While infertility may be a problem affecting nearly 7.3 million women in the United States between the ages of 15-44, it is a topic that women often don’t discuss. Rather, they suffer from the emotional pain that accompanies hormone injections, multiple procedures, and sometimes miscarriage. How is it best to treat this vulnerable population that rarely gets the attention it deserves? The answer lies in a team approach to medicine. According ...

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Having worked at both community hospitals and major medical centers, the issue of ultrasound in pregnancy has revealed itself to be more complex over the years. As a resident, I worked with an obstetrics office that only scanned their own patients who had private insurance and would send uninsured or Medicaid patients (often with a high risk of inadequate prenatal care) to the hospital late in the day to be ...

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We hear all the time that maternity leave in the U.S. is in shambles. Let’s clarify: There’s no such thing as guaranteed maternity leave. Some companies are obligated to give some leave to some employees — that’s as good as it gets. No companies are obligated to give paid leave. Medical training adds complexity to parental leave. Residents and fellows are expected to be deferential, the lowest on the totem pole ...

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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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