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Archive for June, 2011

Interpreter Phone Translater Phone

Written by reuben

June 29th, 2011 at 5:17 pm

Posted in Phones

Dubin Breast Clinic Follow Up

FYI, today I had a patient with a breast mass and lots of trouble getting her plugged into breast clinic. Finally I found a “Breast Social Worker” who is happy to help us.

Her name is Jen Kolton and she can be reached at 212-987-3063. Call her if you need an urgent appointment in the Dubin Breast Clinic.

Amish Shah

Written by reuben

June 27th, 2011 at 9:27 pm

Opiates in IBD Flare: Gastroenterology Department Position

The conclusion of the QI committee was:

Narcotics are not contraindicated in acute abdominal pain in the ER setting. The literature supports that pain management, in combination with prompt diagnostic studies, does not delay or impair diagnosis or worsen outcomes.

The only exception are cases when toxic megacolon or pseudo-obstruction are suspected, espescially when non-operative management is being considered.

Tony Weiss

This slideset was presented at GI QA committee on the topic.

Written by reuben

June 24th, 2011 at 5:43 am

Posted in Analgesia & PSA,GI

Managing Survivors of Torture

every now and again i get a text from someone providing care to a survivor of torture asking “what next?” thanks for recognizing the needs of your patients.

steps to providing emergency care to said patient population:

1. provide medical care, PRN
2. dispo them as appropriate (make sure they’re safe to go home if d/c is the plan)
3. if you’re at the hurst, dinali has libertas pamphlets in her box; give one to the person you’re caring for
4. (regardless of discharge/admission status) if the patient is comfortable, you can email braden, dinali, myself, anjali or micah the BRIEF story (nation, type of torture), pt’s name, contact info and we’ll get it to leah, our coordinator. or you can email it to leah directly: WEINZIML@nychhc.org

if you have a survivor (current/past) of human trafficking:

1. repeat steps 1,2 from above
2. visit: www.humantraffickingED.com if you need help w/basics
3. (you cannot give the pt’s information w/o his/her permission) call safe horizon (one of our biggest local anti-trafficking advocacy orgs): 866.689.HELP or the national tip/hotline: 1-888-3737-888 for a talk thru the next steps (or have the SW do this)
4. remember if the person is a child, IE: not an emancipated minor or less than 18yrs of age, you CAN call the above numbers but you MUST call ACS 1-800-635-1522.

certainly i (and braden/dinali/anjali/micah) are happy to reply to texts/calls but you’re gambling that we’re awake or not underground at sinai or on a plane, etc…

cheers,
makini

Written by reuben

June 20th, 2011 at 11:05 pm

Posted in Torture

Consult Policy / Medical Board Rules&Regs

Written by phil

June 15th, 2011 at 7:51 pm

Posted in Consults,Policy

Sickle cell pain admits – call chronic pain service, not hematology

For all sickle cell admissions for pain only (no concern for infectious/ischemic or other complication of sickle cell disease), no longer call the hematology fellow. Admit to medicine service, lead hospitalist. Call the chronic pain cell phone upon admission (646-592-0145). The chronic pain service will see the patient promptly and write admitting analgesic orders. Call the heme-onc fellow if there is an emergent need for a hematologist.

Written by reuben

June 7th, 2011 at 8:36 pm