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It’s All in the Counseling …

By Howard Herrell, MDPosted on September 8, 2017September 9, 2017

Physicians have a lot of power over patient choices. In theory, physicians present patients with choices and then patients make informed decisions. In practice, this […]

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Four Tips for Correctly Diagnosing Uterine Anomalies

By Howard Herrell, MDPosted on August 1, 2017December 15, 2017

Unfortunately, I’ve recently seen a rash of patients who have been told by other  gynecologists that they suffer from a significant congenital uterine malformation that […]

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OB Potpourri 4.0

By Howard Herrell, MDPosted on July 17, 2017July 18, 2017

Stop the tilt I haven’t used a left lateral tilt during Cesarean delivery in years. There has never been any robust scientific data that tilting […]

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Four Tips to Reduce Your Cesarean Delivery Rate

By Howard Herrell, MDPosted on July 4, 2017December 15, 2017

The Cesarean Delivery (CD) rate has dropped for a couple of years in a row now after increasing every year since about 1996. Cesarean delivery […]

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Four Tips for Correctly Diagnosing Vaginitis

By Howard Herrell, MDPosted on June 28, 2017

Complaints of vaginal irritation and/or vaginal discharge are very common in ambulatory settings, particularly in gynecology offices. Bacterial vaginosis, candidiasis, and trichomoniasis account for about […]

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Four Tips for Initial Laparoscopic Entry

By Howard Herrell, MDPosted on June 5, 2017June 6, 2017

The initial trocar placement at the time of laparoscopic surgery is the most important step: 50% of complications that occur during laparoscopic surgery occur with […]

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Four Tips for Easy Postpartum Tubal Ligation

By Howard Herrell, MDPosted on May 26, 2017May 26, 2017

Postpartum sterilization is a relatively low-cost and convenient option for many women, but it is too often under-utilized because many obstetricians struggle with the technique. […]

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Four Tips to Avoid Air Knots

By Howard Herrell, MDPosted on May 24, 2017July 4, 2017

Ever get an air knot? I bet you do, especially if you are a resident or early in surgical training. Air knots can cause major […]

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Fact Checkers

By Howard Herrell, MDPosted on April 18, 2017

I’ve been thinking about making a fact-checking page that lists common medical-related myths and fact-checks them. There are tons of resources around the Internet that […]

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Antenatal Testing

By Howard Herrell, MDPosted on March 27, 2017

A patient of mine moved out of state after her last pregnancy. She’s pregnant again and doing fine at about 12 weeks. Yes, I’m sad […]

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  • It’s All in the Counseling …

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