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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Hospital Medicine

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    Comfort care: Creating a plan for hospitalized patients and their families
    Kelly Ferraro, MD, Melissa Morris, DNP and Kimberly A. Indovina, MD
    Cleveland Clinic Journal of Medicine July 2026, 93 (7) 389-395; DOI: https://doi.org/10.3949/ccjm.93a.25109

    Comfort care plans are always individualized and should naturally evolve as the patient’s clinical status changes.

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    Hyperactive delirium in hospitalized older adults: Balancing medication choices and QTc prolongation risk
    Emily Hao, MD, Tamara Lhungay, MD, Jessica Arabi, PharmD, BCCCP, Colin J. Harrington, MD and Iva Neupane, MD
    Cleveland Clinic Journal of Medicine June 2026, 93 (6) 325-330; DOI: https://doi.org/10.3949/ccjm.93a.25092

    Medications for managing delirium symptoms, particularly antipsychotics, are associated with prolongation of the QT interval, which is a risk factor for the development of fatal arrhythmias.

  • You have access
    Hematochezia in a patient with end-stage renal disease
    Brennan Gioe, MD, Conrad Fernandes, MD, E. Celia Marginean, MD and Stalin Subramanian, MD
    Cleveland Clinic Journal of Medicine June 2026, 93 (6) 333-338; DOI: https://doi.org/10.3949/ccjm.93a.25097

    The patient developed gastrointestinal bleeding after being started on intravenous heparin following thrombectomy and angioplasty for acute limb ischemia.

  • You have access
    A new direction in pain management?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2026, 93 (2) 67-68; DOI: https://doi.org/10.3949/ccjm.93b.02026

    It would be nice to have a treatment option for pain that is less limited by side effects, cognitive dysfunction, addiction potential, and red tape.

  • You have access
    Suzetrigine: A novel nonopioid systemic analgesic
    Anthony E. Divito, MD, Matthew Sharobeem, DO, Gausan R. Bajracharya, MD and Basem B. Abdelmalak, MD
    Cleveland Clinic Journal of Medicine February 2026, 93 (2) 94-98; DOI: https://doi.org/10.3949/ccjm.93a.25087

    The systemic sodium channel blocker suzetrigine may serve as another option for multimodal postoperative analgesia regimens and for managing acute nonsurgical pain.

  • You have access
    Acute transient phlebitis after a morphine infusion
    Alexandros Makris, MD, PhD, MSc, Alexandros Nikas, MD and Anastasios Bontozis, MD
    Cleveland Clinic Journal of Medicine December 2025, 92 (12) 734-735; DOI: https://doi.org/10.3949/ccjm.92a.25007

    Prominent ascending erythema outlining the infused vein and its proximal branches developed quickly after infusion.

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    In Reply: Managing noninsulin glucose-lowering medications before surgery
    Oscar L. Morey-Vargas, MD, Mona Gossmann, MD, Jeffrey M. Ketz, PharmD and Basem B. Abdelmalak, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 651-652; DOI: https://doi.org/10.3949/ccjm.92c.11002
  • You have access
    Managing noninsulin glucose-lowering medications before surgery
    Adam Kaplan, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 651; DOI: https://doi.org/10.3949/ccjm.92c.11001
  • You have access
    Failure to thrive in hospitalized older adults: More than a ‘social admission’
    Shoshana Streiter, MD and Samir Tulebaev, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 662-666; DOI: https://doi.org/10.3949/ccjm.92a.25033

    Failure to thrive documented as an admitting diagnosis presents an opportunity to identify, articulate, and begin to ameliorate the true underlying causes of the patient’s health deficits.

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    Should glucagon-like peptide 1 receptor agonists be withheld during the preoperative period?
    Cleveland Clinic Journal of Medicine October 2025, 92 (10) 593;

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