Some days, I get so frustrated at work. Yes, we all have our frustrations. Maybe traffic is slow, and you get to work late. Maybe you spill your coffee on your work clothes as you walk into your office. Maybe someone calls in sick, and you are short help at work. But this is big! Like so big, it can impact the trajectory of someone’s life. They, in turn, are forced ...

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I woke up at 6 a.m. to my daughter’s annoyingly, loud alarm. Since I was on call, my first reflex was to look at my iPad to see if I had patients in labor. I am part of an 11 doctor call group, so when I am on call, I cover all the patients of those doctors that come into the hospital. I scrolled through the patient list and saw ...

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"This is the end, beautiful friend This is the end, my only friend, the end Of our elaborate plans, the end Of everything that stands, the end." - The Doors I am an obstetrician. My job, distilled to its essence is to be present and assist during the birthing of a new life. Labor has its inherent risks, but with credit to those who came before me, delivering a child has never been safer for ...

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It was the end of my third year in OB/GYN residency. I was 39 weeks pregnant with you and doing a hysterectomy, my gravid abdomen being utilized as an “extra hand” to displace the large clamp nicely to the side as I pressed my belly gently against the table. I was doing surgery all day and loved operating and feeling your occasional gentle movements when in the quiet operating room as ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Expecting a baby? Congratulations! Giving birth today is not the same as when your mother gave birth. You have new options and different choices to make. You will recover faster than even before, and your participation will be requested. Ready? Let’s talk about ...

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Barely ten years ago, 350,000 completely preventable AIDS deaths occurred in South Africa because of their president’s obstinacy. He recommended that women treat their HIV with beetroot and lemon juice. It’s hard to believe until you realize the same thing just happened here. HJ Resolution 43 was just signed into law by President Trump, giving states the ability to reject federal grants (called Title X grants) to family planning providers and ...

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The nurse grabs me: "You have to check my patient now! She is screaming and bearing down.” Without letting go of my hand, she leads me into the labor room. I don’t even consider saying no, I know not to question this nurse. She has been a labor and delivery nurse nearly as long as I have been alive; she knows much more than I about everything. The room is dark, but ...

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I sat in my car, anxiously watching the minutes tick by as I ruminated over and over the words, I had prepared for this crucial meeting. I had arrived much earlier than the appointed time, knowing I would need a few moments to calm my nerves before walking into a room to face a panel of eight legal, medical, and insurance professionals. I was pregnant with my sixth baby and was ...

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“How long have you had the bleeding?” “About seven years,” my patient replies stoically. Ange’s angular face no longer retains the beauty of her youth. The sharp lines around her mouth speak of a long life packed into a brief 42 years. She is well dressed, but her manner of speaking betrays the poverty in which she exists. Ange has advanced cervical cancer — a completely preventable disease. In fact, cervical cancer can ...

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As a consultant in gynecologic pathology, I receive requests for second opinions from patients who have been diagnosed with endometrial hyperplasia. My opinion is based upon correlating the relevant clinical history with a review of the patient’s pathology slides and report. In my experience, there is a difference of opinion that leads to a change in treatment in about half of the cases. 75 percent of cases with changed diagnoses ...

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