jacobi – Page 4 – Jacobi IM Residency

jacobi July 18, 2017AsideTidbitscardiology, Education, May-Thurner

May-Thurner Syndrome

May-Thurner syndrome (MTS) is an anatomically and pathologically variable condition leading to venous outflow obstruction as a result of extrinsic venous compression in the iliocaval venous territory. With partial venous obstruction, the condition can be asymptomatic, but progression with symptoms related to chronic venous hypertension or venous occlusion can occur, with or without venous thrombosis. It is important to keep this condition in mind whenever a patient presents acutely with lower extremity swelling or deep vein thrombosis (DVT), particularly young … Continue reading “May-Thurner Syndrome”

jacobi July 18, 2017August 4, 2017AsideEducation, TidbitsEducation, neuro, stroke

Ischemic stroke management

As soon as you identify a stroke — Call Stroke code directly by Dialing: 3-CVAT (3-2828) Goal of BP is ischemic stroke: 180/110, medications to use: Labetalol, Nicardipine TPA can be given up to 4.5 hours after the initiation of symptoms, but the benefit decreases as time passes, so if a patient is a TPA candidate try to move things as quickly as possible For patients who have contraindications to TPA, mechanical thrombectomy is another option, which is available to us … Continue reading “Ischemic stroke management”

jacobi July 18, 2017AsideTidbitsdeath, death certificate, Education

Cause of Death for Certificatation

Notify medical examiner in cases of: Accident (including traffic) This includes accidents that happened years prior to death but that contributed to cause of death. Example: Patient who had an MVA years ago leading to quadriplegia and chronic need for mechanical ventilation who dies 2/2 ventilator associated pneumonia. Suicide Homicide Complication of medical procedure/intervention Suspected injury Unknown sequence of events leading to death When stating cause of death you can give the immediate cause of death but should also include … Continue reading “Cause of Death for Certificatation”

jacobi July 18, 2017July 18, 2017AsideSMRescalation policy, SMR

Protected: Escalation policy

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jacobi July 13, 2017August 1, 2017QuoteResident of the Monthresident of the month

6-2017

We would like to nominate Max Jang for Resident of the Month. Overall he is a great member of our housestaff (in regards to his performance as a resident) but in addition to this Max has gone above an beyond this year to do everything he can to help the program. Max has made it his mission to help out by making himself our unofficial department photographer. He’s come in post night shifts to take pictures of the MFPC, Dr. Schubart’s retirement party he’s … Continue reading “6-2017”

jacobi May 13, 2017August 1, 2017QuoteResident of the Monthresident of the month

5-2017

Hey Dr. G, I would like to nominate Ephraim Leiderman for Resident of the month. He is simply amazing. He has an incredible thirst of knowledge, super motivated, always eager to know everything about all the patients in the team. He has a special ability to keep the patients 100% involved during his superb presentations. He presents the cases from the top of his head and always has appropriate plans. He is performing at a resident level. Ephraim is definitely chief … Continue reading “5-2017”

jacobi April 13, 2017July 14, 2017QuoteResident of the Monthresident of the month

4-2017

Neal Rakesh…I worked with Neal on Orange for 2 weeks and then for 2 weeks on ACS. He questioned everything and also brought fresh insights to established “truths” in the context of our rounds. He is thinking, thoughtful, constantly questioning–and most importantly always seeking evidenced/plausibility based explanations that could be translated into clinical practice. But his consummate intellectual curiosity was/is matched by his solicitude toward and advocacy for his patients. He had great rapport with patients and families. Like all … Continue reading “4-2017”

jacobi March 13, 2017July 14, 2017QuoteResident of the Monthresident of the month

3-2017

I would like to nominate Jesus Gonzalez Lugo. Palliative Care is consulted on one of his patients and we had a family meeting this week. It was evident from the patient’s mother and patient herself, the time that Dr. Gonzalez has spent educating and providing support. It is a difficult clinical scenario which has been fraught with uncertainty about prognosis and scant viable treatment options. The family was well informed and even remarked in the meeting how they at times did … Continue reading “3-2017”

jacobi February 13, 2017July 14, 2017QuoteResident of the Monthresident of the month

2-2017

Dr. Teferi is such a quiet resident and I hadn’t had the pleasure of working with him on any rotations, but when he was day float, we all noted that he presented cases very thoroughly, with well organized plans. He was calling families, pharmacies, NH, PMDs. His orders were always complete. He always made sure all things were wrapped up for all his admissions before he left for the day. His notes are very well written – the history, physical, assessment and plan – … Continue reading “2-2017”

jacobi January 13, 2017August 1, 2017QuoteResident of the Monthresident of the month

1-2017

I would like to nominate Jeremy Miles for resident of the month. He is organized, hard-working and efficient. With patient’s and families, he is very caring and understanding even in the most difficult situations. He is truly a super-intern and he is going to be an amazing resident soon!