Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 29-year-old woman is evaluated during a routine follow-up examination of multiple sclerosis, which was diagnosed 3 years ago. The patient says she wishes to discontinue her oral contraceptive and attempt to become pregnant. She has no other personal or family medical history of note. Medications are fingolimod, vitamin ...

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“I just don’t get it,” sighed the young mother, who was propped up in a hospital rocking chair, nursing her beautiful two-day-old infant. Mary (not her real name) continued, “I’ve been doing everything right. I have a job, an apartment, I pay my bills, and look” – Mary nods towards a shiny new black and pink infant car-seat sitting in the corner, “I even have a car seat. I’m ready.” ...

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The nurse grabs me. "You have to check my patient now! She is screaming and bearing down." Without letting go of my hand, she leads me into the labor room. I don’t even consider saying no, I know not to question this nurse. She has been a labor and delivery nurse nearly as long as I have been alive -- she knows much more than I about everything. The room is dark, but ...

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The power of social media is clearly evident in cases such as the Russian influence on our election and Mark Zuckerberg‘s realization of the need for transparency on his powerful platform of Facebook. However, maybe not so evident, is the transformative power of social media on health care trends and misinformation. A popular new term for the misinformation regarding medical topics has arisen: pseudoscience. It has run rampant on sites such ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I love to see the pure joy that floods over mothers as they hear their new baby’s first cry!  The ability to help make childbirth safer for mothers and babies led me to a career in obstetric anesthesiology -- in the high-risk, high-reward ...

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Sometimes it is a light breeze across my face, sometimes it is a flutter in my heart, sometimes it is a glimmer of a memory, and momentarily, you are with me dad. The sensation never lasts long, just a flash sometimes as I’m talking to a patient or writing notes in a chart, and as soon as I recognize it, you are ...

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For many years, I’ve held a brief huddle with my team every morning to make sure we are ready for the day: Anybody with complex problems coming in today? Anybody who’s been in the ER? How is Mrs. Jones’s husband over at the nursing home, is she worried about his condition? Where can we squeeze in more add-on’s? Now other people have tried to hijack the word “huddle” for a completely ...

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Twenty-one years ago, I saved a life. Yes, I have helped many women over the years, perhaps changed their life in some way, but this one time … this one time, there is no doubt in my mind, I saved this baby’s life. Now, 21 years later, this “baby,” a junior in college interested in marketing sits before me on an exam table, asking me ordinary questions about her birth control ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 ...

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Women’s voices are finally being elevated on a national level to the prominence they deserve on workplace, political, and social issues. But as a physician (and father of two adult daughters), I’m concerned that women may not feel empowered to use their voices for their own health care. A 2015 survey found that only 22 percent of women in the United States possess health literacy skills, although health literacy is critical ...

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