medpagetodayFrom MedPage Today:

  1. NSAIDs Linked to Leaks After GI Surgery. Postoperative nonsteroidal anti-inflammatory drug (NSAID) use was associated with anastomotic leak after nonelective colorectal surgery.
  2. More Nurses May Mean Fewer Deaths in ICU. A high nurse to patient ratio in intensive care units was independently associated with a lower risk of in-hospital ...

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shutterstock_103945322 Most women report some painful or discomfort with their period. However, some women have killer cramps (the medical term is severe dysmenorrhea) and for many of them life goes on a 3 to 5-day hold once a month. Period pain is due to release of a substance called prostaglandins from the lining of the uterus during menstruation. Prostaglandins help the uterus contract ...

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A patient story tonight, from Jackie: It was one of those days.  I had been to the gynecologist the week prior because I somehow knew the sporadic bleeding, which I had experienced, was not a simple urinary tract infection for which I had been treated three times.  My doctor did the scrapings and biopsies and had me run down the hall for an ultrasound.  I’d had lots of ultrasounds during my pregnancies -- ...

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medpagetodayFrom MedPage Today:

  1. Managing Diabetes in Elderly: How Safe? Many older people with diabetes who have compromised health have been kept on intensive treatment regimens, which increases the risk of hypoglycemia.
  2. Supreme Court Battle Brewing Over Medicaid Fees. Rita Gorenflo's 7-year-old son Nathaniel was in severe pain from a sinus infection.

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shutterstock_200198861 Water births, delivering a baby so it is born underwater, are controversial medically because while they are promoted as safe and natural by some midwives and lay midwives they are not recommended by the American Academy of Pediatrics and the American Congress of OB/GYN. (Laboring in a tub in an entirely different thing.) The January 2015 issue of Emerging Infectious Diseases is reporting the ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.

A 32-year-old woman is evaluated as a new patient. She is planning to attempt conception with her partner. She has a history of systemic lupus erythematosus complicated by chronic kidney disease that has been inactive for several years off of treatment. She has had borderline blood pressure elevations since the ...

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Chronic pelvic pain (CPP, pain in the pelvis that is present for more than 2 weeks a month and has been there for more than 6 months) affects 15 percent of women and accounts for upwards of $2 billion a year in direct medical costs. To say it is a significant health burden is a gross underestimate at best. My entire practice is devoted to the treatment of pelvic pain ...

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Preventing infection after surgery is very important as not only are these infections often uncomfortable and make you feel very sick, but they also increase the risk of more serious complications. For example, if you are less mobile because of an infection after surgery you are at higher risk for a blood clot or if you need a prolonged hospitalization because of an infection in your surgical wound you are ...

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I chose to become an OB/GYN because I love delivering babies and bringing joy to expectant parents. It is by far the most rewarding part of my job. Seeing the sense of pride on a new dad’s face, the joyful tears in a happy mother’s eyes, or the inquisitive look of a young big brother or sister is priceless and makes my “job” feel more like a privilege. Bringing a new ...

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The reports from India read more like the review of a horror movie rather than a detailing of a government funded surgical program: 83 women receiving a surgical sterilization leaving 11 dead and another 50 hospitalized, 20 of whom (as of this posting) are seriously ill. And all of this happened in six hours with one surgeon at a government sponsored sterilization camp. As an OB/GYN I want to tell you how bad this actually is. The most ...

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