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.
Is it just me? / Or does it seem / that my pride / will not let me be
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.
My balance beam within the clouds / Seems lost amongst the starry night / As dreams and thoughts blur vision to / The reality of my true plight.
“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.
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.
Intellectually, I understood the potential devastation that a lack of health insurance could bring to so many Americans. But it wasn’t until 2012 that I viscerally felt just how health care policies made in faraway Washington affected the lives of so many.
We are in agreement. A robust and intellectual discussion of health care reform requires knowledge of the factors in play. Yet, we are deeply troubled by the simplicity and lack of nuance in a number of your arguments. Here are some our responses.
On the first day of my neonatology elective I met Aaron, a one-day-old infant born to a mother with a history of intravenous drug abuse. The mother was reportedly attending a methadone clinic during her pregnancy to address her opioid addiction, but her urine drug screen was positive for fentanyl.