The differential diagnosis, used appropriately, can serve as one of the most powerful de-biasing tools. When we interview a patient, review records, perform physical exam, […]
Words Matter, or When Should I Order Labs for Preeclampsia?
The words we use and the way we use words makes a difference. How we use words affects the way we think about the ideas […]
How Do I Diagnose A UTI?
Urinary tract infections (UTIs) are commonly over-diagnosed in emergency departments and ambulatory settings. As many as half of all women presumptively treated with a UTI […]
Prenatal Antidepressants and Autism? Mi dispiace!
A new study has been published in the Dec. 14, 2015 issue of JAMA: Pediatrics, which claims a link between prenatal use of antidepressants, particularly in […]
How Do I Diagnose Ruptured Membranes? Bayesian Statistics at its Best
The diagnosis of ruptured membranes in pregnancy is clinically very important. Decisions about delivering a pregnancy, hospitalization, and even termination of pregnancies, often depend on […]
Do The NHS Birth Recommendations Have Meaning for The US? Or, The Safety of Home Birth
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 […]
How Should I Do A Cesarean Delivery?
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 […]
What Should Be Done At The Yearly Visit?
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 […]
Important Paper: The PORTO Study
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 […]
Absolute Risk Versus Relative Risk: A Clinical Example
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 […]