Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. ...

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Whether to have a child before becoming an attending physician is a personal choice, but as a fertility specialist, I’m concerned that many people -- including physicians -- overestimate the effectiveness of today’s fertility treatments. In the U.S., the average age at which women have their first child went from 21.4 years in 1970 to 26.6 in 2016. Experts attribute that in part to more people seeking advanced education and taking ...

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We care for girls and women, pregnant or not. If you are two years old and put something in your girl parts and it disappears, we get it out. We care for two patients at once. We balance how pregnancy impacts you and how you impact your pregnancy. We watch over you and your baby throughout labor and delivery, so you can focus on creating a human. We care for older women whose laughter ...

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I’m a 46-year-old OB/GYN. I’ve been on call at least as often as every fourth night for my entire career. Let that sink in for a minute. How many people get up and answer phone calls, remove ectopic pregnancies, deliver babies, and do C-sections every fourth night for an entire career?  Probably not many. It’s 4:15 a.m. I just got a call from the hospital about a patient of mine who is term, ...

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STAT_LogoAppointments with my doctor make me nervous. That’s highly ironic, because I’m a doctor, a maternal-fetal medicine specialist who regularly deals with high-risk pregnancies. But ever since developing preeclampsia during my first pregnancy eight years ago, the thought of having my blood pressure taken triggers flashbacks and anxiety. The silver lining is that my experience has changed ...

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As women in medicine, we are always focused on the next goal we need to achieve to advance our career. Though undergraduate education, medical school, residency, and fellowship, we are constantly striving to get the highest score, to maintain a high GPA, to publish papers, to get excellent letters of recommendation. The challenge that women physicians face is balancing these demands in the midst of our passing prime reproductive years. ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I vividly remember the first time I saw someone who had died. She was in her late 20s, wearing tattered clothes, and alone. Her friends and family never came. I watched from a distance as police and crime scene investigators worked. I had just started ...

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A swimming pool. Most of a Tesla. Not nearly enough to have your kid swapped out during their sham SAT test. Nor would an ICU bill for a stay that resulted in survival — $48,744 is the cost of that. What costs an alarming amount more is the bill the US Government pays annually on erectile dysfunction medications for servicemen — a whopping $8.7 million according to a 2016 Rand ...

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An excerpt from Frankie: How One Woman Prevented a Pharmaceutical Disaster. Between September 1960 and November 1961, when the news broke around the world about thalidomide’s responsibility for the birth of deformed babies, Dr. Frances Kelsey -- Frankie -- of the Food and Drug Administration (FDA) and the Cincinnati drug company Merrell, that was desperate to launch its ten million thalidomide tablets ...

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I am an obstetrician-gynecologist, and my favorite show is Grey’s Anatomy. I dare say I have not missed an episode since I started watching in 2006 (as a busy obstetrician, multiple shows are watched on DVR). I fell in love with the show when, at random, I ended up watching the final episode of the second season when Izzie (a physician character from the earlier seasons) fell in love with Denny, ...

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