Kulothungan Gunasekaran

Introduction Cannabis is the second most widely smoked substance in our society after tobacco.1 The acceptance, availability, and use of cannabis have been increasing with ongoing legalization throughout the United States.2 As per the most recent data from 2017, 14.6% of adults in the United States reported cannabis use.3 There has also been an increase in cannabis use among hospitalized patients, with an increasing trend toward older and sicker patients with increasing rates of moderate to...

An unusual cause of thunderclap headache after eating the hottest pepper in the world – “The Carolina Reaper” Free Satish Kumar Boddhula1, Sowmya Boddhula2, Kulothungan Gunasekaran3, Edward Bischof2 1 Internal Medicine, Bassett Medical Center, Cooperstown, New York, USA 2 Bassett Medical Center, Cooperstown, New York, USA 3 Henry Ford Health System, Detroit, Michigan, USA Correspondence to Dr Kulothungan Gunasekaran, stankuloth{at}gmail.com Statistics from Altmetric.com headache (including...

A 69-year-old woman on apixaban for 4 years due to her atrial fibrillation presented with severe left lower abdominal pain. She was discharged from the hospital 4 days prior after treatment for influenza and had finished a course of oseltamivir. She did not receive any heparin products and was continued on apixaban during that admission. A few hours before presentation, she reported coughing severely with sudden onset of excruciating abdominal pain. She denied trauma or injury to the abdomen.