)

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Exam Guidelines | The Hospitalist

Posted: (52 years ago) Nov 01, 2011  · Determining Levels of Exam. A reviewer assigns one of four exam levels. As with the history component, documentation must meet the requirements for a particular level of exam before assigning it to any visit category (see Table 1).

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High Value Care curriculum reduced echocardiogram ordering ...

Posted: (52 years ago)

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Sharp Rise in Imaging Test Rates has Slowed | The Hospitalist

Posted: (52 years ago) In related news, a study in the Journal of the National Cancer Institute found that 95.9% of patients 65 and older who have Stage IV cancer received at least one high-cost advanced imaging procedure (e.g. PET or nuclear medicine), with their utilization rates rising more rapidly than for earlier stages of disease. 2 Such tests can lead to ...

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JEFF GLASHEEN: What's Been, What's Next, and a Hogan ...

Posted: (52 years ago) Mar 30, 2012  · Jeff Glasheen's tenure as physician editor of The Hospitalist ends with this issue.

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Reduce CR-BSI, Quality Performance Measures, Treat DVT ...

Posted: (52 years ago) Reduce CR-BSI Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006 Dec 28;355(26):2725-2732. For practicing clinicians, quality improvement (QI) is a difficult and important task.

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ITL: Physician Reviews of HM-Relevant Research | The ...

Posted: (52 years ago) Annual increases in use of advanced diagnostics were noted in CT (7.8% annual growth), MRI (10%), ultrasound (3.9%), and PET (57%) studies. Increased CT use over the 15-year study period resulted in increased radiation exposure, doubling mean per capita effective dose (1.2 mSv to 2.3 mSv), as well as those receiving high exposure (1.2% to 2.5% ...

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