Hospital Medicine

  • 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.

  • Preoperative testing (October 2015)
    Cynthia Point, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 16; DOI: https://doi.org/10.3949/ccjm.83c.01003

    Readers comment on vitamin B12 defi ciency (July 2015) and on preoperative testing (October 2015).

  • Alcohol withdrawal syndrome in medical patients
    Justine S. Gortney, PharmD, BCPS, Joshua N. Raub, PharmD, BCPS, Pragnesh Patel, MD, Lianne Kokoska, PharmD, Mae Hannawa, PharmD and Amy Argyris, PharmD, BCPS
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 67-79; DOI: https://doi.org/10.3949/ccjm.83a.14061

    Deprived of alcohol while in the hospital, many alcoholic patients go into withdrawal. Clinicians should be ready.

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