#DemandBetter
It’s very frustrating to me to see the poor care that many women receive during their pregnancies from obstetricians who should know better. Some of this poor care is born out of ignorance and some of it is born out […]
Updates on Vaginal Hysterectomy
Here are some recent studies about the route of hysterectomy and their implications for vaginal hysterectomy. Cuff dehiscence rates A new study this month from Finland looked at cuff dehiscence rates from 13,645 hysterectomies. They found the following rates of […]
Some Thoughts About Science
I get frustrated daily with the misuse of science by both scientists and non-scientists. Every good social media argument has someone claiming “science” in a gotcha moment, usually not understanding what science even is. Every medical conference I attend is […]
No, you shouldn’t eat your placenta…
A small pilot study of the effects of eating the placenta after birth (usually through encapsulation) was published this week. Not surprisingly, the study, published in Women and Birth, an Australian midwifery journal, found that consuming one’s placenta had no effect […]
Yes, Vitamin D is a Scam
Vitamin D. This is exactly the sort of thing I write about regularly that drives me crazy. Physicians and patients never seem to appreciate when they are being manipulated and used by others for financial gain. This excellent new exposé […]
Stop Making Me Look Bad, Guys
It, unfortunately, happens that a physician who works hard to practice evidence-based medicine sometimes appear as an outlier compared to other physicians. In Obstetrics, this is most palpable when patients present who have had care with others doctors in the current or a […]
The Quadruple Aim and Perverse Incentives
There are a lot of things wrong with medicine today. A lot. But they aren’t the things most people typically focus on. I genuinely believe that the number one problem with our healthcare system is the people in it and […]
How To Be An Amazing Doctor In One Easy Step
In the movie Edge of Darkness, Mel Gibson plays a cop whose daughter was murdered in front of him. During the movie, he uncovers the conspiracy that led to her murder and he discovers that one of his closest and oldest […]
Aluminum Doesn’t Cause Autism
I wrote a short piece recently about the safety and efficacy of vaccines that has now been read almost half a million times. Hundreds of messages, comments, and emails later, I’ve learned that I am both the best thing since […]
Problem Solving: Free Your Mind
Here was a conversation in recent car ride: Daughter: Penny has 5 children, 1st is January, 2nd kid February, 3rd is called March, 4th is April. What is the name of the 5th Me (after considerable, don’t-want-to-be-shown-up-again thought): I don’t know. […]