Beloved Holistics Radio
101 episodes - English - Latest episode: almost 3 years ago - ★★★★★ - 108 ratingsHow does women's health look through the lens of a holistic OBGYN? My podcast promotes holistic lifestyle measures and shared decision making as priorities over the standard of poor communication around birth control pills and surgery. Body, soul, and spirit...#DoNoHarmTakeNoShit
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Episodes
Microdose J - The One About the C19 Injection
May 06, 2022 21:40 - 16 minutes - 30.5 MB"To help you further understand why we did not get the vaccine, what follows is my assessment of the C19 situation so far. Like I said, there is no doubt that many people were getting very sick over the first half of 2020. What is most challenging for me is the narrative that ensued thereafter, which seems at best misleading and at worst nefarious." www.ObgynoWino.com
Microdose G - This is Not an Article about Coronavirus: Birth, Death, and our Grapple with Safety
May 06, 2022 21:40 - 23 minutes - 43.5 MB"If I could live for another twenty years loving, laughing and touching in the ways that I could before this pandemic, would I choose this over fifty years of living in a place of fear, where I'm forced to question the safety even of hugging my own mother?" www.ObgynoWino.com
Goodbye! Here's to new beginnings...
September 09, 2021 01:48 - 17 minutes - 32 MBI have left the conventional medical model for good in search of brighter pastures! With the amount of painting, dancing, and kissing my baby and wife that I've been doing over the past several days, I encourage you all to try living a life free of the medical industrial complex! I have been liberated, and now I've got the bandwith the shake things up and create the life of my dreams. The new iteration of my podcast will be titled The Holistic OBGYN Find me at: www.BelovedHolistics.com
Microdose K - Lead With Love and Compassion
August 14, 2021 02:50 - 36 minutes - 67.7 MBImportant PSA for healthcare professionals... Theme music by Evan Handyside
Ep 82: Management of AUB Associated W/ Ovulatory Dysfunction
August 11, 2021 17:14 - 41 minutes - 75.2 MBPractice Bulletin #136 - Published July 2013 (Reaffirmed 2017) 1. Know your reproductive endocrinology like the back of your hand! 2. AUB-O is classically associated with cycles that differ in length by `10 days or more. Patient with AUB-O also generally don't experience the classical cyclical breast tenderness, mucoid cervical discharge, premenstrual cramping, or bloating seen in ovulatory bleeding. 3. Anovulation is the most common etiology of AUB in 13-18-year olds. Transfusion or hosp...
Ep 81: Second Trimester Abortion
August 09, 2021 15:04 - 35 minutes - 64.4 MBPractice Bulletin #135, Published June 2013 (Reaffirmed 2017) 1. It's none of your damn business why a woman desires a 2nd trimester abortion. There are also a lot of scenarios in which 2nd trimester abortion skills are necessary but that have nothing to what many perceive to be a seemingly easy decision to terminate a pregnancy. 2. If you don't feel confident in your skills as a provider to perform 2nd trimester abortions, do your patients the service of developing a referral relationship...
Ep 80: Management of Endometriosis
August 08, 2021 19:03 - 35 minutes - 65.6 MBPractice Bulletin #1114, Published July 2010 (Reaffirmed 2018) 1. Pelvic pain and infertility are characteristic. Severe dyspareunia and dyschezia are indicative of deeply infiltrative disease. 2. The etiology is unknown, but currently thought to be due to the implantation of endometrial glands and stromal cells outside the uterus within the peritoneal cavity due to retrograde menstruation 3. Histologic evaluation of a surgical specimen is the gold standard for diagnosis. Visualization of...
Ep 79: Journal Club, July 2021
August 07, 2021 00:57 - 1 hour - 123 MBJuly 2021 Journal Club I'm joined by Emmie Sturgess, DO, an OBGYN, MFM, and friend of the show to review relevant articles from the major OBGYN journals. I promise it's not as boring as it sounds... Show Notes Theme music by Evan Handyside
Intro to Beloved Holistics Radio
August 03, 2021 04:11 - 4 minutes - 8.29 MBWelcome to Beloved Holistics Radio, a podcast for the holistic OBGYN! Expect summaries of ACOG's practice bulletins, important voices with birth keepers and birth warriors, and discussions around the most up-to-date research and publications. www.BelovedHolisticsRadio.com
Ep 78: Postpartum Hemorrhage
July 30, 2021 11:00 - 1 hour - 136 MBPractice Bulletin #183, Published October 2017 w/ co-host Sara Rosser, CPM (@sararosser) 1. PPH is defined as 1000 mL for either vaginal or cesarean birth. 2. Go with your gut in diagnosing PPH, and do it fast! You can't rely on vital signs or lab work to make the call to action in the acute setting. 3. Uterine atony is the most common cause of PPH. Manage through uterine massage, uterotonics, tamponade, and UAE. Opening up her abdomen to place compression sutures, ligate the uterine vess...
Ep 77: Ultrasound in Pregnancy
July 28, 2021 03:18 - 1 hour - 111 MBPractice Bulletin #175 - Published December 2016 (Reaffirmed 2020) w/ co-host Sara Rosser, CPM (@sararosser) 1. US may be harmful if overutilized. 2. Important uses include pregnancy dating/viability, fetal growth, and amniotic fluid assessment. 3. US pregnancy dating is most accurate in the 1st trimester. If significant discordance exists between US dating and LMP dating, it may be appropriate to adjust due date. 4. Fetuses at risk for FGR should be monitoring by serial growth ultrasou...
Ep 76: Journal Club, June 2021
June 20, 2021 01:10 - 1 hour - 158 MBJune 2021 Journal Club I'm joined by Emmie Sturgess, DO, an OBGYN, MFM, and friend of the show to review relevant articles from the major OBGYN journals. I promise it's not as boring as it sounds...because...I mean...come on...WINE. Show Notes Wine pairing: 2016 Primitivo di Manduria from Antico Sigillo Theme music by Evan Handyside Logo design by JD Dotson ([email protected])
Ep 74: Osteoporosis
June 14, 2021 21:45 - 37 minutes - 69.6 MBPractice Bulletin #129 - Published September 2012 (Reaffirmed 2016) 1. In any hypoestrogenic state, resorption begins to overwhelm building, leading to decreased bone density. 2. Treatment is warranted if T-score ≤ 2.5 on DXA scan or if patient has history of vertebral facture or other type of fragility fracture 3. FRAX tool can be helpful in determining usefulness of treating patients in the osteopenic range (T-score < - 1 to ≥ -2.5). It predicts risk of osteoporotic fracture over next 1...
Ep 75: Osteoporosis
June 14, 2021 21:45 - 37 minutes - 69.6 MBPractice Bulletin #129 - Published September 2012 (Reaffirmed 2016) 1. In any hypoestrogenic state, resorption begins to overwhelm building, leading to decreased bone density. 2. Treatment is warranted if T-score ≤ 2.5 on DXA scan or if patient has history of vertebral facture or other type of fragility fracture 3. FRAX tool can be helpful in determining usefulness of treating patients in the osteopenic range (T-score < - 1 to ≥ -2.5). It predicts risk of osteoporotic fracture over next 1...
Ep 74: Antiphospholipid Syndrome
June 12, 2021 11:00 - 26 minutes - 49.4 MBPractice Bulletin #132 - Published December 2012 (Reaffirmed 2017) 1. The clinical diagnosis of APS is made through a careful clinical history that takes into account thrombotic events, history of pregnancy loss, and development of preterm preeclampsia. 2. Lab studies to detect specific antibodies can confirm your diagnosis, but these lab studies are not indicated when clinical criteria are not met. 3. The three relevant antibodies on your board exam are: lupus anticoagulant, anti-β₂-glyc...
Ep 73: Diagnosis of Abnormal Uterine Bleeding in Reproductive-Aged Women
June 11, 2021 02:29 - 41 minutes - 76.5 MBPractice Bulletin #128 - Published July 2012 (Reaffirmed 2016) 1. "Normal menstruation" is classified by ACOG as: 5 days of bleeding with cycle length of 21-35 days 2. PALM-COIEN is a classification system for abnormal uterine bleeding. 3. Get good at SIS and hysteroscopy! A meta-analysis found intrauterine cavitary anomalies in roughly 50% of women with AUB 4. Fibroids tend to present as heavy periods. Polyps tend to present as intermenstrual bleeding. Adenomyosis presents with painful ...
Ep 72: Multifetal Gestations
May 15, 2021 11:00 - 1 hour - 110 MBPractice Bulletin #169 - Published October 2016 (Reaffirmed 2016) w/ co-host Sara Rosser, CPM (@sararosser) 1. Multifetal gestations have overall increased risk of morbidity for both mom and baby. 2. Chorionicity is an important piece of information for managing these pregnancies. Monochorionic pregnancies carry higher risks than dichorionic pregnancies. 3. Outside of dx of cervical insufficiency: available data doesn't support cervical cerclages, bed rest, tocolytics, or pessaries decre...
Ep 71: Obesity in Pregnancy
May 14, 2021 01:49 - 50 minutes - 91.8 MBPractice Bulletin #156 - Published December 2015 (Reaffirmed 2018) w/ co-host Sara Rosser, CPM (@sararosser) 1. Women with obesity are at increased risk for fetal congenital anomalies, c-section, preeclampsia, fetal macrosomia, childhood behavioral/developmental issues, and other bad outcomes. 2. Pre-conception weight loss to normalize BMI improves maternal and neonatal outcomes. 3. Weight loss while pregnant is not recommended. 4. There are a variety of special considerations intrapartu...
Ep 70: Management of Late-Term and Postterm Pregnancies
May 01, 2021 13:12 - 57 minutes - 105 MBPractice Bulletin #146 - Published August 2014 (Reaffirmed 2019) 1. When pregnancy goes beyond 41 wga, there are increased risks for mom and baby, but absolute risk is overall still very low. these risks are still low in absolute. 2. Pregnancy dating by LMP combined with early ultrasound is far more reliable than LMP alone. 3. "Membrane sweeping" decreases the chance of a pregnancy going beyond 41 wga, but consent your patient first! 4. If fluid checks out, particularly if BPP is other...
Ep 69: Management of Gynecologic Issues in Women With Breast Cancer
April 22, 2021 01:45 - 44 minutes - 82.1 MBPractice Bulletin #126, Published March 2012 (Reaffirmed 2016) 1. Rapidly dividing cells - like those in the gonads - are the most susceptible to chemo, so suppressing with GnRH analogues prior to chemo may be protective against ovarian toxicity, but data is mixed. 2. BRCA mutation carriers are at increased risk for both breast and ovarian cancers, therefore prophylactic BSO is recommended at age 40 or after childbearing is complete 3. 5 years of tamoxifen use decreases the annual risk of...
Ep 68: Shoulder Dystocia
April 03, 2021 02:46 - 1 hour - 123 MBPractice Bulletin #187, Published May 2017 (Reaffirmed 2016) 1. Neonatal complication risk is overall low (5%), including brachial plexus injuries, clavicle fracture, humerus fracture. HIE/death are also possible, but extremely unlikely. 2. The faster that a shoulder dystocia is resolved, the less likely HIE/death. 3. It's nearly impossible to predict shoulder dystocia, but risk seems to be higher with larger fetuses and diabetic mothers. 4. Insufficient evidence to conclude that early i...
Ep 67: Noncontraceptive Uses of Hormonal Contraceptives
April 01, 2021 11:00 - 43 minutes - 79.9 MBPractice Bulletin #101, Published January 2010 (Reaffirmed 2016) 1. Most COCs combine a progestin (i.e. synthetic progesterone) for contraceptive effects with 10-35 mcg of an estrogen (usually ethinyl estradiol) to stabilize the endometrium and reduce unwanted spotting 2. COCs are a safe bet for management of heavy menstrual bleeding. If patient responds to COCs, they are most cost-effective for the first year, then it's more effective to switch to a levonorgestrel intrauterine system 3. ...
Microdose I - The Self-Destructive Nature of Being Human
March 31, 2021 15:56 - 8 minutes - 15.6 MB"How can we reimagine our relationship with Mother Nature? This seems like a privileged luxury of the few, but it's far more important than a philosophical suggestion. Based on the preceding examples found through the challenges of monocultural farming and efforts to sterilize the human body, it should be obvious that we are a part of a variety of ecosystems that rely on us reciprocally. As such, in allowing the Earth to deteriorate, we are inadvertently corrupting any possibility for the su...
Ep 66: On Surrogacy and the Tribulations of Nuance
March 25, 2021 22:59 - 50 minutes - 92.8 MBSPECIAL EPISODE - Interview w/ Sara Rosser, CPM (and my dear sweet friend!) In episode 66, Sara Rosser, a CPM at the famous Farm in Summertown, TN, is joining the Obgyno Wino team to co-host coverage of future OB-related practice bulletins. She is also anticipating her second surrogacy pregnancy on behalf of a gentleman who is otherwise unable to start a family. Between her choice to offer herself as a surrogate and her family's adoption of their beautiful son, Silas, from Ethiopia, Sara ha...
Trailer to the Obgyno Wino Podcast
March 24, 2021 22:55 - 8 minutes - 15.9 MBShow Notes Theme music by Evan Handyside Logo design by JD Dotson ([email protected])
Ep 65: Bariatric Surgery and Pregnancy
March 21, 2021 20:02 - 45 minutes - 83.5 MBPractice Bulletin #105, Published July 2009 (Reaffirmed 2017) 1. Combined oral contraceptives may be poorly absorbed in patients who have undergone malabsorptive bariatric surgery (e.g. Roux-en-Y) 2. Micronutrient and macronutrient deficiences are common in pregnancy after Roux-en-Y. These include iron, calcium, vitamin B12, protein, folate, and vitamin D. It's reasonable to screen widely for nutrient and micronutrient deficiencies pre-pregnancy or early in pregnancy and supplemental as a...
Ep 64: Shared Decision Making in Maternity Care
March 18, 2021 11:00 - 1 hour - 144 MBSPECIAL EPISODE - Interview w/ Brad Bootstaylor, MD, OB/GYN and MFM (and all-around awesome guy!) Dr. B is back on the show to talk about the unfortunate turn of events that forced him to leave his collaborative OBGYN practice in Atlanta, GA. At the hospital where Dr. B worked for 20 years and even served as chair of the Department of OBGYN, a non-clinical professional committee determined - apparently arbitrarily - not to renew Dr. B's hospital privileges, essentially forcing him out of pr...
Ep 63: Anemia in Pregnancy
March 17, 2021 02:28 - 35 minutes - 65.3 MBPractice Bulletin #95 - Published July 2008 (Reaffirmed 2017) 1. Normal physiologic changes in pregnancy that are relevant in anemia include increased blood volume, increased red blood cell mass, and increased iron stores. 2. Low serum ferritin is the most sensitive and specific single lab finding in iron deficiency anemia. 3. The CDC recommends universal screening for iron deficiency anemia in pregnancy along with universal supplementation. 4. B12 deficiency and folic acid deficiency ar...
Ep 62: Trauma-Informed Birthkeeping
March 11, 2021 04:12 - 1 hour - 143 MBSPECIAL EPISODE - Interview w/ Tracey Vogel, MD, OB anesthesiologist In Episode 62, Tracey Vogel, MD, an OB anesthesiologist, is on the show to talk about her very unique path into trauma-informed birth keeping. Tracey is a practicing anesthesiologist at West Penn Hospital in Pittsburgh who has taken a unique interest in tendering women through their hospital-based birth process. When she's not training medical students and residents in OB anesthesiology, you can find her lecturing at ACOG,...
Ep 61: Treatment of Urinary Tract Infections in Non-Pregnant Women
March 08, 2021 19:43 - 46 minutes - 85.4 MBPractice Bulletin #91 - Published October 2009 (Reaffirmed 2016) 1. E. coli are the most common bug in UTI. 2. Presence at at least 1,000 CFU/mL on culture or presence of leukocyte esterase or nitrite on UA, particularly if bacteria 2+ or greater in a symptomatic patient is pretty much a slam dank for UTI diagnosis 3. 3-day antibiotic course is sufficient for uncomplicated acute cystitis (trimethoprim-sulfamethaxazole is the preferred agent) 4. Treatment of pyelonephritis can be done as ...
Ep 60: Asthma in Pregnancy
February 16, 2021 19:22 - 30 minutes - 55.8 MBPractice Bulletin #86 - Published October 2009 (Reaffirmed 2016) 1. Poorly controlled asthma is associated with prematurity, preeclampsia, growth restriction, and maternal morbidity and mortality. 2. Nonselective β-blockers, carboprost, ergonovine, indomethacin, misoprostol, and dinoprostone can trigger bronchospasm, and they are all commonly used agents in pregnancy/postpartum. 3. Short-acting β2-agonists (e.g. albuterol) are the mainstay for acute asthma exacerbations 4. Long-acting in...
Microdose H - The Journey of an Unorthodox Allopath
February 02, 2021 16:03 - 16 minutes - 29.7 MB"The restructuring of my healing practice affords me the opportunity to ask the bigger questions, to challenge dogma, and to truly heal people, communities, and the planet. I have the same skillset as most physicians: laboratory analysis, expertise in interpreting medical literature, medication, antibiotics, imaging studies, and surgery. The difference is in how I use these powerful but limited tools. Healing begins with your story, and it grows outward from there in concentric circles. This...
Ep 59: An Unassisted Hospital Birth (Story)
January 30, 2021 02:49 - 1 hour - 123 MBSPECIAL EPISODE - Interview w/ Maryn Green, CPM, independent midwife and author Maryn is a midwife, midwifery instructor, and a mom to now 10 children, all of whom were born vaginally, most of which were born at home. The birth of her most recent, Rumi Sol, happened in the hospital as the result of Maryn acting on her intuition while in labor and transferring herself to the hospital when she sensed things weren't right. The most surprising part of her story is that she ultimately had an una...
Ep 58: Prevention of Deep Vein Thrombosis and Pulmonary Embolism
January 21, 2021 20:59 - 37 minutes - 68.5 MBPractice Bulletin #84 - Published August 2007 (Reaffirmed 2018) 1. Most patients who die from PE do so within 30 minutes of the event, so prevention is key. 2. If a patient is known to have Factor V Leiden mutation or prothrombin gene mutation 20210A, they should be considered high risk and managed appropriately intra- and post-operatively and in pregnancy 3. Compression stockings, pneumatic compression devices, and pharmacologic prophylaxis are all safe and useful in preventing VTE 4. H...
Ep 57: Endometrial Ablation
January 19, 2021 04:23 - 1 hour - 126 MBPractice Bulletin #81 - Published May 2007 (Reaffirmed 2018) 1. Both resectoscopic and non-resectoscopic techniques are safe and effective. 2. Size and shape of the uterine cavity and the presence of fibroids may impact efficacy of non-resectoscopic techniques 3. With resectoscopic techniques, careful monitoring of distension medium fluid is important. If too much fluid intravasates, dilutional electrolyte imbalances can have serious consequences. 4. Ablation is not recommended for ...
Ep 56: Hemoglobinopathies in Pregnancy
January 16, 2021 03:15 - 48 minutes - 45 MBPractice Bulletin #78 - Published Janury 2007 (Reaffirmed 2018) 1. Sickle cell trait (heterozygous for the mutation) is generally asymptomatic; sickle cell disease can have severe consequence 2. Sickle cell disorders are more common among individuals of African descent, whereas the thalassemias are more common among individuals of Southeast Asian and Mediterranean descent. 3. Alpha thalassemia results from deletion of any number of the four genes that code for the alpha chain. The more de...
Ep 55: Medical Abortion up to 70 Days of Gestation
January 09, 2021 22:59 - 36 minutes - 67.4 MBPractice Bulletin #225 - Published October 2020 1. Medication abortion is safe and effective (just slightly less effective than uterine evacuation). 2. The standard regimen is mifepristone 200 mg PO followed by misoprostol 800 mcg per vagina 24-48 hrs later 3. Patients who reliably report menstruation within 56 days of presentation for medication abortion do not require ultrasound confirmation 4. Patients at high risk for ectopic pregnancy based your clinical assessment should not be off...
Ep 54: Screening for Fetal Chromosomal Abnormalities
January 05, 2021 18:36 - 46 minutes - 85.7 MBPractice Bulletins #226 - Published October 2020 1. Cell-free DNA screening has the best sensitivity and specificity of all screening methods. But before you order it, it's best to get a prenatal ultrasound 2. Best non-cell-free screening modality is the sequential integrated serum screen (1st-tri serum + NT ultrasound + 2nd-tri serum) 3. Formal anatomy survey should be offered at 18 - 22 wga; can identify soft markers for T21 and T18 4. Prenatal genetic screening should be offered to a...
Ep 53: Diagnosis and Management of Vulvar Skin Disorders
December 20, 2020 23:35 - 30 minutes - 55.4 MBPractice Bulletins #224 - Published July 2020 1. A systematic approach is required to evaluate and treat vulvar pain and pruritis. 2. In premenopausal women: contact dermatitis is most likely culprit. 3. In postmenopausal women: Genitourinary syndrome of menopause is your most likely culprit, and this relates to the natural increase in pH associated with the hypoestrogenic state. 4. Lichen sclerosus is best diagnosed through biopsy, because if left-untreated it can develop into vulvar sq...
Ep 52: Thyroid Disease in Pregnancy
December 14, 2020 01:56 - 33 minutes - 62.1 MBPractice Bulletins #223 - Published June 2020 1. Fetal brain development relies on adequate maternal T4 until the fetal thyroid gland takes over at ~12 wga 2. Fetuses who develop in environments deficient in thyroid hormone may suffer from impaired psychoneurological development of the newborn 3. Hyperthyroidism is most commonly due to Graves' disease, which is caused by antibodies that stimulate the thyroid gland 4. Screening for thyroid disease in pregnancy starts w/ TSH. More sensitiv...
Ep 51: Management of Genital Herpes in Pregnancy
December 09, 2020 01:22 - 30 minutes - 56 MBPractice Bulletins #220 - Published May 2020 1. Herpes simplex virus (HSV) is transmitted directly from lesions to mucosa or open skin: this includes cold sores to mucosa, active lesions on the skin, or ulcers on or inside the genitals. 2. Infection of babies generally occurs during passage of the newborn through mom's GU tract, not in-utero. 3. Neonatal herpes infections carry relatively high mortality and morbidity. 4. Active or recurrent infections in pregnancy should be treated with ...
Ep 50: External Cephalic Version
December 07, 2020 01:58 - 33 minutes - 61.3 MBPractice Bulletins #221 - Published May 2020 1. Training physicians in external cephalic version (ECV) and encouraging the practice of this procedure could significantly reduce c-section rate 2. It's best to wait until 37w0d to attempt ECV due to high likelihood of spontaneous version prior to that but likelihood of success decreases with advancing gestational age beyond 37w0d 3. Risks to mom/fetus include: cord prolapse, fetomaternal hemorrhage, terminal deceleration, placental abruption...
Ep 49: Operative Vaginal Birth
November 20, 2020 17:49 - 48 minutes - 89 MBPractice Bulletins #219 - Published April 2020 1. Episiotomies should never be performed routinely, even if you were trained to do it routinely to assist in operative vaginal delivery. If you think it's absolutely necessary, counsel the patient so that she can make an informed decision. 2. Overall, operative vaginal delivery carries low absolute risk for baby and mom w/ comparable relative risk compared to c-section 3. Vacuum-assisted delivery carries higher risks to the fetus when compar...
Ep 48: Chronic Pelvic Pain
November 14, 2020 04:32 - 1 hour - 139 MBPractice Bulletins #218 - Published March 2020 1. Up to 33% of women with chronic pelvic pain will also meet criteria for diagnosis of major depression 2. An interdisciplinary approach is the way go to: gynecologist, physical therapist, and psychologist in the very least. 3. The physical exam should be approached very carefully and systematically 4. Yoga, acupuncture, and other complementary and integrative therapies should absolutely be considered. 5. Don't prescribe opioids for chroni...
Ep 47: Prelabor Rupture of Membranes
July 03, 2020 00:19 - 51 minutes - 94.7 MBPractice Bulletins #188 - Published January 2018 1. Management recommendations in PROM/PPROM is dependent on gestational age: >37 0/7 wga => induction/augmentation 34 0/7 - 36 6/7 wga => expectant management or induction/augmentation <34 0/7 wga => expectant management 2. Diagnosis of PROM is based on history and physical: pooling of fluid, pH of vaginal fluid, and ferning on microscopy. 3. Indications for induction/augmentation for both PROM and PPROM include abnormal fetal testing, ...
Ep 46: Changing the Culture of Hospital-Based Birth
April 29, 2020 21:37 - 1 hour - 165 MBSPECIAL EPISODE - Interview w/ Hermine Hayes-Klein, JD, and Brad Bootstaylor, MD, FACOG In this episode, we'll be discussing the problematic culture of hospital-based birth. We explore the physician-patient relationship, the responsibilities that come with the rights to informed consent and refusal of treatment, and how supercomputers in the hands of our patients have enabled them to view us as the enemy, and vice-versa. Most importantly, we discuss ways in which we may all begin to mend th...
Ep 45: Nausea and Vomiting of Pregnancy
April 18, 2020 17:16 - 42 minutes - 78.3 MBPractice Bulletins #189 - Published January 2018 Five pearls: 1. The decision to treat should be informed by the woman’s perception of the severity of symptoms, her desire for treatment, and the potential effect of treatment on her fetus 2. Use of prenatal vitamins 1 mo before fertilization may reduce incidence and treating nausea and vomiting of pregnancy (NVP) can prevent progression from NVP to hyperemesis gravidarum (HG) 3. After dietary and nonpharmacologic options (e.g. ginger) hav...
Ep 44: Midwifery is Under Attack
April 01, 2020 17:03 - 1 hour - 135 MBSPECIAL EPISODE - Interview w/ Elizabeth Catlin, CPM, Melissa Carman, CPM, and Hermine Hayes-Klein, J.D. In this special episode, I speak with two midwives about their recently being arrested and charged with the "unauthorized practice of a profession" in the state of New York. They have served the Amish and Mennonites communities for years, and these charges are just another piece in the government's and medical profession's efforts to control a woman's right to choice in pregnancy and ch...
Microdose F: On My Departure From Hospital-Based Birth
March 26, 2020 13:28 - 12 minutes - 22.2 MB"Today is my final shift as an obstetrician. You'll find me breaking bread with the birth educators, doulas, witches, midwives, nurses, and other physicians who guide their patients to safety without failing to appreciate the beauty and majesty displayed by a birthing human." www.ObgynoWino.com
Ep 43: Prevention and Management of Alloimmunization in Pregnancy
February 08, 2020 03:44 - 37 minutes - 69.5 MBPractice Bulletins #181 and #192 - Reaffirmed in 2019 Five pearls: 1. Risk of alloimmunization is around 15% after 2nd delivery of an Rh positive fetus to an Rh negative mother; this risk is decreased dramatically with administration of postpartum RhoGam 2. RhoGam is never indicated if both mom and dad are Rh negative or in women who are already sensitized (indirect coombs screen) 3. The KB test can used to determine if excessive feto-maternal hemorrhage has occurred in order to guide Rh...