In this protocol, Dr. Lockwood reviews the pathophysiology, diagnosis, and treatment of autoimmune disease in pregnancy. Included are guidelines for management of systemic lupus erythematous (SLE), rheumatoid arthritis (RA), scleroderma, and rarer autoimmune disorders.
While the field of cancer genetics may seem pretty rececnt, ancient Greek physicians observed that the occurrence of breast cancer was more common in certain families. In the late 1800s, Paul Broca, the famous French surgeon and anthropologist best known for discovering the speech production center in the frontal lobe, was one of the first to formally recognize genetic pedigrees in breast cancers.
Your October editorial titled "Training system-based physicians' (Contemporary OB/GYN. 2011; 56(19):8-12) evoked some mixed reactions. Although I agree with many of your comments, I was disappointed in the black-and-white image you paint for your students and because nowhere in your address do you mention the humanistic aspect of medicine. Words such as "caring for," "empathy," "sympathy," and "compassion" are conspicuously absent.
Many in the world are envious of our seemingly inexhaustible national healthcare resources. We have no long waits for surgery, and our hospitals rival their best hotels. To many foreigners US healthcare appears to be a "land of plenty." But for American obstetricians the first blemish in this idyllic facade appeared in the late 1990s when a serious shortage of betamethasone forced many of us to think critically about the use of other agents to accelerate fetal lung maturity and consider rationing our short supply.