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 […]

The Serena Syndrome

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(Note: I have no personal knowledge of Serena Williams’ pregnancy or the care she received. This article is based on publicly available information only and many details are surmised.) Serena Williams recently had a baby. Apparently, she almost died. Here’s how Serena herself described what happened: I almost died after giving birth to my daughter, […]

Physician Competency

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Most physicians are incompetent. There; I said it. If you read howardisms on a regular basis, you might have already suspected this. Lots of evidence indicates that substandard or inappropriate care occurs in most patient-physician encounters (up to 80% of encounters). The wrong diagnoses are made far too often. Suboptimal or incorrect therapies are too […]

Four Tips for Using A Quantitative HCG Test

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Pregnancy tests come in three varieties: a urine qualitative test (it’s either positive or negative), a serum qualitative test (again, either positive or negative), and a serum quantitative test (with a specific numeric result). I see far too many serum quantitative hCGs ordered in clinical practice (by OBs, ER docs, etc.) and this implies that […]

Have We ARRIVEd at 39 Weeks?

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  Confused by the ARRIVE Trial presented this past week at SMFM? Don’t be. It’s unclear what impact this trial will ultimately have on recommendations from ACOG or the Society of Maternal-Fetal Medicine, but it is clear that it adds little to the present debate. I have written about this debate already in a three part […]

Birth Control and Weight Gain

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I spend a considerable amount of my day trying to convince women that whatever their current complaint might be is not related to their birth control. For many reproductive-age women, the only medication they use is birth control. So, it’s unfortunately natural that whenever they have a problem they tend to blame it on birth […]

Things Science Has Proven

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It seems like there is no end to the constant attacks on science recently. So, I have decided to make an exhaustive list of the principles, laws, and theories that Science has proven. These issues have been settled by Science and are not open for debate or challenge. Read through the list below and make […]