What the Health?

Wellness news and notes

Archive for December 4th, 2012

Kate Middleton’s delicate condition

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By now you’ve likely heard the joyful news that Duchess of Cambridge Kate Middleton is expecting. You’ve also likely heard that she’s been hospitalized with something called hyperemesis gravidarum. So what is this mysterious ailment? Simply put, it’s an unusually severe version of the morning sickness typically associated with pregnancy (“emesis,” in fact, is just a fancy medical term for “vomiting”).

“Nausea and vomiting are very common in pregnancy and probably affect 90 percent of pregnant women to varying degrees,” said Dr. Steven Laifer, chief of obstetrics at Bridgeport Hospital. “In about 1 to 2 percent of pregnant women, the nausea and vomiting are much more severe.”

This is hyperemesis gravidarum, or HG. Women with this condition can’t keep down any food or liquid and, as a result, can cause dehydration, nutritional deficiencies, unusual weight loss, difficulty with daily activities and other complications. Laifer said the hospital sees a few women a month afflicted with the condition. Often, when a women with HG is hospitalized, it’s for dehydration.

According to the HER Foundation, a hyperemesis education and research organization, there’s no known cause for HG, though there are numerous theories (one is that it’s more common in women expecting twins). It’s often treated with medications, bed rest, intravenous fluids and nutritional therapy.

Thankfully, the condition is usually relatively short-lived said Dr. William Cusick, chairman of the department of obstetrics and gynecology and director of maternal fetal medicine at St. Vincent’s Medical Center. “For most women, this gets better by the second trimester,” he said.

Laifer agreed, but added that, in a small percentage of HG sufferers, the condition can last throughout the entire pregnancy.
To learn more about HG, visit http://www.helpher.org/.

Veteran doctor given Connecticut safety post

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The Connecticut Hospital Association (CHA) welcomes Dr. Mary Reich Cooper, as vice president and chief quality officer. In this role, Cooper will lead CHA’s quality and patient safety work, including CHA’s initiative to eliminate all cause preventable harm in Connecticut. This statewide initiative includes the unique High Reliability Safety Culture Collaborative, the first of its kind in the nation, and Partnership for Patients, a national initiative designed to reduce preventable inpatient harm by 40 percent and re-admissions by 20 percent.

Cooper previously served as senior vice president and chief quality officer for Lifespan in Providence, R.I. where she helped introduce a statewide event reporting system, develop a patient safety organization, and strengthen safety in hospital operating rooms. Prior to her work with Lifespan, she was vice president and chief quality officer at New York-Presbyterian Hospital. Cooper began her career as a hospitalist at Albert Einstein Medical Center in Philadelphia, and later became director, clinical quality.

Cooper is extensively published on quality and patient safety in peer-reviewed journals and books. She has been the principal investigator in numerous grant-funded patient safety initiatives, and has held an academic appointment as assistant professor of medicine (Research) since 2008 with the Warren Alpert School of Medicine at Brown University. She attended Temple University School of Medicine, where she was elected to Alpha Omega Alpha, and trained in internal medicine at Hahnemann University Hospital in Philadelphia. She received her law degree from Pace University School of Law.

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