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Fruit of the Womb
Fruit of the Womb

Request to My Readers...

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I have been writing posts for “Fruit of the Womb” for almost 20 months now. It continues to be a source of great fun and greater satisfaction. It has been an opportunity to refresh, review, explore, and relate my understanding and experiences regarding a profession I dearly love. However, the last several months have taken a lot out of me, physically and emotionally. I tell you this not as an apology, but to ask for your understanding. My surgery and slow recovery, my responsibilities as “Interim Chair” for our Department of Obstetrics and Gynecology, and the recent death of my brother-in-law have all taken their toll on me in different ways.

The “Chair” role has been especially taxing. Despite my training as a “Medical Scientist,” I learned a long while back that my strength was in patient care and, indeed, even the research I have done since graduate and medical school has mostly been in the ‘clinical trials’ arena. Being a chairman requires an entirely different skill set and the endless meetings are more exhausting than any 36-hour period I have ever spent on Labor and Delivery! I knew this when I took the position, told the powers that be that I did not want to be considered for the permanent job as a condition for taking the interim role, and continue to pray daily that the ‘Search Committee’ does its job quickly and well! Please, pray along with me on that score and say a LOUD AMEN!

The long and the short of this is that I have not been able to write as frequently as I would have liked recently. Even though this is not a ‘peer review’ journal, I do actually research many of the topics I have either come up with on my own or developed in response to readers’ queries. And, that takes both considerable time and energy, both of which have been rather scarce lately. I have told others with whom I work that “my brain feels like it has been sucked dry.”

I have continued to keep up with your many comments and questions and answer just about every one (that actually gets to me). It has been especially gratifying that several of the topics we have discussed (such as miscarriage, recurrent early pregnancy loss, understanding Rh-negative status and Rh-isoimmunization, cytomegalovirus infections, fetal cystic hygromas, and others) have resulted in hundreds of queries from our readers – many continuing to be generated from posts that I made at the beginning of my tenure here. Recognition of this is very important because it highlights where YOUR interests lie and where you are looking for more information or better explanation. After all, that’s what I intended for this blog at the outset and in many ways our success makes it fairly unique among ‘medical blogs’ in that regard.

In going forward, I am soliciting your help. Several topics I would like to address in the near future include: 1) Dr T’s approach to cervical cerclage; 2) Toxoplasmosis in pregnancy; 3) Twins; 4) High order multiple gestations (i.e., more than twins); 5) autoimmune hepatitis in pregnancy; 6) Understanding antepartum fetal assessment, and, perhaps; 7) Fetal heart rate monitoring, and ; 8) Stillbirth - intrauterine fetal demise. I will, eventually, try to cover all of these topics and if you have preferences for any, please let me know.

However, I would also like to know what YOU would like to hear about. It could be a very basic topic (NO QUESTION IS TOO SIMPLE) related to routine or complicated pregnancies or as complex as you think I could handle! Of course, I reserve the right to respectfully decline to respond if it is clearly outside my realm of expertise as I have done in the past. I do know my limitations, but don’t mind when you push me to them either!

Please give this some serious thought because this is YOUR site as much as it is mine. I will stay here as long as I can, but will not over stay my welcome when your interest wanes! Thanks to all of you for reading…and for what you continue to give to me….
Dr T


*******I also have another favor to ask of all our readers. Healthline has been nominated for the prestigious Webby Award in the category of “Health”.

The International Academy of Digital Arts and Sciences will choose Webby Award winners, but the People’s Choice Webby lets you decide. It’s easy:

· Simply log on to http://peoplesvoice.webbyawards.com/

· Register to vote (or log in if you are a returnee)

· After registration, click on the Web site icon and find the Living section, under which the Health category falls

· Vote for Healthline.

And be sure to pass this pass along to your friends and encourage them to vote as well!

Thanks to all of you for being such loyal readers!
Dr T*******
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