OB and ID

I really need to try to write these earlier...when it gets to this time of night, I have little energy and only marginally more motivation to write about the events of the day.  I was in clinic again today, and once again it was pretty standard.  I saw several patients, both OB and Gyn, wrote notes, and ended up accidentally walking off with one of the office Dopplers.  Oops.  Topics for today included leiomyomas (uterine fibroids), causes of urinary incontinence, and effects of pregnancy on the pulmonary and cardiovascular systems.  Also got a decent look at hormone replacement therapy in PBL thanks to a couple of trials from a few years back.  Anyway, not much exciting today, but also nothing in the way of moral dilemmas or controversies.

On a health-related but Ob-Gyn unrelated note, I very briefly saw an article on MSN about a new plasmid that's popping up in Asia that confers broad-spectrum antibiotic resistance on (generally) Gram negative organisms.  Apparently these bugs are resistant to any and all beta-lactams (carbapenems included), fluoroquinolones, aminoglycosides, and basically everything except colistin (which hasn't been widely used in the US for years).  Anyone know anything more about this?

Anyway, that's all for tonight.  In the OR with Dr. Jaja tomorrow; we'll see how that goes.  Till then, peace and God bless!