Don ’t push harsh health care realities under the rug
On a recent call with a small health organization in rural Uganda, I asked the director about the C-section rate in the community. In some private maternity centers, this procedure is performed far more often than one might expect. I’ve learned that while this practice may be financially motivated, the extra fees also pay for […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 29, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ann-messer" rel="tag" > Ann Messer, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease OB/GYN Source Type: blogs
It ’s time to curb rising C-section rates in Canada
Even during the pandemic, labor and delivery are the most frequent reasons for hospitalization in Canada, with over 350,000 births per year. That’s happy news. But of these births, nearly one third are by Caesarian section (C-sections). That rate is far too high – and rising. C-section is the surgical procedure to deliver a baby […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 30, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/margaret-morris-and-george-carson" rel="tag" > Margaret Morris, MD and George Carson, MD < /a > < /span > Tags: Conditions OB/GYN Source Type: blogs
Stress and Heart Health Book
A new book with stress and heart health tips to live longer, feel better, and stress less.
In the midst of a global pandemic, my new book, Stress-Proof Your Heart, arrived. After years of work, the entry into the market seems a little anticlimactic. But – in many ways, THIS is the right time for a book about stress and heart health!
Keeping my heart healthy and protecting it from stress aren’t abstract ideas for me—they’re literally life-or-death skills. When I had a massive heart attack at the young age of 35 while 7 months pregnant with twins, I underwent five hours of open-heart surgery after deliverin...
Source: Embrace Your Heart Wellness Initiative - June 9, 2020 Category: Cardiology Authors: Eliz Greene Tags: Uncategorized Source Type: blogs
What's new in midwifery - 20th May 2020
Some new things you might like to know...COVID-19COVID19 during pregnancy: a systematic review of reported cases (American Journal of Obstetrics and Gynecology)ResearchAnalgesic Efficacy and Adverse Effects of Meperidine in Managing Postoperative or Labor Pain: A Narrative Review of Randomized Controlled Trials(Pain Physician)Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. (Cochrane)Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. (Cochrane) Acknowledgements: McMaster Evidence Alerts (Source: Browsing)
Source: Browsing - May 20, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs
" Strike Two " : A Pediatrician's " Dance " with Alan Levine/Ballad Health - And WHY We Need Federal Medical Whistle-blower Protection For ALL Healthcare " Workers " NOW
This is the story of how government failed me as a Pediatrician - for the second time. The saddest thing of all is that there is a " Strike Three " . Nobody cares about Pediatrics - or Pediatricians. They haven ' t for a very long time. This is a long post. Don ' t whine about it. Read it. CARE that somebody trying to stand up for your children lived it - and not for the first time.Twenty-two years ago, the morally-bankrupt executives of my now fiscally-bankrupt hometown hospital (in Asheboro, North Carolina) railroaded me out of town . . . after I intervened in a nursery case being...
Source: Dr.J's HouseCalls - May 12, 2020 Category: American Health Tags: Alan Levine Ballad Health Cooperative Agreement COPA ETSU Medical Whistle-blower Pediatric Hospitalist Ralph Northam Randolph Hospital Tennessee Department of Health Virginia Department of Health Source Type: blogs
Coping with fear as a physician during a pandemic
Throughout my years as a physician, I have had an abundance of moments of fear. Typically, this fear has been related to concern for my patients. A fetal bradycardia requiring an emergency Cesarean section, a postpartum woman hemorrhaging despite all first line medications and procedures, a woman with a ruptured ectopic pregnancy and dropping hemoglobin. […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kristin-yates" rel="tag" > Kristin Yates, DO < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease OB/GYN Source Type: blogs
Cesarean scar ectopic pregnancy- MRI
Discussion – Cesarean scar ectopic pregnancy (CSEP) or Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy resulting from implantation of a blastocyst within myometrial scar tissue (old uterine scars) in the anterior lower uterine segment (LUS) at the site of prior Cesarean section. It is considered amongst the rarest type of ectopic pregnancy, although some do not include it in the category of ectopic pregnancy as implantation occurs within the uterus itself. Incidence is on rise due to increasing numbers of elective Cesarean sections as well as improved detection with transv...
Source: Sumer's Radiology Site - March 19, 2020 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Confessions of a bed-sharing pediatrician mom
I remember lying in my bed after my second delivery in severe pain. With my first delivery, I had already endured a C-section. Four years later, I wanted to experience a “natural” delivery. I opted for a vaginal delivery after C-section (VBAC). The VBAC quickly turned into an emergency where the maternal-fetal medicine (MFM) physician […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 26, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sonal-patel" rel="tag" > Sonal Patel, MD < /a > < /span > Tags: Conditions Pediatrics Source Type: blogs
What's new in midwifery - 11th December 2019
Discussion relating to one of these at least in the Guardian,Record number of over-45s giving birth in England, NICESurveillance report NICE guideline (NG126)Ectopic pregnancy and miscarriage: diagnosis and initial managementThis guideline will be updated:read this page to find out why.In the newsSinging the blues: how music can help ease postnatal depressionMelodies for Mums, an iniative that is part of a study being funded by the Wellcome.Maternity care failings in Shropshire (BMJ)OpinionBMJ editorialScreening for cytomegalovirus in pregnancy (Source: Browsing)
Source: Browsing - December 11, 2019 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Why Isn ’ t Price Transparency Working in Healthcare?
By TAYLOR CHRISTENSEN, MD
I strongly believe that getting people the information and incentives necessary to choose higher-value providers and insurers is the solution to improving value in healthcare (see my Healthcare Incentives Framework). But, you say, we’ve tried that and it doesn’t work, and current efforts are a waste of time!
Here’s an example of some great research that you might use to support your opinion:
Examining a Health Care Price Transparency Tool: Who Uses It, and How They Shop for Care (Sinaiko and Rosenthal, Health Affairs, April 2016)
The news media would see this and...
Source: The Health Care Blog - November 7, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Patients The Business of Health Care price transparency TAYLOR CHRISTENSEN Source Type: blogs
What's new in midwifery - 4th September 2019
Some things you might like to know about.StatisticsMaternity statisticsApril 2019May 2019 Quarterly conceptions to women aged under 18 years (England)April to June 2018Public Health EnglandGeneration genome and the opportunities for screening programmesIncludes opportunities in screening for fetal anomalies, sickle cell and thalassemia, infectiosu diseases in pregnancy, and newborn blood spot screening and newborn hearing screening.NewsLots this time...The man who gave birth (Guardian podcast)Freddy McConnell is a trans man who decided to begin the process of conceiving and delivering his own child. The fil...
Source: Browsing - September 4, 2019 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Cord Blood Stem Cells Help Young Boy with Tetra Spastic Cerebral Palsy
Tomas’s mom developed pre-eclampsia, a hypertension disorder sometimes developed during pregnancy which can cause serious health risks for both mom and baby, during her fifth month of pregnancy. This high blood pressure pregnancy complication affects kidney and liver function and when left untreated, can lead to blood clotting failure, fluid buildup in the lungs, seizures and in severe cases, death. With this diagnosis, Tomas’s mom was put on immediate bed rest to try and relieve her pre-eclampsia symptoms.
Just when she was feeling some relief, Tomas’s mom received the unfortunate news that her baby’s heartrate ha...
Source: Cord Blood News - July 30, 2019 Category: Perinatology & Neonatology Authors: Maze Cord Blood Tags: babies Cord Blood medical research pregnancy stem cells Source Type: blogs
Supporting your newborn ’s health: Intestinal colonization after elective cesarean section
This study confirms meta-analyses of smaller studies in the United States that suggest that cesarean section deliveries are risk factors for development of allergy and autoimmune disease. Elective cesarean section deliveries have increased from 5% in 1970 to 25% in 2010 in the US, while at the same time the incidence of autoimmune diseases has increased in Western society over the last several decades, and there may be a correlation.
Altered intestinal colonization in medically-indicated vs. elective cesarean sections
We have learned that major changes in intestinal colonization occur after elective cesarean sections (thos...
Source: Harvard Health Blog - July 5, 2019 Category: Consumer Health News Authors: Allan Walker, MD Tags: Digestive Disorders Family Planning and Pregnancy Probiotics Women's Health Source Type: blogs
Microbiome: The first 1,000 days
In the United States and other developed countries, we have seen a shift over the past several decades in the types of illness people struggle with. Public health campaigns around vaccination, sanitation, and judicious use of antibiotics have largely eradicated many infectious illnesses. As the nature of disease has shifted to inflammatory conditions, we’ve seen a striking increase in allergy and autoimmune conditions such as diabetes, obesity, inflammatory bowel disease, celiac disease, and multiple sclerosis. The microbiome — the varied and teeming colonies of gut bacteria inside of us — may be helping to drive thi...
Source: Harvard Health Blog - May 15, 2019 Category: Consumer Health News Authors: Allan Walker, MD Tags: Digestive Disorders Family Planning and Pregnancy Inflammation Probiotics Source Type: blogs
