Issue: Fall 2019 Vol. 14 - Issue 3
From the Editor's Desk
What Does the Measles Epidemic Tell Us About America?
– Lawrence I. Bonchek, MD, FACS, FACC
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Top Tips from Family Practice
Choosing Wisely XXIX: Recommendations of the American College of Obstetricians and Gynecologists, American Society for Blood and Marrow Transplantation, Canadian Blood and Marrow Transplant Group, American   Association of Neurological Surgeons
– Alan S. Peterson, M.D.
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Scientific Reports 
Reducing Opioid Overdose Deaths in Lancaster County: The Rise of an Epidemic, and LGH's Response
Tara M. Tawil, M.D.
Opioids are responsible for a national crisis and countless journal articles. This unique discussion comprehensively reviews the causes and physiology of opioid addiction, and focuses on its impact on Lancaster County, and the local efforts to manage it.
Clinical Care and Management of Opioid Use Disorder in Pregnancy
Annmarie Blair, DNP, MSN, BSN, RN
Opioid dependency presents extraordinary challenges during pregnancy. This timely article describes the scope of the problem and the comprehensive management strategies that have been instituted at Penn Medicine Lancaster General Health.
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How Healthy Is Your Weight Loss Advice?
Virginia M. Wray, D.O.
With three-quarters of the population overweight or obese, the problem of obesity affects every medical practice. This insightful article provides guidance that you can’t get elsewhere about how to speak to obese patients about their weight, and what kind of advice is useful.
Spotlight on Clinical Research: Cardiology, Cardiothoracic Surgery, and Trauma
Roy S. Small, M.D., and Heather Madara
Clinical research studies at Penn Medicine Lancaster General Health spotlighted in this issue focus on management of ventricular tachyarrhythmias in nonischemic cardiomyopathy; veno-arterial extra-corporeal membrane oxygenation (VA-ECMO) for cardiogenic shock; a registry of patients with familial hypercholesterolemia; pathogenesis of post-traumatic pulmonary embolism; and use of an interatrial shunt to reduce elevated left atrial pressure in patients with heart failure.
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