![]() What's Up in DOM Faculty Development? Case of the MonthFrom the Division of Hospital Medicine Submitted by: ![]() Shobhna Singh, MD, MPH Story and Case: An 82-year-old man was admitted for evaluation of progressive generalized weakness for a few weeks. Past medical history consisted of dilated cardiomyopathy with LVEF (Left Ventricular Ejection Fraction) of 40%, ventricular tachycardia status-post automatic implantable cardioverter defibrillator (AICD), remote history of large B-cell lymphoma, chronic headache, and dizziness for years which had gotten worse over the past three to four months. The patient’s initial presentation was notable for a low-grade temperature of 37.6 and borderline hypotension. Physical exam was notable for a pale, chronically ill-appearing man with diffuse weakness. The remainder of the exam, including a neurological evaluation, was unremarkable. Upon further questioning, the patient revealed he was recently placed and then taken off sacubitril/valsartan due to episodes of hypotension. Thereafter, the patient stopped taking his remaining anti-hypertensives. The patient’s initial infectious work up, CT head, echocardiogram, and AICD interrogation were unrevealing. He remained afebrile for the next few days. After IV hydration, he clinically improved. However, on the fourth day of hospitalization, he developed acute altered mental status with associated right facial droop, expressive aphasia, fever, and worsening leukocytosis. A repeat CT head was again negative. Brain MRI showed a left frontal lobe mass suggestive of possible low-grade glioma. The brain lesion was inaccessible for biopsy due to its diffuse nature. Patient was started on dexamethasone and antibiotics to cover meningitis. Lumbar puncture revealed normal glucose, elevated protein, and a cell count of 455 with lymphocytic predominance. Unfortunately, the patient deteriorated after lumbar-puncture and had a witnessed seizure. He was transferred to the Intensive Care Unit (ICU) and emergently intubated for altered mental status due to seizures and meningoencephalitis. Repeat MRI showed severe interval progression of large left frontal lobe lesion, significant mass effect, midline shift, and evidence of herniation. EEG showed no epileptiform activity. Cerebro-Spinal Fluid (CSF) flow-cytometry and CSF serologies were negative. Eventually, the patient’s condition declined rapidly, and his family decided to withdraw all life-supportive therapy. Have an interesting case that you want to share with the DOM faculty? Register Today!![]() Register today for the Department of Medicine's Office of Faculty Development and Mentoring Subcommittee half-day Mentee Training Workshop. Join us for the chance to learn more about mentorship including benefits, strategies, and how to maintain effective mentee relationships. Zoom + Room: Best Practices in Delivering a Hybrid Educational Session Presented By ![]() Ulemu Luhanga Mark Your Calendar
Let's Talk Promotions![]() In 2022, the DOM Office of Faculty Development had 32 approved promotions! With many still in the process, 2024 looks to be another exciting promotion-filled year. Are you ready? For information on the promotion process, please click the button. ResearchFAME Grant Cycle Now Open One FAME grant will be awarded by the Department of Medicine with additional potential awards supported by divisions. Grants will cover a 12-month period beginning September 1, 2023. FAME Grant Deadlines *Applicants are required to submit an email to DOMResearch@emory.edu stating the name of the applicant, applicant’s division, and proposed title. This email serves as a “letter” of intent and is a required part of the application process. ![]() Need help writing your grant? ![]() 2023 Southeast Regional Clinical and Translational Science Conference Quick Notes
WellnessConnect and Chat Sessions. Did you know the Faculty Staff Assistance Program (FSAP) offers a weekly "Connect & Chat" session to help you process the emotional impact of ongoing societal stressors and traumatic events with others? These sessions will provide a safe space to unpack, share and discuss healthy strategies for coping while navigating life’s daily pressures. Sessions are offered on Tuesdays via Zoom. Register here. Refresh and Mindfulness Meditation. Every first and third Wednesday from 4:30–4:45 p.m., you can join the FSAP group for a 15-minute virtual self-care experience to support your resilience. Visit the FSAP
Events and Workshop page to register. Well-being Check-ins. The FSAP is offering individual well-being check-ins for staff and faculty to gauge emotional health/coping and identify strategies for enhancing resilience, especially pertaining to transition. Call to schedule your check-in today: 404-727-WELL (9355). Want more information about other services offered through the FSAP? View the website. Work Life IntegrationYour Work Life: Children and Family. Did you know Emory has a list of resources available for you, including emergency back-up care and events taking place around Atlanta for parents of infants to teenagers? Whether you're just starting a family or getting ready to send your child off to college, Emory has many resources to help you through every stage of parenting. Learn more here. Check it out: Upcoming Webinars on Healthy Boundaries and Work-Life Balance. These workshops are offered by the Benefits and Worklife Department and Vendor Partners. Click here to register for a webinar. Links will be sent to your email prior to the event. If you have any questions about the webinars or family-centered benefits at Emory, please contact worklife@emory.edu. Stay ConnectedSushma Cribbs MD, MSc Kathy Griendling, PhD Alia Kamel, MS Sarah McClellan, MPH Dorothy R. Kitchens Lenore Meeks Bevin Pascual Follow Emory Department of Medicine on social media Looking for research specific information within the DOM? Be sure to subscribe to our sister publication, 'What's Up in DOM Research?' Email domresearch@emory.edu to be added to the monthly newsletter. To subscribe to 'What's Up in DOM Faculty Development?' email somfdev@emory.edu. |