Article
What Hospital Medicine Has Meant to Me
August 3, 2026
It is cliché to say, but I will say it: hospital medicine is not just a job. It is my classroom, my community, and now my professional and personal identity. When I reflect on the moments that have...
Article
NYC Street Photography Artwork
- Sowmya Kanikkannan, MD, FACP, SFHM
August 3, 2026
NYC Woman Grand Central Terminal Bejeweled in Times Square It was while living in NYC that I fell in love with both the city and hospital medicine. Hospital medicine was a young...
Article
Preventing Radiation-Induced Mucositis Using Streptococcus salivarius K12 Probiotic Lozenges
- Maryann T. Ally, MD, MPH, FACP, CHCQM-PhysAdv, FHM
August 3, 2026
Clinical Question: Can an oral probiotic lozenge containing Streptococcus salivarius K12 minimize radiation-induced mucositis? Background: Patients with head and neck cancer are often treated with...
Article
Personalized Hemodynamic Resuscitation Using Capillary Refill Time
August 3, 2026
Clinical Question: Does personalized resuscitation improve outcomes in early septic shock when targeting capillary refill compared to usual care? Background: Resuscitation in early septic shock is...
Article
Coding Corner: The Patient Doesn’t Need to Be in the ICU to Qualify for Critical Care Billing
August 3, 2026
A 72-year-old man with chronic obstructive pulmonary disease (COPD) is admitted to a medical unit with pneumonia. Overnight, his oxygen requirement increases from 4 L/min via nasal cannula to...
Article
Medications for Opioid Use Disorder Initiated in County Jails and Post-Release Treatment Outcomes
August 3, 2026
Clinical Question: Among patients with opioid use disorder in county jails, does initiation or continuation of medication for opioid use disorder (MOUD) during incarceration reduce risk for overdose...
Article
Timing and Safety of Anticoagulation Reinitiation After Intracranial Hemorrhage in Mechanical Heart Valve Patients
August 3, 2026
Clinical Question: What is the risk of ischemic stroke and recurrent intracranial hemorrhage (ICH) associated with anticoagulation (AC) resumption in patients with mechanical heart valves (MHVs) who...
High-Dose Influenza Vaccine Reduces Hospitalizations
August 3, 2026
Clinical Question: In older adults, does high-dose influenza vaccination result in a lower rate of hospitalizations for influenza or pneumonia compared with standard-dose regimens? Background: Older...
Article
Early Discontinuation of Aspirin After PCI in Acute Myocardial Infarction
August 3, 2026
Clinical Question: Is it appropriate to stop aspirin after completing one month of dual antiplatelet therapy in patients who have undergone revascularization after an acute myocardial...
Article
Transfusion Strategy after Major Surgery in Patients with High Cardiac Risk
August 3, 2026
Clinical Question: In patients with high cardiac risk who develop postoperative anemia after major vascular or general surgery, does a liberal transfusion strategy reduce 90-day death or major...