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In the early civil cases litigated under the law in the 1990s, the courts held that EMTALA's duty to stabilize continued to apply throughout the patient's entire stay in the hospital, no matter how long it was.
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Well, after my erudite presentation, the attending, who happened to be a cardiologist trained in the pre-interventional era, sat back and said, "Son, remember the heart is not a chronometer."
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Regardless of where we practice, increasingly we are confronted with patients who have been exposed to unusual diseases through travel. In a previous series of articles, we reviewed the diseases associated with travel, largely based on the geography. This article reviews infectious disease associated with travel by symptoms.
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The child with an inborn error of metabolism often cannot be easily identified. Nonspecific symptoms and relative infrequent occurrence make diagnosis difficult and can lead to potential delays in both recognition and treatment.
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A man with chest pain tells you that he uses cocaine and is positive for human immunodeficiency virus (HIV), then asks you to not tell his girlfriend who is about to enter the room. What are you most likely to be sued for: if you disclose the patient's status, or if you don't tell and his partner gets infected?
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In August of this year, the Centers for Medicare & Medicaid Services (CMS) published final rules revising the Medicare hospital inpatient prospective payment system (IPPS). These regulations also contain policy changes related to a hospital's obligations under the Emergency Medical Treatment and Labor Act of 1986 (EMTALA).