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Improving palliative care in cirrhosis

Educating patients and acknowledging their existential distress are just two ways hospitalists can better meet the needs of patients with decompensated cirrhosis.

As-needed blood pressure medication associated with acute kidney injury

Hypertensive patients who received as-needed blood pressure drugs, particularly IV ones, during a medical hospitalization had higher rates of acute kidney injury than those who didn't get as-needed meds, a retrospective Veterans Affairs study found.

AHA statement addresses management of systemic stroke complications

Fever, pneumonia, oral health problems, urinary tract infection, venous thromboembolism, breathing disorders, and gastrointestinal and renal issues were among the complications covered by new advice from the American Heart Association (AHA).

Oseltamivir on day of admission associated with improved flu outcomes

A prospective, observational analysis of 840 influenza-positive patients in U.S. hospitals in the 2022 to 2023 season found that only about half got oseltamivir on the day of admission, and they had significantly lower risk of death or ICU admission than those who got the drug later or not at all.

AGS advises on making treatment decisions for unrepresented older adults

A position statement from the American Geriatrics Society (AGS) includes policy recommendations and clinical advice for older patients who lack decisional capacity to provide informed consent for a specific medical treatment, who have no advance directive and lack capacity to create one, and who have no surrogate decision-maker.

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Take a quiz about the Nov. 27 issue!

Every week, ACP Hospitalist posts a question about a previous week's issue. See how well you remember what you've read compared to other readers.

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Reflections on a future past

After medicine makes the transition from the electronic record to the subdermal medical chart, what will you do when your devices are down?

The vibes were off

Gen Z brings their slang, and more, to hospital medicine.

DocBOT

Does the patient need a diuretic, or a cat meme?

Doctors are still human

Medical care will speed up, but being a doctor will remain the same.

A bright future for hospital medicine

An optimistic vision of 2124 has hospitalists harmonizing technology and humanity.

OrthoCoin

A dystopian satire predicts the future physician reimbursement system.

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