Connect with us

Pittsburg, PA

Patients at Pittsburgh hospital can enter opioid-free pain management program

Published

on

Patients at Pittsburgh hospital can enter opioid-free pain management program


PITTSBURGH (KDKA) — For the first time in western Pennsylvania and possibly in the nation, patients at a local hospital can choose not to be given opioids before, during and after surgeries.

Inside UPMC Shadyside Hospital, doctors are taking a unique route to managing surgical and post-op pain in some patients to help prevent opioid use disorder.

Dr. Shiv Goel, chief of anesthesiology and perioperative medicine at UPMC Shadyside, said the whole team at the hospital worked to launch its opioid-free pathway in May in response to patient demand. 

“We had been seeing a lot of patients coming into the hospital for surgery asking specifically not to use opioids for their pain management. And so far, there was never any defined pathway that existed that would ensure that a patient who’s making such a request gets that option and that request is honored. For the first time, this gives the power to the patients to choose the type of pain medications they want to take for managing their pain,” Goel said.

Advertisement

For surgical pain, they use regional anesthesia, nerve blocks, local anesthesia or non-opioid IV medications.

For post-op pain, in addition to meds, patients can also choose from techniques like aromatherapy, acupuncture, hypnosis, music therapy and biomedical devices. The doctors help to address anxiety, which contributes to pain.

“All of that does tie into decreasing how they perceive their pain. If their anxiety goes down, they perceive pain less,” Goel said.

Amy Hartzer had a partial mastectomy for breast cancer last month.

“I’ve heard it’s as bad as dental surgery and people getting hooked on opioids. I thought, yeah, there’s an opioid-free pathway, sign me up,” Hartzer said.

Advertisement

Hartzer was happy to have control over her pain management, especially because she’s starting chemo in a few weeks. She didn’t want to have more complications.

“I actually had a nerve block, and the doctor explained what that would be like. And I have to be honest, I’m glad I went the opioid-free because had I not and they would have given me opioids, it would have been for no reason. I was never in a lot of pain,” she said.

Patients wear a special bracelet and stickers are added to charts so everyone is on the same page with their pain management plan.

Lead coordinator of the opioid-free pathway at UPMC Shadyside Heather Margonari says patients can opt out at any time. She said 39 patients have enrolled in the pathway in just over two months.

“Some of them do have a family history of addiction, and some of them have addiction use themselves. But there are also a lot of people that have had these opioids in the past and have had bad reactions to them with side effects,” Margonari said.

Advertisement

They hope this one-of-a-kind approach can prevent people from feeling the pain of opioid use disorder.

“Patients seem to be much happier on the pathway. They’re definitely more alert. And I think they also feel empowered that they’re choosing to do this opioid-free, and their wishes are being followed,” said Margonari.

“That is a problem which has been created by the health profession itself. There was a time when we started calling pain the fifth vital sign. We created unrealistic expectations for our patients. .. I think we owe it to ourselves and our patients and to our country to try to right this wrong, which was being perpetuated on all our patients,” Goel added.

People interested in learning more about this opioid-free pathway can reach out to the team at UPMC Shadyside.

Advertisement



Source link

Pittsburg, PA

Pittsburgh Pirates Swap with A’s That Makes Sense For Both Clubs

Published

on

Pittsburgh Pirates Swap with A’s That Makes Sense For Both Clubs


The Pittsburgh Pirates could use some bats, and the A’s are still looking to add some pitching this winter, so how likely is it that these clubs come together on a deal?

According to Colin Beazley of the Pittsburgh Post-Gazette, the Pirates are still on the lookout for some help on the left side of the infield. Over at Roster Resource, their starters at short and third as listed as Nick Gonzales (82 wRC+ in 2025) and Jared Triolo (86).

While the A’s are having a little showdown of their own at third base this spring, they have a number of players in the mix. Perhaps they could move one of them in a deal with Pittsburgh in order to land a relief pitcher with some upside.

Advertisement

The proposed deal that we have in mind is the A’s sending third baseman Brett Harris, who may be starting as the third option at the hot corner this spring. Harris has a tremendous glove at third, and statistically it appears to be at least on par with the glove what Triolo provided last season.

Advertisement

In just 183 2/3 innings with the A’s in 2025, Harris put up a +5 DRS, and +2 in both OAA and FRV. Triolo, in roughly 80 extra innings finished with a +7 DRS and +4 in both OAA and FRV. Both players are solid defensively.

Triolo has had more experience in the big leagues, which does account for something, but if you’re the Pirates, do you consider making a change and taking a chance on a similar defender with more upside in the bat? Their current option hit .227 with a .311 OBP and an 86 wRC+ last season in 376 plate appearances. Harris could put together a double-digit home run season at the very least.

Harris played in just 32 games (84 plate appearances) and hit .274 with a .349 OBP and a 96 wRC+. While he certainly looked like an improved player over his initial stint in the big leagues with the A’s in 2024, there was also some luck involved in his improvement—mainly his .377 BABIP. The risk for the Pirates would be taking the chance on that bat being for real.

In exchange, the proposed piece that the Pirates would send back in 30-year-old Yohan Ramírez. The right-hander ranks in the 94th percentile in extension on top of sitting at 96.4 miles per hour with his heater, which is quite appealing. He also held a 5.40 ERA (3.80 FIP) last season, so he’s far from a finished product, and given his age, he’s a flier himself.

Advertisement

This is the type of pitcher that the A’s have had success with in recent seasons—guys that can collect strikeouts but also tend to issue free passes. In 2025 with the Pirates, he struck out 29% of the batters he faced and walked 10.3%.

Advertisement

There are two interesting tidbits in his profile that could cause a little worry. The first is that he’s bounced around quite a bit in recent seasons, including spending time with the Dodgers, Mets, Orioles and Red Sox in 2024. Those are all teams that love to pull extra value from guys, and if they all gave up on him, then that’s not the greatest track record.

All of those teams seemed to view him as a guy that could provide a few innings when their bullpens were gassed, which led to him having short stints with each club, totaling a 6.20 ERA (4.26 FIP) across 45 innings.

The other interesting piece here is that when he has been with the Pirates, in both 2025 and back in 2022, his velocity has ticked up considerably. In 2022, he also spent time with the Mariners, and he was sitting 94.2. But with Pittsburgh, that went up to 96.5. In 2024, he topped out at 95.3 mph with the O’s and Mets.

This past season he was back to 96.2 mph. Is there something special for him about pitching in Pittsburgh? Do their radar guns run a little hot? Is this more of a time of year situation that gets hammered out over longer stints (like with the Pirates)? It’s unclear.

Advertisement

But if he’s truly a 96-mile-per-hour reliever that the A’s could add to their ‘pen, then this trade may be worth some heavy consideration.

Advertisement

Of course, Ramírez is out of options which would make this a little tricky, and Harris has roughly double the amount of team control, so the value may have to be squared away by adding another piece or two to the ledger. But these two players, Harris and Ramírez, could do a lot of good for the opposite clubs.

Recommended Articles:



Source link

Advertisement
Continue Reading

Pittsburg, PA

O’Connor vows Pittsburgh won’t cooperate with ICE

Published

on

O’Connor vows Pittsburgh won’t cooperate with ICE


Days after a U.S. Immigration and Customs Enforcement Officer fatally shot a woman in Minneapolis, Pittsburgh Mayor Corey O’Connor reaffirmed that he will not cooperate with ICE.

Former Mayor Ed Gainey had taken the same position.

“My stance never changed,” O’Connor told TribLive on Friday. “We’re not going to cooperate.”

O’Connor said the same thing on the campaign trail, promising his administration would not partner with ICE.

Advertisement

“My priority is to turn the city around and help it grow,” O’Connor said. “For us, it’s got to be focusing on public safety in the city of Pittsburgh.”

President Donald Trump has sent a surge of federal officers into Minneapolis, where tensions have escalated sharply.

O’Connor said he had spoken this week with Cleveland Mayor Justin Bibb, who heads the Democratic Mayors Association. The group has condemned ICE’s actions in the wake of Wednesday’s fatal encounter in Minneapolis, where an ICE officer shot and killed 37-year-old Nicole Macklin Good, a U.S. citizen described as a poet and mother.

“Mayors are on the ground every day working to keep our communities safe,” the association said in a statement Thursday. “If Trump were serious about public safety, he would work with our cities, not against them. If he were serious, he would stop spreading propaganda and lies, and end the fear, the force, and the federal overreach.”

Minneapolis Mayor Jacob Frey has come out strongly against the Trump administration and ICE, penning an op-ed piece for the New York Times with the headline, “I’m the Mayor of Minneapolis. Trump Is Lying to You.”

Advertisement

Homeland Security Secretary Kristi Noem said an ICE officer shot Good in self-defense. Noem described the incident as “domestic terrorism” carried out against ICE officers and claimed Good tried to “run them over and rammed them with her vehicle.”

The circumstances of the incident are in dispute.

In December, ICE agents were involved in a scuffle in Pittsburgh’s Mount Washington neighborhood as they arrested a Latino man.

According to neighbors, two unmarked vehicles sandwiched a white Tacoma in the 400 block of Norton Street, broke the driver’s side window, pulled a man from the vehicle and got into a physical altercation. Pepper spray was deployed and seemed to get in the eyes of both the man being detained and at least one immigration agent.

At least some of the officers on the scene in that incident belong to ICE.

Advertisement

They targeted the man, Darwin Alexander Davila-Perez, a Nicaraguan national, for claiming to be a U.S. citizen while trying to buy a gun, according to court papers.



Source link

Continue Reading

Pittsburg, PA

Hemingway’s Cafe in Oakland closing after more than four decades

Published

on

Hemingway’s Cafe in Oakland closing after more than four decades



A longtime staple near Pitt’s campus is closing its doors after more than four decades of business in Oakland.

Hemingway’s Cafe announced Thursday that it will be closing for good in May after more than 40 years along Forbes Avenue in the heart of Oakland. 

“Since opening in 1983, Hemingway’s has been more than just a bar – it’s been a home, a meeting place, and an Oakland staple for generations of students, alumni, locals, and friends at the heart of the University of Pittsburgh,” the bar said.

Advertisement

Hemingway’s Cafe in Oakland has announced it will be closing for good in May after more than four decades of business near the University of Pittsburgh’s campus.

KDKA Photojournalist Brian Smithmyer


The bar said while they are sad to be closing, they’re also grateful for the decades of memories, laughter, friendship, and traditions over the years.

“Thank you for making Hemingway’s what it has been for over four decades,” the bar said.

Advertisement

A final closing date for Hemingway’s hasn’t been announced.



Source link

Advertisement
Continue Reading

Trending