DDx podcast

#Diagnosis #Fitness #Medicine #Science #Podcasting Education #Figure 1

33:58

In this episode, we delve into the concept of being "qualified" in the workplace, examining who gets labeled as such, who doesn't, and the underlying reasons. We explore "competency checking"—the practice of scrutinizing individuals' abilities—and how it disproportionately affects underrepresented groups, often going unnoticed or unchallenged. Our discussion aims to redefine qualifications in a fair, equitable, and actionable manner. Our guest, Shari Dunn , is an accomplished journalist, former attorney, news anchor, CEO, university professor, and sought-after speaker. She has been recognized as Executive of the Year and a Woman of Influence, with her work appearing in Fortune Magazine, The Wall Street Journal, Ad Age, and more. Her new book, Qualified: How Competency Checking and Race Collide at Work , unpacks what it truly means to be deserving and capable—and why systemic barriers, not personal deficits, are often the real problem. Her insights challenge the narratives that hold so many of us back and offer practical solutions for building a more equitable future. Together, we can build workplaces and communities that don’t just reflect the world we live in, but the one we want to create. A world where being qualified is about recognizing the talent and potential that’s been overlooked for far too long. It’s not just about getting a seat at the table—it’s about building an entirely new table, one designed with space for all of us. Connect with Our Guest Shari Dunn Website& Book - Qualified: https://thesharidunn.com LI: https://www.linkedin.com/today/author/sharidunn TikTok: https://www.tiktok.com/@thesharidunn Related Podcast Episodes: How To Build Emotionally Mature Leaders with Dr. Christie Smith | 272 Holding It Together: Women As America's Safety Net with Jessica Calarco | 215 How To Defy Expectations with Dr. Sunita Sah | 271 Share the Love: If you found this episode insightful, please share it with a friend, tag us on social media, and leave a review on your favorite podcast platform! 🔗 Subscribe & Review: Apple Podcasts | Spotify | Amazon Music…

DDx

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A podcast about how doctors think. Presented by Figure 1, the knowledge-sharing and collaboration app for physicians and healthcare professionals. Learn more at Figure1.com/ddx

69 episoade

DDx

23 subscribers

updated acum 2 zile

Distribuie

Pagina seriei•Feed

A podcast about how doctors think. Presented by Figure 1, the knowledge-sharing and collaboration app for physicians and healthcare professionals. Learn more at Figure1.com/ddx

69 episoade

#Diagnosis #Fitness #Medicine #Science #Podcasting Education #Figure 1

Toate episoadele

DDx

1
The Human Behind The AI In The Room Part I 22:26

acum 2 zile22:26

22:26

“Every physician has thought this idea. Every physician has thought, I should not have to write my own notes.” Dr. Raj Bhardwaj sits down with Dr. Jared Pelo, the co-creator of DAX Copilot, to delve into the origins and future of the AI-powered clinical documentation solution. Discover how DAX Copilot aims to revolutionize medical workflows, the challenges it faces, and the potential it holds for transforming patient care. Join us to hear insights from the creator himself on the evolving role of AI in healthcare and what lies ahead, as Dr. Pelo candidly addresses questions about AI accuracy, patient privacy, and the future integration of AI in healthcare. Episode guest: Dr. Jared Pelo LinkedIn: https://www.linkedin.com/in/jared-pelo-b849026/…

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From Clinic to Hospital 10:00

acum 9 zile10:00

10:00

Join us as we sit down with Colorado-based allergist and immunologist Dr. Robert McDermott, who has seen first-hand what an AI-powered solution can do for care providers at facilities of all scales. Dr. McDermott offers his unique perspective as someone who has integrated DAX Copilot as a documentation assistant at both a small clinic as well as a hospital. He delves into why and how, at each scale, he has seen the investment pay off for the providers, patients, and facility alike. For Dr. McDermott, the ability to give physicians on his staff hours of their day back, on top of the ease of integrating the new-age technology, swiftly quashed any early skepticism regarding his investment. Listen in to hear why! Episode guest: Dr. Robert McDermott…

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The Workflow Conveyor Belt 11:44

acum 16 zile11:44

11:44

“There's so many downstream effects of having people work in an inefficient environment.” Dr. Alfred Atanda, a pediatric orthopedic surgeon, shares his experiences dealing with inefficiencies in a clinical environment and the stress that results. Every day in his practice, he sees how broken workflows ripple out—straining providers and the patients who rely on them. Dr. Atanda highlights how DAX Copilot, an AI-powered solution, aims to simplify doctors' workflows by recording patient visits and automatically drafting medical notes, potentially improving efficiency and patient care. Dr. Atanda highlights the benefits and limitations of using DAX Copilot. Episode guest: Dr. Alfred Atanda…

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Burnout, Interrupted 9:33

acum 23 zile9:33

9:33

“If I’m running on empty, I can’t be the doctor my patients deserve,” said Dr. Theresa Nguyen. Dr. Nguyen, who is the Chair of Pediatrics at Greater Baltimore Medical Center and leads the Medical Staff Wellness Committee, joins us to discuss the culture of wellness at the workplace for physicians. She opens up about her own personal journey dealing with the stress of perpetual burnout, delving into the impact on her life not only as a physician, but also as a mother and human being. For Dr. Nguyen, utilizing the capabilities of an AI assistant like DAX Copilot is about much more than just being efficient in the workplace. Episode guest: Dr. Theresa Nguyen LinkedIn: https://www.linkedin.com/in/drtheresanguyen…

DDx

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The Human Connection 10:08

acum 4 weeks10:08

10:08

We sit down with Dr. Patrick McGill, who shares his experiences and challenges as Chief Transformation Officer at Community Health Network and as a family doctor at South Indy Family Practice in Indianapolis, Indiana. Dr. McGill discusses the growing disconnect between doctors and patients due to administrative tasks and required documentation, which often take away valuable time and focus from patient care. Dr. McGill discusses his initial skepticism about integrating AI-powered solutions and his eventual relief, both personally and professionally, upon using the cutting-edge technology to help restore human connections in his practice. Episode guest: Dr. Patrick McGill LinkedIn: https://www.linkedin.com/in/patrick-mcgill-md X: @pmmcgill…

DDx

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Season 11 Trailer 1:11

acum 5 weeks1:11

1:11

Imagine a world where doctors spend more time with patients—and less on paperwork. This season on DDx, we explore DAX Copilot, an AI assistant that listens to doctor-patient conversations and drafts notes for medical records. We’re asking doctors what it’s really like to use this technology. Does it help? Does it get in the way? And what does it mean for the doctor-patient relationship when AI is in the room too? Real stories from the frontlines of healthcare. Season 11 of DDx is coming soon.…

DDx

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Giving New Life Through X-linked Hypophosphatemia Research 10:44

acum 40 weeks10:44

10:44

After a lifetime of treating her rare bone disease, X-linked hypophosphatemia, a patient is at the end of her rope. Due to a genetic variation of the X chromosome — specifically the PHEX gene — there’s an imbalance of phosphate levels in her body. Because of its domino effect on bone development and mineralization, the patient is in pain, she’s frustrated, and nothing seems to help. So when a clinical trial opportunity presents itself, Dr. Suzanne Jan de Beur, a professor of medicine and the Chief of Endocrinology and Metabolism at the University of Virginia, is unsure the patient will want to participate. While the decision to participate is surprising, the results of the clinical trial are astonishing.…

DDx

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The Bumpy Road to Hypoparathyroidism Diagnosis and Treatment 11:01

acum 41 weeks11:01

11:01

It’s a summer day and a 45-year-old is out for a drive. As she accelerates her stick-shift car, she starts to experience familiar, and scary, symptoms: facial tingling, numbness around her mouth, and a sharp pain in her hands. Her hands cramp and lock onto the steering wheel. Fortunately, she makes it home safely, but it will take many wrong turns and the help of Dr. Google to determine a diagnosis of hypoparathyroidism, a rare bone disorder. Dr. Michael Mannstadt, the Chief of the Endocrine Unit at Massachusetts General Hospital and Associate Professor in Medicine at the Harvard Medical School in Boston, shares this patient’s story and how a clinical trial changed this patient’s life.…

DDx

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Unexpected Therapies for Fibrodysplasia Ossificans Progressiva Offer New Hope 10:32

acum 42 weeks10:32

10:32

A local pool in the summer is teeming with kids. A 9-year-old does a cannonball into the shallow end. As she surfaces, a stab of pain shoots through her hip. As days pass, what seems like a straightforward bump takes a complicated turn. Dr. Edward Hsiao, an endocrinologist and Director of the UCSF Metabolic Bone Clinic at the University of California, describes how after discovering a new bone growth at the site of the pain and several rounds of major (and unsuccessful) interventions, the child is diagnosed with fibrodysplasia ossificans progressiva. This extremely rare bone disorder has a devastating impact on a patient’s life. But thanks to unexpected areas of research, patients have new reasons to hope.…

DDx

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Overcoming the Odds of Prenatal Hypophosphatasia 10:22

acum 43 weeks10:22

10:22

In an examination room, an ultrasound technician moves a wand over a patient’s belly. The patient is 20 weeks pregnant. Usually, these appointments bring good news, but the news this day is devastating: the baby’s bones are broken and bowed. Despite this, the baby is born and does well. After testing, all signs point to hypophosphatasia for Dr. Eric Rush, a clinical geneticist at Children’s Mercy Hospital and the University of Kansas Medical Center, and an Associate Professor of Pediatrics at the University of Missouri-Kansas City, who shares this patient’s story. And thanks to the life-changing treatment of enzyme replacement therapy, today, this child and many others with this rare bone disease are living happy, healthy lives.…

DDx

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The Power and Potential of GACI Clinical Trials 9:49

acum 44 weeks9:49

9:49

In a bustling maternity ward, an infant has a case of newborn hiccups. But this quickly transforms into labored breathing. A chest X-ray unravels an unexpected discovery – calcium deposits around her shoulder. Follow-up tests paint a complex picture, revealing narrowed blood vessels and widespread calcifications. Genetic testing confirms a grim diagnosis: generalized arterial calcification of infancy, or GACI, a rare genetic condition with a challenging prognosis. Nearly half of infants don't survive beyond six months. But as Dr. David Weber, a pediatric endocrinologist and the Medical Director for the Center for Bone Health at the Children's Hospital of Philadelphia, shares, a revolutionary clinical trial could potentially transform this child's life and the lives of others with this disease.…

DDx

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Biosimilars and the Quiet Revolution in Medicine 10:35

acum 45 weeks10:35

10:35

On a December morning, a 62-year-old goes for a walk. There’s snow on the ground and she loses her balance. She falls and fractures her wrist. This simple fracture reveals underlying osteoporosis, requiring lifelong (and expensive) medication. But as you’ll learn from Dr. Richard Eastell, an endocrinologist and professor of Bone Metabolism at the University of Sheffield, this is where biosimilars come in. Biosimilars are extremely similar — hence the name — to the original biological drug they're designed to imitate. The excitement around biosimilars is that they’re cheaper, making them more accessible to more people, meaning fewer fractures … better health … a better economy … and ultimately, a better quality of life.…

DDx

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How One Child Overcame Hemophilia Complications Despite Incredible Barriers 10:40

acum 46 weeks10:40

10:40

A 5-year-old child and his parents boarded a plane heading for a new life. They were Syrian refugees, who fled conflict in their country and then lived a difficult life in a refugee camp. Now they were heading to Canada. But soon after arriving, there’s a problem. The child has hemophilia and due to hemophilia complications, a minor injury while traveling became a major concern. Add to this a language barrier and trying to understand a new culture. Dr. Robert Klaassen, a pediatric hematologist and lead of the Comprehensive Hemophilia Care Clinic at Children's Hospital of Eastern Ontario in Ottawa, Canada, shares his experience working with a family who overcame incredible barriers and the lessons learned along the way.…

DDx

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Unraveling How a Hemophilia Diagnosis Went Undetected for 60 Years 9:15

acum 47 weeks9:15

9:15

It was supposed to be a simple, low-risk procedure, but for this 61-year-old patient with undiagnosed hemophilia, undergoing a lithotripsy for kidney stones proved to be anything but. The patient was born in the 1950s in Taiwan, when many people in the country had never heard of the disease. So, despite signs throughout his life, the patient’s hemophilia diagnosis evaded him for decades. Dr. Yeu-Chin Chen, a hematologist at the Tri Service General Hospital's Hemophilia Care and Research Center in Taipei, Taiwan, shares this patient’s journey and how doctors should be on the lookout for signs of hemophilia, while understanding that symptoms can vary from patient to patient.…

DDx

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To Play or Not to Play, the Challenges of Managing Pediatric Hemophilia 11:09

acum 48 weeks11:09

11:09

A young child living with severe hemophilia is adopted by a family in the United States. Prior to his adoption, due to a lack of resources and other challenges, his hemophilia was not properly managed. Dr. Meera Chitlur, a pediatric hematologist and the director of the Hemophilia Treatment Center at the Children's Hospital of Michigan in Detroit, has treated this patient since he first came to the U.S. As he grew older, like many children, he wanted to play sports. But for people with hemophilia, participating in sports brings great risk. Dr. Chitlur shares how together with the patient and his family, they navigated the challenges of growing up with hemophilia and how new treatment options for pediatric hemophilia have opened up a whole new world for kids living with the disease.…

DDx

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The History of Hemophilia and Its Evolution Toward Preventive Care 11:04

acum 49 weeks11:04

11:04

About 40 years ago a mother brought her 6-month-old child into the hospital. He was covered in bruises. Dr. Victor Blanchette, a pediatric hematologist at the Hospital for Sick Children in Toronto, Canada, met the patient that day and, following a severe hemophilia diagnosis, has treated the patient ever since. Dr. Blanchette recounts how during the patient’s childhood in the 80s, the approach to treating hemophilia was reactive, not proactive. This meant that normal childhood activities could lead to devastating bleeds. During this episode, we walk through the history of hemophilia and how its evolution toward preventive care has had an incredible impact on this patient and so many others.…

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Undoing the Long-Held Misunderstandings of Hemophilia in Women 10:55

acum 50 weeks10:55

10:55

A 30-year-old was in labor with her first child. Everything was going to plan … until it wasn’t. Dr. Azusa Nagao, a hematologist at Ogikubo Hospital in Tokyo, Japan, shares a case that illustrates how historically it was thought that women and people assigned female at birth could only be carriers of the disease, not have the disease themselves. This misunderstanding of hemophilia in women has led to women going undiagnosed and untreated with severe repercussions. For the patient in this story, it meant a frightening and dangerous birth experience that put her and her child at risk. Dr. Nagao also outlines efforts to educate patients and physicians about hemophilia, what to look for, and how to treat it.…

DDx

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The Ups and Downs of Hemophilia Treatment 13:09

acum 51 weeks13:09

13:09

A patient was experiencing severe knee pain. Unfortunately, this wasn't anything new. For decades, he’d been suffering from joint disease, caused by severe bleeding in his knees from a rare blood disorder — hemophilia A. The patient was born in the 1960s, a time when the life expectancy for patients with hemophilia was only 10 years. But as Dr. Annette Von Drygalski, a board certified hematologist and the director of the Hemophilia and Thrombosis Treatment Centre at the University of California, San Diego, explains, advances in hemophilia treatment throughout this patient’s life allowed him — and many others like him — to live a longer, richer life.…

DDx

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Go Inside the Minds of Doctors Who Specialize in Hemophilia 1:20

acum 52 weeks1:20

1:20

Go inside the minds of doctors who specialize in hemophilia — a rare, inherited bleeding disorder that once meant possibly not surviving past the age of 20. This season, we’ll explore the medical milestones that enable patients today to live longer, richer lives and examine the challenges yet to be tackled.…

DDx

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When the Doctor is the Bully 14:25

acum 1 year14:25

14:25

What can you do when your attending physician is a bully? Hear from two nurses, Melissa and Laura, about their experiences being bullied by a physician. For Melissa, it was notifying an on-call physician that a baby was ready to be delivered, only to be scolded for calling too soon. For Laura, it was being reprimanded by a physician who questioned her abilities as a nurse in front of a patient. So how do you respond to a bully, especially when the bully is in a position of power? Connie spoke with Carolyn Smith, an associate professor and associate dean of research, and author of "Standing Up Against Workplace Bullying Behavior: Recommendations From Newly Licensed Nurses" for insight. Carolyn, Melissa, and Laura all weigh in on standing up for yourself, calling out bullying, and sticking to your boundaries.…

DDx

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Critical Learning on the Job 15:04

acum 1 year15:04

15:04

When is it okay to admit that you don’t know how to do something? Hear the story of Tamara Kuhn, a bedside telemetry nurse, who in a moment of crisis, used her problem-solving skills to keep her patient (and herself) safe. Tamara was caring for a patient who suddenly became violent. After calling for help, Tamara was given what she thought would be a standard restraint system. But what she received was not equipment she was used to. So how do you set yourself up for success in these situations? Connie spoke with Jill Clemmons, an acute care nurse practitioner, for insight. Jill discusses how taking care of yourself, preparation, and finding your why are key to navigating difficult situations.…

DDx

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Trusting Your Gut 15:42

acum 1 year15:42

15:42

What do you do when you know something is wrong with a patient, but don’t have the data to back it up? Hear the story of Diana Struthers Stanton, who, at the beginning of her 46 years in nursing, cared for a 10-year-old patient with Reye syndrome. The patient’s capillary refill had changed and was slowly getting worse and worse. Concerned, Diana spoke to her charge nurse and was told not to worry about it. She spoke with her colleagues who also told her not to worry. She paged the on-call resident in the middle of the night, but got the same response. Diana’s gut was telling her something was wrong, but she lacked the clinical data to back it up. So what do you do? For insight, Connie spoke with Dr. Sarah Kim, a specialist in emotion-focused mindful psychotherapy, about the importance of trusting your gut. We’ll also discuss being your patient’s advocate and learning to forgive yourself when things don’t end well despite all your efforts.…

DDx

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When Generic Symptoms Turn Serious 11:53

acum 1 year11:53

11:53

How do you know when generic symptoms are masquerading as something serious? Hear the story of Molly Lalonde, a pediatric nurse practitioner, who met an 11-year-old patient with an unexpected concern. While surprised by the patient’s inquiry, Molly took the time to listen and ask questions. In response to the patient’s heightened level of concern, Molly investigated further. Following an assessment by a specialist, it turned out the patient’s concern was warranted. So how do you recognize the zebra in a herd of horses? To get another perspective, our host Connie Levie spoke with Dr. Raj Bhardwaj, an urgent care physician and host of the DDx podcast. Dr. Bhardwaj details how to zoom out and get the bigger picture, the importance of respecting the concerns of your patients (just as Molly did), and following your spidey sense.…

DDx

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Raj recommends our new show: They Don't Teach That In Nursing School 2:11

acum 1 year2:11

2:11

While nursing school equips you with valuable knowledge and skills, it doesn't prepare you for the real-life challenges you’ll face on the floor. They Don't Teach That In Nursing School is your go-to guide, offering unique solutions to the unexpected problems you'll encounter as a nurse. Each week Connie Levie (RN) presents the story of a nurse facing a specific challenge and its possible solutions. Our episodes are snack-sized, designed for your commute, break time, or just when you need to decompress and connect to a larger community of nurses. This podcast is a must-listen for nursing students, recent graduates, and seasoned professionals alike, who want a deeper understanding of the profession. Whether you're mastering a new skill, managing difficult bosses, or thriving in your nursing career, we've got you covered with practical advice and eye-opening stories from the field. They Don't Teach That In Nursing School is a limited (four episode) series that launches on Nov 1st! Give it a listen!…

DDx

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RAJ WANTS YOUR VOTE 0:31

acum 1 year0:31

0:31

DDx has been nominated for three Signal Awards. Click the links below and vote for us now! Documentary: https://vote.signalaward.com/PublicVoting#/2023/shows/general/documentary Health & Wellness: https://vote.signalaward.com/PublicVoting#/2023/shows/general/health-wellness Best Writing: https://vote.signalaward.com/PublicVoting#/2023/shows/craft/best-writing…

DDx

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SPECIAL ANNOUNCEMENT FROM RAJ 0:49

acum 2 years0:49

0:49

Hi DDx listeners! We’ve got something special in the works, and we want you in on it. We're developing a new podcast by and for nurses - and we're searching for a host! It’s a show about innovative solutions to the most intense challenges - whether clinical or personal - that nurses face. In each episode, you, our host, will connect with fellow nurses who are grappling with specific challenges and unravel solutions that not only elevate their practice but also enhance their overall job satisfaction. Whether you're fresh to the nursing world or a seasoned pro, your voice matters. We're building a community of curious minds, a place where your insights and wisdom can light the way for others. This is a paid - not volunteer - opportunity. So, if you're ready to embark on a journey of camaraderie, inspiration, and learning, go to https://bit.ly/NursingPodcastHost Oh and keep in mind, our submissions will close on Sept 18 - so press that record button soon! Thanks!…

DDx

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Hypoplastic Left Heart Syndrome and a Trip Across State Lines 10:13

acum 2 years10:13

10:13

Following a normal first trimester, a pregnant patient starts spotting. The patient’s care provider books an urgent ultrasound to see what is causing the bleeding. The main concerns are if the spotting is caused by a miscarriage or something else. Following the ultrasound, the technician calls in obstetrician Dr. Ashley Brant to review the results with the patient. There is a problem with the fetus’ heart — specifically, a condition called hypoplastic left heart syndrome. Essentially, the left side of the heart doesn’t develop normally and can’t pump blood in the way that it should. Hypoplastic left heart syndrome causes poor oxygenation, meaning the skin can be bluish or with dark discolorations. It also causes difficulty breathing, feeding, and lethargy. Treatment includes multiple surgeries after birth, and can even require a heart transplant. Without treatment, the condition is fatal. The patient is offered genetic testing to determine if the heart condition is a symptom of a larger genetic disease. Regardless, the prognosis is grim. The patient meets with Dr. Brant to discuss all of the options, including continuing or ending the pregnancy. “I think everybody who's in a situation where they're thinking about ending a pregnancy because of a major fetal anomaly, they are thinking about what is the kindest decision, the most loving decision that they can make for their baby,” shared Dr. Brant. “Nobody wants to be in this position. And they're thinking about what the experience is going to be like for this child.” The patient makes the decision to end the pregnancy through the dilation and evacuation method. However, the procedure cannot be performed in the state because of a heartbeat law in place at the time. And so Dr. Brant refers the patient to an out-of-state clinic where the initial procedure to stop the heartbeat can be performed. But, in order to be where the patient has the support of the medical team she knows and who has been by her side, the patient returns to her home state for the final procedure. “No one ever envisions themselves needing an abortion. No one ever thinks, ‘I want to have an abortion,’ before they're in a position of needing one. I would just encourage compassion and empathy and trying to understand the life that someone else might be walking in.”…

DDx

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Pregnancy Reduction in a Twin Pregnancy 12:20

acum 2 years12:20

12:20

A 35-year-old with several children discovers she is having a twin pregnancy. This is happy news, until a potential abnormality in twin B is found. Twin B is measuring much smaller than twin A — almost a full 10 to 14 days behind — and there is fluid around the fetus. While it is too early to diagnose, it appears there is a brain abnormality. The patient, with a lot of apprehension and many questions, sees high-risk obstetrician Dr. Maeve Hopkins. Genetic testing is needed for decision-making — to help determine if twin B can survive or if the patient’s life and twin A are at risk, meaning a pregnancy reduction will need to be considered. Dr. Hopkins orders a biopsy of twin B’s placenta. The results from genetic testing reveal that twin B has three sets of chromosomes, instead of two. This results in a rare genetic condition that causes severe birth defects. Most pregnancies in this situation end in either miscarriage or stillbirth. While there are very rare cases of live births, survival is generally limited to an average of five to seven days. Carrying the fetus poses significant risk to both the patient and twin A. There could be a build up of amniotic fluid and difficulty swallowing for twin B, which could lead to preterm labor symptoms and birth, as well as stillbirth. Losing twin B in utero may increase the risk of losing twin A and put the patient at risk, too. In this case, there are two options. One is expectant management, which is essentially to wait and see. The other is a multi-fetal pregnancy reduction, where the cardiac activity of twin B is stopped, and the patient continues with a single twin pregnancy. While pregnancy reduction is considered a fairly safe procedure, there is a small risk that the patient could still lose twin A. “I think she was somewhat in shock,” Dr. Hopkins shared. “And I think she wanted some guidance, which is always difficult when patients want to know what to do … it's a very personal, very familial decision for the patient … I generally say these are the risks to you, these are the possible outcomes, and these are the risks of a procedure. And a procedure likely carries less risk than continuing a twin pregnancy. And ultimately, she was able to make the decision.” The patient decides to move forward with the reduction procedure. Reflecting back, Dr. Hopkins shared, “What I've learned practicing high-risk OB is when you face a situation like this with a patient, it is impossible to know what decision that you would make if you were in that clinical situation … So just taking a step back and not necessarily trying to put yourself in the patient's shoes, but just stepping back and giving the information and just listening to the patient. I think as high-risk obstetricians, we're often the ones who have these stories and who see these patients, whether we're political or not, that's a life-saving procedure for us many times.”…

DDx

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The Complicated Decision-Making of a Molar Pregnancy and an Intrauterine Pregnancy 10:41

acum 2 years10:41

10:41

A pregnant person is referred early in pregnancy to high-risk obstetrician Dr. Stacey Ehrenberg after an ultrasound detects an abnormally developing placenta. Dr. Ehrenberg diagnoses the patient with a molar pregnancy; a placenta that forms into a benign tumor with the potential to become cancerous. While the molar pregnancy will not survive, the patient also has a viable intrauterine pregnancy. Faced with this diagnosis, Dr. Ehrenberg counsels her patient about the risks of continuing or discontinuing the pregnancy. If the decision is made to continue, the patient risks developing mirror syndrome, a life-threatening condition marked by hypertension and edema. There is also significant risk of bleeding if any of the abnormal tissue is removed. If the decision is made to end the pregnancy, the patient faces the risks of any procedure done in a hospital; bleeding, infection, and damage to the surrounding organs, although this happens in less than 1% of cases. Regardless of the patient’s choice, Dr. Ehrenberg emphasizes that she and her team will support the patient, no matter what. The patient decides to continue the pregnancy. Dr. Ehrenberg and team develop a care plan to track both the molar pregnancy and the intrauterine pregnancy with weekly ultrasounds and blood pressure measurements. “I really watched her struggle throughout the pregnancy knowing that she knew that at some point the scale was going to tip and that this would no longer be safe for her to continue,” shared Dr. Ehrenberg. “Her hope, as was ours, was that she would be able to get far enough in pregnancy where the baby would be able to survive. She knew that this would probably be an extremely premature baby, but she was willing to take that risk to start her family.” But at 19 weeks, everything changes. “I didn't need vital signs. I didn't need to do a physical exam to know something wasn't right,” remembered Dr. Ehrenberg. “We got vital signs on her and I did a physical exam, and it was very clear to me that she had mirror syndrome and then we had to have the very difficult conversation that we knew that the baby was not yet viable, but it was no longer safe for her to remain pregnant.” The decision is clear: the only viable option is dilation and evacuation. But the procedure is not without serious complications and risks. “... These pregnancy complications are so complex,” shared Dr. Ehrenberg. “The physical aspects of it, the emotional aspects of it, the financial aspects of it … So I really just would love to see more kindness towards other people, more tolerance towards other people, more understanding that we don't understand all the time where other people are coming from and what they've been through.”…

DDx

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Abortion as Healthcare (a Miniseries) 1:33

acum 2 years1:33