Stop Making Me Look Bad, Guys

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It, unfortunately, happens that a physician who works hard to practice evidence-based medicine sometimes appear as an outlier compared to other physicians. In Obstetrics, this is most palpable when patients present who have had care with others doctors in the current or a previous pregnancy. They, naturally, compare what I do to what the other guys did. So, I’m […]

Aluminum Doesn’t Cause Autism

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I wrote a short piece recently about the safety and efficacy of vaccines that has now been read almost half a million times. Hundreds of messages, comments, and emails later, I’ve learned that I am both the best thing since sliced bread and also a horrible human being who will rot in hell. I was […]

Problem Solving: Free Your Mind

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Here was a conversation in recent car ride: Daughter: Penny has 5 children, 1st is January, 2nd kid February, 3rd is called March, 4th is April. What is the name of the 5th Me (after considerable, don’t-want-to-be-shown-up-again thought): I don’t know. Tell me. Daughter: What is the name of the 5th child. Me: I don’t know! […]

Should I Vaccinate My Child?

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A newborn with congenital rubella.  Many of my patients choose not to vaccinate their children. I welcome these patients and, frankly, love each of them. I love that they are passionate about their responsibility as moms and take the time to research and educate themselves about things that affect their kids. I love that they […]

How to Read Headlines

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Headlines are everything. They frame the way we read an article, how we remember it, and whether we choose to read it in the first place. In the world of click-bait journalism, authors have become experts at crafting headlines to maximum effect – even if it means lying or at least misleading. This dangerous trend […]

Male Circumcision

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Egyptian depiction of circumcision from 1360 BC I get this question a lot and have avoided writing about it for some time. But, alas, we mustn’t be afraid of a little controversy on howardisms. So here goes: Should we electively circumcise newborn boys? All decisions in medicine should be made through an ethical framework that balances […]

Subchorionic Hematomas, Lakes, and all that Jazz…

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Two things drive me crazy, and a third vexes my soul: Over-diagnosis of subchorionic hematoma; Inappropriate counseling and recommendations regarding subchorionic hematoma; And inappropriate management of placental lakes. Not a week goes by that I don’t see a patient who has presented to an emergency department somewhere, diagnosed with a (questionable) subchorionic hematoma or placental […]