It is hard to imagine an age in which assisted reproductive technology (ART) did not exist. The CDC reported that 1.7 percent of U.S. births in 2017 were attributable to ART, with approximately 285,000 ART cycles reported that year. In reality, the process is not as straightforward as it may seem on paper.

As a radiologist, I was involved peripherally with patients struggling ...

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Breast cancer is the most common cancer diagnosed during pregnancy. In fact, 5 percent of invasive breast cancers occur in women less than 40 years of age, and 7 to 14 percent of premenopausal breast cancers occur in pregnant women. Harrington and other surgeons in 1943 felt that the prognosis was so poor for pregnant women with breast cancer that radical mastectomy was not justified. As women delay both marriage and ...

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As a practicing physician, there is a lot to be mindful of right now. Today, COVID-19 is on the forefront in most healthcare settings, both in identifying and treating symptoms of the virus, and in inhibiting its community spread. In the multiple labor and delivery units where I work as an OB hospitalist, the culture change is clearly visible -- an event that is usually filled with family members and friends ...

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Setting: An impersonal, windowless conference room within a hospital Characters: A nurse in charge (NIC), a department chair (DC) and me (ME) *** NIC: Thank you for joining us to discuss the report you made of unprofessional behavior in the operating room. We’d like to start by letting you know that in this institution, we have a culture of informality. When I first got here, I found it unsettling that doctors were called ...

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I held back my tears as I headed home that day from work. A sense of impending doom and fear of the future was clutching my heart, something like I have never experienced before. For the first time in my medical career, my mind was preoccupied with thoughts about my own safety and how it could be at stake. What had started off as a regular day at work, had ...

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As protests broke out on the streets of downtown Cleveland and the National Guard camped outside the hospital, I delivered a beautiful, Black baby boy. In some ways, that night was like any other night. Another vaginal delivery, another moment filled with love and joy that I had the privilege of sharing with a family. But this delivery felt different. Medically, the patient was fine. My checklist of assessments after the ...

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The COVID pandemic has revealed chasms between health care delivery system tectonic plates, revealing disparities of care and treatment of people of color and underrepresented groups. I write this from my own feminine perspective in hopes of cultural change. We have to start with us, the doctors and other health care workers. We have to see the inequities. I have one regret about my career as an obstetrician/gynecologist. I regret my ...

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Reproductive psychiatry, also known as perinatal psychiatry or maternal mental health, focuses on mental health concerns in pregnancy (also including planning and IVF), delivery, postpartum, and parenting. As a reproductive psychiatrist, I try to imagine myself in the situation of my patient, to conceptualize the stresses she’s dealing with, who can support her at home, and, on top of any needed meds—what sort of therapy, self-care, what strategies she would ...

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As an obstetrician, I am asked daily, what is my birth going to look like? What happens when I am in labor? Where do I go if I think I am in labor? Before COVID, these were easy questions to answer. I would explain what the usual steps are and then politely refer them to the birth classes provided by the hospital. I am in private practice, and it would ...

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Thank you for listening to the podcast. There were some audio difficulties, which I hope you can overlook. It certainly does not take away from Dr. Sheikh's message and her wonderful interview. "'It’s a strange time to be having a baby,' my patient said as she sat alone in her labor room. The state order to shelter-in-place in California had left her ...

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A black girl was called the N-word on the playground in elementary school in the ’90s. That black girl was me. A black girl was called ugly because of her dark black skin in elementary school in the ’90s. That black girl was me. A black girl created and independently executed a project for the science fair in elementary school. The authenticity of the ...

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I am a female surgical resident. I signed up for this. I chose four years of medical school, five years of residency, two years of research, a year of fellowship, and finally attending surgeon life. I’d choose it again. And I want this road to be hard. I want my training so tough that I don’t wonder while a patient’s on the table if I’m good enough. I want to know ...

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I am as nervous about writing this as I was when I first started my YouTube channel. Let me take you back to when I first decided to pursue medicine; I was a senior in high school, deciding between international business school or a pre-med degree. I was never one of those docs who had dreamed about becoming a doctor since I could first babble, and for a long time, this ...

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A dear midwife teacher of mine, during my intern year as an OB/GYN, told me, "You need to stop wearing those rose-colored glasses." She told me I had to take them off to be able to understand the depth and breadth of what my patients were telling me, so I could read between the lines and become a well-trained clinician. In the years that have passed since my first year ...

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We are a team of physicians: an OB/GYN, pediatrician, and pediatric and adult psychiatrist, who are primarily concerned for the emotional and physical well-being of you and your baby. The American Academy of Pediatrics released interim guidelines on managing infants born to COVID-positive mothers, and we know this has amplified the anxiety, fear, and worry about the unknown that is common in pregnancy. There is changing information about the COVID-19 ...

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As a cardiology fellow in a busy New York City hospital, my life has snowballed into chaos. Just last week, I was a pregnant doctor completing her second trimester, waddling down the halls of the hospital with an echocardiogram machine in tow, taking care of sick cardiac patients. Now a viral pandemic has invaded all remnants of this prior life. Patients pour into intensive care units with coronavirus. Colleagues serve on ...

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Throughout my years as a physician, I have had an abundance of moments of fear. Typically, this fear has been related to concern for my patients. A fetal bradycardia requiring an emergency Cesarean section, a postpartum woman hemorrhaging despite all first line medications and procedures, a woman with a ruptured ectopic pregnancy and dropping hemoglobin. The fear that I have felt over the last month has been different. It's a ...

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In all of my thirty years of medical practice, I have never encountered the degree of moral and ethical dilemmas as those created by COVID-19. None of us has experienced anything like this. At no time in our history has all of humanity been at risk for contracting the same potentially deadly disease. And never in my entire career could I have imagined that we would be so woefully unequipped ...

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The worst of our peers now represent us to the public. Today, whether they are the subject of legal action after their abuse of women is revealed, or dragged into the spotlight through the courage of the patients they assaulted, male gynecologists are becoming notorious in American medicine. While the history of our profession is rife with examples of male gynecologists building their clinical knowledge on the suffering of women, by ...

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I miss going to work feeling excited and inspired and determined and frustrated and exhausted. Being a doctor has been my magnetic north since I was ten, the longest relationship of my life. It’s who I am, what I’m called, how I spend my waking hours, what makes my family most proud of me, and my first love. Now I go to work terrified. I cannot sleep the night before I ...

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