Hospital Medicine

  • What should I address at follow-up of patients who survive critical illness?
    Dmitriy M. Golovyan, MD, Sikandar H. Khan, DO, Sophia Wang, MD and Babar A. Khan, MBBS
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 523-526; DOI: https://doi.org/10.3949/ccjm.85a.17104

    Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.

  • Critical care medicine: An ongoing journey
    Steven R. Insler, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 527-528; DOI: https://doi.org/10.3949/ccjm.85a.18015

    Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.

  • Cardiac rehabilitation: A class 1 recommendation
    Margo Simon, DO, Kaitlyn Korn, DO, Leslie Cho, MD, Gordon G. Blackburn, PhD and Chad Raymond, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 551-558; DOI: https://doi.org/10.3949/ccjm.85a.17037

    Despite proven benefi ts, referral and participation rates remain low. Efforts to boost usage are underway.

  • Renal disease and the surgical patient: Minimizing the impact
    Kanav Sharma, MBBS, MPH and Barbara Slawski, MD, MS, SFHM
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 559-567; DOI: https://doi.org/10.3949/ccjm.85a.17009

    Chronic kidney disease is associated with adverse surgical outcomes, including acute kidney injury.

  • Training physician leaders to save the health system… and us
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 427-428; DOI: https://doi.org/10.3949/ccjm.85b.06018

    The success of the health system and the emotional well-being and clinical skills of its physicians are clearly interrelated.

  • Reverse T3 or perverse T3? Still puzzling after 40 years
    Cristiane Gomes-Lima, MD and Kenneth D. Burman, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 450-455; DOI: https://doi.org/10.3949/ccjm.85a.17079

    Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.

  • Cardiorenal syndrome, March 2018
    Benjamin J. Freda, DO
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 360; DOI: https://doi.org/10.3949/ccjm.85c.05001

    A reader comments on acute cardiorenal syndrome (March 2018).

  • In reply: Cardiorenal syndrome
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 361; DOI: https://doi.org/10.3949/ccjm.85c.05002
  • How soon should patients with infective endocarditis be referred for valve surgery?
    Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 362-364; DOI: https://doi.org/10.3949/ccjm.85a.17052

    Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.

  • Infective endocarditis: Refer for expert team care as soon as possible
    Gösta B. Pettersson, MD, PhD, Brian Griffin, MD, Steven M. Gordon, MD and Eugene H. Blackstone, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 365-366; DOI: https://doi.org/10.3949/ccjm.85a.18019

    Infectious endocarditis needs multidisciplinary care. if surgery is indicated, it is best done sooner.

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