There is a global anesthesia crisis
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. There is a global anesthesia crisis: too few people trained to give anesthetics for surgery and obstetrics worldwide. The Lancet launched a commission to look at the needs for global surgery, which identified the issues starkly. Whil e international disease control efforts have started to […]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 - December 29, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/berend-mets" rel="tag" > Berend Mets, MD < /a > < /span > Tags: Physician Anesthesiology Surgery Source Type: blogs
The excitement of clinical rotations: Not just learning medicine but doing medicine
The first time a woman went into the final stage of labor, I watched from a corner of the room. As a third-year medical student, I was on my six-week clinical rotation in obstetrics and gynecology, and it was day one of the two-week portion on the labor and delivery floor. As a loudspeaker announcement […]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 - December 28, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/orly-farber" rel="tag" > Orly Farber < /a > < /span > Tags: Education Hospital-Based Medicine OB/GYN Source Type: blogs
Should you use probiotics for your vagina?
You know probiotics can be good for your gut, but does your vagina need one too? You might think so, based on probiotic marketing these days. Probiotics are in everything from drinks to pills and powders, and in many cases, are being promoted as a means of improving your vaginal health.
Women seem to be listening, says Dr. Caroline Mitchell, assistant professor of obstetrics, gynecology, and reproductive biology at Harvard Medical School. Vaginal probiotic supplements are hugely popular. This includes both probiotic pills and suppository capsules that are inserted into the vagina using an applicator.
But evidence of effect...
Source: Harvard Health Blog - December 27, 2019 Category: Consumer Health News Authors: Kelly Bilodeau Tags: Health Sexual Conditions Vitamins and supplements Women's Health Source Type: blogs
Some Thoughts about the Ruckus over the Ohio Abortion Bill
Jeffrey A. SingerThere has been major pushback from many Ob/Gyn specialists, reacting to abill introduced in the Ohio State House of Representatives in late November,HB 413, that would outlaw abortion in almost all circumstances. Much of the pushback from the medical profession centers around Section 2904.35 of the more than 700-page bill. The section would exempt physicians from prosecution for “abortion murder” or “aggravated abortion murder” for actions leading to the death of a fetus if they:(A) Using reasonable medical judgment, believe[] it is highly probable that the pregnant woman will die from a certain ...
Source: Cato-at-liberty - December 18, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
There ’s no place like labor and delivery for the holidays
It ’s that time of year when the weather outside is growing colder, the evenings seem to kick off way too early in the day, and the decorations around town remind all of us all of the fast-approaching holiday season. But for many of us obstetricians, this can often translate into anxiety over how oft en we’ll […]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 - December 5, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/rakhi-dimino" rel="tag" > Rakhi Dimino, MD < /a > < /span > Tags: Physician Hospital-Based Medicine OB/GYN Source Type: blogs
Maternal Mortality – Separating Signal from Noise
By AMEYA KULKARNI, MD
When Samuel Morse left his New Haven home to paint a portrait of the
Maquis du Lafayette in Washington DC, it was the last time he would see his
pregnant wife. Shortly after his arrival in Washington, his wife developed
complications during childbirth. A messenger took several days on horseback to
relay the message to Mr Morse. Because the trip back to New Haven took several
more, his wife had died by the time he arrived at their home. So moved was he by the tragedy of lost time
that he dedicated the majority of the rest of his life to make sure that this
would never happen to anyone again. H...
Source: The Health Care Blog - December 3, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medical Practice Ameya Kulkarni Global Health Maternal mortality public health Source Type: blogs
Can monitoring blood pressure at home cut maternal mortality?
Worldwide, hypertension (high blood pressure) and complications that stem from it are the second leading cause of maternal mortality. In fact, it causes about one in six maternal deaths. Among pregnant women in the US, rates of both chronic high blood pressure and pregnancy-related high blood pressure are rising. One reason this is worrisome is that high blood pressure is a major factor in preeclampsia, a potentially life-threatening condition that may affect women late in pregnancy and in the early weeks after birth. Now a study in Obstetrics and Gynecology suggests that a team approach to monitoring blood pressure at hom...
Source: Harvard Health Blog - December 3, 2019 Category: Consumer Health News Authors: Huma Farid, MD Tags: Health Hypertension and Stroke Parenting Pregnancy Women's Health Source Type: blogs
Better for women: improving the health and wellbeing of girls and women
This report recommends that one-stop women ’s health clinics provide reproductive and sexual healthcare services – such as contraception, STI testing, cervical screening, and treatment and advice about the menopause – in one location and at one time to improve services for women and make savings for the NHS.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 1, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Integrated care Source Type: blogs
A doctor ’s poem as an intensivist and obstetric anesthesiologist
The room is half-lit from the sunset. Crowding around the bed, in almost saint-like postures, is the family of our patient who is in her last moments of life. I do my best to console the family, a light touch on the shoulder, and honest stare. Then, there ’s the inevitable moment, the palliative extubation. Our […]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 - November 19, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/cesar-padilla" rel="tag" > Cesar Padilla, MD < /a > < /span > Tags: Physician Anesthesiology Critical Care Source Type: blogs
Choosing family over medicine: Why I decided to leave clinical medicine
When my obstetrician told me I was not going back to my clinic that afternoon due to severe preeclampsia, I was so indoctrinated that my first thought was of the inconvenience to my patients who would need to be rescheduled. Only a few minutes later did it register that I would be giving birth sooner […]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 - November 19, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kelli-randell" rel="tag" > Kelli Randell, MD < /a > < /span > Tags: Physician OB/GYN Practice Management Source Type: blogs
Everyday Ethics: Do I Discontinue Services for Unvaccinated Clients?
Question: I’m a private-practice, ASHA-certified speech-language pathologist who is three months pregnant. I have been treating a child in her home, but I want to discontinue services to the child because no one in the family has been vaccinated for the measles. Can I do so or would it be considered client abandonment?
More than 1,150 measles cases occurred in more than 30 states in the U.S. in 2019, and most of those cases involved unvaccinated people, according to the U.S. Centers for Disease Control and Prevention (CDC). Measles is highly contagious and there is no cure. Measles in pregnant women may have serious cons...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - November 15, 2019 Category: Speech-Language Pathology Authors: Donna Euben Tags: Audiology Health Care Private Practice Slider Speech-Language Pathology Early Intervention Professional Development Source Type: blogs
The medical illiteracy epidemic
This past August, I attended the American College of Obstetricians and Gynecologists (ACOG) District VI meeting in Wisconsin. The theme of this year’s meeting was“Bringing it Back Home,” with a keynote presentation focused on developing the emotional habits to influence others and“embody the inner attitude of a leader.” After a day of much […]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 - October 14, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/nicolai-hinds" rel="tag" > Nicolai Hinds, MD < /a > < /span > Tags: Physician Hospital-Based Medicine OB/GYN Source Type: blogs
Add PreP and PEP to The List of Drugs the FDA Should Make OTC
Jeffrey A. SingerThis week California Governor Gavin Newsom signed into law a bill that allows people at risk for contracting HIV to obtain both pre-exposure prophylaxis (PreP) and post-exposure prophylaxis (PEP)directly from a pharmacist, avoiding the inconvenience and expense of having to visit the doctor for a prescription. Drugs that provide HIV prophylaxis are classified as prescription-only by the Food and Drug Administration. States get to determine the scope of practice of their licensed health care practitioners. Expanding the scope of practice of pharmacists to allow them to prescribe a prescription-only drug has...
Source: Cato-at-liberty - October 11, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
How do you calculate how many weeks pregnant you are after IVF ?
Lots of IVF patients who get pregnant are confused when they calculate their due date after an IVF treatment.And it's not just confusing for patients - it's confusing for family physicians , as well as some gynecologists.The reason for the confusion is because when obstetricians date a pregnancy, they talk in terms of gestational age. In clinical practice, this refers to the menstrual age, and not the embryonic age. This makes sense, because most pregnant women know their last menstrual period ( LMP), but not the day they ovulated and got pregnant.This means that when fertile women miss their period find out they are pregn...
Source: Dr.Malpani's Blog - September 28, 2019 Category: Reproduction Medicine Source Type: blogs
