In 1945, Vannevar Bush wrote his famous essay, As We May Think. Bush had risen to the level of Director of the US Office of Scientific Research […]
Is Hydration Useful for the Management of Oligohydramnios? Or Should We Even Care?
This is an excellent clinical question, and the type of question that a clinician encounters almost daily. How should we determine the answer to the […]
Secrets of the Menstrual Cycle
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 […]
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 […]
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 […]
People Still Matter
Laparoscopic Burch Colpopexy Uncontrolled variables are a huge problem with every scientific study. When we compare two blood pressure medications to one another, the results will have […]
I Read It On The Internet…
Most people, it turns out, aren’t really all that skeptical. The 2016 election has taught us that what passes as ‘news’ isn’t always very true. […]