Aug. 2020, Volume 37, Issue Number 8 | MDedge

Table of Contents

Aug 2020
Vol. 37
No. 8

Commentary

Commentary

All Hands on Deck: The Federal Health Care Response to the COVID-19 National Emergency

Author:

Cynthia M.A. Geppert, MD

Although many aspects of the federal COVID-19 response have been lacking, federal health care providers have been on the frontlines providing...
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Program Profile

Program Profile

Creating an Intensive Care Unit From a Postanesthesia Care Unit for the COVID-19 Surge at the Veterans Affairs Ann Arbor Healthcare System

Author:

Mary Jarzebowski, MD

Tom Curran, MD, MBA

Megan Dorsey, MD

William Cederquist, MD

Dru Claar, MD

Elisa Derrig, CRNA

Weston Dick, BSME

Katrina Push, RN, BSN, CPAN

Mark Hausman, MD

Tamar Lake, MD

To address the surge of patients with COVID-19 in Southeast Michigan, the Veterans Affairs Ann Arbor Healthcare System engineered, built, and...
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Program Profile

Ten-Year Outcomes of a Systems-Based Approach to Longitudinal Amputation Care in the US Department of Veteran Affairs

Author:

Joseph Webster, MD

Joel Scholten, MD

Patricia Young, MSPT, CP

Billie J. Randolph, PT, PhD

The VA Amputation System of Care provides specialized expertise in amputation rehabilitation incorporating the latest practices in medical...
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Program Profile

Implementation of a Protocol to Manage Patients at Risk for Hospitalization Due to an Ambulatory Care Sensitive Condition

Author:

Catherine M. Kuecker, PharmD, BCACP

Anita Kashyap, PharmD, BCACP

Ellina Seckel, PharmD, BCACP, DPLA

A review and referral process for patients at risk for hospitalization due to an ambulatory care sensitive condition increased patient access to...
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Case Reports

Case Reports

Pan-Pseudothrombocytopenia in COVID-19: A Harbinger for Lethal Arterial Thrombosis?

Author:

Patrick Kuhlman, MD

Julio Nasim, MD

Michael Goodman, MD

Pseudothrombocytopenia in the setting of COVID-19- associated coagulopathy prompts the question whether it is representative of increased platelet...
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Case Reports

Chronic Microaspiration and Frailty: A Geriatric Smoking Gun?

Author:

Jonathan T. Stewart, MD

Vandan D. Kamath, MS, CCC-SLP

Alejandro V. Jaen-Vinuales, MD

Inna Sheyner, MD, CMD

Chronic microaspiration and diffuse aspiration bronchiolitis may account for some otherwise unexplained frailty in nursing home patients.
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Case Reports

Valproate-Induced Lower Extremity Swelling

Author:

Kelley Chuang, MD

Satya Patel, MD

With its broad diagnostic differential, new-onset peripheral edema is a concern that often warrants an extensive evaluation for underlying causes...
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Original Research

Original Research

Effects of Computer-Based Documentation Procedures on Health Care Workload Assessment and Resource Allocation: An Example From VA Sleep Medicine Programs

Author:

Kathleen F. Sarmiento, MD, MPH

Eilis A. Boudreau, MD, PhD

Connor J. Smith, MS

Bhavika Kaul, MD

Nancy Johnson, RN, MSA, BSN

Robert L. Folmer, PhD

Inaccurate computer-based documentation of clinical workloads can result in inadequate allocation of health care personnel and resources to meet...
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New Therapies

New Therapies

Immunotherapies Targeting α -Synuclein in Parkinson Disease

Author:

Fariha Jamal, MD

Alteration in aggregation properties of α-synuclein is believed to play a central role in the pathogenesis of Parkinson disease.
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