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Photo by Reproductive Health Supplies Coalition

Ms P, a new thirty year old patient came into my office last week, interested in talking about contraception. In taking her reproductive history, I learned she had been on ‘the pill’ for the past nine years, and was having some issues with it. I asked, “Would you be interested in switching to a different pill? Or a different method of contraception?” She thought for a moment, and then said, “Aren’t all the pills about the same?”

BING!

It was as if an alarm went off in my head. I took her comment as an…


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Photo by Dainis Graveris on Unsplash

What does ‘at risk’ mean? And why is assessing risk and acting based on that assessment so difficult?

I have been a physician for almost 25 years. In that time, information has become available in an instant, especially medical information. So many websites are available for people to access, yet I still spend the better part of my day explaining to patients what the statistics mean when we talk about risk. Putting these risks in perspective seems like a good idea.

The most common conversation in my practice is about risk for breast cancer…


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My Book: Life Before Covid

I am exhausted. Every day I return to my home, shed my scrubs, place my chunky Crocs in a pail with bleach, and wipe my hospital ID badge with an alcohol swab before I enter my house. It is automatic, and yet sometimes I almost forget. Sometimes I am almost too tired to follow the routine. But I do it, because I am exposed and my family is inside. I cannot bear the thought of putting them at any more risk than I already am. So I do it. …


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I have been delivering babies for many years. I have delivered them in small community hospitals, and large university settings. I have even delivered one in the emergency room and one in a parking lot. The last few months of delivering obstetric care have felt as though I am a stranger in a strange land. It has changed the way I have had to deliver care, how I think about delivering care, and even how I care.

In the beginning of this crisis, before anyone knew what was to come, we first thought the Corona virus was somehow not affecting…


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Rupturing uterus

One Saturday night, on an otherwise pretty quiet on-call weekend, I was woken from sleep @ 4:00 AM by the piercing sound of my phone ringing (which, as usual, was placed strategically next to my head). “Hello. It’s Dr Levy”, I answered, trying to sound like she had not just woken me from a coma. “It’s Anna, from labor and delivery. An ambulance pulled up a few minutes ago, and a patient, 38 weeks pregnant came in, with severe left lower quadrant pain.” “OK, any other history?” I answered. “Yes, she’s had 2 prior C sections, and just woke up…


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Unsplash.com

I have never really believed that a physician has had to be personally diagnosed with the medical conditions that they evaluate and treat their patients for in order to be effective practitioners. If that were the case, a Cardiologist could not be effective unless he had some kind of heart condition, and a Gastroenterologist would have to have some stomach or bowel issue to have appropriate empathy for her patients.

As an Obstetrician and Gynecologist, I have begun to wonder if I am not a better and more effective physician specifically because I have experienced many of the things I…


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Photo by NeONBRAND on Unsplash

One of the most common questions I hear in my medical practice is “What can you do that will re-ignite my libido?” This is not a question that I can answer at the end of a visit for preventative care, or when someone has come in for a Pap smear, or a refill on her birth control. It is a complex and important topic that deserves its own visit, discussed in an un-rushed and informative way. One of the reasons I discuss libido so often in my office is because I bring it up with every patient I see. …


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I often have patients come in to my office after I have ordered some tests, to discuss their results, and to review their future plan of care. Last week, a young lady (35) came in to discuss her journey with fertility. She and her husband had been married 2 years, and had been trying “ever since” to get pregnant. Immediately my opinion of her as being a “young” lady shifted a bit, because in the world of pregnancy and fertility, 35 is actually the beginning of what is considered “old”, or, in medical terms, even “elderly”.

When I do fertility…


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There is so much talk in the news these days about America’s health care system. It is a huge topic for the 2020 presidential race; specifically everyone’s talking about whether we should maintain our private health insurance system, trash it in favor of a government “Medicare for all” system, or use some sort of hybrid system incorporating both private and public health insurance options. One would think that as a physician and the owner of a small private solo medical practice that I would not be in favor of a Universal Health Care plan for everyone, since it would essentially…


SHOULD WE CARE ABOUT THE C SECTION RATE?

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Photo by Patricia Prudente, Unsplash

I have been practicing Obstetrics for over 20 years. I have worked in small and large private practices, and in public health clinics. I have worked in two states, on two coasts. I have worked in a total of seven different hospitals. In all of these places, in all of these years, I have heard one repeated “battle cry” — “We need to lower the C Section Rate!!” It seems that for some reason this is a very important goal for everyone working in the field of Obstetrics.

WHY? Why is it so important that we lower the C Section…

Rebecca Levy-Gantt

An Ob Gyn physician in Napa California, who has been practicing for 20 years. Also a writer (blogger, memoirist, advisor, humorist). Author of Womb With A View

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