Labor and Delivery: What Is Going On?

October 31, 2018Uncategorizedthevagibondspodcast

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https://www.flickr.com/photos/koadmunkee/

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.

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ACES and Toxic Stress: How trauma can change our brains (Rebirthed)

October 24, 2018Rerunthevagibondspodcast

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[Katee and Corbin are, as always, being amazing at their residencies this week. But since being a doctor often means sacrificing other bits of life, take in this rebirthed episode until next week. –Dave]

If you have been following the news, you likely have seen that a recent Trump administration policy has forced children crossing the border with their parents without proper documentation to be stripped away from their parents and held in prison-like detention centers. This week Katee, Corbin, and Dave talk about the research behind how “Adverse Childhood Experiences” (ACEs) affect brain development and life long health.From the backround to the pathology and finally its implications.

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References:

https://www.npr.org/2018/06/15/620254326/doctors-warn-about-dangers-of-child-separations

Toxic Stress

https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study

https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/resilience/Pages/ACEs-and-Toxic-Stress.aspx

https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/EBCD/Pages/The-Science.aspx

https://www.cdc.gov/violenceprevention/acestudy/about_ace.html

Abbreviations Hell

October 17, 2018Uncategorizedbirth defects, congenital abnormalities, flavavirus, zikathevagibondspodcast

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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.

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Zika Virus

October 10, 2018Uncategorizedbirth defects, congenital abnormalities, flavavirus, zikathevagibondspodcast

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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?

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What Comprehensive Sex Ed Looks Like: Our Whole Lives (Rebirthed)

October 3, 2018Rerunour whole lives, pleasure, pornography, sex ed, sexuality, sexuality education, unitarian universalismthevagibondspodcast

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[Katee and Corbin are beavering away at their residencies this week, so enjoy this rebirthed episode. –Dave]

Alison Oliver is a sexuality educator at the university level, and also for the Unitarian Universalist Society’s sex ed program known as Our Whole Lives. Unlike what most of us get in schools, public or private, OWL is comprehensive. Even the most detailed conversation with one’s parents can’t hope to cover everything OWL does in its 25 weeks. Katee, Corbin, and Dave visit with Alison to get a feel for just what comprehensive means, and how young people can get more comfortable with sexuality as something that exists for all people, throughout their entire existence, from cradle to grave.

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References:

https://www.uua.org/re/owl
https://www.uua.org/sites/live-new.uua.org/files/brochure_all_ages.pdf
http://www.uucpa.org/learning/our-whole-lives-owl/
https://paloaltocre.files.wordpress.com/2012/11/circles-of-sexuality.pdf

Essure

September 26, 2018Uncategorizedthevagibondspodcast

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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.

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Resources:

https://www.mayoclinic.org/tests-procedures/essure/about/pac-20394017

https://www.washingtonpost.com/news/to-your-health/wp/2018/07/20/sales-of-essure-birth-control-implant-halted-by-bayer-u-s-was-last-to-sell-controversial-device/?noredirect=on&utm_term=.eb1a763bd2d2

http://www.essure.com/

https://en.wikipedia.org/wiki/Essure

Adenomyosis

September 20, 2018UncategorizedDave Etler

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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.

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Postpartum contraception

September 12, 2018Rerunthevagibondspodcast

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In this previously aired classic, we discuss why women should be thinking about birth control while they’re pregnant, what kinds of birth control we can use postpartum, and the methods and timing of those options. Also, our group text kept autocorrrecting postpartum to post-party and we kind of like that.

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References:

Bedsider

APGAR with Dr. Alyson Pierick

September 5, 2018Uncategorizedthevagibondspodcast

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It’s not just an acronym folks! This week, pediatrics resident Dr. Alyson Pierick joins us to discuss Dr. Virginia Apgar – namesake of the Apgar score. Learn why OB/GYNs and pediatricians can both assign Apgar scores and why we both care! Plus babies are fun and who doesn’t want to learn more about them?!

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References:

https://en.wikipedia.org/wiki/Virginia_Apgar

https://en.wikipedia.org/wiki/Apgar_score

https://www.uptodate.com/contents/overview-of-the-routine-management-of-the-healthy-newborn-infant?search=apgar&source=search_result&selectedTitle=1~47&usage_type=default&display_rank=1

Pregnancies of Unknown Location with Dr. Jillian Claire

August 30, 2018Uncategorizedthevagibondspodcast

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Most times, someone misses a period, takes a home pregnancy test, and calls their doctor because it came back positive. The doctor says, come see me in six weeks–because they won’t be able to see anything on an ultrasound until then anyway. But other times–like if you’re visiting the emergency room–a doctor will order a pregnancy test much earlier than that, and the test comes back positive well before it’d be visible on ultrasound. In that case, it’s a PUL–a pregnancy of unknown location. The hunt is on! Find out more about why OBs pay close attention to this finding on today’s show.

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