Archive

Archive for June, 2010

Academic OB/GYN Podcast Episode 22 – Journals for May 2010

In this episode I discuss articles from the May journals.  Topics include amniotic fluid embolism, writing an academic resume,  the ever-present sFlt-1, and more!  Thanks to Sage Software for sponsoring the ACOG get together!

Academic OB/GYN Podcast Episode 22 – Journals for May 2010

Surgical Video – Large Dermoid Cyst with Abdominal Pain

Case: a 30 year old woman presents to the ED with acute left lower quadrant pain.  A CT showed pelvic fluid and a 8 cm teratoma in the right lower quadrant.

Getting stuff for the OR, and five things we can all do to make surgery less expensive

For the last 12 months, I have worked for a federally funded hospital.  When I came to this hospital, I immediately noticed that the GYN surgical equipment was very outdated, most likely because the primary focus of the hospital until fairly recently had been the care of men. Wanting to bring hospital up to snuff, I requested about $100,000 worth of new equipment, including a hysteroresectoscope, new hysterectomy clamps,  uterine ablation equipment, a laparoscopic morcellator, and a modern laparoscopic power source.  When I put in the order for these things I was assured that we could get these things in short order, as the hospital had upgrading GYN surgery on its priority list.

As time went on, the equipment never arrived.  It was held up in committee.  It needed further approval.  We needed more competitive bids.   After further investigation, it seemed that the hospital just didn’t have enough money to do anything non-critical.

Read more…

Surgical Video – Ovarian Torsion with Dense Adhesive Disease

27 year old woman with 2 years of intermittent left lower quadrant pain, presenting with sudden increase of pain and nausea.  Ultrasound showed a 7 cm cystic lesion in the left adnexal area.

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