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Reflections on How I Became an Obstetrician
I will never forget the day I decided to go into obstetrics. As a senior medical student at Duke University, I went to see Dr. Stanley A. Gall in OB/GYN to request a letter of recommendation for the residency I had lined up in dermatology. My grad...
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Thanks Dr. Blackman at Blog, MD for Grand Rounds 3.26
Many thanks to Dr. Sam Blackman at Blog, MD for the quality effort he made in putting together this week's Grand Rounds 3.26. My recent posts on Early Pregnancy Loss 1 and 2 address a common issue which, nevertheless, can be very traumatic for a c...
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More Queries About Rh-Negative Blood
The following two comments recently appeared on my post addressing Implications of a Negative Blood Type. The first reader's question is worth repeating because MANY readers have asked the same question (in various forms) and the explanation is f...
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Concerns Regarding Methotrexate Therapy
In a recent post we discussed "A Complication of Methotrexate Use for Ectopic Pregnancy..." and in response to that post we had several excellent questions from our readers. The queries below should be of general interest to many women who unde...
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Urinary Tract Infections with Group B Streptococcus (GBS) During Pregnancy
The following comment was recently left on my previous post "Misunderstanding Group B Streptococcus (GBS)": Hi - I am getting a little confused about Group B Strep (GBS) and UTI (urinary tract infection) information. Hoping you can help me clarify...
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Grand Rounds 4.5 at Pallimed!
Many thanks to Dr. Christian Sinclair at Pallimed for the efforts put into the organization and content of this week's Grand Rounds 4.5. Great job and wonderful reading! Thanks for the flattering comments and for including a link to my post on "Re...
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Breast Cancer and Pregnancy: Miscellaneous Concerns
In my introductory comments “Breast Cancer During Pregnancy - Overview” there were several important questions for which I have not yet offered answers. Each of these could be a blog unto themselves, but to keep things moving along, let me addres...
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Importance of Fetal Heart Evaluation
Early last week, a 17 year old woman, carrying her first baby, was seen in the office for a routine ultrasound at about 18 weeks’ to confirm gestational age and assess fetal anatomy. During that examination, the baby was found to have a heart abn...
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Pancreatic Cancer Takes Another Young Life...
Early yesterday morning, my brother-in-law died of pancreatic cancer. He was only 44 years old. As is so often the case with this insidious and horrible disease, he was diagnosed with the condition at a time when it was already too late to do an...
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Multiple Gestations - 3 - Common Complications
Although we have focused our discussion of multiple gestations to this point on twins, higher order multiples (i.e., triplets, quadruplets, quintuplets, etc) also occur but, fortunately, much less often than twins. The hypothesis of Hellin predict...
