Winter 2022 Vol. 17 - Issue 3   
Click on the cover at right to download a PDF of the full issue.   




Generating New Knowledge
– Corey D. Fogleman, MD, FAAFP

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A Clinical Primer on the 2022 Monkeypox Outbreak in the United States
– Andrew V.A. Foley, MD, MPH; Elliott Brady, MD, MPH; Patricia Carr Reese, MD, MPH, AAHIVS

As of November 2022, more than 77,000 cases of monkeypox have been reported worldwide, with 13 at Penn Medicine Lancaster General Health. The authors review the history of monkeypox, the epidemiology of the current outbreak, and recommendations from the CDC in the prevention and management of the disease.
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A Woman Cured of Refractory Atypical HUS-TTP after Bilateral Nephrectomy
– Lena Dumasia, MD; Suraj Dumasia; and Charles Rodenberger, MD
This case report describes a patient who was diagnosed with hemolytic uremic syndrome (HUS) and thrombotic thrombocytopenic purpura (TTP) who required continuous plasma exchange for a period of eight months..
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Shots in Arms: Lessons Learned from a COVID-19 Vaccination Site
– Carla DeWald, PT, MBA, and Susanna Wiborg, RN, MBA
LG Health delivered more than 238,000 COVID-19 vaccinations through its Vaccinate Lancaster Community Vaccine Center. Learn more about how this collaborative initiative came to be, and its challenges and triumphs in serving county residents.
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Holding Out Hope or Permitting Suffering? A Case of Medical Ethics
Ryan Fischer, MD, and Katherine Shoemaker Chu, MD
The LG Health Ethics Committee — a resource to all care team members — offers consults on cases posing ethical dilemmas within the health system. This report’s authors discuss the ethical considerations of one specific case, along with lessons learned. 

Time for Health Care Reform: A Call for Moral Clarity, Ingenuity, and a Willingness to Try
– Edward T. Chory, MD
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Health Care Innovation at LG Health: Understanding the IAP Application Process
– Phuong-Cac "PC" Nguyen
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Choosing Wisely XXXIX & Top Tips: Recommendations from the Endocrine Society
– Alan S. Peterson, MD
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