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Year: 2018

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How to Read Headlines

By Howard Herrell, MDPosted on May 1, 2018

Headlines are everything. They frame the way we read an article, how we remember it, and whether we choose to read it in the first […]

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Male Circumcision

By Howard Herrell, MDPosted on April 23, 2018April 23, 2018

Egyptian depiction of circumcision from 1360 BC I get this question a lot and have avoided writing about it for some time. But, alas, we […]

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Four Tips for Preventing Perineal Trauma: The Grip

By Howard Herrell, MDPosted on April 16, 2018

Only in the last decade or so has there been much desire on the part of Obstetricians to develop techniques for preventing lacerations and tears […]

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Subchorionic Hematomas, Lakes, and all that Jazz…

By Howard Herrell, MDPosted on April 12, 2018April 15, 2018

Two things drive me crazy, and a third vexes my soul: Over-diagnosis of subchorionic hematoma; Inappropriate counseling and recommendations regarding subchorionic hematoma; And inappropriate management […]

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Levels of Evidence

By Howard Herrell, MDPosted on April 8, 2018

If you read (or produce) scientific literature, you are hopefully aware of and use some system to appreciate how good a particular type of study […]

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Ten Things I’ve Learned About Maternal Mortality

By Howard Herrell, MDPosted on March 20, 2018

I’ve attended two conferences in the last 3 weeks that largely revolved around maternal mortality in the United States. About 700 women each year die […]

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Four Tips for Removing a Nexplanon

By Howard Herrell, MDPosted on February 24, 2018

Nexplanon removal should be a relatively straightforward and easy procedure. However, there are a few things you can do to make the job even easier. […]

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The Serena Syndrome

By Howard Herrell, MDPosted on February 21, 2018August 19, 2018

(Note: I have no personal knowledge of Serena Williams’ pregnancy or the care she received. This article is based on publicly available information only and […]

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Physician Competency

By Howard Herrell, MDPosted on February 19, 2018February 20, 2018

Most physicians are incompetent. There; I said it. If you read howardisms on a regular basis, you might have already suspected this. Lots of evidence […]

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Four Tips for Using A Quantitative HCG Test

By Howard Herrell, MDPosted on February 19, 2018

Pregnancy tests come in three varieties: a urine qualitative test (it’s either positive or negative), a serum qualitative test (again, either positive or negative), and […]

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