It is clinically useful to think of the menstrual cycle as actually consisting of two cycles (the ovarian cycle and the uterine cycle). Each has three phases: the […]
Post-Truth, Alt-Health
Frequency of the word “post-truth” in news stories according to Google Trends (spike is in Nov. 2016) Since the 2016 election, the term post-truth has […]
Speed in Surgery
Speed in operating should be rendhe achievement, not the aim, of every surgeon. – Russell John Howard This old school howardism makes an excellent point: speed […]
The Lost Purpose of a Chief Resident
The modern chief resident in Ob/Gyn (and I am certain in other specialities) has few characteristics in common with the role of a chief resident […]
Data Dreams
Like dreams, statistics are a form of wish fulfillment. – Jean Baudrillard Are you afraid of getting mauled by a bear? I have great news: […]
To Cysto or Not To Cysto ….
A current controversy in gynecology illustrates several issues with the implementation of evidence-based medicine into surgical procedures. The clinical question is, Should we perform universal […]
Four Tips for A Non-Descending Uterus
“If you do only routine cases eventually even they will become difficult.” A limiting factor for many during vaginal hysterectomy is the non-descending uterus. Women […]
What’s Your Best Guess?
Until I know this sure uncertainty, I’ll entertain the offered fallacy. – William Shakespeare, The Comedy of Errors My four year old daughter asked me to guess which […]
Paved With Good Intentions … Or, How Do I Do A Vaginal Delivery?
Here are some steps of vaginal delivery that have been used in various combinations over the last century: In early labor, nurses should shave the […]
Ten Ways To Reduce The Cost of Healthcare
The cost of US healthcare is growing at an unsustainable rate. Despite measures that were supposed to lower the rate of growth of healthcare costs […]