Outpatient

Substance Use Disorder in Postpartum Patients

Postpartum is a stressful time for this high-risk population as relapse rates are high and pain tolerance is low. Special considerations should be given to pain control, sedation risk, breastfeeding, contraception, and safe transition of the newborn to extrauterine life….

Substance Use Disorder in Pregnancy, Part 2

In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with opioid use disorder are unintended. During pregnancy, chronic untreated substance and…

Substance Use Disorder in Pregnancy, Part 1

In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with substance use disorder (SUD) are unintended. During pregnancy, chronic untreated substance…

OP Malpresentation: A Precarious Situation

Fetal malpresentation is defined as a fetus presenting at birth in a non-vertex presentation as either occiput transverse (OT) or occiput posterior (OP). This condition occurs 15% to 25% at term and 5% to 12% at birth, frequently increases risk…

Diagnostic Safety, Part 1: The Basics

This overview of the discipline of diagnostic safety gives information about the number of diagnostic errors that occur each year in the US. It discusses barriers that make diagnostic errors more likely and presents strategies for making diagnosis safer.

Selfie-Induced Diagnostic Challenge in Horner Syndrome

This case report describes an 18-year-old woman with neurofibromatosis type 1 and prior right brachial plexus neurofibroma resection who reported intermittent, unilateral facial flushing after exertion.

Building Cyber Resiliency into Your Practice

Many of us hear about breaches everywhere and are warned of impending cyber harm daily. Our inboxes are filled with newsletters and webinars – like this one – about what we can do to prepare. Add to this the pressures…

Medical Error Prevention and Root Cause Analysis

Although the United States has one of the top healthcare systems in the world, it is apparent that the numbers of medical errors are at unacceptably high levels. A 2016 report stated that the average number of annual in-hospital deaths…

LGH REGULAR SCHEDULED SERIES

Lowell General Hospital RSS Programs are planned/presented by LGH medical staff and targets the same audience and offered (ex. weekly, monthly, bimonthly and/or quarterly. Due to the sensitive of the material presented during RSS Programs, these are for LGH Medical…