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I am a hospitalist at a safety-net hospital. Through my work I have come to understand how our daily decisions – filtered through our own biases – influence how healthcare is implemented, and I had a personal teacher in my first year as an attending. Soon after starting my job, I met Mr. K.
By: Jill Daugherty
Most patients don’t know who Dr. Bernard F. Gipson Sr. is, but his legacy lives on at Denver Health for his work bringing care to all during the early days of the Eastside Family Health Center. The Center is named for Dr. Gipson, who was Denver’s first black surgeon and treated Dr. Martin Luther King for altitude sickness during a trip here in the height of the civil rights era. Learn more about his work here in this short video, with Eastside Health Clinic Administrator Richard Castro.
Editor’s note: In 2017, the New England Journal of Medicine featured a piece entitled “Letter to a Young Female Physician,” in which Dr. Suzanne Koven writes to her younger self at the point she would begin residency training, before embarking on a 30-year career in medicine. The value of this type of self-reflection is that the author is able to impart what they feel to be their most authentic wisdom.
ABSTRACT: Bulimia nervosa is a psychiatric disorder with many different medical sequelae. This article reviews the principal medical complications associated with bulimia nervosa, and emphasizes the importance of a timely approach to diagnosis and management.
Editor’s Note: A version of this article first appeared in the December issue of the SGIM Forum.
ABSTRACT: Young adults with eating disorders can develop osteoporosis, or fragile bones, which can cause lifelong debilitating consequences. Despite its high prevalence, general guidelines for diagnosis and treatment are lacking and further collaboration is needed. Some current osteoporosis medications may have severe side effects or cause birth defects in pregnant women and thus require special scrutiny.
Twenty years ago, what was then known as Denver General had a milestone in its history. In 1997 the City of Denver established the Denver Health and Hospital Authority as an independent entity from its longstanding city governorship. The decision, supported by the State of Colorado, gave Denver Health ownership over its own future, and the financial decision-making that would help hospital leadership reach new promise in an ever-changing health care landscape.
ABSTRACT: Anorexia nervosa (AN) has the highest mortality rate of all psychiatric illnesses due to the widespread organ dysfunction caused by the underlying severe malnutrition. Starvation causes hepatocyte injury and death leading to a rise in aminotransferases. Malnutrition-induced hepatitis is common among individuals with AN especially as body mass index decreases. Acute liver failure associated with coagulopathy and encephalopathy can rarely occur.
