What Should Be Done At The Postpartum Visit?

The postpartum or postnatal visit has evolved significantly over the decades. It remains a largely ill-defined, and poorly evidenced-based, episode of care. The value and content of the visit should be individualized to the patient. In 1966, G.W. Morley wrote an influential article entitled, The important “Ten B’s” of post-partum hospital care. As the name…

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Preventable Causes of Death

webappa.cdc.gov/cgi-bin/broker.exe Though this may seem like more of a political post, in reality, its about statistics and their misuse and the cognitive distortion afforded from their misuse. In the health care sector (as well as the political sector), we have to decide where to best spend our money, resources, and passions to make the biggest…

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The Residency Match

This time of year is full of nervous medical students burning through a lot of anxiety thinking about their rank order lists for the NRMP Match. It should be a straightforward problem: rank every program in order from most desirable to least desirable and rank every program you could stand working at. If you don’t…

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What Does the T in TVH Stand For?

I’m glad you asked! Does TVH stand for Total Vaginal Hysterectomy or Transvaginal Hysterectomy? Seems like a simple enough question. There are a few different ways of answering this question. Both can be found in some books and literature today. Maybe the most straightforward way of answering this is to see what the American Board…

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How Should You Date a Pregnancy?

The estimated date of delivery (EDD) is incredibly important in providing quality prenatal care. Important decisions at the end of the pregnancy regarding the timing of delivery of both normal and high-risk pregnancies hinges upon the early establishment of the EDD. Based on the patient’s history and the earliest available ultrasound, the obstetric provider should…

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The Art of Medicine?

What do people mean when they invoke the phrase, “The Art of Medicine”? Clay Jones has posted this excellent piece on sciencebasedmedicine.org that’s worth reading about the topic. He rightly points out that it is often a phrase used to justify anecdotal practice. Physicians are all too happy to recall the phrase because it implies…

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