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Author: Howard Herrell, MD

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Do The NHS Birth Recommendations Have Meaning for The US? Or, The Safety of Home Birth

By Howard Herrell, MDPosted on December 12, 2015December 13, 2015

Recently, The Guardian reported, in an article entitled Low-risk women urged to avoid hospital birth, on the British National Health Service (NHS) urging low-risk pregnant women […]

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Power Laws, Decision Making, and Anxiety

By Howard Herrell, MDPosted on December 12, 2015December 12, 2015

Power laws are mathematical relationships used in statistics to describe how a change in one variable affects another variable. A basic power law is illustrated […]

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How Should I Do A Cesarean Delivery?

By Howard Herrell, MDPosted on December 10, 2015December 12, 2015

There are billions of ways to do a cesarean delivery. At least 203,843,174,400 ways that I know of (well that’s how many we are going […]

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What Should Be Done At The Yearly Visit?

By Howard Herrell, MDPosted on December 10, 2015December 10, 2015

The annual Well-Woman Visit is in need of re-invigoration and redefinition. Unfortunately, in many physicians’ practices and in the minds of many millions of patients, the […]

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The Illusion of Causality

By Howard Herrell, MDPosted on December 9, 2015

Humans seek to explain and understand. We want answers and explanations. Our brains demand it. But our brains have developed many short-cuts to understanding and […]

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Teaching Tool: The Stanford Medicine 25

By Howard Herrell, MDPosted on December 9, 2015December 9, 2015

Physical exam is struggling more and more to find its place in modern medicine. Numerous contemporary studies have shown limited or no diagnostic value of […]

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Important Paper: The PORTO Study

By Howard Herrell, MDPosted on December 8, 2015December 8, 2015

I’m going to post links and summaries of important and influential papers periodically. These are papers which should change the way we practice or at […]

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Absolute Risk Versus Relative Risk: A Clinical Example

By Howard Herrell, MDPosted on December 8, 2015December 19, 2015

Risk distortion pervades our daily life. Whether we do or don’t do things, as the case may be, is affected by our perception of the […]

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What Should Be Done At The Postpartum Visit?

By Howard Herrell, MDPosted on December 7, 2015December 10, 2015

The postpartum or postnatal visit has evolved significantly over the decades. It remains a largely ill-defined, and poorly evidenced-based, episode of care. The value and […]

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Preventable Causes of Death

By Howard Herrell, MDPosted on December 5, 2015December 7, 2015

webappa.cdc.gov/cgi-bin/broker.exe Though this may seem like more of a political post, in reality, its about statistics and their misuse and the cognitive distortion afforded from […]

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