Discover and read the best of Twitter Threads about #obstetricians

Most recents (4)

A follow on from @EBMgoneWILD discussion about the mess that is the 🇺🇸 medical system
Malpractice insurance is designed to trap physicians in jobs for life.
On a thread with fellow #obstetricians and discussing tail insurance. 1/
For those not familiar with the hot damn mess of American med mal, obstetricians have one of the highest malpractice premiums. It varies from state to state and increases every year.
About 18 years ago as a new grad, mine was a real cheap $55,000/year. 😒 2/
If you have a 'Claims Based' malpractice policy, you *have* to buy a 'Tail policy' if you want to leave your current job (unless your carrier covers your new job/state)
Now, the 'Tail Policy' cost varies based on how long you have been working. The longer = more expensive 3/
Read 6 tweets
ATTN #CBD stakeholders: @US_FDA today holding scientific conf. on CBD/other #cannabinoids. I'll be live tweeting throughout. Not sure we'll get much insight on immediate path forward for consumer products but I'll share noteworthy observations. Agenda: bit.ly/3pHXU8V
I'll be paying particular attention to @DrAbernethyFDA's remarks at 9:05a (head of #FDA's #CBD Policy Working Group) and @DThrockmortonMD's keynote at 9:15a (one of Agency's principals for regulating R&D, manufacture & marketing of #cannabis & cannabis-derived #drug products).
And we're underway! First up is Kaveeta Vasisht, MD, PharmD. Associate Commissioner for Women’s
Health and Director, Office of Women’s Health, FDA. She's noting ubiquity of #CBD products in marketplace, many of which are targeted to #women.
Read 56 tweets
So folks wanted a #journalclub on the @JAMAPediatrics paper on #epidurals and #autism. Ok......here we go!
1. Let's review the intro first. Beyond conjecture, they offer scant data to justify their study which was an animal study (ref 5). They say 'standard clinical doses of LAs 👇produce neurotoxic effects & altered neurobeh devlpment in monkeys.'
These aren't standard doses. We use in fact substantially lower concentrations & doses of epidural local anesthetics. Plus, this small study in non-laboring monkeys included multiple behav outcomes. So high likelihood of chance finding. Also, anyone know if monkeys get ASD??
Read 19 tweets
Dr Barrington draws attention to this well written open access commentary #MedTwitter #Neonatology #Disability #QoL A good life cannot be predicted from a brain scan!
Neonatologists often stare at seeming disasters early in the life of a newborn. Parents are distraught and ask how the road ahead would be? We are tempted to carry out tests and scans, lean on our personal experience and give our opinion: This itself has consequences 2/n
Research in keeping with the World Health Organization’s definition of QoL (a child or parent’s perception of their life) shows that disability severity has little relationship to life quality 3/n
Read 9 tweets

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