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Diabetes in Pregnancy - 4 - Window to Risk of Type 2 Diabetes
Back in August of this year, I started a series on “Diabetes in Pregnancy.” A recent reader reminded me that I hadn’t gotten around to finishing that series (which is true because I got distracted by other topics). In the first three installment...
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Pre-op Dr T!
Well, in about one hour and forty-five minutes I will become a ‘patient’ myself. That’s because at midnight, I can no longer eat or drink anything until after I have had my left shoulder operated on in the morning. I am NOT looking forward to th...
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Amniotic Fluid - 2 - Assessment of Amniotic Fluid Volume
We closed our last post with the comment that BOTH too much fluid (polyhydramnios, otherwise termed hydramnios) or too little fluid (oligohydramnios) are associated with fetal abnormalities and/or poor perinatal outcome. In fact, the greater the ...
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Grand Rounds 3.32 - Thanks to MyThreeShrinks
Thanks to MyThreeShrinks at Shrink Rap for including a link to my post "Second Verse Different from the First" in this week's Grand Rounds 3.32. This contribution addresses the care of an OB patient who had a tragic pregnancy outcome, followed by ...
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Thanks to Prudence, M.D. for GrandRounds 4.10!
Many thanks to Prudence, M.D. for the time and effort placed into putting together this week's Grand Rounds 4.10. And, thank you so much for including my post "Cytomegalovirus (CMV) Reprise" written in response to a reader's query regarding the as...
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Assessment of Fetal Lung Maturity - 1
On this site we have been firm advocates of preventing complications related to iatrogenic prematurity and, particularly, “late preterm births.” Indeed, in our own medical community, it appears the message has had a clear impact, particularly, ove...
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Thank you Dr. Anonymous
Dr. A,Thank you for including my Poignant Story post in your Grand Rounds this week. Mine wasn't the only 'poignant story' and the overall impact of this weeks' content is a refreshing change of pace. My compliments on the format and for trying so...
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Risk of Amniocentesis
Today I saw a 38 year old woman who came for genetic counseling and possible amniocentesis to rule out a fetal chromosomal abnormality. She was right at 16 weeks’ gestation. Her last pregnancy was 18 years ago and the 47 year old father of the cur...
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Intrahepatic Cholestasis of Pregnancy - A Bitch of an Itch
Recently, we had a woman diagnosed late in pregnancy with intrahepatic cholestasis of pregnancy, or obstetric cholestasis (OC). Despite reassuring fetal heart rate testing, the baby died in utero awaiting induction of labor that had been schedule...
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Thanks for the Oscar Nomination Dr. Jake: Grand Rounds 3.22
Many thanks to Dr. Jake Young and the Pure Pedantry team for including my post from December 3, 2006, entitled "The Human Value of Knowledge" in their Oscar line up of this week's Grand Rounds 3.22. I am so happy, I think I will go out and shave ...
