Hospital Medicine

  • Treating and preventing acute exacerbations of COPD
    Umur S. Hatipoglu, MD and Loutfi S. Aboussouan, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 289-300; DOI: https://doi.org/10.3949/ccjm.83a.14188

    Corticosteroids, antibiotics, and bronchodilators are the cornerstones of prevention and treatment.

  • Managing diabetes in hospitalized patients with chronic kidney disease
    Shridhar N. Iyer, MD, PhD, FACP and Robert J. Tanenberg, MD, FACP
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 301-310; DOI: https://doi.org/10.3949/ccjm.83a.14189

    Avoiding hypoglycemia takes precedence over meeting strict blood sugar targets.

  • When we need to remember that it is more than a job
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 159-166; DOI: https://doi.org/10.3949/ccjm.83b.03016

    It is the nature of our engagement with our patients and our colleagues that makes what we do more than a job.

  • Can patients with infectious endocarditis be safely anticoagulated?
    Mandeep Singh Randhawa, MD, James Pile, MD and Marcelo Gomes, MD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 169-171; DOI: https://doi.org/10.3949/ccjm.83a.15027

    New infectious endocarditis is not an indication for starting anticoagulation, and whether to continue it is a diffi cult decision.

  • It is not the critic’s voice that should count
    Kevin C. Giordano, ESQ
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 174-176; DOI: https://doi.org/10.3949/ccjm.83a.15105

    Lawsuits often confront physicians with incidental imperfections in the care they provided or with errors in their documentation.

  • The emotional impact of a malpractice suit on physicians: Maintaining resilience
    Susan J. Rehm, MD and Bradford L. Borden, MD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 177-178; DOI: https://doi.org/10.3949/ccjm.83a.16004

    Resilient people can face reality, see a better future, put things into perspective, and bounce back from adversity.

  • A tale of two sisters with liver disease
    Mohamad A. Hanouneh, MD, Ari Garber, MD, EdD, Anthony S. Tavill, MD, FAASLD, Nizar N. Zein, MD, FAASLD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 109-115; DOI: https://doi.org/10.3949/ccjm.83a.15048

    A young woman presents with acute liver failure. What is the cause? Is her sister at risk?

  • Common neurologic emergencies for nonneurologists: When minutes count
    Mohan Kottapally, MD and S. Andrew Josephson, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 116-126; DOI: https://doi.org/10.3949/ccjm.83a.14121

    Recognizing and treating acute stroke, status epilepticus, subarachnoid hemorrhage, and others.

  • Can patients opt to turn off implantable cardioverter-defibrillators near the end of life?
    M. Motaz Baibars, MD, M. Chadi Alraies, MD, FACP, Amjad Kabach, MD and Marc Pritzker, MD, FACC
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 97-98; DOI: https://doi.org/10.3949/ccjm.83a.15007

    Yes, it is reasonable to consider deactivation near the end of life if the patient or family wishes.

  • The ethics of ICDs: History and future directions
    Martin L. Smith, STD and Eric Kodish, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 99-100; DOI: https://doi.org/10.3949/ccjm.83a.15122

    There is no ethical requirement that treatment, once started, must continue against the patient’s wishes.

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