Recently, there was a fascinating article in the Wall Street Journal regarding robot-assisted surgery. It reported the results of two articles published in JAMA that demonstrated that robotic-assisted surgery cost more and took longer without achieving superior results to laparoscopic surgery on average. With this, my LinkedIn account lit up. Here are several of the comments that came through: “I've come to assume that robotic surgery is better ...

Read more...

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 22-year-old woman is evaluated for a flare of Crohn disease. A colonoscopy performed 6 months ago showed moderate, patchy, left-sided colitis extending from the descending colon to the splenic flexure. She responded to therapy with prednisone but declined maintenance therapy in advance of conceiving. She is ...

Read more...

Go to college, go to medical school, start and finish residency and fellowship, get married, settle down and have children ... There is a certain expectation of what a "successful life" would look like for a physician mom. Some may even choose to stop work and become a full-time stay-at-home mom. Even when my spouse, who works part-time for most of our marriage, took a year off work to be the stay ...

Read more...

“Breathe in slowly, deeply, giving fresh energy to your body. Breathe out, releasing any tension from your day. In … 1 … 2 … 3 … 4 … Out … 4 … 3 … 2 … 1 …” I try to follow the yoga instructor, but in my post-call fog, I struggle to let go of the last 24 hours. We begin by sitting poses to stretch our necks. But my neck is so ...

Read more...

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old woman is evaluated for amenorrhea of 4 months' duration. She has had weight gain, facial hair, alopecia, and debilitating fatigue. Her medical history is significant for psoriasis. She seems to be gaining weight in her face, abdomen, and neck. She also bruises easily. Her only ...

Read more...

Scourge:

  1. An instrument of punishment or criticism
  2. A cause of wide or great suffering
  3. Whip or lash -- especially for torture
Introduction They say you never forget your first time. I remember mine, vividly. If only I could erase the memory. I had high expectations and higher hopes, but what I got was disillusionment. I felt violated and humiliated. I’m talking about my first time using a system for electronic health records ...

Read more...

My young daughter will be entering middle school in another year.  However, she still likes coloring books.  If she watches a scary movie, I have to lay with her in bed until she falls asleep. She is still just a kid.  Should I really be worried about HPV? Is this something you should consider for your daughter? As an OB/GYN doctor, I know about the HPV virus and have seen so many ...

Read more...

Giving birth and running a marathon. They are two seemingly different entities but have many similarities. The inevitable pain, the highs, the lows, the feeling that you may falter or can’t survive the pain and, in the midst of it all, that you will never do it again … but then you do. Marathons take months to train for by growing your strength and endurance as you increase your training miles. ...

Read more...

As a practicing OB/GYN, I feel lucky to be working in a field so full of promise and with space for advancement of medical technology. Although prospects of improved fetal imaging, cervical cancer prevention, and techniques of minimally invasive surgery are game-changing, new discoveries in the genetics arena of our field strike me as simply incredible. Prenatal genetic testing has only been reasonably available to mothers since about 1970, and at ...

Read more...

According to a recent publication by the Robert Graham Center, the number of family physicians practicing high-volume obstetrics (more than 50 deliveries per year) dropped by over one-half from 2.3 percent of practicing family physicians in 2003 to 1.1 percent in 2016.1 In small corners of the country, though, innovative training programs continue to foster these skills among learners and build supportive communities for family ...

Read more...

37 Pages

Most Popular

Get KevinMD's 5 most popular stories.