A5007895834- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Platelet Disorders and Treatments
- Sports injuries and prevention
- Heparin-Induced Thrombocytopenia and Thrombosis
- Cardiac electrophysiology and arrhythmias
- Intramuscular injections and effects
- Primary Care and Health Outcomes
- Cardiac Arrest and Resuscitation
- Family and Patient Care in Intensive Care Units
- Health Sciences Research and Education
- Healthcare Systems and Technology
- Palliative Care and End-of-Life Issues
- Cardiovascular Effects of Exercise
- Telemedicine and Telehealth Implementation
- ECG Monitoring and Analysis
- Emergency and Acute Care Studies
- Interprofessional Education and Collaboration
- Ion channel regulation and function
- Chronic Disease Management Strategies
San Francisco General Hospital
2023
University of California, San Francisco
2019-2023
Abstract We report a case of vaccine-induced immune thrombotic thrombocytopenia (VITT) in young man diagnosed 13 days after Ad26.COV2.S COVID-19 (Johnson & Johnson/Janssen) vaccination. He presented to us with 5 progressive left leg pain, thrombocytopenia, hypofibrinogenemia, and markedly elevated d-dimers, but without radiographically demonstrable thrombosis. Despite negative imaging, we initiated treatment presumptive VITT given the striking clinical picture that included timing his...
As COVID-19 spread across the globe, hospitals restricted visitors to protect patients and healthcare providers.1 The absence of in-person visitors, who play a central role in patient well-being clinical decision making by clarifying medical histories bridging linguistic cultural divides, left vulnerable social isolation, delirium fragmented care.2 With ongoing infections, health systems continue grapple with how support loved ones during visitor restrictions.3 Many technology-driven...
Abstract Academic medical centers must balance caring for patients in their community with role as referral more profitable tertiary quaternary (T/Q) care. Hospital medicine services, which admit largely from the emergency department, often have lowest proportion of T/Q care and may thus be under pressure to demonstrate value health system. Looking at 5771 that were discharged our hospital service between 2021 2022, we found three quarters (74.6%) had least one prior outpatient encounter...
Background/Introduction: Scheduled telephone follow-up visits (TFVs) are one strategy for improving access to specialty care practices, primarily because TFVs can be completed in less time with lower overhead costs than conventional office-based (OFVs). Beginning January 2015, scheduled were introduced three practices at University of California San Francisco (UCSF) as a substitute OFVs. As there is limited data on the relative advantage patients from such program, we conducted survey...
A 65-year-old man presented to the emergency department after he was resuscitated from cardiac arrest due ventricular fibrillation. Coronary angiography demonstrated no evidence of coronary artery disease. Follow-up electrocardiograms (ECGs) were also unremarkable until patient developed a fever, and new ECG rapidly upsloping ST-segment followed by downsloping, coved in leads V1-V2. The diagnosis Brugada syndrome made procainamide challenge. pattern on can be transient manifest setting fever...
There were things I saw as a medical student that want to remember. Many experiences, many feelings, lessons. And in some cases, there are cannot forget. will always remember the 12-year-old boy we lost trauma bay. He’d been playing football with his brothers and had climbed over fence retrieve ball gone over. No one noticed when he didn’t come back. When they found him, down apneic for maybe 10 20 minutes, lying next an exposed electrical wire. He electrocuted doing what of us did...