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August 22, 2019
Yes...it’s a real diagnosis. Sexual headaches may be PRIMARY (without other etiology) or secondary (due to a more serious issue). Primary sexual headaches are divided into 2 types: orgasmic, and pre-orgasmic. In this episode, we will review the data from the International Headache Association regarding sex headaches. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw · Anchor: The easiest way to make a podcast. https://anchor.fm/app
August 19, 2019
If you have never heard the story of Julie Moss (1982), start listening to this episode! This is an example of not just being interested in a project/work activity/hobby, but is an example of being PASSIONATELY committed. Let’s quickly review her story, now.
August 18, 2019
Surgery for biliary tract disease is among the top 3 reasons for non-obstetrical surgery during pregnancy (1:1500 to 1:10,000 pregnancies). What is the data on ERCP during pregnancy? Is radiation exposure a concern? What does ACOG recommend regarding intraoperative fetal monitoring? In this podcast, we will cover the ACOG, and AGA recommendations for this procedure in pregnancy. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw · Anchor: The easiest way to make a podcast. https://anchor.fm/app
August 17, 2019
💥Hurricanes💥! No… Not the traditional and historic drink from New Orleans! 🍹🍹We’re talking about the intense, devastating, natural weather phenomena⚡️⚡️🌊💨🌪. We are in hurricane season! Do hurricanes cause women to enter labor, or affect pregnancy outcome? Is it an “old wives tale”, or is it true? Let’s examine the evidence....now. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw · Anchor: The easiest way to make a podcast. https://anchor.fm/app
August 14, 2019
Stillbirth is a pervasive problem worldwide. Maternal perception of reduced fetal movement has been identified as a potential strategy for stillbirth prevention. But is the strategy evidence-based? In this episode, we will review the 2018 randomized trial, the AFFIRM study (Lancet). --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw
August 12, 2019
Vaginal steaming has become a cult phenomenon since 2010. But this “alternative“ practice has some real potential risks. Where did this even come from? Why is it done? And what are the potential morbidities? This podcast will cover these questions, as well as a recent (August 2019) case report highlighting the harms of this practice. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw · Anchor: The easiest way to make a podcast. https://anchor.fm/app
August 11, 2019
Because of the increased risk for breast cancer, BRCA mutation carriers may have concerns about taking oral contraceptives or using hormone replacement therapy after a premenopausal prophylactic bilateral salpingo-oophorectomy (removal of the ovaries and fallopian tubes). Here, we review the current literature about hormone use by BRCA mutation carriers. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw
August 9, 2019
Women with endometriosis may represent a unique population of women at greater risk for adverse outcomes across pregnancy and birth. In this session, we will summarize the soon to be in print publication by Farland et al in Obstetrics and Gynecology. Information from the study may be helpful in counseling women with endometriosis when when they conceive. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw
August 8, 2019
Is 39 weeks the “sweet spot” for delivery? Neonatal and maternal adverse outcomes have been studied through increasing gestational ages from 37 weeks onward. In this episode, we will summarize the Aug 2019 publication by Chen et al, from Obstetrics and Gynecology. We will also review and apply the findings from the 2018 ARRIVE publication. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw
August 7, 2019
Healthcare professionals and patients may not realize that methylene blue has monoamine oxidase inhibitor (MAOI) properties. Methylene blue should generally not be given to patients taking serotonergic drugs. When should patients stop taking SSRIs prior to methylene blue use? When should they be restarted? In this session, we will review the MOA of this common dye utilized in surgery and review ways to prevent a possible lethal reaction. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw
August 6, 2019
Opioid use in pregnancy is a real issue! This podcast will review 2 pharmacotherapies for opioid dependency in pregnancy. We will end the session with a “rapid fire” side-by-side comparison of these 2 agents. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw
August 4, 2019
Chronic kidney disease can affect anywhere from 0.1 to 4% of all pregnancies. Pre-existing renal disease can have severe consequences for a pregnancy. Should low-dose aspirin be used in these patients? If so, at what dose? What about calcium supplementation? Are immunosuppressive agents safe to use? In this podcast we will cover the June 2019 ACOG “clinical expert series” monograph on chronic kidney disease in pregnancy. --- This episode is sponsored by · Space News Pod Podcast: Space News Pod is a daily short-form podcast about space, science, and tech. https://open.spotify.com/show/0jW7nOHQNi1Xlr3v7UMi2p?si=QTgr0UqqSDygbzyAtAa3nw
August 2, 2019
Depression/anxiety can affect up to 20% of women during pregnancy. These 2 psychological conditions have adverse pregnancy outcomes in and of themselves. But what about medication use? Do SSRIs need to be tapered at end of pregnancy to reduce neonatal withdrawal? Are SSRIs linked to “Neonatal Persistent Pulmonary Hypertension”? What about other meds? This episode will review the ACOG/SMFM data on the subject. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 31, 2019
For decades, women have been told that having intercourse/orgasms late in pregnancy can hasten the onset of labor. But is this a myth, or is this true? While it is well established that sexual intercourse/orgasms can trigger the onset of contractions, are those contractions enough to result in cervical change? Let’s take a look at the data. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 27, 2019
Thirty percent of all cases of adnexal torsion occur in females younger than 20 years. In this episode, we will review the latest committee opinion from the ACOG on clinical presentation, use of diagnostic tests, and surgical management of adnexa torsion in adolescents. Here’s your quick test: 1. Do Doppler studies confirm a diagnosis? 2. What are the findings on CT or MRI? 3. Is cystectomy preferred over oophorectomy, or is another management option indicated? Answers...are...here! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 23, 2019
This Enhanced Recovery After Surgery Society guideline was created to support the most common surgical procedure in the industrialized healthcare world, the cesarean delivery. In this section, we will highlight THREE new recommendations that CHANGE how we “traditionally” care for the postop CS Patient: Refeeding as soon as 2 hours postpartum, elimination of the postop urinary cath...and even new data on the use of heparin for postop CS patients! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 20, 2019
Short interpregnancy intervals, as well as long intervals between pregnancies, are associated with some potential adverse obstetrical outcomes. What does the data show? What are the unique considerations that go into patient counseling regarding spacing of pregnancies? In this episode, we will review the SMFM data on interpregnancy intervals. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 17, 2019
How much do you know about the recently approved novel BC pill, SLYND? Do you know it’s efficacy? What are the contraindications? In this session, we will bring you up to speed on this new novel drosperinone only oral BC pill. (No financial disclosures). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 16, 2019
DISCLOSURE: Not for the PC! Not for those who lack determination, or GRIT. This is the antidote for mediocrity. Just a little motivation to KEEP YOU FOCUSED! Now... go-and-get-it! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 14, 2019
Part 2: In this session, we will wrap up our discussion on recurrent pregnancy loss by focusing on 3 controversial areas: 1. Immunological therapy, 2. thrombophilia testing, and 3. Progesterone supplementation. (Data referenced from ACOG, RCOG, ASRM). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 13, 2019
Recurrent pregnancy loss is devastating for the affected couple. In part 1, we will review the diagnosis of this condition. We will also cover parental genetics, APS, and uterine anomalies. In part 2, we will see if thrombophilia testing is indicated, discuss progesterone supplementation, and what role/if any, immunological reactions have with recurrent miscarriage. (Data from ASRM, ACOG, and RCOG). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 11, 2019
Howdy, all! Rather than discussing one topic, this session will review “quick facts“ on common OB concerns/questions. Should we screen for HSV during pregnancy? What about deli meat consumption? Are there any issues with air travel during pregnancy? Can pregnant women use hot tub? Can pregnant women dye their hair? We will answer these questions – and more! – in this session of clinical pearls. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 8, 2019
On July 1, 2019 ACOG updated/revised the GBS algorithm for intrapartum prophylaxis. In this session, we will cover GBS prophylactic indications, NAAT testing for GBS, GBS Bacteriuria, and antibiotic dosages. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
July 4, 2019
Persistent nausea and vomiting in pregnancy is a terrible condition! It affects quality-of-life, and impacts the mother’s overall psychological well-being. What is the role of helicobacter pylori infection in this condition? Is there a link? Let’s look at the data. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 30, 2019
It has long been held that maternal perception of fetal movement may protect against stillbirth. However, the 2018 AFFIRM trial called the tradition into question. Related to that is the traditional recommendation to drink “sugary” drinks to increase fetal movements. Is this evidence-based? In this episode, we will review the AFFIRM trial and review sugary intake to increase fetal movement. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 27, 2019
Left...Right...Left...Right...Left! I just recently completed my military boot camp experience! That was an adventure. In this session, we will cover 3 brief “life lessons“ that I learned during my Texas Military Forces Boot Camp! This information will truly help you every single day! Hooah!! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 24, 2019
Sexual intimacy is an important part of a couples’ relationship. On June 21, 2019, the FDA approved a new novel medication for hypoactive sexual desire disorder in women. The medication, Vylessi, is a melanocortin receptor activator, which is different then the previously approved medication for the same condition, Addyi. In this episode, we will review the MOA and data behind this new medication. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 18, 2019
🌞🌞IT IS SUMMER!! 👏👏 Are sunscreens safe to use during pregnancy? What does ACOG say? In this session, we will review the ACOG practice statement as well as provide some SUN-SAFE 🌞🌞tips for pregnant women during summertime!👍👍 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 17, 2019
Turmeric is an edible root used in cooking. It’s powdered into a bright yellow spice popular in Asian cuisine. Turmeric also has a history of medicinal use. It contains an active compound, curcumin, that has antioxidant and anti-inflammatory properties. Research has found that curcumin has the potential to improve a number of health conditions — including depression. This includes mild depression and even major depressive disorder (MDD). In this podcast, we will review the data as it applies to major depression as well as postpartum depression. ( NOTE: Although this podcast provides a summary of the supplement CURCUMEN, this podcast does not represent a paid endorsement for this or any other supplemental product). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 11, 2019
Just a brief hiatus!
June 9, 2019
What is the mechanism by which elevated hemoglobin A-1C causes birth defects? Is there a “cut off“ level for this affect? Let’s look at the data. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 7, 2019
Maternal cardiac arrest… a devastating condition! Techniques for maternal resuscitation have changed, even from when I was a resident. 30° left lateral tilt is no longer recommended by the American heart Association during CPR. Manual left uterine displacement is preferred! We’ll talk about this, as well as cover the basics of maternal cardiac resuscitation in this session. (Reference: AHA Scientific statement on cardiac arrest in pregnancy). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 5, 2019
Weight gain is commonly cited as a side effect of combination oral contraception, and is amount the top reasons for pill discontinuation. Do birth control pills make women gain weight? Where did this perception come from? What does the data show? In this session we will review systematic reviews and the Cochran database regarding this subject. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 4, 2019
(Part 3): The Finale of our 3-Part series! Remember when you would have done anything to get into medical school, and cried/struggled to get that perfect residency?! Remember why you started! This brief session will wrap up our 3- part “mini-series” on THRIVE. (ERRATA: In part 2, we attributed the famed “The man in the arena” excerpt to Churchill. The author was not Churchill, but Theodore Roosevelt...with apologies to former Pres. Roosevelt.) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 4, 2019
(Part 2): Take the challenge! This is Principle #2 in our “mini-series”. It is easy to fall into a trap of “the routine“, and the mundane. Doing so leads to dissatisfaction and frustration. Great medical leaders in the past, innovators, and countless historical figures broke out of the routine, took the challenge, and changed history forever. So… Are you up to the challenge? (Post production ERRATA: In part 2, we attributed the famed “The man in the arena” excerpt to Churchill. The author was not Churchill, but Theodore Roosevelt...with apologies to Former Pres. Roosevelt!) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
June 3, 2019
WARNING: This is my most personal, and passionate podcast yet. In light of the recent CNBC news article regarding physician well-being, this podcast will cover centuries old dogmas PROVEN to make you thrive. What does the historic emperor Marcus Aurelius have in common with leaders like Zig Ziglar, Les Brown, and Stephen R. Covey?... this podcast answers that. BUT, you have been warned! Listening to this podcast has the potential to bring change to your life. The challenge is yours! THRIVE! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 31, 2019
For decades, common practice in Labor And Delivery has been to use supplemental maternal oxygen by facemask as a remedy for fetal heart rate decelerations. However, is more oxygen delivery to the fetus actually helpful? Does it change neonatal outcomes? Well… the data is not so clear, and there may be some cause for concern. In this podcast, we will cover the evolving data on the use of supplemental maternal oxygen for fetal heart rate decelerations, and we will briefly touch on supplemental oxygen during the second stage of labor for MATERNAL support. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 30, 2019
This is TRUE, and a testament to what having a VISION, a strong will, and a desire to change the status-quo can accomplish! This is the remarkable true account of Dr. Kane, who performed 2 successful self-surgeries in 1921 and 1932. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 29, 2019
In 2011, cf DNA from the maternal serum became commercially available to screen for fetal aneuploidy. Overall, about 3% of test results will detect an aneuploidy, and false positive results are only seen in 0.05% to 0.1% of tests. Evolving data, however, suggest that in women who have more than one aneuploidy suspected by cfDNA testing but who are found by diagnostic testing to carry a genetically normal fetus may harbor a higher risk of occult maternal malignancy. In this session, we will review published data on the risk of maternal malignancy in women who have discordant cfDNA test results. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 26, 2019
Somethings in medicine are done by tradition. The use of Oxytocin during first trimester uterine evacuation is one such thing. Evidence seems to be lacking for the use of this common intervention. Remember, physiologically, oxytocin receptors show a linear increase in concentration as pregnancy progresses- rising quickly after 36 weeks of pregnancy, and are only present in negligible quantities on the myometeium in the first trimester! In this session, we will review the data on oxytocin use for first trimester OB D&C. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 22, 2019
In March 2019, the FDA approved the first medication specifically targeted for postpartum depression, brexanolone (Zulresso). However, this medication requires a 60 hour, inpatient, IV-continuous infusion and there are some safety concerns. In May 2019, the Cleveland Clinic announced that it would release a pilot inpatient program (at one of its sites) for this medication. In this session, we will review this new medication and the Cleveland Clinic’s protocol for Zulresso. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 21, 2019
Does finding an isolated echogenic cardiac focus or choroid plexus cyst require amnio? What about MTHFR testing for thrombophilia? AFI or deepest vertical pocket? Does cervical length screening matter after cerclage?In this session, which is part 2, we will complete our “OB don’ts“ from the SMFM. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 21, 2019
(Part 1) Cerclage for twins? What about progesterone? Do gestational diabetics controlled with diet (A1) alone require antepartum fetal surveillance? In this session, we will review 10 (out of 15) obstetrical DON’TS from the Society of Maternal Fetal Medicine. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 17, 2019
OK, so you have a patient who is in the reproductive age group and has a family history of breast or ovarian cancer, requesting the use of birth control pills. Can she take them? What if she is a BRCA carrier? In this session, we will review the ACOG practice bulletin (#206) regarding hormonal contraception in women with medical conditions. We will focus on breast and ovarian cancer high-risk patients, as well as review the US medical eligibility categories (USMEC) for contraception use in medical conditions. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 17, 2019
Now, regardless of which venue/platform you are listening to the podcast through, you can leave us a voice message! Simply go to “episode notes“ and scroll to the bottom of the note section. Click on, “send a voice message“ and record your message! Your voice memo will go directly to our inbox and we will get back to you as timely as we can! Thanks for listening… and feel free to be part of the conversation!
May 14, 2019
The CDC confirmed in a report recently released that about 700 women die each year in the United States from cardiovascular conditions, infections, hemorrhages and other complications related to their pregnancies — up to a year after delivering their babies. In about 60% of the cases, the deaths could have been prevented, in part, with proper medical intervention, better access to care, and early recognition of risk factors/signs. The leading cause of death is CV conditions, such as heart disease and stroke, which accounts for 33% of pregnancy-related deaths. Infections account for nearly 13%, and obstetric hemorrhage accounts for 11%. In this session, we will review the ACOG practice bulletin (#212) as well as the CDC recent report on maternal mortality and cardiovascular disease. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 11, 2019
Controversy surrounding screening mammography guidelines has resulted in conflicting recommendations from physicians and uncertainty for women. The Am Society of Breast Surgeons has released detailed/conservative screening recommendations for both average and high risk women. In this session, we will review their updated recommendations. We will also briefly review the following 4 supplemental screening modalities: 1. Contrast-enhanced Breast Magnetic Resonance Imaging (MRI), 2. Ultrasound, 3. Molecular Breast Imaging (MBI), and 4. Contrast-enhanced Mammography (CEM). (A summary table of screening recs can be found on our Facebook page). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 9, 2019
In this session (Part 2), we will cover skin to skin neonatal contact at time of Cesarean birth. Is this possible? What does the data show? This will wrap up our two-part series. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 8, 2019
Skin to Skin neonatal contact is endorsed/recommended by the AAP, AWHONN, the CDCP, and the WHO. What’s the data behind his practice? Are there any potential risks or safety concerns? And… What about C-Section deliveries? In this episode (PART 1) we will provide an introductory overview and discuss the data behind neonatal, post-birth, skin to skin contact. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 6, 2019
Researchers estimate that approximately 10.2 million Americans have osteoporosis, and an additional 43 million have low bone density. Equally stark are the ramifications of these numbers. About 1 out of every 2 Caucasian women will experience an osteoporosis-related fracture at some point in their lifetime. In April 2019, the FDA approved a new dual action medication for osteoporosis therapy in postmenopausal women considered at high risk of fracture. This new medication is Evenity. In this episode, we will review the pathophysiology, diagnosis of, and treatment updates osteoporosis. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
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