Archive for March, 2010

Academic OB/GYN Podcast Episode 17 – Suture Physics

March 20, 2010 6 comments

Host Dr Nicholas Fogelson talks with urogyn fellow Tyler Muffly of Cleveland Clinic about his research on suture knots and materials, getting into urogynecology fellowship, and how you can tell if a medical students is going into surgery by looking at the pockets of their white coat.

Academic OB/GYN Podcast Episode 17 – Suture Physics

Image courtesy of Fizziatrist at A Cartoon Guide to Becoming a Doctor

Fail Whales and Great Web Design

March 17, 2010 1 comment

I just was trying to make a few tweets and twitter seems to be down, and I am again struck by how great the fail whale is.

Usually the emotion after a web service stops working is furious anger.  How could you do this to me you stupid site!

But not Twitter.   The Fail Whale is so calming I am almost glad when the site is down.  He looks so happy to be out of the water.  He’ll be back in soon enough firing our tweets around, but for now he’s just flying around.    How can you get mad about that?

This is an example of brilliant web design.   When the site fails, you actually enjoy it and it makes you feel peaceful.  More sites should be like this.   That is all.

Categories: Fun Stuff

Micro Tort-Reform: A potential solution to the VBAC Liability Issue

While the NIH Conference on VBAC behind us, the blogosphere continues active discussion of this important issue.  I’ve been involved in this discussion a bit over at Science and Sensibility.

Here’s the message I am getting from a lot of folks strongly in favor of VBAC rights and availability.

The choice to VBAC is an informed refusal of a intervention.  There should be no “right” required to have it.  Hospitals should not be allowed to refuse VBAC attempts, as this is the same as requiring a woman to have an elective surgery.

I hear a general feeling that the risk of uterine rupture is overstated, as is the likelihood of a severe adverse outcome if a rupture occurs.

I hear a general feeling that the short and long term risks of repeat cesarean deliveries are overstated.

I think these are good messages.  I agree with women should be be free to refuse repeat cesarean delivery, even in hospitals that do not have 24 hour anesthesia access and 24 hour OB coverage.  As long as this refusal is informed, it should be a woman’s right.  I also agree that the risks of VBAC are overstated by many, and the risks of repeat cesarean are understated by many.

The problem is liability.

Read more…

Academic OB/GYN Podcast Episode 16 – Grey Journal February 2010

Host Dr Nicholas Fogelson discusses articles from the Febrary issues of the American Journal of Obstetrics and Gynecology.  We discuss a new ectopic protocol, a fun story, sFlt-1 in Molar Pregnancies, and why the Grey Journal is going to hell.

Academic OB/GYN Podcast Episode 16 – Grey Journal February 2010

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