I trained in the hood, I’m all about testing as a baseline, the article doesn’t say anything about results, though

Obgyn MD here:

This study seems kind of useless

It doesn’t talk about efficacy of screening for HIV or detection rates compared to targeted workups or number of new cases detected or any implication of results, it just says that they had a program which made the EDs test 30% more often, that’s all.

That’s an easy task: put a laminated sign on the computer, include a HIV testing prompt in the order set, make the HIV test auto populate with the gc/Ct order, send out a freaking email to ED staff: done

This article doesn’t discuss the effect on patient outcomes.

I like your sense of…humour

Obgyn MD checking in

Without getting into the weeds of which vaccine does what for which variant

COVID infection during pregnancy has been ASSOCIATED with about a 40% incidence of hypertensive disorders in pregnancy, such as preeclampsia

Fallout from this is less well studied but that can increase incidence of preterm delivery (which has its own issues) increased need for induction of labor at 37 weeks rather than showing natural labor to occur and increased risk for c section

MD here

I’ve done CPR on enough people to know that’s the last way I want to spend my final moments in this world, naked in a room full of strangers, broken ribs, vomiting on myself and aspirating half of it back into my lungs so that I have like a 15% chance of recovering in extreme agony to be intubated and die shortly thereafter through the same process that eventually doesn’t work.

Speaking as an obgyn who trained in an extraordinary diverse set of regions:

This practice has been long abandoned in the United States so much so that just about every obgyn and midwife knows the comeback, “sir, how small do I need to make it for you to fit?”

Where does this practice still happen? Certain geographic parts of the world where women’s rights are largely suppressed and where women are overwhelmingly exposed from the medical profession.

The moment you bring up legal threats with your obgyn, what you can expect is:

1. The possibility of them rightfully dismissing you from their practice as there is an assumed hostile patient-physician relationship which impairs their ability to treat you with an objective and standardized quality of care

2. Increased risk that they and other medical personnel will limit their exposure to you for fear of being implicated into your threats. In lay terms: you will get less contact with the medical team because they are scared of you making them in a law suit

3. Damaged rapport which can have any other number of fallout impacts even if as small as a less amicable relationship

4. Any threat of physical violence will also, often, but you a one way escort by security out of the hospital and ban from L&D and post partum. I have been punched, tackled, but, had patients try to stab me and nurses get that even more than doctors. I don’t screw around with safety and neither should any other medical personnel.

Obgyn cases account for 7 out of the 10 highest lawsuit payouts in US history. We all get sued and it’s often for tongs that are not in or control.

A simple: “please no husband stitch” will get you all the reassurance and care you need, and this can be addressed on your first visit, last visit, or any of the ten months of contract between conception and delivery.

Speaking from the USA perspective:

Don’t threaten the person operating on you for something they won’t do anyway

You know, it hadn’t for about 25 years…until now

Exclusive on the two foot wide laser frickin’ disk

“Oh no! A scorpion!”