U N I V E R S I T Y O F C O L O R A D O I N T E R N A L M E D I C I N E R E S I D E N C Y P R O G R A M

MARCH HOUSESTAFF MEETING

DR. SCHWARTZ CHAIR OF THE DEPARTMENT OF

MEDICINE

DR. BRANDENBURG, PROGRAM DIRECTOR

CONGRATULATIONS!

• John Bielbelhausen elected to the ACP’s Council of Associates

WELCOME MILO REESE (2-10-12)

Congratulations to Doctor’s Dilemma champions! Stephen, Kate, Jonathan, and Bobby

DATES TO REMEMBER

• 6/3: R3 Graduation

• 6/7: Trivia Bowl

• 6/22: New Intern Welcome Picnic

ANNOUNCMENTS

• Please fill out schedule request form completely and return to Jennifer Weber on time • Call or email Jennifer with questions

• Match day is approaching: Watch for a list of new interns around 3/16!

INTERN JOURNAL CLUB CLASSICS

• March 14th • Location Dr. Albert’s house; watch for more

information in your email

• PROFESS Trial • Antiplatelet therapy for secondary prevention of stroke

• DIG Trial • Digitalis and mortality in CHF

RESIDENT JOURNAL CLUB CLASSICS

• March 21st at WES

• SCCOPE: Corticosteroids in COPD exacerbations

• Winnipeg Criteria: For acute COPD exacerbations

MARCH BIRTHDAYS

Gilliland Samuel 3/1 Kidder Wesley 3/1 Hou Xiaoyu 3/2 Chou Jennifer 3/3 Czwornog Jennifer 3/5 Olson Timothy 3/5 Reither Jonathon 3/5 Inman Richard 3/6 Poole Jennifer 3/6 Heacock Thomas 3/7 Sweigart Joseph 3/7 Kankanala Vineel 3/10 New Stephen 3/10 Sterrett Kristin 3/10 Hodges Slade 3/11 Bagley Adam 3/12 Foster Clayton 3/12 Turcotte Roger 3/13 Harry Elizabeth 3/15 Dhaliwal Jasmeet 3/16 Nordstrom Eric 3/18 Martin Eric 3/22 Germinaro Matthew 3/25 Fleeman Blake 3/29 Mohning Mike 3/30

JEOPARDY

• Only used twice in February! • Thanks for covering:

• Scott Davis • Matthew Sondag

UPDATES FROM P/SL

• The Metro Hospitalists are now up to 11 full time attendings who are covering both the teaching and non-teaching teams.

• Mike is still waiting for his first visitor to his office…

• Everyone misses Kevin (he told me to say that)

ADMISSION NUMBERS (1-23 TO 2-22)

• Gold Team • Nordstrom/Fleeman/Huff: 56

• Red Team • Turcotte/Lygizos/Monroe: 50 (Quiz Winners)

• Green Team • Czernik/Cline/Shantha: 49

• Blue Team • Scneider/Ortleb/Waxwieler: 44

INTERESTING CASES

• 63 yo male admitted with cerebellar stroke, who it was later discovered actually had a new diagnosis of HIV and had PML.

• 30 yo male admitted with HUS. • A case of neuro Behçet’s disease • Mesenteric ischemia secondary to massive

mesenteric vein, portal vein, and splenic vein clot.

VA INPATIENT

VA UPDATES

• VA Version 5.0 • Goals:

• Improve patient safety during the afternoon bolus of patients by minimizing holdovers for the OBMT resident

• Improve patient safety from a cross-cover standpoint • Improve educational value of night shift for float interns • Increase attending contact for float interns

VA UPDATES

• VA Version 5.0 • Implemented March 1

• OBMT resident now arrives at 3PM • If on-call team not capped, OBMT resident works to facilitate their

departure by supervising procedures, etc. • If on-call team has capped, OBMT resident starts admitting

according to the night algorithm • OBMT resident cross-covers on MICU patients and float intern

cross-covers on floor patients (signout still at 6PM) • Float intern now staffs up to 2 admissions with the OBMT resident

and up to 2 with the hospitalist

VA NUMBERS - FEBRUARY

• Team Cobb/Garcia/Jain • # 72

• Team Dunn/Guese/Stump • # 72

• Team Navarro/Friedlander/Butterfield • # 62

• Team Zheng/Heacock/Lammers • # 74

INTERESTING CASES

• 30 y/o M admitted to MICU for SIRS 2/2 Pneumovax-induced hypersensitivity reaction

• 74 y/o M with RA admitted for acute hepatitis (AST 2357 and ALT 3321) 2/2 either methotrexate or rituximab

• 65 y/o M with ACE inhibitor-induced angioedema

• 66 y/o M with recurrent pneumococcal pneumonias with probably common variable immunodeficiency

VA OBMT • Occupy OBMT shut down- Eric has moved

into the office with Mary on the 5th floor

DENVER HEALTH

DENVER HEALTH NEWS

• Dan finished first round of attending without his senior resident quitting • (though it was close a couple of times)

• New Phones in the MICU working well- they should for 1000$ each. • Residents who have used them, send me your feedback

• Coming soon- IV metoprolol, diltiazem and adenosine on the floor! • Many an ICU transfer will be prevented

• Indian Food Tuesday still popular, though hot sandwiches from Alvy’s gaining ground

9TH FLOOR BULLPEN REMODEL

• New Lockers and work stations

DENVER HEALTH ADMISSIONS

Mar. Floor Admits • Trees: 253 • Mountains:240

• 9th Floor Residents Fraser, Sachs, Knierem, Chowdhery • 9th Floor Interns

Thiele, Munoa, Terras, Hemeida, Swanson, Bull, Jain, Mynt 8th Floor Residents Ari, Northcutt, Learned, Udhe • 8th Floor Interns

Meason, Kankanala, Otten, Poole, Lammers, Ruygrok

DENVER HEALTH ADMISSIONS

• March MICU Admissions • Kimmerling/Davidson/Meason: 70 • Burke/Kim/Bellinger : 55 • Germinaro/Handoyo/Otten : 61 • Christensen/Sondag/Persenaire : 53

INTERESTING CASES

• 46 year old female with severe pulmonary HTN and RHF secondary to chronic hypoventilation secondary to Duchenne Muscular Dystrophy • X- linked recessive, she is a know carrier and has

enough penetrance to manifest the disease • 66 year old female with hx of RA and ESLD 2/2

NASH who had UGIB that precipitated myxedema coma- TSH >100- no prior dx of hypothyroidism

• Tuberculous pericardial effusion resulting in tamponade

DH – TEAM SPRUCE

UNIVERSITY UPDATES

• Two computers added to the lounge on the second floor!

• Twilighting now available for R2s for the remainder of the year. Watch for more information about orientation in your email.

INTERESTING CASES

• 28 y/o male presenting with neutropenia and septic shock found to have hemophagocytic lymphohistiocytosis

• 30 y/o female admitted with bilateral idiopathic PE’s, developed hemopericardium + tamponade requiring pericardiocentesis

• Precursor T-ALL in patient with AIDS • New diagnosis of mycosis fungoides

MEDICINE ADMISSIONS

• Average daily medicine admits: 4.1

• Average overnight admissions: 9.8

• Numbers slightly down from last month (4.3 and 10.2)

CARDIOLOGY ADMISSIONS

• Average Daily Admits: 4.4

• Average overnight admits: 2.7

MICU ADMISSIONS

• Bagley: 60 • King: 45-50 • Chascsa: ? • Sprague?

GRAND ROUNDS

• Hepatitis C: From Hippocrates to Cure • Dr. Alter