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OnePath is your toolkit for helping to combat the opioid epidemic as a member of the medical community with empathy, mindfulness, and a big-picture perspective.

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E7: Enhanced Recovery After Surgery

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Today, we’ll be diving into the relatively new field of Enhanced Recovery After Surgery, or ERAS. The mindful curation of a patient’s recovery process after surgery is one of the most proactive steps a hospital system can take in preventing opioid dependence in its patients.


Dr. Izquierdo grew up in Illinois and completed his undergraduate degree at The University of Akron as part of a combined B.S./MD program. He attended medical school at Northeastern Ohio Medical University. His surgical internship was completed at Loyola University Medical Center in Chicago.

Dr. Izquierdo started Anesthesia residency at The MetroHealth System in 2011 and graduated in 2014. His last year was spent as Chief Resident. From that point on, he remained a staff anesthesiologist. He continues to practice General Anesthesiology, and as of July 2020 is also The Director of Obstetric Anesthesiology. In addition to being the anesthesiology lead for Enhanced Recovery After Surgery (ERAS), Dr. Izquierdo is an Associate Director of both Informatics (EPIC systems) and Quality for the anesthesia department. These roles have put him in position to help develop the Enhanced Recovery After Cesarean Deliveries (ERAC) program to facilitate recovery after c-sections.


Dr. Brook Watts joined The MetroHealth System executive leadership team in January, 2018 as Vice President and Chief Quality Officer. In this capacity, she is responsible for quality, safety, and patient experience throughout The MetroHealth System. She is Professor of Medicine, Case Western Reserve University, and is board-certified in Internal Medicine and Clinical Informatics.

Dr. Watts completed her M.D. from The University of Alabama, her Internal Medicine residency and chief residency at The University of Michigan, advanced training in quality improvement through the Veterans Affairs Quality Scholars Fellowship, and a master’s degree in Health Policy from Case Western Reserve University.

She was formerly Chief Quality Officer at the Louis Stokes Cleveland Veterans Affairs Medical Center and the Senior Advisor for Health Informatics for the VA National Office. She is a member of the editorial board for the Joint Commission Journal on Quality and Patient Safety, has served as principal investigator on numerous grants, and has authored more than 30 peer-reviewed publications in quality and safety.

She participates in a variety of community activities, including the Board of Trustees of MedWish, a non-profit which repurposes medical supplies to provide humanitarian aid around the world. She is also the proud “Chief Operating Officer” of the Watts-Stephany family, which, along with her physician-husband, includes managing the many sports activities and engagements of 3 children ages 13, 12, and 10 (and a dog!).


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The Team

Libbey Pelaia

Libbey Pelaia (host) is an educator within the Office of Opioid Safety and has a demonstrated history of leading initiatives within the healthcare, research, and higher education sectors.

Hannah Rae Leach

Producer & Engineer
Hannah Rae Leach (producer and engineer) is a Cleveland-based audio producer, writer, musician, and newly-minted advocate for opioid safety.

Joan Papp, MD FACEP

Joan Papp, MD FACEP is the founder and Medical Director of the Office of Opioid Safety at MetroHealth Medical Center.

Karolyn Tibayan

Karolyn Tibayan is the Director of the Office of Opioid Safety at MetroHealth Medical Center.

Sean Rule-Hoffman

Mix Engineer
Sean Rule-Hoffman (mix engineer) earned a degree in Music Technology with a minor in Electronic Media and Film from Capital University in Columbus, Ohio.

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