We got a lovely email from listener Kristin, a first-year medical student who’s trying to decide between OB/Gyn and Family Medicine. So it’s pretty lucky that Dr. Katie is married to a family med doc, Dr. Adam Verhoef. The three docs discuss the areas of overlap, the differences, and the benefits to each specialty as they see them. And Dave discusses an article that suggests we should stop telling moms that breast feeding is free.
That drug you count on? It might not always be around. The Vagibonds talk about why shortages of medicines and medical supplies happen and what common items are in short supply right now. Plus the implant Essure is taken off the market.
Dr. Katee, inspired by a Women’s Health article she read, discusses the things OB/Gyns want you to know but won’t tell you. Except that she and Dr. Corbin will tell you because that’s how they roll. And Dave puzzles over a thoughtful article in the Atlantic about the so-called sex recession.
Dr. Corbin takes us on a journey into breech birth, something many are familiar with because of the condition’s associate with c-sections (stay tuned for a future show on that). The term, of course, refers to the fact that the baby is improperly positioned in the uterus at or close to the time of birth. We’ll talk about what kinds of breech positions there are, how obstetricians deal with them, and the potential complications of a breech delivery.
Their long hours and constant learning might be trying to kill them, but specifically, what do they do during all those hours? Most people think of OB/Gyns as delivering babies all the time, but don’t forget the ‘gyn’ side. Also, Dave likes the sound of a new program in New Jersey which throws community baby showers for women of color and their families while working to reduce the impact of institutional racism on maternal and infant mortality.
So, you’re having a baby. You go to the hospital…and then a lot of things happen to you and are done to you. Why do OBs do all those things? What even are those things? Corbin leads us through all the things that may happen to the typical mother as she begins her labor, from getting her cervix measured, fetal monitoring, pushing, and finally, finally!…having a baby.
Lord knows Dave could use a good challenge once in a while. It is in this spirit, and certainly not that of causing him any embarrassment, that Katee challenges Dave to see if he knows his way around the abbreviations commonly used in obstetrics. Can he do it? No, he cannot, but along the way he’ll learn a thing or two. Later, Katee’s brain breaks down due to lack of sleep.
The Zika virus caused quite the stir in the news a couple years ago. It made few people feel sick…but its effects on developing fetuses was horrifying, causing multiple, profound birth defects. It has receded from the news since then, but it’s effects are still being felt, especially in warmer climates…including Corbin’s current home, Texas. So what are the effects of Zika? How is it prevented? Are there treatments available for its effects? And what do doctors do to support those affected?
Essure is a controversial permanent method of birth control. Its controversy arises from the side effects that women have reported–including ‘migration’ of the device and pain– which we’ve briefly discussed in a past episode. In this episode, Katee takes us along as she explores this no-longer available sterilization device, which manufacturer Bayer is removing from the market citing a lack of consumer interest.
Endometriosis happens when endometrial tissue has migrated outside the uterus and made itself at home elsewhere. But Adenomyosis—where the endometrial tissue infiltrate he walls of the uterus itself—can also cause pain and heavy bleeding each month. Come with us as Corbin teaches us more about this difficult condition.