Lincoln Hospital

About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.

Policy and Ethical Obligation for Postpartum Sterilization

Abstract: Underserved women face many barriers in their attempt to access postpartum tubal ligation as a means of contraception. The Federal policy regarding Medicaid sterilization funding hinders these women from exercising the same degree of reproductive healthcare autonomy as their more socio-economically advantaged counterparts. The two main barriers are 1) The Medicaid form must be signed 30-180 days prior to the procedure and brought to the hospital on the procedure day and 2) The reading level and design of the consent form is not appropriate for the patient population. In addition to the consent form that needs to be signed and verified before the procedure, other barriers include the age of the woman, in which some hospitals restrict sterilization procedures to woman who are more than 30 years of age, even though Medicaid funds sterilization for woman over 21 years of age. Additional restrictions arise when obstetric care is provided by Catholic affiliated hospitals where sterilization is not permitted, and any health care institution reporting a shortage of operating room facilities or resources. We suggest there is urgent need to revise Federal sterilization regulations in support of clinical and legal practice that adheres to ethical standards of medical practice.

Chronic Pulmonary Histoplasmosis Identified in a Young Patient with Selective Immunoglobulin M Deficiency.

Abstract: Chronic histoplasmosis is typically diagnosed in patients who are immunocompromised or severely debilitated and who either live in or who have travelled to endemic areas. We report the case of a young, otherwise immunocompetent male patient who presented to a New York hospital with lobar consolidation and was found to have chronic pulmonary histoplasmosis. He described no history of travel to an endemic area. Immunological workup later revealed selective immunoglobulin M (IgM) deficiency. The literature has suggested a link between IgM deficiency and fungal infections. Recent research has also proposed a link between autoimmunity and IgM deficiency. Our clinical vignette describes the case of a patient with selective IgM deficiency who was diagnosed with pulmonary histoplasmosis without any clinical evidence of autoimmune disease.