I have been an OB/GYN hospitalist at a busy suburban community hospital for almost one year. I truly love my job. However, I've noticed something unexpected that's prompted me to pause. There are several physicians -- good, clinically competent, kind physicians -- who frequently perform episiotomies. Routine episiotomy is not recommended. In my training and eight years of practice prior to becoming a hospitalist I rarely saw it used. So ...

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We are all familiar with the statistics. Chronic conditions like obesity, hypertension, and diabetes are present in our population at unacceptably high and costly levels. More than 78 million American adults are obese, and more than 1 in 20 is extremely obese. About 70 million U.S. adults have hypertension with only 52 percent having the condition under control. Just over 29 million Americans have diabetes and an additional 86 million ...

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