Thinking About Ob/Gyn

Thinking About Ob/Gyn

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All Episodes

Episode 12.2 Cuff Dehiscence and Classic Papers

Howard Herrell and Stuart Winkler question long-standing OB-GYN habits that feel “routine” but do not add value, then replace them with evidence and practical decision-making. We move from hysterectomy follow-up and cuff dehiscence management to the data behind cesarean sutures, ...  Show more

Episode 12.1 IVF Add-Ons and More!

We follow the footnotes on a common gyn rule, then use that same evidence-first lens to question popular fertility add-ons and persistent pregnancy myths. Along the way, we talk pretest probability, counseling tradeoffs, and why simple cutoffs often replace better clinical reason ...  Show more

Episode 11.13 PMOS, PCOS, and the Metabolic Truth

Howard and guest hose Sivani Aluru unpack why the new PMOS name matters, how PCOS got tied to “cysts,” and what the evidence actually says about diagnosis, metabolic risk, and treatment. We also challenge a few habits we have all inherited, from pre-op antibiotic dosing to the wa ...  Show more

Episode 11.12 The Malpractice Crisis Is Real And Blaming Evidence-Based Care Makes It Worse

We push back on the idea that obstetrics “deserves” a malpractice crisis and explain how bad incentives and junk science can turn normal evidence-based care into courtroom blame. We also break down a few widely shared clinical myths and new research so we can practice with cleare ...  Show more

Episode 11.11 When Evidence Misleads

We sit down with Joshua Oommen to get nerdy about clinical reasoning, FDA standards, and why “good evidence” is harder to define than most of us admit. We challenge the reflex to trust p-values and meta-analyses, then test our instincts against real OBGYN examples where the liter ...  Show more