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Conjugated Linoleic Acid for Weight Loss: Hope or Hype?
Every year or so, a new product arrives on the scene promising quick and easy weight loss. Our fantasy of a pain free solution to unwanted body fat is nothing new. In the 1970’s, I remember my groovy teenage babysitter sprinkling a “magic” weig...
Dec 19, 2001
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Tales of Two Thrombophilias
Although we strive to practice “evidence-based medicine” when the evidence is good and the practice is sensible, there are many times when personal experience still plays a role in patient care activities. Nowhere does this seem to be more true i...
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Chromosomal Mosaicism Detected at the Time of Chorionic Villus Sampling
Since the widespread acceptance of first trimester screening for fetal chromosomal abnormalities (aneuploidy), and following the recommendations that this should be offered to all pregnant women, not just those considered to be ‘at risk’ for indic...
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What is Aneuploidy Screening?
Patients have a hard time understanding the differences between screening tests and diagnostic tests. The most misunderstandings or misconceptions that seem to arise during pregnancy revolve around screening for aneuploidy (fetal chromosomal abno...
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Multiple Pterygium Syndrome - A Rare Cause of Recurrent Pregnancy Loss
The following comment and query was recently left on my post "Grand Rounds 3.52 - Thanks Kerri!" Although it had nothing to do with the subject of my Grand Rounds offering, it is still a fascinating condition most worthy of a post all its own – mu...
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Return of Dr. T
It has been several months since I have written and I have missed all of you. I was a little burned out by trying to keep up with my interim Chair and clinical responsibilities as well as the blog, but the greatest reason was that ‘Blogger’ was m...
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Cervical Incompetence and Cerclage - 6 - Evaluation and Decisions in Midtrimester
In the last post, we discussed the approach I have chosen to take regarding cervical incompetence and cerclage under fairly straightforward circumstances. Let’s up the ante in today’s post since I care for far more women under more urgent conditi...
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Recurrent Early Pregnancy Loss - 10 - Empiric Treatment
Most patients who have recurrent early pregnancy loss are desperate to try “anything and everything” to achieve a successful pregnancy. Because of this plea, I have adopted (and often combine) both ‘empiric’ and ‘specific’ approaches to therapy ov...
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Call to Action: Help Raise the South Carolina Cigarette Tax
Despite the fact I trained at an institution (and am quite grateful for the opportunity that was afforded to me) that was built on tobacco money, and I do, admittedly, enjoy the occasional fine cigar (only in the presence of consenting adults), th...
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The "Flu" and Pregnancy: Get Smart, Get Vaccinated NOW
Well, the flu season is underway, and every pregnant woman wants to know, “Should I get the flu shot?” The simple answer is “YES (with few exceptions),” no matter how early or far along you are in your pregnancy, and the optimal time to receive t...
