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Join Alan Lindemann, an obstetrics-gynecology physician, as we explore the fascinating interplay between evidence-based medicine and the invaluable insights gained from individual patient stories. Alan shares his insights on navigating rigid medical guidelines, the art of personalized …
The FDA approval of Zurzuvae (zuranolone), the first oral medication, has offered new hope to mothers who have exhausted all other treatment options to cope with their postpartum depression. This is a milestone in recognizing the maternal mental health crisis that plagues our country. The benefit of this drug is that it offers a new approach to treating postpartum depression and brings postpartum health into the spotlight. With Zurzuvae …
In March 2023, I had a miscarriage when I was 10.5 weeks pregnant. I am blessed to have a wonderful husband and loving family, two healthy sons, and supportive friends, though I still grieve at times. I share what is helping us below, in the hope of helping others:
1. Early pregnancy assessment clinic (EPAC) and caring providers at my OB office. My obstetric office has an EPAC (also called Pregnancy …
Almost 30 years ago, as an OB/GYN intern at a large urban medical center, I was privileged to learn from exemplary doctors and midwives. After 4:30 a.m. postpartum rounds one day, a midwife said, “I saw your note. You listened for bowel sounds and examined her abdomen.” I replied, “I did.” She asked, “Did you also check her bottom?” I responded, “No. Why?” She explained, “She delivered the baby through …
“There’s no such thing as postpartum depression.”
These were the unsolicited words from my obstetrician in the third trimester of my first pregnancy.
“It’s only sleep deprivation,” she explained.
As an MD, I’d been taught there was indeed such a thing as postpartum depression. But as the patient in that interaction, a pregnant woman, I didn’t feel in any position to challenge her words. They would, however, stick in my brain forever. Even …
There has always been a research bias against the case of one. A success story that isn’t part of a research pool is called “anecdotal.” The implication is that no doctor should base treatment on a story of one. Then we devised the term “evidence-based” to reinforce the notion that physician decisions should be based entirely on numbers in research studies. However, the physician’s prerogative has always been to read …
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Join Cindy Rubin, a pediatrician and breastfeeding medicine specialist, as she discusses the common challenges of nipple discomfort during breastfeeding and the controversial use of all-purpose nipple ointment (APNO). Learn about evidence-based approaches to diagnose and treat …
An excerpt from What to Eat When You Want to Get Pregnant.
I know firsthand how hard infertility can be to talk about. Personally, I struggled conceiving my second daughter, and I am an advocate for taking control of your own fertility through lifestyle and diet changes. Infertility has been seen …
Weighing in on abortion invites scorn and derision from all sides. However, physicians should help frame the medical context with the aim of therapeutically healing the gaping societal wounds that the abortion debate has opened.
Our Declaration of Independence identifies an individual’s unalienable rights to life, liberty, and the pursuit of happiness. The question arises: Who defines when a human life begins? At what point does a fetus become an “individual” …
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In this insightful podcast episode, we sit down with guest Gloria Salazar, a radiologist, to shed light on a common yet often misunderstood condition affecting women: pelvic congestion syndrome (PCS). Join us as we explore the challenges …
When I was an OB/GYN intern, I made the mistake of admitting that I was able to get a short nap during my night shift. I was immediately met with comments that made it clear that rest during downtime was not something to be proud of. I felt so ashamed that once I became an attending, I was always afraid to admit when I had a relatively “easy” call shift …
An open response to “Breast or Bottle: The Illusion of Choice” by Amy Kennedy, MD.
We see and hear you and are so sorry you endured these experiences. We are physicians practicing breastfeeding and lactation medicine, and we acknowledge the overwhelming lack of support for families after birth. Many of us have come to this field after experiencing our own similar challenges, and we would like to offer a different …
Judging a book by its cover is easy. I just did it. There was a title at my library last week, So When Are You Having Kids?, and I judged it. That’s a loaded question: Am I even able to have kids? Do I want kids? If I do, when is a good time, personally or professionally? Who could ever be ready? Yet, how many times a day do …
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I was driving in the rain, taking in all the abundant Carolina greenery around me, reflecting on how wonderful it was to be out of the hospital and experience this current moment. I started to wonder when was the first time I ever felt burned out in my journey as a physician, and then it hit me like a ton of bricks. Like a scarring memory deeply suppressed, rising to …
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As we recognize Mother’s Day on May 14, let’s take this time to reflect on how we can help ensure all moms celebrate with us, year after year. A recent report by the Centers for Disease Control and Prevention (CDC) shows the U.S. maternal mortality …
The medical world is buzzing following the FDA’s green light for Veozah. This is a one-of-a-kind, non-hormonal drug designed to tackle hot flashes in menopausal women. It brings fresh hope to countless women in the U.S. who’ve been grappling with these troublesome symptoms.
Around 80 percent of menopausal women suffer from hot flashes, which bring sudden spells of sweating, flushing, and chills. This unpleasant condition is caused by a glitch …
One in six women in the U.S. suffers from chronic pelvic pain (CPP), yet many receive improper treatment for the condition, or no care at all. They’re frustrated – and rightfully so. Their health care providers are frustrated too because what their patients are experiencing has historically been very difficult to diagnose. It is estimated that about 30 percent of patients with CPP suffer from a condition that can be …
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The ACLU is currently tracking over 400 anti-LGBTQ bills this legislative session, the highest number on record. Over 150 of these pertain to transgender people, including many targeting health care for transgender youth.
As of April 2023, thirteen states have passed laws or policies banning gender-affirming care for youth, while more than fifteen others have introduced similar bills and policies. These actions may forbid or criminalize evidence-based medical treatment for …
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