Helping Babies: Perinatal Addiction in the Opioid Epidemic
Dr. Alison Holmes, pediatric hospitalist at Dartmouth-Hitchcock, did not expect to work in perinatal addiction. “I had no interest in addiction,” Dr. Holmes admits.
Dr. Alison Holmes, pediatric hospitalist at Dartmouth-Hitchcock, did not expect to work in perinatal addiction. “I had no interest in addiction,” Dr. Holmes admits.
In 2006, Daisy Goodman first experienced a patient disclosing a narcotics addiction. A certified nurse midwife working in obstetrics, Goodman had had years of experience working with pregnant mothers to cultivate a healthy pregnancy and birth.
“Telestroke,” a telemedicine approach to acute stroke care, is revolutionizing how we treat our country’s third leading cause of death. Leveraging modern communication technology and the combined experience of skilled neurologists, Telestroke aims to benefit patients in rural areas who are often at the highest risk of ischemic stroke but have the least access to treatment.
His fiancée calls him “The Storyteller.” We sit down outside a cafe during a warm August evening. Still clad in his hospital scrubs, he just finished a shift as a pulmonary/critical care fellow at Rhode Island Hospital.
Where the consciousness floats into the medicine / Where the sacred meets the metal / Where the steel cuts the energy field
Dr. Pablo Rodriguez, an OB/GYN, doesn’t have a typical office. Inside are rows of hanging plaques and accolades, a photo of him with former President Bill Clinton, and a set of microphones, connected to a radio broadcasting system. A sign that says “Latino Public Radio” hangs above on the back wall.
It’s 1 a.m., everyone’s running on three cups of coffee / When a man stumbles through the entrance / And I could hear whispers of / It’s him, the homeless man, back in the ER again
The first thing she noticed, / Was her heart fluttering off and on, / The doctor saw her pale, / And iron pills were called upon.
“From now on,” our deans told us at orientation, “society will see you as a doctor. Sometimes you may not feel like one, but that is what you are becoming. This week marks the beginning of that transition, which will continue in the months and years to come.”
At first glance, Romée and Veerle appear just typical medical students in Amsterdam like thousands of others. Ask any of their colleagues or friends, however, and they’d tell you that they are anything but.
I can finally say I’m in my last year of medical school. It has been a bumpy ride, but only one clerkship, a research project and an OSCE separate me from graduating. I remember receiving my acceptance letter eight years ago.
Growing up in an Asian American immigrant household, I frequently encountered and grappled with my parents’ reserved manner of expressing themselves. Instead of using words to communicate their sadness or anger, my parents would barricade themselves in their room and refuse to say a word.