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 […]

Levels of Evidence

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If you read (or produce) scientific literature, you are hopefully aware of and use some system to appreciate how good a particular type of study is. Most “Levels of Evidence” charts organize different types of evidence into some sort of 5 tier system, with the highest level of evidence, Level 1, being the best. Level […]

Ten Things I’ve Learned About Maternal Mortality

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I’ve attended two conferences in the last 3 weeks that largely revolved around maternal mortality in the United States. About 700 women each year die in the United States during or around the time they give birth. For those of who practice Obstetrics, we believe that even one is too many. I’ve been reading and […]

Four Tips for Removing a Nexplanon

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Nexplanon removal should be a relatively straightforward and easy procedure. However, there are a few things you can do to make the job even easier. Number four is my favorite. Here are four tips for removing a Nexplanon. 1. Pick the right spot. Move the device by pushing on the distal end to see where […]