Intro: You are at Elmhurst and it’s your first cardiac shift ever. EMS rolls in, “Hey Doc, this patient is in a-fib.” The patient’s heart is beating fast. Your heart is beating fast.  He is a 70 year old patient with a PMH of HTN, CKD, and COPD presenting from the nursing home with SOB. […]

You’re at Sinai – and your patient is a renal transplant patient. What do you do? “Don’t you just call renal transplant?” Yes, you should definitely call them. But there’s other things to consider – see below for today’s TR pearls.

Here is a quick tip to swap between Mount Sinai and Elmhurst Haiku on your phone (iOS):Go to settings and search or scroll down to Haiku Under “Connection Settings” input the following “Server” and “Path” inputs for the respective site. Mount Sinai Server: epicsoapproxyprd.mountsinai.orgPath: interconnect-haiku-prd Elmhurst Server: epicproxypda.nychhc.orgPath: hhc-haiku Now you’re ready to re-login to […]

Why Paxlovid: According to Pfizer’s clinical trial data from 2021 (participants enrolled by 09/29/2021) which it used for FDA approval, subjects who took Paxlovid were 89% less likely to develop severe illness and death from COVID than those taking a placebo. Grain of salt here includes:  In the original study, participants took Paxlovid within 3 […]

Vital Signs: HR and BP Traditionally in medical school we were taught that physiologic changes in pregnancy caused a drop in BP and an increase in HR but generally it was not well-defined if a new range of criteria was required to be considered normal. Emerging data shows that modest changes can be expected with […]