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Academic OB/GYN Podcast Episode 37 – Journals for July 2016

Drs Fogelson and Browne talk about articles from July of 2016.  An update on Zika Virus in the USA, high volume vs low volume surgeons, steroids for thrombocytopenia in platelets (it doesn’t work?), and more!

Sponsored by TrueLearn.  For a 10% discount on your order use the code “academicobgyn”

Academic OB/GYN Podcast Episode 37 – Journals for July 2016

 

Surgical Video -Ovarian Suspension for Endometriosis Resection

Dr Nicholas Fogelson of Pearl Women’s Center in Portland, OR demonstrates a technique for temporary ovarian suspension. This technique is useful for lifting the ovaries off the pelvic sidewall, exposing the area for treatment of endometriosis or other pathology.

 

TrueLearn Question of the Month for July!

TrueLearn-Logos-OB-GYN.pngI am happy to announce a new partnership with a great new sponsor, TrueLearnTrueLearn is a web based platform for learning material to improve performance on standardized medical exams, with platforms for specific specialties as well as general medical boards.  In OB/GYN TrueLearn offers question banks for CREOGS, ABOG boards, as well as general OB/GYN question banks.  In each case, the online questions exactly simulate the computer environment you will see when you actually take the test as well.

TrueLearn also allows you to track your performance over time, as well as compare you performance to other doctors and students preparing for the same exam, both on a global level and specific to each question.  It’s a great too that will no doubt be of tremendous use to the thousands of students and physicians who take OB/GYN related exams each year.

Each month, we will be doing TrueLearn Question of the Month, both on the blog and on the soon to relaunch Academic OB/GYN Podcast.

Academic OB/GYN readers and listeners can also get a 10% discount on the product by using the promo code “ACADEMICOBGYN” when they order.

 

This month’s question from the OB/GYN MOC Series:

A 37 year old Gravida 1 presents in labor at 39 weeks gestation.  Her past medical history is significant for SLE.  Which of the following in her history would be LEAST indicative for stress dose steroids in labor?

 

A. Cushingoid appearance

B. Recent use of methyprednisolone taper for seven days just prior to labor

C. Use of dexamethasone 0.75 mg twice a day for the past month

D. Use of hydrocortisone 40mg /day for her entire pregnancy

E. Use of prednisone 10 mg/day for her last trimester of pregnancy.

 

Read more…

Academic OB/GYN Podcast Episode 36 – Journals for May-June 2016

Drs. Fogelson and Browne are Back!  We discuss journal articles from May and June of the Green, Grey, and AAGL journals, as well as some NEJM thrown in.  Topics include the morcellation debate, HIV and pre-eclampsia, periviable cerclage, and endometriosis in women having hysterectomies for pelvic pain.   This episode sponsored by TrueLearn!.

 

Academic OB/GYN Podcast Episode 36 – Journals for May and June 2016

On The Criticism of Papers We Don’t Agree With, and How Endometriosis is More Common Than Many Doctors Think

As academics, we are all about evidence based medicine.  We practice 100% based on what we read, and often change our method of practice when new evidence comes out that shows us the right path.   Right?

man-person-book-reading-sketch-professor

Of course not….  In reality, most of us slowly integrate new data into our practice over many years, and only when there is a preponderance of evidence do we really change from what we previously thought was right.   Until that time, we hold up the papers we like and attack the methodologies of papers we don’t.

Read more…

Categories: Uncategorized

Oklahoma Abortion Bill – Are You Serious?

Today a bill passed the Oklahoma State House making it a felony for a physician to perform an abortion.  Are you serious?

I assume that the governor will veto this bill.  At least I hope she does.  Because when she was sworn in as governor, despite being a conservative, she swore to uphold the constitution the United States of America.  And I have never seen an anti-abortion bill so obviously unconstitutional.   Roe V Wade protected women from laws that made abortion unduly difficult to obtain, and putting doctors in jail for doing an abortion certainly fits that description.

It saddens me that states continue to pass laws that don’t even pass the sniff test for unconstitutionality. It means that the legislators in the state have completely abdicated their responsibility towards our country.  Even the most anti-abortion legislator should stand up and say ‘sounds good to me, but since this is obviously against our country’s constitution, I am voting no’.  Instead they jam up the legislature and the judicial system with challenges,  and eventually the law gets ruled out by the courts.

Can’t we just skip that step?  I’d love to see a system where a state is punished for passing a law that is obviously unconstitutional.  The court system could decide when that has happened, and do something bad to the state.  Maybe the governor gets a dock in pay, or has to pay for the court costs out of their own pocket.

Want to make abortion illegal in this country?  You suck, for the first thing.  But after you finished sucking, then you have to get to the business of amending the Constitution of the United States.   And given than 1 in 3 women in this country has had an abortion in their life, and it remains the most common procedure performed for humans on the planet, I think you’re going to have a hard time getting that one through.  And until you do, stop trying to get around that requirement by passing bills that are just going to get reversed.  Its a waste of this country’s time.  Worse, its black mark on our entire society that so many people care so little about a woman’s right to control what happens in her own body.  Shiver me timbers.

 

Categories: Uncategorized

TrueLearn Question of the Month!

TrueLearn-Logos-OB-GYN.pngI am happy to announce a new partnership with a great new sponsor, TrueLearn. TrueLearn is a web based platform for learning material to improve performance on standardized medical exams, with platforms for specific specialties as well as general medical boards.  In OB/GYN TrueLearn offers question banks for CREOGS, ABOG boards, as well as general OB/GYN question banks.  In each case, the online questions exactly simulate the computer environment you will see when you actually take the test as well.

TrueLearn also allows you to track your performance over time, as well as compare you performance to other doctors and students preparing for the same exam, both on a global level and specific to each question.  It’s a great too that will no doubt be of tremendous use to the thousands of students and physicians who take OB/GYN related exams each year.

Each month, we will be doing TrueLearn Question of the Month, both on the blog and on the soon to relaunch Academic OB/GYN Podcast.

Academic OB/GYN readers and listeners can also get a 10% discount on the product by using the promo code “ACADEMICOBGYN” when they order.

 

 

This month’s question, from the CREOG Test Bank:

 

A 24 year old G4P2012 Jehova’s Witness and is undergoing emergent cesarean hysterectomy secondary to hemorrhage.  She clearly stated prior to the procedure her refusal of foreign blood products.  Despite receiving 2 liters of lactated ringers, her pulse has increased to 155 bpm and blood pressure is 60/40 mmHg.  The cell saver is unavailable and she is losing consciousness.  Which of the following is the MOST appropriate infusion for this patient to receive?

 

 

  • Colloid
  • Crystalloid
  • Fresh Frozen Plasma
  • Packed red blood cells
  • Platelets

Read more…

Categories: TruLearn Questions
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