Hey folks, just a quick reminder that this episode is not meant to be used for medical advice, just good old-fashioned education.

All patient information has been modified to protect their identity and the views expressed in our podcast do not necessarily reflect the opinion of our employers.

Welcome back, commercial problem solvers. My name is Simone. I'm a second year family medicine resident at UCSF in San Francisco General, and I'm excited to present a case today to my brilliant space learning series teammates, Anna and Moses. Fun fact, I got involved with the CP solvers last year after having the privilege of signing out to and fan girling over Anna Fretz at the

San Francisco General ED for many shifts before getting up the nerve to introduce myself.

A special shout out for this episode to my amazing co-resident Cindy, who took care of this patient

and shared this case with me. Anna Moses, introduce yourselves. Hello, hello, hi, clinical problem

solvers. I'm really excited to be recording this episode. My name's

Anna. I'm also one of the CP solvers on the space learning series team. That was all too kind of an

introduction, Simone, and the fangirling is very much mutual. And I've loved being able to collaborate

in patient care with you at the general.

I will pass it over to Moses, who I hope to be able to collaborate in patient care with

one day in real life, but for now we just have this.

Team, it is Moses.

I am a second year internal medicine resident at the Brigham, Sadly, not on the West Coast, but with you all in spirit.

Super pumped to be recording with you all.

I hope it's a leukemia case, but I'll forgive if it's not, Simone.

L.O.L. Moses, that I would give you a leukemia case.

You presented last time. Okay, here we go. So we have

a 50-year-old man with a history of heart failure with an ejection fraction of 30 percent,

opioid use disorder, methamphetamine use disorder, and alcohol use disorder, HIV with a viral load of

211, a CD4 on his last admission of 207 and not on antirotroviral

therapy, a history of cryptococcal meningitis and HSV2 meningitis, hepatitis C, and a mitrobalal

...