Did you know that urine pregnancy tests are routinely performed on all females before every surgery? No exceptions. The Children’s Hospital in Buffalo tests 9 years and above. Don’t know if a parent or a patient has a right to refuse the test, but I do know that the anesthesiologist will refuse to give anesthesia, except for a life-threatening emergency. I have never paid much attention to these tests. The nurses ...

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I had lunch with my old college roommate last week. She’s a new grandmother and was telling me about her daughter who lives in another state.  Her daughter is self pay because she and her husband own a restaurant and have opted out of insurance due to the cost.  She received her hospital bill in the mail and she was surprised at the cost of some of the items.  As ...

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shutterstock_131184800 Medical students rotate through the clinic I work at. I love it. It brings me back to those days. Sure, it reminds me how old I am, but also reminds me of the incredible impact patients have in directing the course of our career paths. We all have those memories. Our first delivery. Our first code. The first time we had to ...

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Hi! My name is Ima Frawde and I am so glad that you have chosen me to be your guide during your climb of Everest. The fact that you have chosen me indicates that you are well on your way to mastering the most important skill in climbing the mountain: Trust Everest. And why shouldn’t you trust Everest? The mountain is totally natural; climbing is totally natural; reduced oxygen concentration at higher ...

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Mommy wars aside, I think you’d have to be living under a rock if you haven’t heard the enormous and real benefits of breastfeeding. Breastfeeding is awesome on so many levels. Health of baby and mom alike. Both physical and emotional. But, what if it doesn’t work? What if you’re a mom (like me) who couldn’t produce enough milk? Hardly any in my case. What if you’re an adoptive parent or your baby ...

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When I was the director of undergraduate medical education for OB/GYN at a Midwestern university (a state school), it came to my attention that a medical student was refusing to have anything to do with contraception as it was against her religion. So I spoke with her. I explained that over the course of her career she would undoubtedly see people from ...

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My first week at my new job at a French-speaking university in a city of 95% francophones, I learned a useful new expression: vouloir le beurre, et l’argent du beurre. This translates literally as, ‘to want the butter, and the butter money.’ It’s the equivalent of wanting to have your cake, and eat it, too, but with a more explicit focus on dairy fat. (It is a French expression, after ...

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An excerpt from Pet Goats and Pap Smears. Joy is a vibrant twenty-six-year-old woman who comes in for a physical. On her exam, she shows me a worrisome mole on her left shoulder. I recommend she return for removal. After the excision, I call her back to my office for results. “You have a melanoma. We got it just in time, but I’m sending you to a dermatologist who ...

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Viewpoint #1.  Training programs might say: we are headed for a major league collision in the training of women physicians.  Soon 50% of all trainees will be women, and in some specialties, such as OB/GYN, they will be 80-90% of the residents in any particular program. Training years coincide with prime child bearing years. Imagine if even only half the residents in a program were pregnant at once.  What would happen ...

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I recently saw a number of tweets from parents and fellow pediatricians on Twitter criticizing Marissa Mayer for announcing that she’d return to work within 1-2 weeks of the delivery of her first child. First off, I’ll start with my assumptions: I’m authoring this post in the belief that Ms Mayer has access to quality health care–that is, she has the ear of a board-certified obstetrician, a board-certified pediatrician, and access to ...

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