Being dad is must see film for all parents to be. At last an entertaining look at pregnancy and birth…..Its like a lamaze class in a box!

Duration : 3 min 36 sec

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When he was a boy, part of his body was cut off against his will.

Duration : 2 min 38 sec

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From Belgium - Oral contraceptives may significantly increase a woman’s chances of plaque buildup in the arteries. In a study of women aged 35 to 55, the risk of arterial atherosclerosis increased between 20% and 30% for each decade of pill use. Unlike other side effects of oral contraceptives such as increased blood pressure and risk of blood clots, the risk of plaque buildup was not lowered after a woman stopped taking the pill.

From California - Taking as little as two doses a week of over-the-counter painkillers like ibuprofen could drastically reduce the risk of developing Parkinson’s disease. Those who took non-steroidal anti-inflammatory drugs, except aspirin, on a regular basis had a 60% lower chance of developing Parkinson’s. In addition, women who took aspirin alone reduced the likelihood of contracting the disorder by 40% — an effect which was not seen in men.

From Nicaragua - Health care professionals are blaming the death of a 22-year-old Nicaraguan law student on the country’s recent ban on abortions. The young woman had been diagnosed with an ectopic pregnancy, a complication which results in the loss of the fetus and can cause severe bleeding in the mother if left untreated. Citing the no-exceptions law banning abortions, it seems some doctors are unwilling to treat women prior to the fetus dying naturally.

And finally, from Washington - The FDA says that it won’t investigate glow-in-the-dark shrimp being sold in some Seattle supermarkets. Several consumers alerted authorities when they noticed that packages of pre-cooked shrimp from food supplier Ocean Beauty Seafood emitted a blue glow in darkened kitchens and freezers. Scientists believe that luminescent species of bacteria found in salt water, which are not harmful to humans, are responsible.

For Insidermedicine in 60, I’m Dr. Susan Sharma.

Duration : 0:1:44

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Jodi and I were asked… Distributed by Tubemogul.

Duration : 2 min 11 sec

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This video is made for all those women who have lost life at the time of the birth of its children ……. and mine is especially dedicated for a great friend,…Debbie, as she suffered the lost of her beloved cousin of equal way. God takes care of all the future mothers they are going to have a baby

Duration : 0:4:10

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Our little princess’ birth at 33w5d due to pre-eclampsia and HELLP syndrome.

Duration : 0:3:17

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Prematurity claims the lives of thousands of children annually and commits thousands of other children and families to conditions and circumstance that no one should have to endure. As survivors of Prematurity it is our resposibility to educate others to its effects. It is truly our hope that with the help of others one day there will be a cure, one day all babies will go home!

Duration : 0:7:18

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OR-Live.com live webcast March 13, 2008 at 7:00 PM CDT from Shawnee Mission Medical Center

Experience the miracle of birth during a live broadcast from Shawnee Mission Medical Center. Leah D. Ridgway, MD, of Women’s Health Associates, PA, will perform a Cesarean Section birth during a live surgery Webcast on Thursday, March 13 at 7 p.m.

According to the Centers for Disease Control, every year more than 1 million women in the United States deliver by Cesarean Section, commonly known as a C-section. During the Webcast, Ridgway will make an incision in the woman’s lower abdomen and the uterus to deliver the baby. The Webcast will highlight the surgical techniques used to open and close the womb, and viewers will have the opportunity to ask questions during the live procedure.

A C-section is performed when the baby is unable to be delivered vaginally. The majority of C-sections are planned for reasons including a large baby or a baby that is in a breech position, or if the mother had a previous delivery by C-section. Reasons for an unplanned C-section include fetal distress, preeclampsia (high blood pressure) and arrested labor.

Duration : 0:1:1

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Our services include:

* Extensive initial interview with in depth questions and answers.
* Full history and complete physical exam.
* Nutritional analysis, review and counseling.
* Information on genetic screening exercise recommendations, father’s concerns, sex during pregnancy, breastfeeding, circumcision, physical and emotional changes during pregnancy birth and the post-partum period.
* We identify individuals needs, offer birth options, and develop a birth plan.
* Provide comprehensive holistic childbirth classes.

We Offer a variety of birth options including:

1) Hospital birth at our backup hospital.

And for qualified families:

2) Birth at our facility.
3) Home birth within a 30 mile radius of our backup hospital.

Our midwives also provide care to women before and after their pregnancies: advising women about their reproductive health, offering contraception and providing regular gynecological services including: yearly physical exams, breast and pelvic exams, and treat common deviations from normal, including PMS and some infertility counseling and testing. Our practice continues to offer comprehensive gynecological care by our Board Certified OB/GYN physician including evaluation and treatment of infertility, abnormal Pap Smears, menopause, pelvic pain, abnormal bleeding and menstrual irregularities, as well as complete gynecological surgery.

Duration : 0:2:49

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Bronchial Asthma-The Sudden Catastrophic Death! Are you ready in case of an acute emergency?

I had just graduated from UCLA’s Medical School, June 1983, when I decided to take a trip to Sinaloa’s Sierra Madre. Once in the wilderness, Guadalupe De Los Reyes, my uncle developed a precipitous asthma attack (status asthmaticus). Fortunately, we were just a few steps away from a small government run clinic. The doctor was as “green” as I was, and he said to me, “I don’t know how to treat asthma; I heard you’re also a doctor; you’re going to have to treat him.” By then, my uncle was turning blue and was gasping for air. It was a medical emergency. Fortunately I remember two life saving drugs, Corticosteroids and Epinephrine 1:l000.

I first treated him with Epinephrine 1:1000 .3 ml SC followed by intravenous Methylprednisolone @ 2 mg/kg (125 mg total loading dose). I repeated the Epinephrine dose at .3 ml SC every 20 minutesX3 total. An hour later, he was relatively well. A few hours later, we continued our hike through the forest.

He was the first asthmatic I saved.

What must an asthmatic always have readily available to him (or her)?

1. An oral corticosteroid, like Prednisone tablets or suspension (5 mg/5ml) that may be dosed at 1 mg to 2 mg/kg (maximum daily dose 30 to 60 mg ÷ tid or qid); a three-day’s supply. Pregnant women with asthma might be better off taking Prednisone (as opposed to DEXAMETHASONE) because the placenta may deactivate it. Dexamethasone is not inactivated by the placenta’s 11ß-hydroxysteroid dehydrogenase (N ENGL J MED 2033 349;8) and may “suppress the secretion of sex steroids by the fetal adrenal gland.” An inhaled corticosteroid is not a “rescue drug” nor is Singulair®. For patients with hypertension seizure disorders, heart failure, I treat their asthma almost exclusively with DEXAMETHASONE since it is non-salt retaining.
2. ALBUTEROL (Maxair®; Proventil®; Ventolin®) is a selective ß-2-Adrenergic agonist with properties similar to those of TERBUTALINE (Brethine®). Terbutaline is commonly used to stop premature labor (tocolytic agent) and is readily available and can be used if ALBUTEROL is not available. The ß-2-agonist LEVALBUTEROL (XOPENEX HFA®) is available as brand only, is expensive, and, according to the Medical Letter, is not better than the inexpensive and short acting Albuterol. Students should know that the bronchial smooth muscle receptors are largely ß-2. ß-1 and Alpha-1-adrenergic receptors are found in heart and vascular smooth muscle.
3. Epinephrine is a nonselective ß-1, ß-2 and alpha-1 receptor agonist. For this reason, the more specific agonists, like Albuterol are preferred. Epinephrine’s use, in saving an asthmatic, merits some mention. In status asthmaticus, the bronchial constriction can be so severe that the proper delivery of Albuterol to the targeted ß-2 receptors may be suboptimal. This week, September 19, 2007, I had to rescue an asthmatic seriously ill for the second time in a year. If I had performed an arterial blood gas, it would have probably revealed CO2 retention-an ominous finding.

In conclusion, 4,000 to 5,000 asthmatics die yearly in the United States. These are preventable deaths. No patient of mine has died under my care. Certain drugs are of little utility in the treatment of asthma, like Cromolyn sodium (Intal®). Cromolyn sodium, paradoxically, can cause bronchospasm (bronchoconstriction). I have not prescribed Theophylline to patients with asthma for over 15 years. Advair® (GlaxoSmithKline), for some reason, has been associated with laryngeal spasms and death. Immunotherapy is of little use, in my experience, but it is lucrative. Cats (via a hair protein) can cause severe asthma in susceptible patients. Before renting or buying a home, susceptible patients must investigate if the previous tenant had cats. Even after a cat owner moves, the cat allergen may be around the house for months.

Do antibiotics play a role? They often do. In my intense study of the subject, most middle ear infections are due to allergic rhinitis (hay fever). Bacterial pneumonia is a common complications associated with asthma (or sinusitis with aspiration).

I rarely recommend that asthmatics be monitored as tightly as are diabetics. There are many patients with mild asthma that never see a doctor. I ask my patients to first use the Albuterol inhaler, when symptomatic, and to wait 5 to 10 minutes before they use their corticosteroid inhaler.

My asthma patients have a three-day supply of Prednisone or Dexamethasone as well as Albuterol in case I am away, and they experience an asthma crisis. I encourage all asthmatics to discuss this topic with their doctors before an emergency develops.

Luis Lomeli MD/Beta

Duration : 0:4:33

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