Of the 6.7 million pregnancies in the US each year 48% are unplanned. Disturbingly, about half occur in women who were using contraception at the time of conception.  That statistic haunts me. As health care providers we must take that to heart and change the way we think about birth control counseling. Is there more that we can do to help prevent unplanned pregnancy in those who are actively using ...

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There are certain situations in my life where I feel really stupid. One is when CNBC's Squawk Box senior economics reporter Steve Liesman discusses the bond market. While I recognize the words he uses as English grammar,  I find almost every word to be incomprehensible gibberish.  Recently, he informed me that “given the Feds propensity towards quantitative easing in Q4 the 10 year yield could hit 3%.” I think that ...

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When I look in the eyes of a pregnant teenage patient, I see my wife. My wife was a teen mother.  She was a teen mother who beat the odds.  She is not a statistic. She is an example of the tremendous potential that lies before each and every teen facing the challenges of teen pregnancy.  Pregnancy did not stop her from succeeding.   My wife tells the story of riding ...

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Will doctors recommend health apps to patients? There has been an explosion in health apps. Patients are using them for weight loss, calorie counting, exercise monitoring, ovulation calculation and for many other health needs. But to truly integrate the concept of health apps in the health care system healthcare providers will need to get involved. There is discussion in the health IT world lately regarding physician adoption of ...

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Have you ever Googled yourself or your practice? Did you know that you have an ever growing online reputation? Whether you know it or not, doctors have an online presence. When you type your name in a search engine you may be surprised by what you find. Everything you do professionally creates a digital footprint. If you are involved in social media then you are contributing to your online reputation. ...

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I commented on a blog post recently that cited a recent study called "Secure web messaging between patients and doctors: Not well received." I was pleased to see that other professionals who left comments had the same reaction I did to the study: it is  simply not accurate. I have 4,900 patients and five other physicians in our practice who can attest that secure messaging, when used the right ...

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Are you  having a boy or girl? This is one of the standard questions people ask a pregnant lady. Everyone asks. It has become a kind of conversation starter. It's not that the stranger in the grocery store really cares, but it just seems like natural thing to say. It's part of the standard questions we ask pregnant women. How far along are you? Is there just one? When are ...

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Recently, I had the honor of moderating a discussion for the Sex::Tech 2011 Conference with the producers of MTVs 16 and Pregnant Morgan Freeman, Dia Sokol Savage and The National Campaign to Prevent Teen Pregnancy. I was fascinated by the responses of members in the audience as well as the reactions I read while  monitoring the online live stream via Twitter. So what did I conclude? I concluded that the issue of teen pregnancy ...

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