Female physicians have higher infertility rates and pregnancy complications

1. Female physicians, particularly surgeons, have a significantly greater incidence of #miscarriage, #infertility, and #pregnancy complications compared to the general population
doi.org/10.1097/sla.00…
2. In another study, of 692 female surgeons, 290 (42.0%) had a pregnancy loss, more than twice the rate of the general population.
*Female surgeons operating 12 or more hours per week during the last trimester of pregnancy were at higher risk of major pregnancy complications
3. Female surgeons had fewer children and were more likely to delay having children because of surgical training.
Incidence of postpartum depression and musculoskeletal problems were also higher in them
#MedTwitter #Doctors
doi.org/10.1001/jamasu…
4. Female surgeons have first pregnancies later in life, fewer children, and report more issues with infertility. Assisted reproductive technology is implemented more often by female surgeons than the general population
doi.org/10.1016/j.jamc…
5. Conclusions
*Women physicians, especially surgeons, face multiple challenges with respect to marriage, pregnancy, child birth and fertility.
*There is a need for major culture change at workplace, with greater support from colleagues and management to mitigate these problems.

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Jan 31
Carefully observing a patient walk 20 steps gave clue to diagnosis

1. 1995- I was a first year MD Medicine PG at CMC Vellore.
35-yr old Rami from Midnapore had got admitted with fever of unknown origin of 6 months duration. No cause had been identified despite extensive tests.
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1. Alcohol consumption is one of the important modifiable risk factors for stroke in young adults.
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1. It was nearing the end of a busy OPD, when 27-year-old Radha was brought for consultation, accompanied by her husband and mother-in-law. They all looked anxious.
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One day at 11 PM, Radha started complaining that someone is burning incense at home, when all were actually sleeping. They considered it a dream & asked her to sleep.
3. These episodes increased in frequency and occurred 3-4 times every week. She would complain of burning incense smell at different times of day or night, and these symptoms would last only a few minutes.
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Does habitual #Coffee consumption increase the blood pressure (BP)?

1. Coffee is the most widely consumed drink (after water) and coffee lovers need clarity whether it is safe in all aspects. Does it raise the BP? Is coffee safe for people with hypertension (high BP)? Let us see
2. No added risk of high BP
The results of numerous studies and meta-analyses indicate that "moderate and habitual coffee consumption does not increase" and may even reduce the risk of developing arterial #hypertension.
doi.org/10.1007/s11906…
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