Doc Ann Integrative Medicine | Equine Therapy | Edwardsville IL

About Breech…

Doc Ann — Fri, 02 Mar 2012 19:38:47 +0000

A new leaf turned over… information on Breech Delivery…

See http://www.medscape.org/viewarticle/759173 for full article

Planned Vaginal Breech Delivery: Current Status and the Need to Reconsider

Marek Glezerman, MD

Abstract

Vaginal delivery of a breech baby is a necessary obstetrical skill since approximately 4% of babies at term are in breech presentation. Yet, on most delivery wards, the expertise required to deliver breech babies vaginally has virtually disappeared. Patients and obstetricians should be aware that there is no convincing evidence that cesarean section is better for the breech baby than assisted vaginal delivery, provided that certain strict criteria are met, and that cesarean section is associated with a higher risk of morbidity and mortality for the parturient than vaginal delivery. In addition, repeated cesarean sections carry additional substantial health risks for parturients. A trial of external cephalic version should be offered to all parturients who do not have contraindications for this procedure. Supraregional centers that specialize in breech delivery should be organized and basic simulator training for residents should be provided. In addition, a system of suprainstitutional standby teams of experienced obstetricians should be established to provide expertise in planned vaginal delivery

UPS vs MD…

Doc Ann — Thu, 23 Feb 2012 22:03:34 +0000

An older but still very interesting article on doctors’ salaries vs. other professions.

Not necessarily what you would think…

http://www.er-doctor.com/doctor_income.html

How Docs Die…

Doc Ann — Wed, 18 Jan 2012 20:41:49 +0000

Very interesting article… http://zocalopublicsquare.org/thepublicsquare/2011/11/30/how-doctors-die/read/nexus/

I agree. In my experience more intervention is not necessarily better. And the public should definitely know more about the benefits of treatment vs. non-treatment.

It’s a morbid (obviously) discussion, but a good one to have with your family, so they know what you want in such a situation.

Physicians Learning/Doing Meditation

Doc Ann — Tue, 03 Jan 2012 18:02:44 +0000

Have a look at this article in the New York Times. Interesting… about the benefits of physicians doing meditation.

http://well.blogs.nytimes.com/2011/10/27/teaching-doctors-to-be-mindful/?hpw

Post Holiday Schedule with Children

Doc Ann — Tue, 03 Jan 2012 17:57:59 +0000

Was your schedule with your kids interrupted by the holidays… and now you are trying to resurrect it or create a new one? It is certainly a challenge to keep up with a child’s development. As soon as you think you have it figured out, they move to a new stage and you start over again. Then add the normal fluctuations of the holidays or vacations, school beginnings/endings etc… and you have a real task.

I think it is helpful to start with desired bedtime and work backworks to plan the routine of the day. Once bedtime is decided then you can gauge what time they will likely wake up… Then you have an idea of how many hours of childcare is needed. Put in the planned structured activities… (sports, clubs, etc) for the backbone of the day. Then fill in naptime (if you are still in the lucky stage where they take naps) or quiet time. And mealtimes. The remaining hours (not very many anymore) are for flexible projects: clean-up, crafts, etc.

Then the hours or minutes (depending on how much sleep YOU need) after child bedtime is yours! ollie ollie oxen-free…

Of course, many days things will go awry… and that’s when there should be a default plan (special zoo trip, friendly available helpful neighbor) when the childcare/babysitter cancels, or there is a major house repair, etc.

But with the basic outline down you will handle it with ease. At least until your child quits taking naps. Or won’t fall asleep anymore at 7pm.

Emmy winning newscast on Equine Assisted Learning at Stanford

Doc Ann — Thu, 01 Dec 2011 17:04:49 +0000

In case you didn’t see it the first time, have a look at the following link (from 2007) about Medicine and Horses:

http://www.horsensei.com/nbcnews.html

Or the Fox version: http://www.ktvu.com/video/25484709/index.html