December 22nd, 2010 by Linda Burke-Galloway, M.D. in News, Opinion
Tags: Bronx, Death of an Unborn Child, Dr. Linda Burke-Galloway, Employee Health, Employee Safety, Exploration Academy, Fetal Health, Lissedia Batista, Miscarriage, New York City, New York City Board of Education, OB/GYN, Obstetrics And Gynecology, Safety At Work, School Violence, Spanish Teacher, The New York Times, Women's Health
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When a pregnant woman goes to work and ends up with a dead baby, something is terribly wrong.
Lissedia Batista was a 27-year-old Spanish teacher who taught at Exploration Academy in the Bronx and was sixteen weeks pregnant. Given today’s economy, I’m certain that Batista was grateful to have a job with the New York City Board of Education. As a native New Yorker, I am keenly aware of how competitive it is to land such a position. Working for the Board of Education traditionally meant job security — a pension and a strong union that took care of its members.
Like many young teachers, Batista had compassion. She attempted to stop a fight between two male students, was pushed out of the way, and subsequently fell to the floor. She was taken by ambulance to the hospital, but unfortunately experienced a miscarriage. Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
December 22nd, 2010 by RamonaBatesMD in Better Health Network, Health Tips, News, Opinion, Research
Tags: Archives of Internal Medicine, Axillary Dissection, BCRL, Breast Cancer, Dr. Kathryn Schmitz, Dr. Ramona Bates, Lymphedema, Mastectomy, New England Journal of Medicine, Oncology, Physical Fitness, Strength Training, Suture For A Living, Weight Training, Weightlifting, Women's Fitness, Women's Health
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Last August, Kathryn Schmitz, PhD, MPH and colleagues published the results of their study Weightlifting in Women with Breast-Cancer–Related Lymphedema (BCRL) in the New England Journal of Medicine. They have now published a similar study in the Archives of Internal Medicine (see full reference below).
While the NEJM article focused on breast cancer survivors with lymphedema, the Archives article focuses on breast cancer survivors without lymphedema. The new study adds weight for the need to change historic dogma which cautions breast cancer patients to avoid weight training after a mastectomy and or axillary dissection. Read more »
*This blog post was originally published at Suture for a Living*
December 22nd, 2010 by John Mandrola, M.D. in Better Health Network, Health Tips, News, Opinion, Research
Tags: Diet and Exercise, Dr. John Mandrola, Exercise Before Breakfast, Fitness Goals, Food and Nutrition, Holiday Eating, Metabolism, Morning Exercise, New York Times, Physiology, Pre-Breakfast Exercise, Tara Parker-Pope
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It’s the time of the year when dietary temptations lurk around every corner of the hospital. And since completely abstaining is not always possible, the best antidote for this holiday deluge of inflammation is obvious: Exercise.
No doubt, within the boundaries of common sense, all exercise is good. But is there a best time of day to exercise?
Tara Parker-Pope’s New York Times piece suggests that the most “productive” time of day to exercise is before breakfast. In concisely reviewing a Belgian exercise physiology study, Ms. Parker-Pope points out that, in blunting the undesirable effects of a high fat and sugar diet, pre-breakast (fasting) exercise was metabolically more efficient than was exercise later in the day. That’s really good news for the overweight middle-agers who consistently say: “I really don’t eat very much. I must have a slow metabolism.”
Scientific studies are one thing, but are they validated in the court of real life? Read more »
*This blog post was originally published at Dr John M*
December 22nd, 2010 by DrRob in Better Health Network, Opinion, True Stories
Tags: A Doctor's Feelings, Appreciation, Being A Doctor, Doctor's Health, Doctor's Personal Story, Doctor's Point of View, Doctor's Well-Being, Doctors Who Care, Dr. Rob Lamberts, Drained Emotions, Drained of Energy, Effects of Stress, Emotional Exhaustion, Emotional Health, Emotional Reserves, Emotional Strength, Emotional Well-Being, Emotionally Exhausted, Family Medicine, Feeling Spent, General Medicine, Helping People, How Stress Affects Health, Mental Health, Musings of a Distractible Mind, Patients Helping Doctors, People Who Care For Others, Physician Stress, Primary Care, Saying Thank You, Stress Management, Stressed-Out Doctors, Stressful Job
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“I need you to do me a favor,” my nurse asked me at the end of our day on Friday.
“Sure,” I answered. “What do you want?”
“Please have a better week next week,” she said with a pained expression. “I don’t think I can handle another one like this week.”
It was a bad week. There was cancer, there was anxiety, there were family fights, there were very sick children. It’s not that it’s unusual to see tough things (I am a doctor), but the grouping of them had all of us trudging home drained of energy. Spent.
I think this is one of the toughest thing about being a doctor (and nurse, by my nurse’s question): The spending of emotional reserves. I’m not physically active at work, yet I come home tired. I don’t have to be busy to feel drained. It’s not the patients’ fault that I feel tired. They are coming to me to get the service I offer to them, and I think I do that job well. The real problem is in me. The real problem is that I care. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
December 21st, 2010 by Michael Sevilla, M.D. in News, Opinion
Tags: American College of Obstetricians and Gynecologists, Anti-Physician, Bad Doctors, Birth-Related Complications, C-Section, CNN, Defied Medicine, Doctor Anonymous, Dr. Michael Sevilla, E-Patient, Empowered Patients, Fetal Health, Going Against Medicine, High-Risk Childbirth, Home Birth, Irresponsible Patients, Labor And Delivery, Natural Childbirth, OB/GYN, Patient Empowerment, Patient Responsibility, Pregnancy and Childbirth, U.S. Healthcare System, Vaginal Delivery
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Every once I awhile a story catches my eye as I scan the news websites. There was one this morning on CNN with this catchy title: “Mom Defies Doctor, Has Baby Her Way.” The article describes a story where a mother was going to have her fourth baby. Her previous three were born via C-section. Mom did not want another C-section done, and “defied” her doctor’s order for the procedure. “You’re being irresponsible,” the patient was told.
The middle of the article talks about the current thinking and statement of the American College of Obstetrics and Gynecology saying that “it’s reasonable to consider allowing women who’ve had two C-sections to try to have a vaginal delivery.” Of course, there’s risks with proceeding with a vaginal delivery and risks of another C-section.
What’s always interesting to me are the comments following the article. I applaud the physicians who are fighting back the anti-physician sentiment and those who are pushing (no pun intended) the only home birth agenda.
In the article, this person is being held up as a hero — as someone who defied the paternalistic medical establishment and did it her way. Good for her — or is it? What if that 0.4-0.9 percent possibility of severe complication occurred and there was a problem with mom and/or the baby? What would happen then? Read more »
*This blog post was originally published at Doctor Anonymous*
When a pregnant woman goes to work and ends up with a dead baby, something is terribly wrong.
