Afraid of anesthesia? Read this … (or the story of Victoria)

Simpson and assistants discovering anesthetic effect of chloroform Next to Pitocin, obstetric anesthesia is probably the second-most hated intervention among the natural birth community. Like Pitocin, obstetric anesthesia is blamed for excess Cesarean deliveries and various other obstetric complications, and it is also claimed by many that women who undergo pain relief during delivery simply…

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It’s All in the Counseling …

Physicians have a lot of power over patient choices. In theory, physicians present patients with choices and then patients make informed decisions. In practice, this almost never happens. A physician can manipulate a patient into doing almost anything by counseling patients in a biased and skewed way; a doctor may even tell the truth, but…

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How I Lost 40 Pounds

When I talk to patients about weight loss, they usually tell me about their plans to exercise more and eat healthier. Recently, they ask me how I have lost 40 pounds or what magic I used to slim down. Most are sad to learn that there is no magic bullet. That being said, losing weight…

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OB Potpourri 4.0

Stop the tilt I haven’t used a left lateral tilt during Cesarean delivery in years. There has never been any robust scientific data that tilting the table or tilting the mother with a rolled blanket or pillow to approximately 15° has any effect on fetal outcomes. Still, the practice is widespread and most practitioners believe…

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Four Tips for Correctly Diagnosing Vaginitis

Complaints of vaginal irritation and/or vaginal discharge are very common in ambulatory settings, particularly in gynecology offices. Bacterial vaginosis, candidiasis, and trichomoniasis account for about 70% of these complaints. Patients who present with these symptoms are frequently over-treated and misdiagnosed. Those with recurrent symptoms are especially challenging.  Here are four tips for correctly diagnosing women with…

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