asco-logo I’d known her for almost 3 years. She had advanced ovarian cancer -- clear cell -- and was diagnosed with disease already in her chest, stage IV. She had a terrific response to neoadjuvant chemotherapy, which had resolved her extra-abdominal disease sites after three cycles. She had an aggressive interval surgery which achieved complete resection ...

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STAT_LogoIt is easy to mock the ridiculous and potentially harmful health advice and product lines promoted by Gwyneth Paltrow and her team at Goop. Sleeping near healing crystals, lugging around jade eggs in the vagina, swilling moon juice, undergoing raw goat milk cleanses, dabbing on sex dust, and snapping photos of your aura are ...

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There was an interesting piece published in the Style section of the New York Times this weekend; I was tipped to it by Bryan Vartabedian. If you’re a health care geek, that section may not be on your “must read” list (I know it isn’t; will explain below), so let me bring you up to speed. On July 29th, Katie Rosman published a piece entitled, “
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In the spirit of World Breastfeeding Week, I want to highlight all we can about breastfeeding; why it’s great for you and your baby, some ways to make it easier, and how to manage common challenges. But one challenge that often gets ignored in the offices of doctors and lactation consultants is the issue revolving around the ethics of breastfeeding. That is, addressing uncomfortable questions like these:

Recently in Missouri, a bill was proposed that would ban women on oral contraceptives (OCP) from working. In the world of politics, the use of contraceptives has been discussed ad nauseam, often without medical consideration. As physicians, in order to continue to uphold our Hippocratic Oath: "First do no harm," it is imperative that we continue to challenge any law that goes against scientific evidence, and our voices must be ...

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1. You might get sent home. If you show up pregnant with your first baby, and it turns out you aren’t 4 cm dilated yet, you will get sent home because you aren’t in active labor. Please don’t cuss out the charge nurse. Yes, you are in pain — we aren’t denying that. But, there are limited numbers of beds on labor suites, and we need to keep some open for ...

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Some days, it is about crossing paths with others that bring a smile to your face. Here is one such individual. Sitting in my office was my new patient and her husband. She was a just-pregnant Brazilian woman wearing a warm smile; he was an older, overweight, unkempt American who sat uncomfortably in the chair. I imagined he had never been to a gynecologist’s office and was perhaps unsure what to ...

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There has been a lot of talk lately about maternal mortality. A recent story published in ProPublica and NPR has been circulating social media, highlighting the problems with our labor and delivery system. The story is heartbreaking, describing a preventable postpartum death in a young, healthy mother. While the article makes many good points, I do believe it is misleading when it comes to ...

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On a recent vacation in St. Lucia, I came across this mama nursing her babies. “Public breastfeeding. How great!” I thought. But, after posting this picture on Facebook, these were some of the responses: “Yikes! They need to be weaned!” and “they are pretty big to be still nursing.” This, of course, got my head whirling about people’s attitudes toward breastfeeding. On the surface, ...

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Over the last few decades, public perception of physicians has been on the decline. Many issues are to blame, but a largely overlooked contributing factor is the media. Physicians are often portrayed negatively, with stories of narcotic abuse, greed and medical mistakes dominating the news. Rather than fight back, physician organizations have stood silently and allowed their reputations to be tarnished. On the other hand, nursing organizations have been busy ...

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