Beloved Holistics Radio

SPECIAL EPISODE - Interview w/ Hermine Hayes-Klein, JD, and Brad Bootstaylor, MD, FACOG
In this episode, we'll be discussing the problematic culture of hospital-based birth. We explore the physician-patient relationship, the responsibilities that come with the rights to informed consent and refusal of treatment, and how supercomputers in the hands of our patients have enabled them to view us as the enemy, and vice-versa. Most importantly, we discuss ways in which we may all begin to mend the physician-patient relationship in order to redirect the culture of hospital-based birth.
Show Notes
Wine pairing: 2017 Sauvignon Blanc from Psyche Wines
Theme music by Evan Handyside
Logo design by JD Dotson (jddotson1@gmail.com)

Practice Bulletins #189 - Published January 2018
Five pearls:
1. The decision to treat should be informed by the woman’s perception of the severity of symptoms, her desire for treatment, and the potential effect of treatment on her fetus
2. Use of prenatal vitamins 1 mo before fertilization may reduce incidence and treating nausea and vomiting of pregnancy (NVP) can prevent progression from NVP to hyperemesis gravidarum (HG)
3. After dietary and nonpharmacologic options (e.g. ginger) have been tried, first-line pharmacotherapy entails trying vitamin B6 alone or vitamin B6 plus doxylamine
4. Antithyroid drugs are not recommended for abnormal maternal thyroid tests attributable to gestational transient thyrotoxicosis or HG
5 .Hospitalization for evaluation and treatment of dehydration and electrolyte imbalance is indicated when a woman can’t tolerate liquids without vomiting and hasn’t responded to outpatient management
Show Notes
Wine pairing: 2018 Pinot Noir from Hedgeline Vineyards
Theme music by Evan Handyside
Logo design by JD Dotson (jddotson1@gmail.com)

SPECIAL EPISODE - Interview w/ Elizabeth Catlin, CPM, Melissa Carman, CPM, and Hermine Hayes-Klein, J.D.

In this special episode, I speak with two midwives about their recently being arrested and charged with the "unauthorized practice of a profession" in the state of New York. They have served the Amish and Mennonites communities for years, and these charges are just another piece in the government's and medical profession's efforts to control a woman's right to choice in pregnancy and childbirth. We are joined by an attorney who specializes in human rights in childbirth.
Show Notes
Wine pairing: 2017 Merlot from Chalkboard Wines
Theme music by Evan Handyside
Logo design by JD Dotson (jddotson1@gmail.com)

"Today is my final shift as an obstetrician. You'll find me breaking bread with the birth educators, doulas, witches, midwives, nurses, and other physicians who guide their patients to safety without failing to appreciate the beauty and majesty displayed by a birthing human."
www.ObgynoWino.com

Practice Bulletins #181 and #192 - Reaffirmed in 2019
Five pearls:
1. Risk of alloimmunization is around 15% after 2nd delivery of an Rh positive fetus to an Rh negative mother; this risk is decreased dramatically with administration of postpartum RhoGam
2. RhoGam is never indicated if both mom and dad are Rh negative or in women who are already sensitized (indirect coombs screen)
3. The KB test can used to determine if excessive feto-maternal hemorrhage has occurred in order to guide RhoGam administration in less obvious cases such as abdominal trauma in pregnancy
4. Alloimmunization can present as mild to severe anemia; if concerning antibodies are found, serial titers and/or peak systolic velocity of the middle cerebral artery ma be indicated
5. "Kell kills"
Show Notes
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Wine pairing: 2017 Pinot Noir from Longford Estate Wines
Theme music by Evan Handyside
Logo design by JD Dotson (jddotson1@gmail.com)