MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'gynecology'. Sat, 03 Sep 2011 01:58:54 +0100 http://www.medworm.com/index.php?rid=5169550&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-perils-of-fetal-sex-selection-terminating-pregnancies-based-on-babys-gender%2F2011.08.26 What would you do if you discovered early in your pregnancy that you were pregnant with a girl when you wanted a boy? Would you terminate the pregnancy? With the advent of a new DNA test that can determine the sex of a fetus at 7 weeks gestation with a simple blood or urine test, fetal sex selection is now possible. However, before you proceed to pop the cork on your bottle of champagne, a word of precaution is warranted. The Chinese and India dilemmas present a global warning regarding the perils of fetal sex selection. Boys now outnumber girls in China and India and competition is fierce regarding finding a wife or a mate. According to the Chinese Academy of Social Sciences (CASS), by the year 2020, there will be between 30 to 40 million more boys than girls in China and the statistics i... Better Health blogs http://www.medworm.com/rss/comments.php?id=5169550 Fri, 26 Aug 2011 21:00:03 +0100 5169550 http://www.medworm.com/index.php?rid=5139737&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fdrlindagalloway.files.wordpress.com%2F2011%2F08%2F803342_pills_1.jpg A nurse recently asked a very important question that bears repeating: What effect does long-term use of pain pills have on pregnant women? She was concerned because of the increase in number of pregnant women who are taking pain pills on a long term basis based on previous surgeries, accidents or a history of chronic pain. The most common “pain pills” prescribed are opiates which effectively eliminate or reduce pain but have a great tendency to be abused. Opioids are natural and synthetic type drugs that have the characteristics of morphine. It can only be obtained with a prescription and unfortunately physicians contribute to the problem of dependency and abuse through their lack of scrutiny regarding patient requests. My present home state of Florida has the unsavory distinction of ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5139737 Wed, 17 Aug 2011 19:00:46 +0100 5139737 http://www.medworm.com/index.php?rid=5139738&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fresearch-shows-that-a-pregnant-womans-diet-might-influence-babys-palate%2F2011.08.17 Attention, pregnant women!  The foods you eat now might influence your babies’ palates after they are born.  New research published in the journal Pediatrics, shows that the fetus actually drinks amniotic fluid in the womb.  The amniotic fluid is flavored by the foods the mother has recently eaten and flavors can be transmitted to the amniotic fluid and mother’s milk. It makes sense that as the baby is developing, memories are being created by a sense of taste.  Could what a mother eats influence food preferences and odor preferences for life?  Researchers fed babies cereal flavored with carrot juice vs. water.  They showed that babies who experienced daily carrots in amniotic fluid or mother’s milk ate more carrot-flavored cereal and made less negative faces when e... Better Health blogs http://www.medworm.com/rss/comments.php?id=5139738 Wed, 17 Aug 2011 17:00:00 +0100 5139738 http://www.medworm.com/index.php?rid=5103344&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fstrokes-are-quite-common-in-pregnant-women-how-can-they-be-prevented%2F2011.08.05 According to CDC, there has been a 54 percent increase in the number of pregnant women who’ve had strokes in 1995 to 1996 and in 2005 to 2006. While this may surprise some researchers, it certainly would not surprise clinicians who take care of pregnant women who have risk factors such as obesity, chronic hypertension or a lack of prenatal care. Ten percent of strokes occur in the first trimester, 40 percent during the second trimester and more than fifty percent occur during the post partum period and after the patient has been discharged home. Hypertension was the cause of one-third of stroke victims during pregnancy and fifty percent in the post partum period. Hypertension accounted for one-third of stroke cases during pregnancy and fifty percent in the post partum period. Many stroke... Better Health blogs http://www.medworm.com/rss/comments.php?id=5103344 Fri, 05 Aug 2011 16:00:21 +0100 5103344 http://www.medworm.com/index.php?rid=5086168&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fdrlindagalloway.files.wordpress.com%2F2011%2F07%2Fgreys-nursery.jpg No one likes pain, least of all pregnant women. Although obstetricians do a great job providing prenatal care and childbirth deliveries, there is always room for improvement regarding patient education. The management of labor pain is usually delegated to the Anesthesia Department within a hospital or an ambulatory center. The goal of anesthesia is to eliminate physical pain and any suffering that might be a result of pain. However pain and suffering may not always be about cause and effect. To quote the literature, “Although pain and suffering often occur together, one may suffer without pain or have pain without suffering.” Some women want to eliminate pain and others view it as a normal process. However, to the well initiated, it is well known that women who are in pain and “suffe... Better Health blogs http://www.medworm.com/rss/comments.php?id=5086168 Mon, 01 Aug 2011 18:00:35 +0100 5086168 http://www.medworm.com/index.php?rid=5057721&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fone-physician-learns-to-efficiently-manage-her-electronic-medical-records%2F2011.07.23 My practice has been using the EPIC electronic medical record for 5 years now, and it’s taken about that long for me to figure out how to tweak the system to make myself more efficient, and for the system to evolve to a place where I could tweak it myself. Case in point – Quick Actions. EPIC’s most recent upgrade includes little self-made macros called “quick actions” that turn repetitive tasks into a mouse click. I’m using quick actions to manage my results in basket in much the same way you may be using Rules in Outlook to manage your email. Some of my macros are actually little work-arounds for a system that is not yet entirely integrated and a patient population that has not yet embraced online results communication. About half of my patients sign up for online results – ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5057721 Sat, 23 Jul 2011 19:00:03 +0100 5057721 http://www.medworm.com/index.php?rid=5028239&cid=t_96879_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FJzcJ0iXgn6M%2F A real case highlighting the challenges of managing the critically ill obstetric patient in remote regions of Australia. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5028239 Thu, 07 Jul 2011 07:00:23 +0100 5028239 http://www.medworm.com/index.php?rid=4921421&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fannual-ovarian-cancer-screening-does-more-harm-than-good%2F2011.06.10 In a large multicenter study enrolling over 70,000 women, annual screening with transvaginal pelvic ultrasound and ca125 blood testing did not reduce deaths from ovarian cancer, and in fact led to an increase in complications due to screening. Investigators in the NCI-sponsored Prostate, Lung and Ovarian Cancer (PLCO) Screening trial randomly assigned over 78,000 women age 55-64 years of age to either annual screening with transvaginal pelvic sonograms for 4 years plus CA125 testing for 6 years or usual care at 10 study sites across the US., and followed the groups for up to 13 years. Over that time period, ovarian cancer rates in the screened group were 5.7 per 10,000 person-years vs 4.7 per 10,000 persons-years in the usual care group, with 3.1 deaths vs 2.6 deaths per 10,000 person year... Better Health blogs http://www.medworm.com/rss/comments.php?id=4921421 Fri, 10 Jun 2011 18:00:39 +0100 4921421 http://www.medworm.com/index.php?rid=4911483&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fegg-freezing-%25e2%2580%2593-not-as-successful-as-you-might-think%2F2011.06.08 NPR is running a typical media hype story on oocyte preservation (egg freezing), featuring the standard happy family photo with their “miracle” baby born after thawing and fertilizing a cryopreserved egg. It’s a heartwarming story and a pretty photo, but far from a complete picture of what women need to know about this still experimental fertility preserving procedure. Nowhere does the article tell women the actual success rates of occyte cryo-preservation. So before you run out to freeze your eggs, know this – the chance of having a pregnancy after egg freezing is less than a 50/50 shot – at most about 39%, according to the latest data.  That’s about the same odds you’d have if you just wait till 40 to try to get pregnant on your own. In addition, while somewhere between 1... Better Health blogs http://www.medworm.com/rss/comments.php?id=4911483 Wed, 08 Jun 2011 12:00:53 +0100 4911483 http://www.medworm.com/index.php?rid=4847955&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fsurgeons-who-refuse-to-treat-obese-women-liability-containment-or-discrimination%2F2011.05.20 In a nation with 93 million obese people, a few ob-gyn doctors in South Florida now refuse to see otherwise healthy women solely because they are overweight. Fifteen obstetrics-gynecology practices out of 105 polled by the Sun Sentinel said they have set weight cut-offs for new patients starting at 200 pounds or based on measures of obesity — and turn down women who are heavier. Some of the doctors said the main reason was their exam tables or other equipment can’t handle people over a certain weight. But at least six said they were trying to avoid obese patients because they have a higher risk of complications. Source: visiontoamerica.org/719/report-doctors-refusing-to-treat-overweight-patients/ While I have not specifically “refused to treat” obese patients, I have in a few cas... Better Health blogs http://www.medworm.com/rss/comments.php?id=4847955 Fri, 20 May 2011 22:00:14 +0100 4847955 http://www.medworm.com/index.php?rid=4767995&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Foops-pre-term-labor-drug-does-more-harm-than-good-to-pregnant-moms%2F2011.04.29 The Federal Drug Administration (FDA) recently issued a new warning about a medication that has been used for years and it has sent shock waves throughout my specialty. Terbutaline is an FDA approved medication that is used for asthmatic patients or patients who have significant narrowing of the airways. However for years it has been used as an “off-label” medication to treat preterm labor but now that’s about to change. An off-label drug means it hasn’t been approved for that specific use by the FDA. According to the FDA, the injectable form of Terbutaline should only be used for a maximum of 24 to 72 hours because the drugs association with heart problems and death.  The FDA goes on to say that the oral version (pills) should not be prescribed to treat preterm labor because it�... Better Health blogs http://www.medworm.com/rss/comments.php?id=4767995 Fri, 29 Apr 2011 23:00:30 +0100 4767995 http://www.medworm.com/index.php?rid=4758804&cid=t_96879_112_f&fid=34971&url=http%3A%2F%2Fblog.drmalpani.com%2F2011%2F04%2Fwaiting-for-doctor.html This is a guest post from a very thoughtful patient of mine. I know many IVF patients will be able to identify with her experience . I just wish more doctors would read this as well, so they can provide more support to IVF patients !When you do ivf as a medical tourist soon you'll find out you have become a traveller between the worlds. Between continents and between medical worlds: "normal" obstetrics and ivf. Unexpectingly it turns out to be much easier finding an ivf doctor in India than finding an obstetric gynecologist in your home town. And once you are lucky enough to get an appointment, you are faced with different treatment concepts: pregnancy in obstetrics and pregnancy in ivf are a world apart it seems. Unless you are already established with an ob gyn - not so likely; you would... The Patient's Doctor blogs http://www.medworm.com/rss/comments.php?id=4758804 Thu, 28 Apr 2011 04:50:00 +0100 4758804 http://www.medworm.com/index.php?rid=4684322&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmaternal-death-why-is-it-four-times-higher-for-african-americans%2F2011.04.06 When we hear about maternal death, we immediately think of a third world country but in reality, 2 to 3 women die every day in the U.S. from pregnancy and childbirth. Unfortunately, African American women are affected disproportionately and are four times more likely to die than anyone else. The tragedy is that at least half of these deaths are preventable. In her article, Special Report: Black Women Die Nearly Four Times the Rate of White Women From Pregnancy Complications, Rita Henley Jensen, describes the dilemma of the acting chief of the maternal and infant unit of CDC, Dr. William Callaghan. Callaghan can’t sleep at night because he wants to know why pregnancy is more dangerous for U.S. African American women. During my residency training, I witnessed a maternal death. (more…... Better Health blogs http://www.medworm.com/rss/comments.php?id=4684322 Wed, 06 Apr 2011 12:00:37 +0100 4684322 http://www.medworm.com/index.php?rid=4610812&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Feating-human-placentas-cannibalism-recycling-or-health-food%2F2011.03.18 After giving birth, most mammals eat the afterbirth, the placenta. Most humans don’t. Several hypotheses have been suggested as to why placentophagy might have had evolutionary survival value, but are there any actual benefits for modern women? Placentophagy has been recommended for various reasons, from nutritional benefit to preventing postpartum depression to “honoring the placenta.” In other cultures, various rituals surround the placenta including burial and treating it as sacred or as another child with its own spirit. Eating the placenta is promoted by some modern New Age, holistic, and “natural-is-good” cultural beliefs. Some women eat it raw, but many women have a yuck-factor objection to eating raw bloody tissue. It can be cooked: recipes are available for preparing it ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4610812 Fri, 18 Mar 2011 11:00:21 +0100 4610812 http://www.medworm.com/index.php?rid=4445800&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fsex-during-pregnancy-is-safe%2F2011.02.07 The Canadian Medical Association Journal (CMAJ) has published a new primer designed to help physicians when they counsel pregnant women. They note that sex during pregnancy is normal and is generally considered safe. The authors point out that there are very few proven contraindications and risks regarding intercourse in normal pregnancy. Pregnant women and their partners are often afraid to have sex. Men may think they are “invading” the home of the fetus and could actually harm the baby. In fact, the fetus is quite safe, ensconced in the uterus (womb) and the cervix (opening of the uterus) is closed in normal pregnancy. The penis has no contact with the fetus or the uterus during normal intercourse, no matter what the position. When is intercourse considered risky? Only f... Better Health blogs http://www.medworm.com/rss/comments.php?id=4445800 Tue, 08 Feb 2011 02:00:00 +0100 4445800 http://www.medworm.com/index.php?rid=4389181&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Flexapro-for-treatment-of-hot-flashes%2F2011.01.23 In a well done placebo-controlled study published in this week’s Journal of the American Medical Association (JAMA), use of escitalopram (Lexapro) reduced hot flashes in menopausal women. Investigators enrolled 205 women, randomizing them to either Lexapro 10 mg or placebo, with instructions to increase to two pills a day if needed after four weeks. Lexapro users experienced about a 60 percent reduction in hot flash frequency over the eight-week study. About half ended up on the larger 20 mg daily dose by study’s end. The drug’s effect was apparent at about one week of use, and it was well tolerated. As in almost studies of menopausal treatments, the placebo group also experienced a significant reduction in symptoms — about 40 percent — but the difference between place... Better Health blogs http://www.medworm.com/rss/comments.php?id=4389181 Sun, 23 Jan 2011 23:00:21 +0100 4389181 http://www.medworm.com/index.php?rid=4389183&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-poetry-of-labor%2F2011.01.23 Art imitates life, and there’s nothing more hilarious than art imitating a woman in labor. I “stumbled” upon this incredible video and was in awe. Thea Monyee and her husband, GaKnew Rowel, are talented young poets who share their parenting experience at a Def Poetry session in Los Angeles. What amazed me is the accuracy and clarity of Thea as she describes the laboring experience. Her comments regarding the labor-inducing medication Pitocin are both hilarious and laser-sharp and her description of the epidural placement were reminiscent of my days as an OB/GYN resident. Oh, would I get annoyed with the anesthesiology residents who couldn’t place the catheter correctly into a patient’s back on the first try. Thea and her husband are a delight to watch. Have you had a similar... Better Health blogs http://www.medworm.com/rss/comments.php?id=4389183 Sun, 23 Jan 2011 17:00:57 +0100 4389183 http://www.medworm.com/index.php?rid=4382768&cid=t_96879_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FoYO9zFFv5OQ%2F Love is dangerous. If you don't believe me, read on to learn about all the ways amorous acts can threaten life, limb and... other body parts. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4382768 Fri, 21 Jan 2011 05:00:16 +0100 4382768 http://www.medworm.com/index.php?rid=4360981&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fovarian-cancer-screening-is-still-subpar%2F2011.01.17 Cancer of the ovary is a particularly nasty disease. It often remains asymptomatic until it has reached an advanced, incurable stage, and scientists have been unable to develop an effective screening test for the disease like the ones in widespread use for cancers of the breast and cervix. The dismal status of ovarian cancer screening was underscored a year ago when an NIH-sponsored study showed that over 70 percent of cancers detected by transvaginal ultrasound and CA 125 biomarker testing — the two best ovarian screening tests we’ve got — had reached stage III or IV at the time the patients screened positive. That’s about what happens when women aren’t screened at all. That wasn’t the worst of it, however. In just the first year of that screening program, positiv... Better Health blogs http://www.medworm.com/rss/comments.php?id=4360981 Tue, 18 Jan 2011 02:00:12 +0100 4360981 http://www.medworm.com/index.php?rid=4337938&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fcontraceptive-failures-a-reality-check%2F2011.01.12 The media has been buzzing over recent reports of pregnancies occurring in women using Implanon, a single rod progestin-only contraceptive inserted under the skin of the upper arm and lasting for up to three years. The headlines make it sound horrifying: “Hundreds Become Pregnant Despite Contraceptive Implanon” and “British Pregnancy Scare in UK Implicates Implanon.” I love how terminology can make something so common sound so frightening. Actually, what happened was that 584 pregnancies occurred in Britain among about 1.3 million women using Implanon, for a failure rate of .04 percent. In other words, the method had an efficacy of over 99 percent. That’s a pretty effective contraceptive if you ask me. But it should have been better than that As good as it may seem, this failur... Better Health blogs http://www.medworm.com/rss/comments.php?id=4337938 Wed, 12 Jan 2011 14:00:45 +0100 4337938 http://www.medworm.com/index.php?rid=4258863&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fskin-cancer-where-the-sun-don%25e2%2580%2599t-shine%2F2010.12.14 Not all skin cancers are from sun exposure. Viruses such as human papilloma virus (HPV), the virus that causes genital warts, also cause skin cancer. Skin cancer from HPV develops on genital skin in both men and women. It’s rarely talked about, but it’s important and can be deadly. Did you know that half of all deaths from skin cancer other than melanoma are from genital skin cancer? You probably also didn’t know that women are more likely to die from genital skin cancer as they are from skin cancer that developed from sun exposure (again, excluding melanoma). We dermatologists are inexhaustible when it comes to warning people about the dangers of sun exposure, but we should also be warning people about the dangers of genital warts. HPV protection, which includes HPV vaccines, ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4258863 Tue, 14 Dec 2010 23:00:03 +0100 4258863 http://www.medworm.com/index.php?rid=4258865&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhrt-no-wonder-women-are-confused%2F2010.12.14 Confused about hormone replacement therapy (HRT)? I can’t imagine why… *This blog post was originally published at tbtam* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=4258865 Tue, 14 Dec 2010 19:00:57 +0100 4258865 http://www.medworm.com/index.php?rid=4253147&cid=t_96879_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FjrVDGlpZGEg%2F From conception to delivery...big brother is watching you. Remember the classic 1999 BMJ paper describing the MRI imaging of sexual intercourse? Of course you do... here's the video. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4253147 Sun, 12 Dec 2010 00:00:45 +0100 4253147 http://www.medworm.com/index.php?rid=4237894&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhow-often-should-bone-density-testing-be-done%2F2010.12.07 Not as often as you think, even though Medicare may be willing to pay for it every two years. Via Science Daily: Now a new study led by Margaret L. Gourlay, MD, MPH of the University of North Carolina at Chapel Hill School of Medicine finds that women aged 67 years and older with normal bone mineral density scores may not need screening again for 10 years. “If a woman’s bone density at age 67 is very good, then she doesn’t need to be re-screened in two years or three years, because we’re not likely to see much change,” Gourlay said. “Our study found it would take about 16 years for 10 percent of women in the highest bone density ranges to develop osteoporosis. That was longer than we expected, and it’s great news for this group of women,” Gourlay said. The researchers sug... Better Health blogs http://www.medworm.com/rss/comments.php?id=4237894 Tue, 07 Dec 2010 19:00:11 +0100 4237894 http://www.medworm.com/index.php?rid=4190156&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhormonal-contraception-and-an-under-appreciated-effect%2F2010.11.21 Ask any third-year medical student how hormonal contraception prevents pregnancy, and they’ll probably tell you it prevents ovulation. What they won’t tell you is that this effect is variable and dose-dependent, and if we depended on it alone, hormonal contraception would be much less effective. That’s because of the very important, and in my opinion, much under-appreciated effect of hormonal contraception on cervical mucus. A Cervical Mucus Primer Fertile cervical mucus – which forms under the influence of rising estrogen levels in the first half of the menstrual cycle and is maximal around ovulation –- is thin, watery, clear and easy for sperm to traverse. Non-fertile mucus — which forms after ovulation and also in pregnancy under the influence of progesterone –- is... Better Health blogs http://www.medworm.com/rss/comments.php?id=4190156 Sun, 21 Nov 2010 22:00:24 +0100 4190156 http://www.medworm.com/index.php?rid=4172062&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhrt-and-breast-cancer-deaths-%25e2%2580%2593-just-in-case-you-weren%25e2%2580%2599t-listening-the-first-time%25e2%2580%25a6%2F2010.11.16 A new analysis of long-term data from the Women’s Health Initiative confirms what we already knew the first time around: Use of combination hormone replacement (HRT*) is associated with a small, but real, risk of breast cancer. This new 11-year followup data carries that knowledge out to its not unexpected conclusion — namely, that some (although not most) breast cancers can be fatal, and therefore the the use of HRT can increase breast cancer mortality. While it may seem a bit of a “duh,” this study was, in fact, necessary to quell the WHI critics who continued to argue that the breast cancers caused by HRT were somehow less aggressive than those occurring off HRT (which they are not.) It was also a wake-up call for many women who were continuing to use HRT and thinking that s... Better Health blogs http://www.medworm.com/rss/comments.php?id=4172062 Tue, 16 Nov 2010 13:00:50 +0100 4172062 http://www.medworm.com/index.php?rid=4133722&cid=t_96879_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2Fe3xgdF3DX6w%2F Midwifery preparation to practice facilitates the maternity care provider to explore all care options to empower women throughout their pregnancy, to make informed decision regarding their care. This is demonstrated within the book by recent evidence based research findings. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4133722 Wed, 03 Nov 2010 02:00:46 +0100 4133722 http://www.medworm.com/index.php?rid=4118930&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fteen-pregnancy-decline-is-likely-as-low-as-it-will-go%2F2010.10.29 Teen pregnancy rates have declined, but likely bottomed out, according to a report by the Centers for Disease Control and Prevention (CDC). Teen births dropped by a third between 1990 to 2005, but rose again in 2006 and 2007. The latest figures for 2008 show a decline of 2.4 percent, to 41.5 pregnancies per 1,000 teenagers. Experts told My Health News Daily/MSNBC the dropping rates have bottomed out, and that new strategies are needed to deglamorize teen pregnancy. Teen birth rates were consistently highest in states across the South and Southwest, and lowest in the Northeast and upper Midwest. In 2008, state-specific teenage birth rates varied widely, from less than 25.0 per 1,000 15-19 year olds (Connecticut, Massachusetts, New Hampshire, and Vermont), to more than 60.0 per 1,000 (Arkans... Better Health blogs http://www.medworm.com/rss/comments.php?id=4118930 Fri, 29 Oct 2010 16:00:00 +0100 4118930 http://www.medworm.com/index.php?rid=4105672&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftweets-from-doc-gurley-in-haiti%2F2010.10.24 She’s tweeting her medical mission in Haiti. So tragic are the unmet medical needs of these people. From Doc Gurley: Saw an alone 9-month-pregnant 19 yr old. No birth kit, no string for the cord, no plan for who would be with her. Gave supplies+discussed how to ask helper to wash hands. Nothing sharp&clean for cord so gave scalpel. Acted out birth, w/handwashing. Also saw woman with overwhelming postpartum uterus infection. Someone used hands at delivery to pull out pieces of placenta. Saw 14yrold girl w/months of excruciating pain, mass in her lower belly, wasting. Ruptured appy? Tumor? Left her w/ narcotics, antibiotics. Also, women do not have menstrual protection supplies: I’ve been asked, if there are no pads, what do women use? In the cases I saw, one used a page of a magazi... Better Health blogs http://www.medworm.com/rss/comments.php?id=4105672 Sun, 24 Oct 2010 16:00:22 +0100 4105672 http://www.medworm.com/index.php?rid=3961813&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmammography-wars-an-important-discussion-to-keep-alive%2F2010.09.12 This is a thoughtful “sounding board” piece in the New England Journal of Medicine this week: Lessons from the Mammography Wars. It is so important to keep this discussion alive. The miscommunication that took place last November of what the U.S. Preventive Services Task Force tried to convey, and the complicity of some news organizations in adding to that confusion, provide lessons from which we simply must learn to do better. *This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3961813 Mon, 13 Sep 2010 03:26:23 +0100 3961813 http://www.medworm.com/index.php?rid=3891668&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmiscarriage-dont-wait-to-get-pregnant-again%2F2010.08.22 About 15 to 20 percent of women who know they are pregnant will have a miscarriage. The loss of a pregnancy before 20 weeks is considered a miscarriage. Many women suffer grief and shock after a miscarriage and fear there is something wrong with them or that they did something to cause it. But the reasons for miscarriage are usually not known. Women are often told to wait “a few months” to get pregnant again to let their bodies recover. A new study published in the British Medical Journal looked at over 30,000 women who had a miscarriage in their first recorded pregnancy and subsequently became pregnant again. They found that women who conceived again within six months were less likely to have another miscarriage or problem pregnancy. They were even less likely to have a... Better Health blogs http://www.medworm.com/rss/comments.php?id=3891668 Sun, 22 Aug 2010 18:00:00 +0100 3891668 http://www.medworm.com/index.php?rid=3890475&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Futi-and-eat-pray-love%2F2010.08.21 I really didn’t expect to like Eat, Pray, Love. In fact, since its publication in 2006, I’d been avoiding it like the plague. “Typical new-agey, Oprah-y, girly-book,” I thought. Nothing in it to speak to me. Then I saw the trailer for the movie, and I was hooked –- probably because I, like mostly everyone, love Julia Roberts. I immediately downloaded the book on my iPhone using the Kindle App and began to read. First, let me say that Elizabeth Gilbert writes exceptionally well, and the book is actually a joy to read. I, of course, loved the Italy eating part. But more surprising to me, I wasn’t turned off by the whole yoga, Guru, find-yourself stuff. This is because Gilbert writes it all with a reporter’s curiosity and a skeptic’s eye, and frames it not as a belief syst... Better Health blogs http://www.medworm.com/rss/comments.php?id=3890475 Sat, 21 Aug 2010 18:00:54 +0100 3890475 http://www.medworm.com/index.php?rid=3890478&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpregnant-women-and-vitamin-d%2F2010.08.21 A new study in the American Journal of Obstetrics & Gynecology reports that low levels of vitamin D may be linked to early-onset preeclampsia in pregnant women. The trial found that the average vitamin D level in 50 pregnant women with preeclampsia was 18 ng/mL, compared with 32 ng/mL in 100 women with healthy pregnancies. No casual relationship was proven, and the study’s lead author told Reuters Health that the recommended vitamin D intake in pregnant women hasn’t changed, but the study results raise yet more questions about this much-discussed nutrient. ACP Internist covered the pros and cons of vitamin D in its November 2009 issue. (Reuters, ACP Internist) *This blog post was originally published at ACP Internist* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3890478 Sat, 21 Aug 2010 12:00:00 +0100 3890478 http://www.medworm.com/index.php?rid=3866959&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmore-babies-for-diabetic-mommy%2F2010.08.14 While I was at CBC a few weeks ago, one of the staff members asked me if I was planning on having more children. “I don’t think so,” I said, without hesitation. ”I love my daughter endlessly, and now that she’s part of my family, I can’t imagine my life without her, but I can’t lie to you. I didn’t enjoy being pregnant. I wanted a baby, but spending nine months pregnant was very, very stressful.” The staff member who asked the question looked disappointed. And in that moment, I sort of wish I had lied. “Oh, you look disappointed. I’m sorry! It’s not just because of diabetes stuff. It’s my own personal preference. I don’t want to lie!” And I won’t lie. The end result of my pregnancy was ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3866959 Sat, 14 Aug 2010 18:00:57 +0100 3866959 http://www.medworm.com/index.php?rid=3807391&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fcan-pre-term-labor-be-detected-earlier%2F2010.07.31 A team of biomedical engineering masters students at Johns Hopkins have developed a device that they hope will be able to spot oncoming pre-term labor in pregnant women earlier than by using an external tocodynamometer. The CervoCheck device is meant to be inserted into the vaginal canal/cervical opening where it then can measure electrical signals characteristic of contractions. Prototypes of the device are currently being tested in animals. We sympathize with those who have to insert them into pigs(?). (more…) *This blog post was originally published at Medgadget* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3807391 Sun, 01 Aug 2010 01:00:38 +0100 3807391 http://www.medworm.com/index.php?rid=3790674&cid=t_96879_87_f&fid=36050&url=http%3A%2F%2Fblisstree.com%2Flive%2Fkathy-griffin-gets-a-public-pap-smear-daily-go-gooder%2F Kathy Griffin put her high-heels up on the gynecological exam table in front of a crowd of people to raise awareness about cervical cancer. While the comedienne’s stunt may seem like our worst nightmare, it’s definitely for a good cause. Many women avoid getting a yearly pap smear because they think it’s gross or painful. Others simply forget. Actually, a pap smear is quick and painless (though slightly uncomfortable), and can detect the early signs of cancer before it reaches an advanced stage. Work it, Kathy. Post from: BlissTree Kathy Griffin Gets a Public Pap Smear: Daily Do-Gooder (Source: Breastfeeding 1-2-3) Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=3790674 Mon, 26 Jul 2010 12:30:27 +0100 3790674 http://www.medworm.com/index.php?rid=3786132&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpregnant-women-and-caffeine%2F2010.07.24 The American College of Obstetricians and Gynecologists has issued a statement that moderate caffeine consumption (<200mg/day — about a cup of coffee) does not increase a woman’s risk for miscarriage or preterm birth. The review of recent studies was published in Obstetrics and Gynecology and should reassure women about drinking coffee when pregnant. Caffeine does cross the placenta, but there was no difference found between the moms who drank caffeine while pregnant and those who did not. If you wonder how much caffeine is in certain drinks or foods, click here. One fact the study did not mention is that many women have a natural aversion to coffee when they are pregnant. Maybe nature knows best. *This blog post was originally published at EverythingHealth* (Sourc... Better Health blogs http://www.medworm.com/rss/comments.php?id=3786132 Sat, 24 Jul 2010 16:00:00 +0100 3786132 http://www.medworm.com/index.php?rid=3776318&cid=t_96879_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F07%2Fexperts-rethink-practice-banning-vaginal-delivery-caesarian-section%2F Experts at the American College of Gynecology (ACOG) have issued guidelines that state that women should be allowed to attempt vaginal delivery after a previous caesarian section or C section. Dr. William Grobman of Northwestern University comments. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3776318 Wed, 21 Jul 2010 22:18:05 +0100 3776318 http://www.medworm.com/index.php?rid=3701674&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffor-moms-and-moms-to-be-with-diabetes%2F2010.06.26 For anyone who has been reading my blog since my engagement three years ago, you know that motherhood has been on my radar for a long time. Longer than marriage. That quest for a decent A1C, that desire for a “normal” pregnancy, and that hope for a happy and healthy baby. Part of the reason I wanted to write about my pregnancy here on SUM is because there wasn’t a lot of information out there about pre-existing diabetes and pregnancy. There was a LOT of information on gestational diabetes (obviously), and type 2 diabetes got some good press, but type 1 diabetes was sort of swept under the rug. Thankfully, there were a few diabetes bloggers who had chronicled their journeys, and I wanted to add my voice to that hopeful chorus.    But also thankfully, Cheryl Alkon had... Better Health blogs http://www.medworm.com/rss/comments.php?id=3701674 Sat, 26 Jun 2010 18:00:49 +0100 3701674 http://www.medworm.com/index.php?rid=3695568&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffemale-cosmetic-genital-surgery-should-it-be-done%2F2010.06.24 I seem to be asked more often these days if I do vulva reduction surgery. I’ve even been asked if I “refresh” vaginas (in which I refer them to their gynecologist.) I’m happy it’s a extremely small part of my practice. I’m also happy to see that the current issue of Reproductive Health Matters is taking a close look at cosmetic surgery, especially female cosmetic genital surgery. (more…) *This blog post was originally published at Suture for a Living* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3695568 Thu, 24 Jun 2010 20:00:00 +0100 3695568 http://www.medworm.com/index.php?rid=3573650&cid=t_96879_87_f&fid=36050&url=http%3A%2F%2Fblisstree.com%2Flive%2Finside-story-10-more-things-we-stick-up-our-vaginas%2F In a follow-up to our recent girly post Vagina Monologue: 10 Things We Shove All Up In There, we present 10 more foreign objects that often become intimate with our lady parts – and things are getting pretty crowded downstairs. 1.    NuvaRing® Once-a-Month Birth Control – Wait, did Esther Williams wear one? We don’t get it. And funny how a contraceptive device with a giant hole in it can stop us from getting preggers. 2.    Lady Care Vaginal Weights – We don’t care what they are or what they do. We just like having an excuse to say: “Lady Care Vaginal Weights.” ($62.95 from Medgo) Lady Care Vaginal Weights 3. The Pelvic Locator (a.k.a. Pelvic Educator) – Um, no. We’ll find our pelvis without teaching tools, thanks. But if you can’t, ... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=3573650 Tue, 18 May 2010 15:00:01 +0100 3573650 http://www.medworm.com/index.php?rid=3533839&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmusic-goes-iutero%2F2010.05.04 The new Ritmo Advanced Pregnancy Sound System from the Nuvo Group of Columbia, South Carolina, gives an interesting twist to “In Utero,” the title of the famous Nirvana album. “Research in human fetal development shows that babies exposed to music while in-utero display advanced intelligence, coordination, and learning abilities,” says the product website. (more…) *This blog post was originally published at Medgadget* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3533839 Tue, 04 May 2010 22:00:01 +0100 3533839 http://www.medworm.com/index.php?rid=3524112&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-diaphragm-is-back-and-its-latex-free%2F2010.05.01 After a prolonged hiatus, during which diaphragms became as scarce as Elaine’s treasured sponges, the Ortho All Flex diaphragm is back, and it’s now latex-free. The over one-year (at least in my area) shortage happened as the manufacturer transitioned from the old latex to new silicone diaphragms, and suppliers everywhere began backordering this important barrier contraceptive. (more…) *This blog post was originally published at The Blog that Ate Manhattan* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3524112 Sat, 01 May 2010 23:00:00 +0100 3524112 http://www.medworm.com/index.php?rid=3524117&cid=t_96879_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhaiti-life-and-death-decisions%2F2010.05.01 A premature baby and a woman giving birth must share the only oxygen tank in a hospital in the poorest part of Haiti, Port de Paix. Dr. Jon LaPook recounts the harrowing experience. Watch CBS News Videos Online (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3524117 Sat, 01 May 2010 12:00:11 +0100 3524117 http://www.medworm.com/index.php?rid=3522616&cid=t_96879_87_f&fid=36050&url=http%3A%2F%2Fblisstree.com%2Flive%2Fvagina-monologue-10-things-we-shove-into-our-vaginas%2F Let’s face it. We women – and our partners and gynos – jam a lot of stuff up into our lady orifice. Some of these devices hurt (curse you, speculum!), others don’t (hello, vibrator!); many are liberating (contraception), others completely life-changing. (Can you imagine how your poor grandmother survived without tampons?) Here’s our top 10 list of weird shit we shove into our vaginas (well, penises aren’t really weird, but you get our meaning), proving just how strong, tolerant, resilient, and awe-inspiring we women are: 1. Speculum – High time for a re-design; this thing’s f.ing uncomfortable. (photo: Thinkstock) 2. IUD (Intrauterine Device) – T-shaped? Copper? Crazy! (photo: WebMD) 3. Tampons – Thank you for these, dear inventor, Dr. Earle Ha... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=3522616 Fri, 30 Apr 2010 17:23:03 +0100 3522616 http://www.medworm.com/index.php?rid=3228023&cid=t_96879_154_f&fid=35946&url=http%3A%2F%2Fwww.canadianmedicinenews.com%2F2010%2F02%2Fin-news-radioisotope-producing-plant.html Chalk River nuclear plant to stay closed even longerIs there anyone who is genuinely surprised to learn of further delays in reopening Atomic Energy of Canada Limited's Ottawa-area Chalk River nuclear facility?Chalk River, which accounts for half the world's production of technetium-99 (an important radioisotope used in medical imaging exams), has been shut for repairs since leaks were discovered last summer. The temporary closing is only the latest of several in the past two years, and the series of shutdowns have thrown the nuclear medicine community into panic.The nuclear plant's operator, AECL, announced last week that it wouldn't meet the March deadline it had proposed in late 2009. The new goal is to have everything up and running in April. [AECL news release] [Nuclear Engineering In... Canadian Medicine blogs http://www.medworm.com/rss/comments.php?id=3228023 Mon, 01 Feb 2010 05:00:00 +0100 3228023 http://www.medworm.com/index.php?rid=2934818&cid=t_96879_115_f&fid=34670&url=http%3A%2F%2Fsumerdoc.blogspot.com%2F2009%2F10%2Fdermoid-ovary-ct.html Classical CT image of an ovarian dermoid. Reported by Teleradiology ProvidersFrom Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at teleradproviders@gmail.com (Source: Sumer's Radiology Site) Sumer's Radiology Site blogs http://www.medworm.com/rss/comments.php?id=2934818 Tue, 27 Oct 2009 18:06:00 +0100 2934818 http://www.medworm.com/index.php?rid=2778529&cid=t_96879_113_f&fid=38130&url=http%3A%2F%2Fwww.tempdev.net%2Fblog%2F%3Fp%3D916 Last year, TempDev released our Free Flu Shot Clinic package. To help practices prepare for the coming flu season, the package has been updated to include the codes for the H1N1 vaccine. The new package still requires only two clicks to document the vaccine, but these two clicks can now be configured to document both the seasonal flu vaccine and H1N1. The package is also still free for all practices using NextGen! To schedule your free installation, simply fill out this online form. Related Posts November 7, 2008 — Announcing NextGen Flu Clinic (Source: Implementing EMRs) Implementing EMRs blogs http://www.medworm.com/rss/comments.php?id=2778529 Wed, 09 Sep 2009 12:43:07 +0100 2778529 http://www.medworm.com/index.php?rid=2376299&cid=t_96879_113_f&fid=38130&url=http%3A%2F%2Fwww.tempdev.net%2Fblog%2F%3Fp%3D819 Today I attended California’s NextGen Advocacy Group Meeting in Southern California where Jan Lee, MD spoke about where the NextGen KBM/templates are going. I thought I would share what I learned. 5.5.28 will (should) have a KBM Upgrade Wizard in it that will help clients do their own KBM Upgrades. I wasn’t very happy with the fact NextGen took this right away from clients, so I am happy to see that it is returning! I can’t wait to see what this wizard looks like. KBM 7.8 Meets CCHIT requirements Should enter LGR this week VAERS reporting Well Woman Quick Visit New Gyn Home Page & Tabbed Visit 3 Gyn Quick Visits NextMD Templates Custom plan enhancements Age specific Peds Physical Exam with Quick Save Review co-sign orders Procedure scheduling Pre-procedure patient in... Implementing EMRs blogs http://www.medworm.com/rss/comments.php?id=2376299 Wed, 29 Apr 2009 04:00:06 +0100 2376299 http://www.medworm.com/index.php?rid=2299063&cid=t_96879_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2009%2F03%2F25%2Fto-screen-or-not-to-screen-ultrasound-ca125-blood-test-fail-to-detect-early-stage-ovarian-cancer%2F On March 10, 2009, Libby’s H*O*P*E*™ reported on the preliminary findings of a large British study that suggest that the combination of transvaginal ultrasound and CA125 blood test (a blood serum marker for ovarian cancer) can detect early ovarian cancer.  A recent U.S. study, published in the April 2009 issue of Obstetrics & Gynecology, found [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=2299063 Thu, 26 Mar 2009 01:48:19 +0100 2299063 http://www.medworm.com/index.php?rid=2257395&cid=t_96879_105_f&fid=36987&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FIvorKovicMd%2F%7E3%2FlCvB5rMM_z8%2F This article is contributed by Sarah Scrafford, who regularly writes on the topic of how to become a pharmacy technician. She invites your questions, comments and freelancing job inquiries at her email address. A recent study conducted at the Thomas Jefferson University Hospital in Philadelphia has found that sonohysterography (SHG) is a highly effective transvaginal ultrasound technique that improves the ability of doctors to diagnose adenomyosis, a condition that causes severe pelvic pain combined with abnormal and unexplained vaginal bleeding. SHG is a relatively new technique that allows medical practitioners to view a woman’s uterine cavity more clearly. A soft, plastic catheter is placed in the cervix in conjunction with transvaginal ultrasound, and a sterile saline infusion passe... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=2257395 Wed, 11 Mar 2009 12:12:54 +0100 2257395 http://www.medworm.com/index.php?rid=2609132&cid=t_96879_46_f&fid=38792&url=http%3A%2F%2Fmsf.ca%2Fblogs%2FWendyL%2F2009%2F02%2Ffurcy-haiti%2F Here in the mountains, it is cool and quiet. All the ambient noise stress of Port-au-Prince is absent. No generators, no traffic. You can hear voices from below in the valley. The wind rustles the pine trees. It’s lovely and peaceful. A good place for restoration and re-grounding. Re-grounding is necessary. Friday was a busy day. I had intended to get to some of the meat of reports that are overdue and plans that are urgent. Instead, after doing rounds and one circuit of the hospital to see what was going on, I then had a list of things. Six requests for logistics. Three big issues to discuss with the project coordinator. Two subjects, probably for new protocols, for the chief gynecologist. It seemed that every time I sat down at my desk to start something, I had to get up immediatel... MSF Blogs blogs http://www.medworm.com/rss/comments.php?id=2609132 Sat, 21 Feb 2009 17:36:44 +0100 2609132 http://www.medworm.com/index.php?rid=2609133&cid=t_96879_46_f&fid=38792&url=http%3A%2F%2Fmsf.ca%2Fblogs%2FWendyL%2F2009%2F02%2Fgoals%2F We — as in the gynecologists and midwife-supervisors — had mortality rounds this morning, late because all of our regular reports and meetings were delayed for the move. Four deaths in January, an average number for us. The discussion was pretty good, although the deaths were inevitable. At the same meeting, we discussed our admission criteria for the new hospital. Our annual plan says we should be focussing more specifically on really critical cases. We do too many normal deliveries, over fifty percent of our total, when there are other structures here who are capable of managing them. There are also other structures who can manage some complicated cases, so, as I am fond of saying, there are a lot of patients who need care because of their complicated or high-risk pregnancy, ... MSF Blogs blogs http://www.medworm.com/rss/comments.php?id=2609133 Wed, 18 Feb 2009 17:40:10 +0100 2609133 http://www.medworm.com/index.php?rid=2096229&cid=t_96879_113_f&fid=38130&url=http%3A%2F%2Fwww.tempdev.net%2Fblog%2F%3Fp%3D523 So tonight as I was celebrating my husband’s birthday at Dave and Buster’s, I was using Twitter to see who was winning the Golden Globes on their Twitter Page. Twitter as Wikipedia defines it is a free social networking and micro-blogging service that allows its users to send and read other users’ updates (otherwise known as tweets), which are text-based posts of up to 140 characters in length. I have my personal Twitter and my professional Twitter which I love to use to communicate with friends. Sometimes it’s easier to send a text to update everyone about what is going on that anything else. So here is my new idea: when there is a large muli-site implementation, use Twitter to communicate with the different onsite implementation teams. Here is how to set it up: H... Implementing EMRs blogs http://www.medworm.com/rss/comments.php?id=2096229 Mon, 12 Jan 2009 05:43:59 +0100 2096229 http://www.medworm.com/index.php?rid=1941025&cid=t_96879_113_f&fid=38130&url=http%3A%2F%2Fwww.tempdev.net%2Fblog%2F%3Fp%3D303 A couple of months ago, Ben and I met at Starbucks to think about ideas of how to make our client’s lives easier. NextGen’s current workflow for immunizations works great, until you decide to do a Flu Clinic. In order to run a Flu Clinic in NextGen you have to do the following for every patient: Go to the Workflow Schedule, double-click the patient’s name. Open the Master IM/Peds Home/etc. Click on the Immunization link. Check off the box next to Influenza. Click the Submit button. Double-click the flu shot in the flowsheet. Fill out route, side, site, VFC. If you don’t have Lot # management setup then fill out Lot #, Exp Date, Manufacturer, & Brand Name. Fill out Consent information & documentation provided. Click Submit to Superbill. Click Save. Click Clo... Implementing EMRs blogs http://www.medworm.com/rss/comments.php?id=1941025 Fri, 07 Nov 2008 19:34:50 +0100 1941025 http://www.medworm.com/index.php?rid=1692712&cid=t_96879_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F357601269%2F Q&A with Dr. Mark Smith and a news report regarding use of Nintendo Wii to train surgeons from News 8 Austin. Mark Smith, M.D., a gynecological surgeon at Banner Good Samaritan Hospital in Phoenix, explains how the Nintendo Wii is helping train new surgeons. Q: Part of your job is to train residents learning to be surgeons? Smith: Yes. I have been in teaching for over 20 years and one of my responsibilities is training residents in surgery. Q: When you started your job did you ever think you would be using video games to train? Smith: I have never thought I’d be in video games to this extent. We have surgical simulators in virtual reality, but this has taken it to a whole new level, which is exciting. Q: What have you found that the Nintendo Wii can do for practicing surgeons and for... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1692712 Wed, 06 Aug 2008 17:37:18 +0100 1692712 http://www.medworm.com/index.php?rid=1692713&cid=t_96879_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F355496920%2F More and more health iPhone applications are available each day in the App Store. Most of them are for sale, but there are some which you can download for free. Here is my current top three of free health apps. 1. Epocrates Rx Includes the drug guide, formulary information and drug interaction checker. Also offers continual free updates and medical news. 2. Eponyms (for students) Offers a list of 1,600 common and obscure medical eponyms (e.g., Rovsing’s sign, Virchow’s node) with descriptions. 3. OBWheel A simple pregnancy calculator to determine the estimated delivery date and gestational age. (Source: Ivor Kovic, M.D.) Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1692713 Mon, 04 Aug 2008 17:01:42 +0100 1692713 http://www.medworm.com/index.php?rid=1677623&cid=t_96879_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F352719402%2F Today I published a recently finished medical manual on my website. I wrote it in collaboration with colleagues from the Department of Gynecology and Obstetrics at the University Hospital Rijeka. It is aimed at all health workers who are for the first time starting to working in an operating room and encountering aseptic work techniques. For now only Croatian language version is available, but the one in English will be appearing soon. Anyway, even if you do not speak Croatian be sure to take a look because the material is full of visual data. (Source: Ivor Kovic, M.D.) Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1677623 Fri, 01 Aug 2008 15:32:04 +0100 1677623 http://www.medworm.com/index.php?rid=2218862&cid=t_96879_112_f&fid=38276&url=http%3A%2F%2Fmrcogfacts.blogspot.com%2F2008%2F07%2Flatest-news-from-reproductive-health.html Your browser does not support JavaScript. Click to read the latest news. Your browser does not support JavaScript. Click to read the latest news. Books for MRCOGvar gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));var pageTracker = _gat._getTracker("UA-3226328-2");pageTracker._trackPageview(); (Source: MRCOG FACTS) MRCOG FACTS blogs http://www.medworm.com/rss/comments.php?id=2218862 Sat, 05 Jul 2008 18:59:00 +0100 2218862 http://www.medworm.com/index.php?rid=1489537&cid=t_96879_105_f&fid=36987&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FIvorKovicMd%2F%7E3%2F302066663%2F Couple of months ago my colleague Ileana Lulic, also a medical doctor from Croatia, and myself started to produce a vodcast in collaboration with Department of Gynecology and Obstetrics at the University Hospital Rijeka. Vodcast is essentially a video podcast, online delivery of video on demand content via RSS feeds. Our vodcast was conceived with an idea to offer a quick review of the clinical examination of the newborn infant. Until today we have published 11 videos, in both Croatian and English, demonstrating the proper way to inspect primitive reflexes in the newborn infant, and 2 videos demonstrating procedures in neonatology (lumbar puncture and umbilical vein catheterization), currently only in Croatian. You can view our videos here. To change between videos just change the slide a... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=1489537 Sat, 31 May 2008 22:39:59 +0100 1489537 http://www.medworm.com/index.php?rid=486805&cid=t_96879_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F03%2Ffibromyalgia-and-vulvodynia.html The results of a research study published in American Journal of Obstetrics and Gynecology (2007 Feb;196(2):128.e1-128.e6) indicate that vulvodynia, a chronic pain syndrome causing unexplained pain in the vaginal area, is clearly associated with both chronic fatigue syndrome and fibromyalgia, in addition to a number of other health conditions. (Source: The Fibromyalgia Research Blog) The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=486805 Mon, 05 Mar 2007 18:51:00 +0100 486805