Ectopic ( tubal) pregnancy after IVF
While not getting pregnant after an IVF cycle can be heartbreaking, getting pregnant and then losing it can be much worse. This happens either when the patient miscarries; or when she has an ectopic pregnancy.While there is quite a lot of information about miscarriages after IVF, an ectopic pregnancy after IVF is something which most patients are completely unprepared for. It's not common, and happens in about 1-2 % of IVF cycles, but when it occurs, it can be devastating.The HCG test is positive, which means you are pregnant, and when the HCG levels rise, patients are understandably excited. However, the HCG level does no...
Source: Dr.Malpani's Blog - August 6, 2016 Category: Reproduction Medicine Tags: ectopic ivf IVF pregnancy tubal pregnancy Source Type: blogs

Why doing a D&C after a miscarriage is a bad idea
One of the hardest things for an infertile couples to deal with is a miscarriage after an IVF cycle . While not getting pregnant can be heartbreaking , losing a pregnancy after getting pregnant is far worse . Sadly, IVF does not provide any protection against miscarriage , and just like a natural pregnancy has a miscarriage rate of about 10% , so does an IVF pregnancy . The loss is far more acute, because this is such a deeply desired pregnancy . A miscarriage can often be the last straw which breaks the camel' s back , and many patients will give up after this. This is a shame, because the fact that you have got pregnant ...
Source: Dr.Malpani's Blog - June 16, 2016 Category: Reproduction Medicine Source Type: blogs

How Rhode Island Parents Are Winning Back Their Rights to Vaccine Choice
Conclusion Parents who are resolute in their efforts to safeguard their parental rights are making significant progress in the war against vaccine mandates. They recognize the power they have to influence government policies about vaccination. They find ways to connect with elected officials to voice their concerns about protecting their children from unwanted exposure to the chemicals, toxins, and foreign DNA contained in vaccines. They know their children don’t need a government-mandated vaccine against a sexually transmitted infection, especially at the young age of nine or ten years old. If you live in Rhode Island, ...
Source: vactruth.com - May 9, 2016 Category: Allergy & Immunology Authors: Missy Fluegge Tags: Logical Missy Fluegge Recent Articles Top Stories Gardasil 9 Gardasil Death HPV Vaccine truth about vaccines Vaccine Exemptions vaccine mandate Source Type: blogs

Narrative Matters: On Our Reading List
Editor’s note: “Narrative Matters: On Our Reading List” is a monthly roundup where we share some of the most compelling health care narratives driving the news and conversation in recent weeks. What Matters Most At The End Of Life One reason doctors and patients may disagree on “what’s best” when it comes to end-of-life care is that doctors may not be trained, or make time, for necessary conversations about what is most important to patients. In The Washington Post, Ravi Parikh, a resident in internal medicine and primary care at Brigham and Women’s Hospital, writes about a patient encounter that motivated h...
Source: Health Affairs Blog - May 2, 2016 Category: Health Management Authors: Jessica Bylander Tags: Elsewhere@ Health Affairs Featured Narrative Matters drug abuse End-of-Life Care On Our Reading List Source Type: blogs

Baby Got NAC
A 21-year-old woman with no past medical history presented to the emergency department for evaluation of an overdose. She was brought in by ambulance after her boyfriend called the police because she admitted to him that she had ingested a large amount of acetaminophen (APAP). The patient was 21 weeks pregnant and admitted to having ingested half of a bottle of extra-strength Tylenol six hours before arrival. The ED contacted the poison control center, and asked if N-acetylcysteine (NAC) is safe in pregnancy and if the dosing regimen changes for the pregnant patient.NAC's Mechanism of ActionAPAP is primarily metabolized by...
Source: The Tox Cave - May 2, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

You will always be our second child: A physician’s take on miscarriage
It’s only been a week since we lost you, and I already miss you so very much. There are days when I feel like I’m OK, but there are nights I cry myself to sleep thinking of what life could have been for my second son or daughter. Miscarriage: Losing a baby before reaching full term can be as devastating as losing a child at any age. My first experience with a child loss embodied itself in a child named Jared. He was an 8-year-old Michigan boy who fought cancer of the most aggressive kind, and he and his parents regularly attended our church. Our hometown community rallied with him by wearing shirts, and holding fundrai...
Source: Kevin, M.D. - Medical Weblog - April 27, 2016 Category: Journals (General) Authors: Tags: Physician OB/GYN Source Type: blogs

Perspective on Heroin Babies
According to a recent story on WBUR, the NPR radio affiliate in Boston, Massachusetts hospitals are seeing evidence that the opioid epidemic is affecting the next generation, with an increasing number of babies being born exposed to drugs. Is this cause for concern? Perhaps, but the “crack baby” scare of the 1980s suggests caution in jumping to conclusions. In the mid-1980s, as crack use spread and garnered attention from law enforcement officials, the public health community, and the media, it seemed that crack use by pregnant mothers was generating horrific harms. For example, the New York Times reported in 1985 ...
Source: Cato-at-liberty - March 28, 2016 Category: American Health Authors: Jeffrey Miron Source Type: blogs

Statistics and the law: the prosecutor ’ s fallacy
Conclusions. Although this argument uses an artificial example that is simpler than most real cases, it illustrates some important principles. (1) The likelihood ratio is not a good way to evaluate evidence, unless there is good reason to believe that there is a 50:50 chance that the suspect is guilty before any evidence is presented. (2) In order to calculate what we need, Prob(guilty | evidence), you need to give numerical values of how common the possession of characteristic x (the evidence) is the whole population of possible suspects (a reasonable value might be estimated in the case of DNA evidence),  We also ne...
Source: DC's goodscience - March 22, 2016 Category: Science Authors: David Colquhoun Tags: Law statistics Clive Stafford Smith false conviction false discovery rate False positive risk false positives FPR lawyers Michael Mansfield Philip Dawid Squier Waney Squier Source Type: blogs

Statistics and the law: the prosecutor ’ s fallacy
Conclusions. Although this argument uses an artificial example that is simpler than most real cases, it illustrates some important principles. (1) The likelihood ratio is not a good way to evaluate evidence, unless there is good reason to believe that there is a 50:50 chance that the suspect is guilty before any evidence is presented. (2) In order to calculate what we need, Prob(guilty | evidence), you need to give numerical values of how common the possession of characteristic x (the evidence) is the whole population of possible suspects (a reasonable value might be estimated in the case of DNA evidence),  We ...
Source: DC's goodscience - March 22, 2016 Category: Science Authors: David Colquhoun Tags: Law statistics Clive Stafford Smith false conviction false discovery rate false positives lawyers Michael Mansfield Philip Dawid Squier Waney Squier Source Type: blogs

Statistics and the law: the prosecutor’s fallacy
Conclusions. Although this argument uses an artificial example that is simpler than most real cases, it illustrates some important principles. (1) The likelihood ratio is not a good way to evaluate evidence, unless there is good reason to believe that there is a 50:50 chance that the suspect is guilty before any evidence is presented. (2) In order to calculate what we need, Prob(guilty | evidence), you need to give numerical values of how common the possession of characteristic x (the evidence) is the whole population of possible suspects (a reasonable value might be estimated in the case of DNA evidence),  We ...
Source: DC's goodscience - March 22, 2016 Category: Science Authors: David Colquhoun Tags: Law statistics Clive Stafford Smith false conviction false discovery rate false positives lawyers Michael Mansfield Philip Dawid Squier Waney Squier Source Type: blogs

The Zika Virus — Bioethical Implications
The recent appearance of the Zika virus has justly concerned many. With scientists evaluating its relationship to microcephaly in newborns, important ethical issues arise. The Washington Post notes that the CDC has reported that in the United States two recently Zika infected women had abortions, two suffered miscarriages, two delivered healthy babies, another gave birth to a baby with serious birth effects, and two are... // Read More » (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 29, 2016 Category: Medical Ethics Authors: Neil Skjoldal Tags: Health Care bioethics syndicated Zika Source Type: blogs

You Decide: The Risks and Benefits of the MMR Vaccination
Most of us weigh the risks and benefits of medical procedures prior to obtaining them. We sign an informed consent form with an understanding of the potential harm versus the perceived benefits. In the case of vaccinations, the great majority of parents obtain vaccinations for their children, influenced by the “sales pitch” and “scare tactics” used by physicians. We are assured that the vaccination is safe and will protect us and our children from the various targeted deadly diseases. If we blindly trust our doctors, as I once had, we readily agree. It is important that we think critically before agreeing to any va...
Source: vactruth.com - February 18, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Top Stories autism Centers for Disease Control (CDC) MMR vaccine vaccine injury Source Type: blogs

Zika virus and microcephaly
Three reports have been published that together make a compelling case that Zika virus is causing microcephaly in Brazil. An epidemic of Zika virus infection began in Brazil in April 2015, and by the end of the year the virus had spread through 19 provinces, many in the northeastern part of the country. Six months after the start of the outbreak, there was a surge in the number of infants born with microcephaly. It was not known if most of the mothers had been infected with Zika virus, as results of serological tests, virus isolation, or PCR were not available. An initial report of 35 Brazilian infants with microcephaly...
Source: virology blog - February 11, 2016 Category: Virology Authors: Vincent Racaniello Tags: Basic virology Information flavivirus microcephaly mosquito next generation sequencing placenta pregnancy viral viruses Zika Source Type: blogs

From health disaster to health success
Andrea endured a lot of health problems, never receiving any real answers from doctors, although plenty of medications were prescribed. Then she stumbled on the Wheat Belly lifestyle: “I learned in 2005 (27 years old) after having my 2nd child that I was hypothyroid. I was put on Levothroid. I complained often to my doctor that I felt no different a few months after starting this prescription. They ordered some labs and adjusted my dosage. Still no changes. I still felt extremely forgetful, sluggish, unable to concentrate. Instead of losing weight, I gained weight very easily. This went on for years! “I was ne...
Source: Wheat Belly Blog - February 10, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories eczema fatigue gluten grains hair loss rash Thyroid toenail fungus Weight Loss Source Type: blogs