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Joel M. Bernstien, M.D.'s Articles

Second Trimester Emergency? When to Call.

You made it! The second trimester is usually the best.  For most women, the nausea eventually subsides, your energy level returns (a little at least), and you are not yet so big as to inhibit most of your normal day to day activities. In addition, that first trimester miscarriage anxiety is decreasing a little because you know your risk of pregnancy loss is now 1% or less. For most of you, visits with Kamm Mckenzie are usually only monthly. Excitement builds as you look forward to your anatomy sonogram.  At some point you will start to feel the baby move. Then, most of you get to close out your 2nd trimester and begin your third with the wonderful, sweet, mouth puckering, orange or lemon lime flavored gestational diabetes beverage...yummy! If you read my last blog, I dove into what warrants an emergency call during the first trimester, and what can wait until the office is open again. I am going to try to address some of the more common second trimester emergencies and comment on things that ...

First Trimester Emergency? When to Call

Early pregnancy is a particularly anxiety provoking time in one’s life.  For one, your life changes with the positive pregnancy test. You start imagining life with this child. You mentally decorate the nursery and fill the closet with the cutest baby clothes.  You budget schools and weddings etc. All this just based on a urine pregnancy test! We all do it (and we all take at least 3 pregnancy tests… admit it!!). Early pregnancy is also nerve-racking because for many families this was not an easy point to get to (at least 15% of women have some fertility difficulty), or you have had a miscarriage (or several) in the past.  And lastly, there is the lack of control that we all have over what goes on in early pregnancy. These pregnancies advance or they don’t for a variety of reasons outside of any person’s control… and in today’s society, we all want immediate gratifying control of everything. Read Dr. Bernstein's advice on when to call the emergency room and when to wait.

What's Up With the Cup?

A patient asked me last week if it is ok if she uses a Diva Cup (a brand of menstrual cup).  I confidently said, “Sure, as long as it is working for you.” After the appointment I decided I better educate myself more, as while still not used with popular frequency, we are getting more and more questions in the office about menstrual cup use.  So who better to tell you all about them than someone who has never used one and never will have a need to?!?!  But like many topics in our blog series, I will do my best to research and describe some basics, pros, and cons of menstrual cups.

Infertility Myth Busters: We Explore Common Misconceptions About Getting Pregnant

Perhaps you have a friend who swore to you that she got pregnant by having sex in the missionary position and then holding her legs up in the air for 20 minutes. She probably meant well, but that’s not proven advice. Continue reading as we explore common misconceptions about getting pregnant, such as "you need to have an orgasm during sex," and debunk them.

Uterine Hemorrhaging: Donate Blood and Save a Life

Any obstetrician, nurse, medical assistant, tech, anesthesiologist, etc who spends enough time on labor and delivery will witness a patient hemorrhage around the time of delivery.  This blog explores risk factors for obstetrical hemorrhage and encourages you to donate blood.

Four Rules for a Productive Sex Talk

Laurie Watson, certified sex therapist and director of the Awakenings Center has been so nice to share blog posts with Kamm Mckenzie over the years.  Here is her latest.

 

When we fall in love, sex seems so natural and easy – we can’t imagine that one day, like any other part of a relationship, we will need to talk about it. But it’s entirely normal to have to discuss and negotiate many aspects of sex, from frequency to quality. After all, two people bringing two separate histories, expectations and blueprints for physical intimacy are going to have differences. Here are a few tips for  a productive conversation:

Influenza in Pregnancy

We are currently in the middle of a pretty intense flu season. I am sure most of you know someone who has been diagnosed with the flu or have been diagnosed yourself. I know I have prescirbed Tamiflu to many patients in the last couple of week. This may be a good time to review influenza in the setting of pregnancy.

Natural Family Planning: My Unexperienced Explanation

I’ve written blogs about many options for contraception, but have failed to write about the oldest method, natural family planning.  The new term for this in the medical world is call fertility awareness-based (FAB) methods for pregnancy prevention.  Some women cannot or choose not to use birth control (pills, IUDs, etc) due to medical, religious, or cultural reasons; and thus, rely on FAB methods.  We will get into the details below, but the basic principle is to identify the fertile days of the menstrual cycle using a combination of cycle length and physical signs of ovulation—and then avoiding sex or using a barrier method on these days.  Now, a quick disclosure from me is warranted...I've never practiced FAB methods so all of this is based on my reading and prior knowledge of menstrual cycles and fertile windows.

My Vasectomy: March Madness Style

For those of you who follow my blogs, you know that two kids is “our number” as far as what we want and think we can handle.  We are blessed to have a healthy boy and girl.  So after our daughter was born, I started planning for a vasectomy.

Farewell to Erin Wright, NP

It is with great sadness that I have to announce that Erin Wright, one of our two amazing Nurse Practitioners, will be leaving us on March 10, 2017.

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