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Ozdalga E, Ahuja N, Sehgal N, Hom J, Weng Y, Pinsky B, Schulman KA, Collins W. Detailed characterization of hospitalized patients infected with the Omicron variant of SARS-CoV-2. J Intern Med 2022; 292:385-387. [PMID: 35417053 PMCID: PMC9115094 DOI: 10.1111/joim.13501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Affiliation(s)
- Errol Ozdalga
- Stanford University School of Medicine, Stanford, California, USA
| | - Neera Ahuja
- Stanford University School of Medicine, Stanford, California, USA
| | - Niraj Sehgal
- Stanford University School of Medicine, Stanford, California, USA
| | - Jason Hom
- Stanford University School of Medicine, Stanford, California, USA
| | - Yingjie Weng
- Stanford University School of Medicine, Stanford, California, USA
| | - Benjamin Pinsky
- Stanford University School of Medicine, Stanford, California, USA
| | - Kevin A Schulman
- Stanford University School of Medicine, Stanford, California, USA
| | - William Collins
- Stanford University School of Medicine, Stanford, California, USA
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Ho VV, O’Sullivan JW, Collins WJ, Ozdalga E, Bell CF, Shah ND, Krishnam MS, Ozawa MG, Witteles RM. Constrictive Pericarditis Revealing Rare Case of ALH Amyloidosis With Underlying Lymphoplasmacytic Lymphoma (Waldenstrom Macroglobulinemia). JACC Case Rep 2022; 4:271-275. [PMID: 35257101 PMCID: PMC8897150 DOI: 10.1016/j.jaccas.2022.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 01/03/2022] [Indexed: 11/29/2022]
Abstract
We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. (Level of Difficulty: Advanced.)
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Affiliation(s)
- Vivian V. Ho
- Stanford University School of Medicine, Stanford, California, USA
- Address for correspondence: Dr. Vivian Ho, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA.
| | - Jack W. O’Sullivan
- Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California, USA
| | | | - Errol Ozdalga
- Department of Medicine, Stanford University, Stanford, California, USA
| | - Caitlin F. Bell
- Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California, USA
| | - Neil D. Shah
- Division of Cardiovascular Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Mayil S. Krishnam
- Department of Radiology/Cardiovascular Imaging, Stanford University, Stanford, California, USA
| | - Michael G. Ozawa
- Department of Pathology, Stanford University, Stanford, California, USA
| | - Ronald M. Witteles
- Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California, USA
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Affiliation(s)
- Andrew Elder
- Edinburgh University Medical School, Edinburgh, Scotland
| | - Jeff Chi
- Program in Bedside Medicine, School of Medicine, Stanford University, Stanford, California
| | - Errol Ozdalga
- Program in Bedside Medicine, School of Medicine, Stanford University, Stanford, California
| | - John Kugler
- Program in Bedside Medicine, School of Medicine, Stanford University, Stanford, California
| | - Abraham Verghese
- Program in Bedside Medicine, School of Medicine, Stanford University, Stanford, California
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Garibaldi BT, Kugler J, Goyal A, Ozdalga E, Niessen T, Liu G, Manesh R, Desai S, Elder A. The physical examination, including point of care technology, is an important part of the diagnostic process and should be included in educational interventions to improve clinical reasoning. ACTA ACUST UNITED AC 2019; 6:299-300. [PMID: 30375346 DOI: 10.1515/dx-2018-0094] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 10/02/2018] [Indexed: 11/15/2022]
Affiliation(s)
- Brian T Garibaldi
- Johns Hopkins Hospital and Health System - Internal Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
- Society of Bedside Medicine, Baltimore, MD, USA, Phone: +410-955-4176
| | - John Kugler
- Stanford Hospital and Clinics, Stanford, CA, USA
- Society of Bedside Medicine, Baltimore, MD, USA
| | - Amit Goyal
- Johns Hopkins Hospital and Health System - Internal Medicine, Baltimore, MD, USA
| | | | - Timothy Niessen
- Johns Hopkins Hospital and Health System - Internal Medicine, Baltimore, MD, USA
| | - Gigi Liu
- Johns Hopkins Hospital and Health System - Internal Medicine, Baltimore, MD, USA
| | - Reza Manesh
- Johns Hopkins Hospital and Health System - Internal Medicine, Baltimore, MD, USA
| | - Sanjay Desai
- Johns Hopkins Hospital and Health System - Internal Medicine, Baltimore, MD, USA
| | - Andrew Elder
- Society of Bedside Medicine, Baltimore, MD, USA
- Center for Advanced Study in the Behavioral Sciences at Stanford University, Stanford, CA, USA
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Kahn JS, Witteles RM, Mahaffey KW, Desai SA, Ozdalga E, Heidenreich PA. A 15-year review of the Stanford Internal Medicine Residency Program: predictors of resident satisfaction and dissatisfaction. Adv Med Educ Pract 2017; 8:559-566. [PMID: 28814910 PMCID: PMC5546589 DOI: 10.2147/amep.s138467] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Satisfaction with training and with educational experiences represents important internal medicine (IM) programmatic goals. Graduates from IM residency programs are uniquely poised to provide insights into their educational and training experiences and to assess whether these experiences were satisfactory and relevant to their current employment. METHODS We surveyed former IM residents from the training program held during the years 2000-2015 at the Department of Medicine, Stanford University. The first part of the survey reviewed the IM residency program and the second part sought identifying data regarding gender, race, ethnicity, work, relationships, and financial matters. The primary outcome was satisfaction with the residency experience. RESULTS Of the 405 individuals who completed the Stanford IM residency program in the study period, we identified 384 (95%) former residents with a known email address. Two hundred and one (52%) former residents responded to the first part and 185 (48%) answered both the parts of the survey. The mean age of the respondents was 36.9 years; 44% were female and the mean time from IM residency was 6.1 (±4.3) years. Fifty-eight percent reported extreme satisfaction with their IM residency experience. Predictors associated with being less than extremely satisfied included insufficient outpatient experience, insufficient international experience, insufficient clinical research experience, and insufficient time spent with family and peers. CONCLUSION The residents expressed an overall high satisfaction rate with their IM training. The survey results provided insights for improving satisfaction with IM residency training that includes diversifying and broadening IM training experiences.
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Affiliation(s)
- James S Kahn
- Veterans Affairs Palo Alto Health Care System, Palo Alto
- Division of Primary Care and Population Health
- Department of Medicine
| | | | - Kenneth W Mahaffey
- Department of Medicine
- Division of Cardiovascular Medicine
- Stanford Center for Clinical Research, Stanford University School of Medicine, Stanford, CA, USA
| | - Sumbul A Desai
- Division of Primary Care and Population Health
- Department of Medicine
| | - Errol Ozdalga
- Division of Primary Care and Population Health
- Department of Medicine
| | - Paul A Heidenreich
- Veterans Affairs Palo Alto Health Care System, Palo Alto
- Department of Medicine
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Ahuja N, Ozdalga E, Aaronson A. Integrating Mobile Fitness Trackers Into the Practice of Medicine. Am J Lifestyle Med 2016; 11:77-79. [PMID: 30202316 DOI: 10.1177/1559827615583643] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Revised: 02/23/2015] [Accepted: 02/23/2015] [Indexed: 11/16/2022] Open
Abstract
Mobile fitness trackers are increasingly used by patients as a means to become more involved in their own self-care; however, these devices measure disparate outcomes that may have equivocal relevance to true health status. It is vital for physicians to interpret both the quality and accuracy of the information that these trackers provide, and it is important to delineate which role, if any, these devices may serve in promoting quality patient care in the future. Potential benefits of mobile fitness trackers include the ability to motivate patients toward a healthier lifestyle, to develop a community of like-minded individuals seeking to improve their health, as well as to create an environment of sustainability and accountability for long-term promotion of health maintenance. However, limitations include the fact that mobile fitness trackers are not regulated by the Food and Drug Administration, that the employed metrics are not necessarily the best surrogates for true health status, and that the accuracy of measured endpoints has not yet been proven. As mobile fitness trackers both continue to rise in popularity and become increasingly sophisticated, physicians must be equipped to interpret and use this technology to better serve patients within an ever-changing, more technology-reliant health care system.
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Affiliation(s)
- Neera Ahuja
- Stanford University School of Medicine, Palo Alto, California (NA, EO, AA)
| | - Errol Ozdalga
- Stanford University School of Medicine, Palo Alto, California (NA, EO, AA)
| | - Alistair Aaronson
- Stanford University School of Medicine, Palo Alto, California (NA, EO, AA)
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Barakat MT, Gajurel K, Fischer K, Stevens K, Ozdalga E, Montoya JG. A Case of Meningococcal Pyomyositis in an Otherwise Healthy Adult. Open Forum Infect Dis 2016; 3:ofw087. [PMID: 27703989 PMCID: PMC5047391 DOI: 10.1093/ofid/ofw087] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 04/29/2016] [Indexed: 11/21/2022] Open
Abstract
The clinical spectrum of Neisseria meningitidis can range from nasopharyngeal colonization to life-threatening invasive diseases such as meningitis. However, its etiologic role in invasive pyomyositis (PM) has never been reported before in the English language. In this study, we report the first case of PM in the English language and the second case in the literature caused by N meningitidis.
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Affiliation(s)
| | - Kiran Gajurel
- Division of Infectious Disease & Geographic Medicine
| | | | | | | | - José G Montoya
- Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine; Toxoplasma Serology Laboratory, National Reference Center for the Study and Diagnosis of Toxoplasmosis, Palo Alto, California
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Affiliation(s)
- Andrew Elder
- Edinburgh University Medical School, Edinburgh, Scotland
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Ozdalga E, Ozdalga A, Ahuja N. The smartphone in medicine: a review of current and potential use among physicians and students. J Med Internet Res 2012; 14:e128. [PMID: 23017375 PMCID: PMC3510747 DOI: 10.2196/jmir.1994] [Citation(s) in RCA: 331] [Impact Index Per Article: 27.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2011] [Revised: 02/06/2012] [Accepted: 08/01/2012] [Indexed: 11/13/2022] Open
Abstract
Background Advancements in technology have always had major impacts in medicine. The smartphone is one of the most ubiquitous and dynamic trends in communication, in which one’s mobile phone can also be used for communicating via email, performing Internet searches, and using specific applications. The smartphone is one of the fastest growing sectors in the technology industry, and its impact in medicine has already been significant. Objective To provide a comprehensive and up-to-date summary of the role of the smartphone in medicine by highlighting the ways in which it can enhance continuing medical education, patient care, and communication. We also examine the evidence base for this technology. Methods We conducted a review of all published uses of the smartphone that could be applicable to the field of medicine and medical education with the exclusion of only surgical-related uses. Results In the 60 studies that were identified, we found many uses for the smartphone in medicine; however, we also found that very few high-quality studies exist to help us understand how best to use this technology. Conclusions While the smartphone’s role in medicine and education appears promising and exciting, more high-quality studies are needed to better understand the role it will have in this field. We recommend popular smartphone applications for physicians that are lacking in evidence and discuss future studies to support their use.
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Affiliation(s)
- Errol Ozdalga
- Stanford University Hospital, Stanford, CA 94305, USA.
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Affiliation(s)
- Errol Ozdalga
- Internal Medicine Department, Stanford University, Stanford, CA 94035-5209, USA.
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