#obstetrics and gynecology course

[diginerve]

Everything You Need to Know About Advance Course in Infertility and Ultrasound

The Advance Course in Infertility and Ultrasound aims to provide in-depth theoretical and practical training in IUI, IVF, and ultrasound in the area of Obstetrics and Gynecology. The course is crafted and taught by eminent healthcare experts, Dr. Sonal Panchal and Dr. Chaitanya Nagori. The course covers the clinical and laboratory features of IUI, the methods and procedures used in the laboratory for IVF embryology, and the clinical facets of IVF and ICSI. It is among the 

The course is crafted to provide comprehensive knowledge of Infertility and Ultrasound to medical students pursuing postgraduate degrees in Obstetrics and Gynecology. Along with the PG students, this infertility and ultrasound training course is highly beneficial for OBGYN Consultants, Residents, and OBGYN Practitioners. The course might find helpful for radiologists, nurses, and paramedics in case they to increase their expertise in infertility and ultrasound.

https://www.diginerve.com/everything-you-need-to-know-about-advance-course-in-infertility-and-ultrasound/

[conceptual-obg]

OBG residency offers a rewarding career in women's health, with opportunities in obstetrics, gynecology, and surgery. Residents enjoy the chance to make a significant impact on patients' lives, from childbirth to reproductive health. However, the field demands long, unpredictable hours, emotional challenges, and high responsibility. Understanding the pros and cons of OBG will help you decide if it’s the right path for your medical career.

Read more blog: https://www.conceptualobg.com/why-choose-obg-as-a-branch-pros-and-cons-a-complete-guide/

[medvantagesolution]

Navigating the Next Chapter of womanhood: Embracing Change After Menopause and Empowering Women's Health

Menopause is a physiological landmark that signifies the end of a woman's reproductive journey. It is typified by complex hormonal changes that impact multiple facets of health. This normal shift, which usually happens between 45 and 55 years of age, calls for a deeper investigation into its medical complexities and the possibility of empowering women via all-encompassing healthcare approaches. That’s why a Fellowship in Obs & Gynae India is one of the most relevant courses that any health care professional should pursue.

Fundamentally, the slow decrease in the ovaries' ability to produce progesterone and estrogen causes menopause. Numerous symptoms are brought on by these hormonal changes, including vasomotor symptoms like night sweats and hot flashes as well as mood swings, sleep problems, and genitourinary problems. Understanding the biological causes of these symptoms is essential to developing therapeutic strategies that work.

Online Fellowship Course in Obs & Gynae teaches about the hormone Replacement Therapy (HRT) has long been a mainstay in the treatment of menopausal symptoms. It entails adding estrogen and occasionally progesterone. HRT's hazards and benefits can vary, thus using it properly needs taking into account each person's unique health circumstances. Making an informed decision on hormone replacement therapy (HRT) requires a complete assessment of a woman's medical history, including her cardiovascular health and breast cancer risk.

Fellowship in Obstetrics and Gynecology In addition to medication therapies also guides about lifestyle changes are essential for controlling menopausal symptoms and enhancing general health. Frequent exercise has been demonstrated to improve bone density and cardiovascular health while reducing symptoms like hot flashes and mood swings. A healthy diet that includes enough calcium and vitamin D is essential for reducing the risk of osteoporosis, which is heightened by hormonal changes that occur after menopause.

During this stage, it's important to pay attention to mental health in addition to physical problems. Menopause can be accompanied by mood swings, anxiety, and sadness; the effects these conditions can have on a woman's health should not be understated. When healthcare doctors and mental health specialists work together, they can provide complete support that includes counseling, psychoeducation, and, when needed, pharmaceutical therapies.

Menopause also signals a shift in emphasis toward preventative healthcare. In light of the changing health landscape, routine screenings for diseases including osteoporosis, breast cancer, and cardiovascular disease become essential. Long-term results can be enhanced by educating women about these exams and encouraging a proactive attitude toward healthcare. Therefore, Fellowship Obs & Gynae is an essential course for healthcare practitioners.

Beyond providing for the specific needs of each patient, the medical community also has a role in promoting greater public awareness and menopausal health research projects. To improve menopausal healthcare, it is imperative to de-stigmatize menopause, create a safe space where women may talk candidly about their experiences, and promote research into cutting-edge therapies.

In summary, menopause is a complicated medical condition that calls for an all-encompassing approach to treatment. A comprehensive plan is necessary, encompassing everything from hormone treatment and lifestyle modifications to mental health support and preventive measures which can only be learned after doing a Fellowship Course in Obstetrics and Gynecology India.

[themedicity099]

Choosing the Best Ultrasound Training Course in India

Introduction

Medicine is an ever-evolving field, and staying updated with the latest techniques and modalities is not an option for doctors — it’s a necessity. One such domain that’s been making waves for its diagnostic prowess is sonography or ultrasound.

Importance of Ultrasound Training Courses for Doctors

Ultrasound is a non-invasive, invaluable diagnostic tool that has become indispensable in medical practice across various specialties, such as gynecology, cardiology, gastroenterology, urology, and several others. Adequate training in ultrasound can boost a doctor’s diagnostic acumen, streamline patient management, and elevate the overall standard of care provided. Here is why: • Pain-free and safe for patients: As it is non-invasive, an ultrasound is comfortable for the patient and poses no risk of radiation exposure. • Real-time imaging: It allows doctors to monitor organs and tissues’ condition in real-time. • Versatile diagnostic tool: It can be used on any part of the body and is indispensable in many fields of medicine.

Benefits of Choosing the Best Ultrasound Training Course in India

In India, several institutions offer courses in ultrasound training. However, choosing the best ultrasound training course can offer an array of prospects: • Comprehensive coverage of theory and practice: The best courses blend theoretical knowledge with hands-on training. • Training from expert faculty: These courses are often overseen by seasoned professionals, providing unparalleled mentorship and guidance. • Versatile career opportunities: Rigorous training from a reputed institute can open doors to numerous career opportunities and specializations. • International recognition: Some of the top ultrasound courses in India are recognized globally, boosting employment prospects worldwide.

Factors to Consider When Choosing an Ultrasound Training Course in India

When choosing an ultrasound training course in India, there are several factors you need to bear in mind to ensure you get the optimal education for your needs. These important considerations will guarantee the course’s credibility and ensure you gain the necessary skills and knowledge to excel in the field of sonography.

Accreditation and Certification

The first essential element to consider while selecting an ultrasound training course is its accreditation and certification. The course you choose should be recognized and accredited by reputable organizations, such as the Medical Council of India (MCI) or the Indian Radiological and Imaging Association (IRIA). Accreditation ensures that the course meets or exceeds the standard requirements for sonography education.

Curriculum and Course Duration

Next on your list should be an evaluation of the curriculum and course duration. Ensure that the syllabus covers all crucial topics, including the physics of ultrasound, sonographic anatomy and physiology, clinical application of ultrasound procedures, and patient care. Additionally, the duration of the course should align with your availability and career goals. Courses can range from short-term certificate programs to more extensive diploma courses.

Faculty and Expertise

The quality of a course is significantly influenced by the expertise of its faculty. Look for courses that are led by experienced and knowledgeable professionals in the field of sonography. These faculty members will be able to provide invaluable insights from their practical experience, enhancing the theoretical learning you will receive.

Hands-On Training Opportunities

Hands-on training is a critical component of any ultrasound training course. It gives students the chance to apply theoretical knowledge to real-life situations and gain practical experience. • Some training courses offer in-class practice with the latest ultrasound equipment. • Others may provide externship opportunities in hospitals and clinics. • Ensure the course you choose offers substantial hands-on learning opportunities.

Class Size and Student-to-Faculty Ratio

Lastly, consider the class size and the student-to-faculty ratio. Smaller class sizes typically allow for more personalized attention from instructors and can facilitate a more conducive learning environment. A favorable student-to-faculty ratio ensures that each student receives the individual attention they require to excel. Always opt for a course that promotes smaller class sizes and a low student-to-faculty ratio.

In conclusion, selecting the right ultrasound training course requires careful consideration of several factors. By paying attention to these details, you can ensure that you are opting for a high-quality course that will equip you with the skills and knowledge needed in your sonography career.

Top Ultrasound Training Courses in India

The medical field, particularly in ultrasound technology, is rapidly advancing in India. Equipping yourself with competitive skills and all-embracing knowledge is paramount to innovating and excelling in this continuously evolving field. If you’re just embarking on your journey into the world of sonography, or if you’re an experienced professional seeking to enhance your skills, we’ve arranged a list of the top ultrasound training courses in India to consider. Let’s dive in.

Course 1: Fellowship in Ultrasound (FUS) — Overview, Features, and Benefits

Begin with this course offered by the Indian College of Radiology and Imaging. This rigorous, one-year program is specifically designed for doctors, providing a comprehensive curriculum in ultrasound studies. The course includes: • In-depth theoretical knowledge. • Practical hands-on training with up-to-date ultrasound equipment. • Training under expert faculty with extensive industry experience.

What makes FUS stand out is its focus on both academic and hands-on experience, which equips students to handle real-world scenarios with ease and confidence.

Course 2: Medvarsity’s Certificate Course in Ultrasound — Overview, Features, and Benefits

Medvarsity offers a six-month certificate course in ultrasound. The salient features of this program include: • Comprehensive training in Basic Obstetric, Abdominal, and Small Parts Ultrasound • Interactive online lectures and case-based discussions. • Real-time hands-on workshops.

The excellent blend of digital learning and hands-on workshops of Medvarsity grants you the flexibility of learning at your own pace with the benefit of practical knowledge.

Course 3: Certificate Course in Ultrasound (CCU) By 4D Imaging — Overview, Features, and Benefits

4D Imaging offers an excellent certificate course, primarily focusing on obstetric and gynecological ultrasound. This course provides: • Practical training with live patients. • A complete overview of obstetric and gynecologic ultrasounds. • Learning from expert faculty, featuring renowned radiologists and sonologists.

The exhaustive curriculum offered by 4D Imaging with its practical experience helps you grasp the nuances of ultrasound technology efficiently and effectively.

Testimonials from Previous Participants

Selecting the right ultrasound training course can be a challenging task. However, testimonials from those who’ve previously attended can offer valuable insight. Here are the experiences of three doctors who’ve completed such courses in India.

Participant 1 — Feedback and Experience

Dr. Sudhir, a radiologist based in Delhi, shares the following about his time enrolled in an ultrasound training course: “The hands-on training experience was unparalleled. It not only enhanced my skills but also boosted my confidence. The instructions were clear, and there was undivided attention from the trainers. Even complex sonography procedures were taught with ease. I strongly recommend this course to other doctors who wish to refine their ultrasound techniques.”

Participant 2 — Feedback and Experience

Dr. Preeti, a seasoned gynecologist from Mumbai, reminisces about her learning journey: “It was an intensive course, but the outcome was well worth it. There was a good balance of theory and practical sessions, ensuring comprehensive learning. The faculty were knowledgeable, approachable, and had immense patience. This course was a valuable addition to my career.”

Participant 3 — Feedback and Experience

Lastly, Dr. Ritesh, an anesthesiologist from Kolkata, asserts: “As someone new to sonography, I found the hands-on training to be very helpful. It allowed me to practically apply the theoretical knowledge I gained. The trainers were supportive and provided insights based on their vast experience. I can confidently say that this training has opened up new opportunities for me in my field.”

These testimonials are testament to the quality and practical nature of ultrasound training courses available in India for doctors.

Comparison of Ultrasound Training Courses in India

To choose the best ultrasound training course in India, it’s crucial to compare several aspects, which can include course fees and payment options, course schedule and flexibility, facilities and resources, and course reviews and ratings.

Course Fees and Payment Options

Typically, ultrasound training courses tend to fall into a wide range of cost options. Some will be more expensive due to their comprehensive nature, hands-on training opportunities they provide, memberships, and additional helpful resources. On the other hand, some may be more affordable but offer limited benefits. • Look for courses that are transparent about their fees. • Consider whether the course offers payment plans or scholarships. These can significantly reduce the financial burden and offer more accessibility for all doctors.

Course Schedule and Flexibility

The ultrasound course schedule plays a crucial role, especially for working professionals like doctors. The flexibility of the course is essential to fit it into their busy schedules. • Find a course that offers online learning modules or weekend classes. • Check whether the course duration allows enough time for practical application and a deep understanding of ultrasound techniques.

Course Facilities and Resources

Quality ultrasound training is also heavily dependent on the facilities and resources, such as hardware (ultrasound machines for hands-on training), software (for theory and digital learning), and teaching faculty quality. • Check whether the course offers state-of-the-art facilities and uses the latest medical equipment. • Evaluate the teachers and trainers. Their knowledge, expertise as well as their ability to train is a critical deciding factor.

Course Reviews and Ratings

Lastly, the reviews and ratings also play a significant role. They provide an insight into the professionals’ experience who have previously taken the course. • Look for honest and detailed reviews. • Check how the course is rated overall, especially in terms of teaching methodology, hands-on training, and post-course support. An excellent rating in these areas indicates that the course is likely to lead to a successful ultrasound career.

Tips for Making the Right Choice

Choosing the correct ultrasound training course in India is a critical career success determinant for aspiring doctors in radiology or sonography. Here are a few tips to guide you in choosing the best ultrasound training course:

Identify Your Learning Objectives and Career Goals

Knowing your learning objectives and career goals is the first step in finding the best ultrasound training course. This can guide you in choosing courses that will enhance your clinical skills and knowledge in sonography. Your objectives could include deepening your understanding of specific ultrasound techniques, expanding your skill set, or paving the way for a potential specialization. Be clear about your goals to make well-informed decisions about the course.

Research the Reputation and Track Record of the Training Course Providers

Look into the track record and reputation of the course providers. Check their accreditation status, faculty qualifications, and testimonials from previous students. Keep a lookout for providers with a long-standing track record in the realm of ultrasound education. Such institutions are more likely to provide a comprehensive and high-quality ultrasound training course.

Seek Recommendations and Advice from Colleagues and Experts

It helps to speak to colleagues who have undergone similar training or consult experts in the field. They can provide industry-specific insights that can aid in choosing the right course. Endeavor to get multiple opinions to garner a comprehensive view of the best course for your needs.

Analyze the Curriculum and Practical Training Opportunities

Last but not least, scrutinize the curriculum and practical training opportunities of the course before enrolling. Is there enough hands-on training? Can the course equip you with practical skills to perform ultrasound examinations confidently and competently? The significant balance between theoretical education and hands-on skill acquisition is essential. Be meticulous in this analysis to ensure that the course meets your expectations and career goals.

Conclusion

Recap of key considerations when choosing the best ultrasound training course in India

In conclusion, the journey to finding the right ultrasound training course in India involves taking into account numerous factors. Some of these key considerations include:

- The reputation of the institution: This helps ascertain the quality of education you will receive. Don’t hesitate to request alumni feedback or perform a quick online search for reviews. - The course curriculum: A good course should cover both theoretical and practical aspects of sonography. - Hands-on training: This is essential to ensure that doctors gain practical experience in using ultrasound technology. - The qualification of the teaching staff: Expert faculty who are notably experienced in the field can make a significant difference in the quality of education delivered. - The cost: While quality is paramount, affordability should also be considered.

[elsecrytt]

Professional (Kento Nanami)

A gift for @eevwrites <3

Summary: Kento Nanami is your OBGYN. The father... isn't present for this journey, but that's okay. Nanami always takes care of his patients.

Warnings: Themes of pregnancy, parenthood discussion of abortion, childbirth (semi-graphic), paternal abandonment, toxic relationships, yandere.

Reader is pregnant and WANTS the baby. Nanami is 1000% feminist, he just also happens to be a yandere sdfhslghg

Nanami Kento considers himself an excellent physician, even if some would call his bedside manner 'gruff'.

Obstetrics and gynecology is a sensitive subject for many and he strives, every day, to maintain the height of professional decorum.

As a professional and as a physician, he would never admit to having a favorite patient.

As a man, something soars inside his chest whenever you walk into his clinic.

You're so young to be a mother - that was his first assessment, though of course he'd never say as much out loud.

As your doctor, he asks questions purely on the basis of being able to provide the best care possible. The more he knows about your circumstances, the more assistance he can offer.

That was the first time he'd felt that warmth in his chest - the look of utter relief and gratitude in your eyes, nearly tearing up.

Nanami watches you try to compose yourself, discreetly slides the tissues closer to you as you tell him a much-shortened version of your story.

The father isn't present because he doesn't want anything to do with this child.

It's a disheartening tale, made no less so by the fact that he himself had always dreamed of being a father.

At a young age, he'd discovered that he was completely sterile. So becoming a doctor and delivering them had felt like the closes he could get.

But there's this glow in your face. A sheepish sort of smile accompanied by a little tear and a "I know it's stupid, but I've just always wanted to be a mom, and have a family, and - well. Anyways, I want this baby."

And he could be excused if his heart is moved a little. It's not professional, but is it professional when he holds the hand of a woman whose husband was too nervous to come into the room with her?

It it professional when he gives a woman one of his rarest smiles, tells her she's doing great, she'll see her baby soon?

It it professional how his heart leaps as the infant starts crowning, how it races in his chest as he helps to deliver this new life into the world?

It is professional when he assures worried mothers that they're still beautiful, that their bodies are perfectly natural and healthy even if they never appear identical to how they were before?

Professional is not always what's best for his patients. And being a good doctor means being what his patients need, not the model of a distant physician.

So Nanami doesn't think about being professional when he reaches out to hold your hand, telling you with a smile that he'll help you get through with this.

He provides resources, walks you through getting aid from different programs, helps you in any way he can. Above and beyond.

So what if he's blurring lines? You're his patient. You're all alone in this journey. He's the only one here to help you through this. Of course he'll go the extra mile to help.

Nanami is only human. He could be excused for having a favorite patient.

He watches you grow more and more anxious as your body changes. He prescribes you sleep aids, nausea medication, prenatal vitamins.

When you get the ultrasound, he's the first person you show it to. You tell him with a laugh that he's the only one so far, and he can't help but embrace you, boundaries be damned.

It's beautiful. You're having a girl, a beautiful baby girl, and he's sure she'll look just like you. He asks you what names you're thinking of and you're bursting with ideas to tell him.

It occurs to him, heartbreakingly, that you're the only person he has to share this with.

So animated, so creative and full of life. How could anyone abandon a wonderful young woman like you? Who wouldn't want you in their life?

Security lets him know that there's a man who's been waiting outside the clinic. They've seen you arguing with him - gone out to break things up, too.

Your conversations with him grow more hesitant. You're nervous, and he's perhaps a little pushy in asking why, reminding you that stress isn't good for the baby.

You laugh sheepishly (why? why are you always so demure? you act like you're just waiting to be struck down. it terrifies him.), telling him that 'the father' has recently come back into your life, and you're not sure.

There's a little sigh you make that tells him he's in, you're about to spill. And he doesn't like what he hears.

Your boyfriend - ex-boyfriend - didn't want the baby at all at first. He blew up at you, telling you to get an abortion, or get dumped.

Obviously, you kept the child, and he'd summarily left. You stumble on your words and Nanami wonders just how amicable that parting was.

Apparently, he's outside the clinic now to "reconcile". His parents, traditional and wealthy folk, have threatened to cut him off. He's talking about getting married now, you mention with a bitter laugh.

It doesn't pass his notice, the contemplative nature of your tone, how you pause and look away before you rub your neck and mention something about how you shouldn't be so harsh, he's trying and it was selfish of you to want to keep the baby when you knew he didn't want it.

Something dark and terrible boils up inside him at the thought. He has never, ever tried to sway a woman for or against terminating a pregnancy, only informed them.

And he comes across them every day. Men like this, who thought women and their pregnancies were props, mere fixtures in their lives to be taken down or put up whenever they wanted.

What he wouldn't give to have a child of his own. To deliver a baby and just... keep it in his arms, knowing he would take that fragile, teary creature home. Knowing he would watch it grow up alongside the woman it came from.

You laugh it off, haltingly. Ask Nanami, with your head hung low, if he knows any programs you can sign up for, or places that sell prenatal vitamins at a discount.

Nanami tries very hard to ignore the thought that springs up in the back of his mind.

I could take care of you. I would take care of you.

He ignores the thoughts, dismisses them, and then the daydreams start.

It's not like he doesn't have money. He's a doctor. There's money in the bank, but what does he have? Working long hours every day only to come back to an empty home, empty bed.

Empty life. No friends, no family, just work, work, work.

And it's for a reason. He loves his job, he loves helping you - women like you. He spends his days caring for women and their pregnancies, only to deliver and hand off the child to another man.

But these men wouldn't take better care of these children than him. Who could take better care of your aches and pains and struggles than him? Who could understand you, empathize with you, support you like he could?

It's not the man that lurks outside the clinic with an angry look on his face. The man who discarded you like trash, and now wants to pick you back up like a misplaced toy.

So Nanami makes a choice. You're his favorite patient, after all.

He doesn't want to do this. He's a doctor, he's sworn to do no harm. But some things are simply inexcusable.

Nanami's done a lot of favors for a lot of people. One Fushiguro Toji, whose wife he saved on the operating table, one well-connected former classmate Gojo Satoru, and the man disappears.

You come to him the next day, crying. Tears in your eyes. Your former boyfriend - the one who said he would reconcile, the one who wanted to see your daughter - he didn't show up.

He takes one of your hands in his, nodding and humming at all the right parts. Sympathy pouring out through his eyes.

It's terrible to see you like this. It really is. You never deserved this, none of it. You're an angel, really, heaven-sent, and you'll be such a wonderful mother, once the baby arrives.

But since he's dead, it's not as if his name needs to be on the birth certificate. You could put any name you wanted on there. That's for later, though.

Right now you need comfort and reassurance. You need someone to take charge, to help you through this, and he's been the one doing that this whole time.

You've been on your own, trying so hard, waiting for a man who didn't deserve you to come back and treat you with basic human dignity. And Nanami had spared you that fate.

One day, you'll be grateful things turned out like this. For now, he just holds you, strokes your back while you cry, shushes you.

Nanami smiles to himself. It isn't professional.

It isn't professional, but being professional comes second to being a good doctor. To being the person you needed in your life.

Based on your delivery date... he's quite sure he could make it a June wedding.

[amethystwrytes]

Safe (Part Seven)

Pairing: Hwang Hyunjin X Fem. Reader X Lee Minho

Summary: A broke ER Nurse offers up her services to a large crime organization in exchange for much higher pay and benefits that are unconventional, but lucrative. The life proves to be questionable at best, and downright isolating at worst which leaves her feeling unsure, unstable and dangerous. 

Warnings: Explicit language. Explicit depictions of sex (some chapters will be more explicit than others sexually). Violence. Blood. Trauma injuries. (Organized) Crime. Emotional manipulation. Discussion of murder and physical assault. Medical inaccuracy galore. Smoking. Past addiction. 18+ Only MDNI.

Chapter WC: 3.5K

~ Part Seven ~ (Series M. List Here)

Two vibrant, undeniably visible pink lines scream at you from the bathroom countertop. 

“What does it say?” Seungmin hobbles up behind you. 

“Get out! God, you fucking leech! I’m literally staring at a plastic stick dripping with my piss here, can I get a minute to myself?!” you scream and shove him out the door, he stumbles back and hits the opposite wall with a thud as you slam and lock the bathroom door. 

“I guess I’ll take that as a positive then!” he yells, “Hormonal asshole! I’ve just been shot in the leg today, no big deal!” you hear him hobble back down the hallway. 

Actually it’s a double positive, since you’ve taken two tests. One might be a dud, right? It happens. It’s possible. You, as a nurse, had personally never seen a false positive on a pregnancy test, but you hear things, right? It’s happened. So you squeezed out a little more pee for test #2, after all, that’s probably why they give you two in a box anyhow. Yet even with barely enough urine to soak the stupid scratchy tip of the test, the lines were so clearly there that you had no choice but to believe them. 

“Fuck.” 

The word comes out in a choked sob as you sit back down on the toilet, your face in your hands. 

How? You are a fucking nurse. How did you let this happen? 

Working at the hospital had always had its perks, like how you could just drop into gynecology, sign a paper, and have the nurse give you your shot, most of the time it was someone you knew and were friendly with. It was convenient, it was easy, you were able to do it on your breaks for goodness sake. You never made an appointment or anything, so there wouldn’t be any kind of reminder from the office to come back to stay on schedule. Evidently you were the type of person who needed them though, because here you sit on a toilet, in a house that doesn’t belong to you, pregnant with…

With whose fucking child? You laugh, audibly laugh, and it slowly turns into sobs. You don’t even know who the father is. Hyunjin? Minho? One of them, obviously. You’ve been fucking them both longer than six weeks, which is what you put yourself at if you’re getting nauseous and vomiting. Of course you can’t know for certain, that will have to be confirmed at an obstetrics appointment, which you will now have to go to, routinely. 

The words abortion, adoption flash in your mind. You did not plan this, you did not want this. Yet even as you sit here, drops of pee all over the place, sobbing into your hands, you can’t quite seem to change the “did not want” to “do not want” in your head. 

“I do not want this,” you say it out loud, because maybe you just need to audibly hear yourself say it, but it comes out as a complete and utter lie. You feel in your very heart that it’s a lie. 

“I want this,” you whisper, the ghost of a smile spreading across your lips, and suddenly the scared and ugly tears are replaced with a sense of overwhelming excitement. “I want this.” 

You clean up the bathroom and roll up the pregnancy tests in a paper towel, you have no idea why you feel like saving them, but you roll them up anyway. 

When you walk back into the kitchen Seungmin is sitting at the table, his bandaged leg propped up on a chair, “Well?” 

“I’m pregnant,” you state, shocked at your own calmness, picking up your supplies from patching him up earlier to put them back where they belong. 

“Shit,” he whistles low, “Well what are you going to do?” he asks. 

“Have a baby, Seungmin, that’s what I’m going to do.” 

“Do you really think-...”

“What I really think is you should shut your mouth, because you have absolutely zero fucking opinions that matter regarding this, do you want to try me Kim Seungmin? I dare you.” 

“No ma’am.” 

“Good then.” 

🗡️🗡️🗡️🗡️🗡️

When Minho, Hyunjin and Jisung walk through your door later that evening your very blood turns to ice; an indescribable feeling of excitement, fear, elation and dread consuming your every fiber. 

“How’s the leg?” Hyunjin asks Seungmin, smacking the back of his shoulder. 

“It’s uh,” he looks at you nervously which causes the other three men to look at you as well, “It’s fine. Doc here stitched me up.” Smooth Seungmin, smooth as silk you fucking twat. 

“Did you all get into a wrestling match or something? What’s with the vibes?” Jisung teases. 

“Nothing,” Seungmin answers too fast, “take me home Han, can I get some pain meds or something?” he looks in your general direction but refuses to make eye contact with you. 

“Already sorted them out,” you say pointedly, sliding a little bag across the table, “don’t take them all at once, that would be a pity.”

He sneers at you then stands up, hobbling towards the door, “Han. Now.” 

Jisung closes the refrigerator he was about to descend upon and scurries over, “Shit, okay.” 

You watch as the two of them disappear and close the door. You can feel Minho and Hyunjin staring you down. 

“Did he say something to you again? Because if so we can drag his ass back in here and set it straight,” Minho asks. 

“No,” you shake your head and sit down, “No, he just knows something that you don’t,” you look up at him, terrified of how the next few minutes will play out. Wondering if you shouldn’t bring it up right now, but knowing you’ve said too much not to at this point. 

“What would that be?” Minho frowns. 

“I found out today…” your voice waivers which only seems to concern both men more. 

“Found what out, sweetheart?” Hyunjin sits next to you, his fingers caressing your forearm. 

You pick a spot on the table to look at, because you can’t bring yourself to look at either of them, “I’m pregnant.” 

Silence. Well, the only sound is Minho pulling out the other dining chair for himself, probably so he doesn’t collapse where he stands. 

The three of you sit there for several moments in just total and complete silence. The hum of the ceiling fan sounding more and more like nails on a chalkboard with every passing second. 

“What do you want to do, baby?” it’s Hyunjin that speaks first, and you can tell that he is trying to keep any emotion from his expression, but you can’t tell if he’s hiding a reaction that’s good or bad. 

“I want,” you exhale slowly, “I am going to be a mother, I will not abort this pregnancy, I do not want to talk about adoption. I will not discuss either, and I don’t want to hear it.” 

At this Minho stiffens, his face contorting into something between disgust and hurt, “___, baby, I would never ask you to do something you didn’t want…we…Hyunjin and I…” he stops talking and chuckles. 

“How do we want to do this?” he looks at you and Hyunjin. You know what he’s really asking is  what the fuck is the plan on raising a baby with three parents? but you also don’t have an answer to that. 

“Let’s please not worry or talk about that right now,” you laugh painfully, “I can’t deal with that part right now. Obviously one of you…you know…impregnated me,” you clear your throat, “but there’s no way for me to know who at this point, not without a DNA test and honestly…I love both of you so I just don’t think I want to know, does that make sense?” 

“Makes sense to me,” Hyunjin smiles and effectively ends that part of the discussion, “We’re having a baby?” his voice drips with elation and every muscle in your body relaxes. 

You nod, happy tears brimming your lids, “Yes.” 

“We’re having a baby,” Minho laughs, and you’re surprised to see tears in his eyes as well.

🗡️🗡️🗡️🗡️🗡️

“You know,” you sit at the bathroom vanity applying your moisturizer when Minho steps out of the shower, “I was terrified to tell you.” 

“Me specifically?” he points to his naked chest. 

“Honestly? Yes…” 

Minho nods and gnaws at his lip, “I guess I deserve that, but I promised you I’d never give you another reason to be scared of me, and I meant it - you never have to be scared of me baby.” 

“I wasn’t scared that you’d be mad at me, I don’t think, I guess I just thought you’d be upset at the idea of having a child. We are not a traditional couple in any way shape or form, so we’ve not really talked about traditional things, like marriage or babies or futures. I didn’t know what you wanted for your life, I still don’t I suppose,” you explain. 

He sits next to you on the bench, “Seola…” his voice cracks at the mention of his late wife's name, “she wanted children, she wanted to be a mother,” he covers his mouth with his hand and squeezes his eyes shut, tears roll down his cheeks and you throw your arms around him. 

“I am so sorry,” you sob with him, “I’m so sorry you lost her, lost your life with her, a future with her. Minho, I’m so sorry.”  

He cries into the small of your neck for a moment before taking a deep breath and righting himself. 

“When the words first came out of your mouth, I felt so guilty, because all I could think about was how she was robbed of that moment, that moment she would get to tell me she was pregnant, but I was so happy anyway, happy without her - it doesn’t seem fair, or right.” 

“It’s not,” you cup his face, “It is not fair.” 

“I was always undecided,” he sniffs, “Part of me, of course, adores the thought of having a son or daughter to raise, to love, someone who can become my whole world and someone to leave a legacy to but then I look around, at the guns, at the murder - is that really what I want to leave anyone with, let alone someone I love so much? Which actually,” he sighs,  “Actually that brings me to something I’ve been thinking about the past couple hours.” 

“What?” 

“I own lots of properties, here in the city and surrounding areas primarily, some are safe houses, some are renters for additional income, but there’s one property, one that absolutely no other soul on Earth knows I own, it’s a last resort - my ‘absolutely have exhausted all options and efforts’ backup - located in Applecross, Scotland,-” 

“Scotland?” you snort, “That is the most random thing I’ve ever heard come out of your mouth. I don’t think I’ve ever once heard you utter the word Scotland,” you chuckle. 

“There’s a reason for that, and now you’re the only other person who knows I own a house there,” he says, an uneasy expression on his face. 

“Why are you telling me?” 

“Because I want you to go there, you can take Hyunjin with you if you want, and when all this shit is over I’ll come join you - we can have the baby there, and someday when the dust settles we can come back here, but you’ll be safer-” 

“No,” you shake your head. 

“You won’t even hear me out?” he argues. 

“No, I won’t, I’m not going anywhere, not without you, I won’t,” you look at him, fighting back tears. 

“But you’ll be safe there,” he continues. 

“Physically? Maybe, but my heart will break if I can’t see you, if I don’t know what’s happening here, happening to you. I will spend every moment miserable and I don’t want it,” you tell him seriously. “No. I will not go.” 

“Fine, okay,” he nods, pushing his wet hair back out of his face. “I’m not going to argue with the mother of my child,” he smirks, “but promise me that you’ll think about it, it really is a lovely location - a little foggy - but if things get too heated here, please remember what I’ve said.” 

“I will keep it in the back of my mind, but I’m not going anywhere without you,” you lean over and kiss his lips. 

“I love you,” he whispers against your mouth, “I love you so much.” His hand finds purchase on your stomach, his fingers fanning out across, “I’m so happy for us.” 

Hyunjin is relaxed on a chair, doodling in his sketchbook when you and Minho emerge from the master bath. 

You frown, “Why are you not in your pajamas? Are you working tonight…again?” 

Hyunjin sets the book down, “I am. Changbin, Felix and I have a meeting with one of Parks guys, they have some intel on the storehouse Jeongin and Seungmin scouted. Park has dabbled in Taehyungs heroin deals in the past, he’s had guys in the building, we’re going to try and map it out so we know exactly where we’re going  the night it all goes down,” he explains with a yawn. 

“You’re all so tired,” you shake your head, “I worry about your clarity.” 

“Don’t worry baby,” he scoots to the edge of the chair, nuzzling his nose against your belly, “Tonight will be friendly, we’ll play cards and smoke and talk, I’ll try to draw out a map based on the information, no danger, promise.” 

“When do you have to leave?” you ask, glancing at the wall clock, just after 10:30pm. 

“Hmm, probably around midnight, that’s usually when they all meet up at their little club house,” he chuckles, “Why?” 

You grin, biting at your lip as you pull the ribbon on your bathrobe, slowly exposing your nudity underneath. 

“I have been insatiably horny the past few days, I guess I know why now,” you giggle, “unfortunately the horniness seems to be constantly competing with unimaginable nausea, but as of this moment, guess who isn’t nauseous?” 

Minho licks his lips and stands behind you, tugging at the opening of the robe, helping it fall gently down your shoulders and arms. 

Hyunjin smiles, dropping to his knees and lifting one of your legs up to rest on the chair he was previously sat on, “I can’t imagine what you’re going through baby,” he whispers, his lips ghosting over the flesh of your inner thigh, leaving goosebumps. 

“Let’s take special care of our girl,” Minho says, his lips on the shell of your ear, his delicate fingers gently massaging your breasts. 

“I like the sound of that,” you chuckle. 

Hyunjin uses his fingers to spread you open, placing a gentle kiss against your clit and your head rolls back, resting on Minhos shoulder as you let out a soft breath. 

“Fuck,” Minhos voice is raspy and dark in your ear, “I love watching him eat you out, it’s so fucking hot.”

“Mmm,” is all you can muster as an agreement. 

Hyunjin is being soft tonight, delicate, savoring. You can feel yourself practically dripping around his tongue, his lips. Your eyes close, the sound of his soft kisses and wet licks consuming you, your need to orgasm so heavy that it aches. It’s his little whimper into your pussy that pushes you over the edge, poor Minho takes the brunt of your full weight as you dig your fingers into Hyunjins scalp, riding out your high on his face. 

Hyunjin stands, pressing himself, with his hard erection against your front, capturing your mouth with his sopping wet lips. You can feel Minho stroking your hair, his cock pressed against your backside. You turn around to face him, gently pushing him back onto the bed behind. 

He shimmies out of his pants before scooting back onto the pillows as you crawl over him, dipping your head down to kiss trails up his thighs. His hard length throbbing, tip dark and waiting eagerly for relief. You spit, his eyes widening as he watches your saliva drip down his shaft before you take it into your fist and pump, causing his head to fall back onto the pillows while you work him slowly. 

Meanwhile, you feel Hyunjin behind you, his hips rutting against your backside, seeking permission to fill you from behind, which you’re more than happy to give. 

“Hard or soft baby?” Hyunjin rasps, straining against you. 

“Soft and slow, and deep,” you reply. You sink your mouth onto Minhos cock as Hyunjin pushes into you, inciting a collective moan from each of you simultaneously. 

If someone had asked you where you thought you’d end up when you agreed to work for Lee Minho, you could’ve given so many answers. I’ll end up rich. I’ll end up in jail. I’ll end up living comfortably for the first time in my life. I’ll end up dead. The list of possible answers was long. However, I’ll end up in a state of complete euphoric pleasure, wedged between two men I love, one of which being the biological father to my unborn child, was never, ever something you’d think of, or even dream up for that matter. 

You barely register Hyunjin groggily getting out of the bed to retreat to the bathroom for a quick wash before venturing off to map out drug houses and smoke cigarettes over cards. The warmth of Minhos body has you cocooned in a heavy blanket of peacefulness, his fingers gently scratching against your scalp. Your eyes are so heavy you don’t even attempt to open them. If you could bottle this moment, retreat back to it anytime you feel afraid or anxious, you would do it in a heartbeat. 

“Love you guys,” you hear Hyunjin whisper as he heads out the bedroom door. 

“Love you too,” Minho responds for the both of you, you’re too tired to speak, but you drift off with a smile on your lips. 

🗡️🗡️🗡️🗡️🗡️

You sleep late and wake up feeling better than you have in several days, though the nausea is there, bubbling under the surface. You decide to make some lemon ginger tea, and get up to do just that. You’ve got things to do today, like try and find an OBGYN who doesn’t know who you are for starters. You plan to set up a space in the kitchen to do some investigating over your tea.

In your kitchen however, sits Hyunjin, Minho, Felix and Changbin, all looking smug and happy with themselves. 

“Did I miss something?” you wonder as you retrieve the items you need for the tea. 

“Parks guy was more than helpful,” Hyunjin smiles, “He had pictures of the warehouse on his phone, we’ve got everything. Room by room.” 

“That’s good?”

Minho grins, “It’s great baby. Not only are we going to get my fucking guns back, but I’m going to burn his shit to the ground, every ounce of Heroin he’s got is going to go up in flames. Let’s try and watch him replace that.” 

“What happens after that?” you ask, a nervous feeling in your stomach. 

“What happens after that is this shit between Kim Taehyung and I ends, for good.”

Endnotes:

This is an extremely trying and scary time for women right now, and I want to make it very clear that I am 100% Pro-Choice 100% of the time. For the sake of this story, my OC is choosing to continue her pregnancy, but there is no deeper meaning or message that I'm trying to send by writing it that way, and given the current state of things, I personally needed people reading this to know that.

This is a shorter chapter because for me this is a very transitional chapter as we prepare to dive a little deeper into the heavier criminal aspects of the story. I wanted to obvs confirm OC's pregnancy since I left Ch. 6 off with a very "is she/isn't she?" type deal. I also wanted to establish Minho and Hyunjins attitude about it all. Some of you may have anticipated our Minho to go completely off the deep end, but in the end, I just didn't want him to be like that. Anyway, now that I've rambled, as usual here's your virtual smooch and I'll tag my beautiful taglist besties in the replies bc that is so much easier for me. Thanks for being kind and patient while I went through my little dark period. 🫂💜

[dfortrafalgar]

I'm Losing You

Having a family isn't always as easy as fairy tales make it seem.

I'm going to say this on every chapter i post here LOL, but GO TO CHAPTER 1 AND READ!!!!! MY!!!!!!! WARNINGS!!!!!!!!!!!

Chapter 3

[Prev] [Next]

You loved your office, you really did.  Two of your coworkers were your best friends from high school, the work-life balance was ideal, your bosses were super understanding and encouraging of all their employees endeavors, and the weekly catered lunches truly felt like a luxury.

The only qualm was the noise.

The office had an open layout, and while everyone had their own desk, it was very easy to move around the space and talk to everyone while on and off the job.  This meant any personal phone calls had to be taken out of the entire vicinity.  And in your case, into an unlocked broom closet across the industrial building’s hallway, in front of another agency’s door.

You were sitting on a plastic box containing something you weren’t sure of, anxiously bouncing your feet as your heart hammered in your chest.  Each time the ringback tone exited your speakers caused another cold wave of anxiety to flood from your head to the soles of your feet.  You swallowed a thick glob of spit as you struggled to maintain your breathing.  You were sure your blouse was going to have armpit stains when you returned to your desk.

Finally, a voice picked up the other line.

[Thank you for calling Grand Line Gynecology and Obstetrics, how can I help you today?]

The sweet, welcoming voice of the receptionist on the other end of the line made you breathe a sigh of relief, though you weren’t out of the woods just yet.  Far from it.  “Hi, uhm, I’m a patient with Dr. Robin, and I was wondering if I would be able to get an appointment as soon as possible.”

A few keyboard clicking noises followed your request.

[Can I have your name and date of birth?]

You quietly relayed your information, biting your lip impatiently.  More typing sounds could be heard.

[Alright, Mrs. Trafalgar, and do you mind if I ask the purpose of your visit?]

You knew it was important information for your doctor to know prior to seeing you, but the thought still made a heavy pit develop in your stomach.  “Uhm… f-fertility consultation…?  I guess.”

More clicking.

[Of course, I’m looking up Dr. Robin’s availability right now, hold on just a moment, please!]

You’ve dealt with crappy phone receptionists in the past, but whoever was usually on the receiving end of your calls to your gynecologist was always so pleasant.  You could never quite recognise her voice in person, but her bubbly and patient speech was always greatly appreciated during your otherwise anxious phone calls.  Finally, she came back onto the line.

[Dr. Robin’s next available appointment isn’t for three months, unfortunately, but I can still fit you into that time slot if you would like!  I can also write your name down, so if any appointments open up sooner, we will give you a call.]

You breathed another sigh of relief.  “That would be amazing, thank you.”

[Alright, Mrs. Trafalgar, I have you marked down for Thursday, May 1st at 10:00 AM.  We’ll give you a call if anything changes and you can always call us if you develop other concerns, okay?]

You smiled at the broom closet floor.  “I appreciate it, thank you very much.”  The phone clicked off after trading goodbyes, your arm falling onto your lap.  You hadn’t realized how tight you were gripping your phone until then, your hand trembling with how harsh your hold was on the device.  With a sigh, you opened your text conversation with Law.

Hi baby, I just called the obgyn, they cant fit me in until may 1st but she said if anything opens up theyll call me back.  Fingers crossed something opens up sooner, hopefully you dont have to wait as long!  I’ll see you later, i love youuuuu ^3^

You put your phone to sleep and stuffed it into the pocket of your trousers as you finally exited the broom closet.  An employee of the agency across from yours was entering his office and tossed you a very confused glance at you leaving the innocuous room, but you paid him no mind as you walked back into your office to continue your work.

“There you are, I was wondering where you went!”  Ikkaku was waiting for you at your desk with her work laptop in hand.  “I wanted to go over a few designs with you, but when I went to find you, you were just, POOF!  Gone like the wind!”

You laughed at her excited talking, finally sitting at your desk again and grabbing an unoccupied chair for your friend to sit in.  “Sorry to make you wait, I had to take a phone call.”

Ikkaku brushed off having to wait with a cheery, “It’s fine!  No biggie!” before opening her laptop and inputting her passcode.  You felt your phone buzz in your pocket.  While Ikkaku was opening her files, you slipped out your device and tapped the screen.

Baby~~<3

Hopefully something opens up, but it’s good that you at least got an appointment.  I got my appointment with urology on my lunch break today.  We’re making steps.  I love you, see you later.

You smiled at the text.

“Why does Law need to see a urologist?” Ikkaku whispered beside you, making you jump and hide your screen.  She was looking at you with curiosity in her big, brown eyes.

“It’s nothing, really.”  You quickly shoved your phone back into your pocket.  Ikkaku was your best friend, she really was, but the last thing you wanted to do was bring up your potential infertility issues while on the clock, and especially while your anxieties were still fresh and raw at the forefront of your brain.

Ikkaku must have sensed your profound fear, as she shrugged and turned her attention back to her laptop.  “So here’s what I was drafting…”

—

While you had to wait around three months for your appointment, Law’s was scheduled shockingly quick.  Almost too quick for his liking.  The following week.  Which, to Law’s mutual discomfort and relief, came much quicker than he thought it would.  

He was thanking the heavens above that he had the day off for once.

Law followed all the rules to a T before the appointment.  No ejaculation 2-3 days prior, but no longer than 5.  He’d jerk off into a sterile cup in the clinic, hand that to the doctor, and wait a few hours.  While waiting, he’d get his hormone blood work collected.  Easy as pie.  He walked into the clinic feeling oddly confident in himself and his abilities to follow pre-procedure protocol, as a doctor himself.  The brief moment of cocky joy was interrupted as soon as the fertility doctor entered the examination room Law was sitting in.

“Alriiiight!  Mr. Trafalgar Law!”  The doctor was shouting his name before even closing the door, making the black-haired man cringe.  The nametag on the open laboratory-style coat he wore read ‘Dr. Franky.’  Next to the name tag was a little enamel pin of a robot.  The door was closed with a moderate slam.  “You’re that cardiologist from New World Hospital, right?  You’re crazy popular, so cool to see you in the clinic!  So we’re here to check on your little swimmers, huh?”  Dr. Franky, who was shockingly tall and very broad in the shoulders, plopped into his seat and placed his laptop on the counter in front of him.  

The force of him sitting on the stool caused the pneumatic tube to compress forcefully downwards.  Law had a mental image in his head of the tube exploding and propelling the spring upward into the doctor’s ass.  He barely even registered the fact that his reputation as the city’s leading cardiothoracic surgeon seemed to have followed him to his semen analysis appointment.  He shook his head quickly before nodding.  “Uh, yeah, semen analysis.”

Dr. Franky was rapidly typing in whatever patient portal he was using.  “Semen analysis is such an uppity thing to call it, I personally like calling it the Super Swimming Meet!”  He laughed, the voice echoing around the small room and making Law wince.  He finally finished typing, slamming his laptop closed.  It was then Law noticed a few pieces of scotch tape holding the laptop’s hinges together.  (What kind of clinic is this?)  Franky’s booming voice interrupted Law’s thoughts.  “All you have to do is wank off into this cup here.  Cap it tightly and bring it to the nurse’s station when you’re done and it’ll get sent off into the lab!”

Law carefully took the cup from the doctor, his face heating up in embarrassment.  “Uhm… thank you.”

“Is there anything else I can help you with before I leave you to it?”

Law wanted to ask if there was a different room he should be doing this in, or if handing the cup to a random nurse was proper protocol, but he honestly wanted nothing more than to get out of there as quickly as possible.  He was starting to regret his colleagues at the hospital giving him clinic recommendations.  “Uhh… no thank you, I think that’s everything.”

“Alright, Mr. Trafalgar, I’ll let you get to it!”  Dr. Franky left fairly quickly, much to Law’s relief.  His ears were still ringing with the volume of the doctor’s voice.

Law was now left alone, sitting in the uncomfortable plastic chair, holding the empty sterile plastic cup.  After that interaction, the last thing he was thinking of doing was masturbating, but he needed to get it over with.  For your sake, and his.

He awkwardly stood and undid his belt, letting his pants and boxers fall to the floor before placing a few napkins onto the plastic chair and sitting back down.  He shivered at the cold feeling of the napkin-covered chair against his bare ass.  This was the least erotic situation he could’ve ever experienced.  He figured it would be far from the norm, but this was beyond any expectation he could’ve developed.  He shivered.

Grabbing the cup again, Law unscrewed the cap just enough so that he’d be able to pop it open as soon as he needed to.  When he stared at his flaccid dick, however, he uttered a defeated sigh.

‘Think of something to get you hard, man, think of your wife,’ he told himself.  Even his inner voice was desperate.

The sterile doctor’s office was completely inhibiting any thoughts of you to remain permanent in his head.  Every time he tried to think of your smell, your taste, the feeling of your bare flesh against his fingers, he would inhale and take in the bland stench of sterile alcohol and plastic.  He groaned.

Reaching into his pants pocket on the floor, he procured his phone.  Opening an incognito window on his web browser, he inwardly apologized to you (and double checked that the door was locked) before opening up a porn website for the first time since he was an undergrad in college.

—

Law came home a few hours after you.  You were standing at the stove setting the oven preheat temperature, a loaf pan of uncooked banana bread sitting on the stove top waiting to bake.  You turned to ask how his appointments went, but kept your mouth shut when you saw Law kick his shoes off and sit at the bar counter in your kitchen, placing his head in his hands.

“What happened?” you hurried over to him, immediately growing anxious that he had received bad news.  Your stomach turned.

He lifted his head.  “I… I had to watch porn today.”

[mariacallous]

Republicans are thrashing around trying to get themselves out of the abortion ban they have tried to win for so many decades. Senator Lindsey Graham (R-SC) was the first. In the fall of 2022, just months after the Supreme Court struck down Roe v. Wade, he proposed legislation calling for a national abortion ban after 15 weeks. So far, this bill has gone nowhere. Then, in 2023, gubernatorial candidate Glenn Youngkin of Virginia put the 15-week abortion ban at the center of his campaign to help the GOP take full control of the Virginia legislature. Rather than holding one house and picking up the other, he lost both. Recently, former President Donald Trump—who often brags about appointing the three Supreme Court justices who made possible the repeal of Roe v. Wade—offered his own way out of the thicket by applauding the fact that states now can decide the issue for themselves. And in Arizona, the Republican Senate candidate, Kari Lake, is trying to rally the party around the notion of a 15-week ban instead of the 1864 near total ban their court just affirmed, even though she’s facing criticism for this on the far right. Meanwhile, the Wall Street Journal came out with a poll showing that abortion was the number one issue—by far—for suburban women voters in swing states.

In each instance (and there will be more) we find Republicans desperately trying to find a position on the issue that makes their base and the other parts of their coalition happy.

It doesn’t exist, and here’s why—abortion is an integral part of health care for women.

Since 2022, when the Supreme Court eviscerated Roe in the Dobbs case, we have been undergoing a reluctant national seminar in obstetrics and gynecology. All over the country, legislators—mostly male—are discovering that pregnancy is not simple. Pregnancies go wrong for many reasons, and when they do, the fetus needs to be removed. One of the first to discover this reality was Republican State Representative Neal Collins of South Carolina. He was brought to tears by the story of a South Carolina woman whose water broke just after 15 weeks of pregnancy. Obstetrics lesson #1—a fetus can’t live after the water breaks. But “lawyers advised doctors that they could not remove the fetus, despite that being the recommended medical course of action.” And so, the woman was sent home to miscarry on her own, putting her at risk of losing her uterus and/or getting blood poisoning.

A woman from Austin, Texas had a similar story—one that eventually made its way into a heart-wrenching ad by the Biden campaign. Amanda Zurawski was 18 weeks pregnant when her water broke. Rather than remove the fetus, doctors in Texas sent her home where she miscarried—and developed blood poisoning (sepsis) so severe that she may never get pregnant again. Note that in both cases the medical emergency happened after 15 weeks—late miscarriages are more likely to have serious medical effects than early ones. The 15-week idea, popular among Republicans seeking a way out of their quagmire, doesn’t conform to medical reality.

Over in Arkansas, a Republican state representative learned that his niece was carrying a fetus who lacked a vital organ, meaning that it would never develop normally and either die in utero or right after birth. Obstetrics lesson #2—severe fetal abnormalities happen. He changed his position on the Arkansas law saying, “Who are we to sit in judgment of these women making a decision between them and their physician and their God above?”

In a case that gained national attention, Kate Cox, a Texas mother of two, was pregnant with her third child when the fetus was diagnosed with a rare condition called Trisomy 18, which usually ends in miscarriage or in the immediate death of the baby. Continuing this doomed pregnancy put Cox at risk of uterine rupture and would make it difficult to carry another child. Obstetrics lesson #3—continuing to carry a doomed pregnancy can jeopardize future pregnancies. And yet the Texas Attorney General blocked an abortion for Cox and threatened to prosecute anyone who took care of her, and the Texas Supreme Court ruled that her condition did not meet the statutory exception for “life-threatening physical condition.”

So, she and her husband eventually went to New Mexico for the abortion.

Obstetrics lesson #4—miscarriages are very common, affecting approximately 30% of pregnancies. While many pass without much drama and women heal on their own—others cause complications that require what’s known as a D&C for dilation and curettage. This involves scraping bits of pregnancy tissue out of the uterus to avoid infection. When Christina Zielke of Maryland was told that her fetus had no heartbeat, she opted to wait to miscarry naturally.

While waiting, she and her husband traveled to Ohio for a wedding where she began to bleed so heavily that they had to go to an emergency room. A D&C would have stopped the bleeding, but in Ohio, doctors worried that they would be criminally charged under the new abortion laws and sent her home in spite of the fact that she was still bleeding heavily and in spite of the fact that doctors in Maryland had confirmed that her fetus had no heartbeat. Eventually her blood pressure dropped, and she passed out from loss of blood and returned to the hospital where a D&C finally stopped the bleeding.

These are but a few of the horror stories that will continue to mount in states with partial or total bans on abortion. As these stories accumulate, the issue will continue to have political punch. We have already seen the victory of pro-choice referenda in deep red conservative states like Kansas, Kentucky, Montana, and Ohio; and in swing states like Michigan and in deep blue states like California and Vermont. In an era where almost everything is viewed through a partisan lens, abortion rights transcend partisanship.

And more referenda are coming in November. The expectation is that at least some, if not most, of the pro-choice voters likely to be mobilized by the abortion issue will help Democrats up and down the ballot. As a result, Democratic campaigns are working hard to make sure the public knows that Republicans are responsible.

[exeggcute]

(no paywall)

But, after S.B. 8, one ob-gyn who treats patients at Parkland and Clements Hospital in Dallas, Anjali Nambiar, embarked on a study of her own, focussed on morbidity. She wanted to know how women who had pre-viability ruptured membranes, severe preeclampsia, or vaginal bleeding had been treated since the passage of S.B. 8 and another state law, about to take effect, that would make it a state felony to administer abortion medications after seven weeks.

The results of that research, published last fall in the American Journal of Obstetrics & Gynecology, focussed on twenty-eight patients whose course of treatment had to be changed to stay compliant with the laws’ provisions. Nambiar and her co-authors found that, compared with similar research done in states without such legislation, maternal morbidity had increased as a result. Twelve of the women experienced complications that included infections and hemorrhages; nine of them had ended up in the I.C.U., undergone dilatation and curettage, or been readmitted into the hospital after being discharged; and one had required a hysterectomy. Of the twenty-eight case studies, among the fetuses or babies, there was only a single survivor. That baby, the ob-gyn at Parkland said, remained hospitalized for months.

[diginerve]

After completing MBBS, if an aspirant wants advanced training in gynecology and obstetrics, a postgraduate degree becomes the first choice because it involves a wide range of course work, clinical rotations, and more. It also brings forth vast opportunities for research. Obtaining a post-graduate degree in obstetrics and gynecology is seen as a stepping stone to a successful career as a top gynecologist and obstetrician.

[conceptual-obg]

Master Obstetrics & Gynecology: Free Training Videos for OBG Residents

Kick-start your learning of obstetrics and gynecology through Conceptual OBG's free training videos. Designed for OBS-GYN residents, these videos will provide insights about real-time scenarios and evidence-based practices through the experts. Browse tutorials on post-menopausal bleeding, instrumental deliveries, and many more. Be it a review of key concepts or the development of clinical skills, these are your keys to excellence.

Go to Conceptual OBG today's Free Training Videos section to boost your residency prep!

[medvantagesolution]

Changing Women's Health: Pioneering Advances in Obstetrics and Gynecology

Obstetrics and Gynecology (OB/GYN) is a medical specialty that deals in detail with a variety of women’s reproductive health issues. These obstetrics courses, looking at pregnancy and childbirth, and gynecology which focuses on the dysfunction of the female reproductive system play an important role in ensuring the best health care for women Thats why doing Fellowship in Obstetrics and Gynecology is one of the decisions any healthcare professionals make.

A closer examination of the medical challenges in these areas reveals the depth of knowledge and technology required to address the complex challenges of female obstetrics. Obstetricians, primary care providers during pregnancy, use a variety of medical interventions to monitor and support maternal and fetal health. Prenatal care including routine screening, prenatal genetic testing, and ultrasound aims to identify and manage potential complications in early pregnancy in this area, research non-invasive prenatal procedures have improved dramatically, provided more accurate genetic information, and enabled early detection of fetal abnormalities High-risk pregnancy Specialized care is required, and often involves effort a in collaboration with maternal and fetal medicine specialists. These subspecialists use advanced imaging techniques such as magnetic resonance imaging (MRI) to evaluate complex fetal conditions and plan interventions to improve outcomes Fellowship in Obs and Gynae, helps gynecologists navigate the complexity of women’s reproductive health after pregnancy.

Innovations in diagnostic modalities such as colposcopy and hysteroscopy allow more accurate visualization of the uterus and endometrium to diagnose and manage conditions such as endometriosis Advances in molecular diagnosis and treatment targeted on gynecologic cancer contributes to the development of treatment plans for women facing reproductive Obs and in India Doing a Fellowship in Gynae is a laparoscopic approach in robotic surgery. It also helps to integrate potentially revolutionary techniques, enabling less invasive treatments with shorter recovery times and improved patient outcomes.

Thus, any healthcare professional with a Fellowship in Obstetrics and Gynecology by MedVantage can seamlessly collaborate with obstetricians and gynecologists to ensure women are well cared for throughout their reproductive lives. This includes addressing fertility issues, hormone imbalances, and conditions such as polycystic ovary syndrome through approaches that integrate medicine, surgery, and reproductive technology the OB/GYN profession leads on medical research, explore new technologies and treatments. From exploring the genetic basis of reproductive disorders to harnessing the potential of regenerative medicine on uterine health, ongoing research holds the promise of making a difference Obstetrics and gynecology stands exists for dynamic and ever-evolving specialty services that utilize state-of-the-art technology and medical expertise to deliver the best possible care.

[scotianostra]

Scottish physician Ian Donald was born on December 27th 1910.

There are differing versions of Ian Donald’s birthplace, one gives it a Cornwall, another vaguely states Scotland. The last time I posted about the man Wiki was non committal and just gave his date of birth, it now says Cornwall .

Anyway his ancestry is beyond doubt, he was born to John Donald and Helen née Barrow Wilson in 1910. His father was a general practitioner who came from a Paisley family who were immersed in the medical profession.

No matter where he was born Ian Donald’s education was firmly Scottishhe attended Warriston School in Moffat and Fettes College in Edinburgh, following this the family move to South Africa where he graduated BA from the Diocesan College in Cape Town. He then studied medicine and was awarded MB BS at London University in 1937. During 1942-1946 he served as a medical officer in the RAFVR; was mentioned in dispatches and awarded the MBE for rescuing airmen from a burning aircraft. He is considered a Scot though, so we’ll claim him.

So apart from being a brave guy what else has he done? Well during his wartime service he became interested in radar and and sonar technology and with this in mind he worked with T G Brown of the the scientific instrument makers Kelvin & Hughes to create the first diagnostic ultrasound machine, and in 1958, with Brown and John MacVicar, he published his findings in The Lancet. Donald’s idea of using ultrasound to diagnose humans was ridiculed. However, after a large ovarian cyst was diagnosed in a female patient, practitioners took the technology seriously.

He was involved in the planning and design of the Queen Mother’s Hospital in Glasgow, which opened in 1964 and was Regis Professor of Obstetrics and Gynaecology at Glasgow University, from 1954 to 1976.

In honour of Professor Ian Donald, Professor Asim Kurjak founded the Ian Donald Inter-University School of Medical Ultrasound in Dubrovnik, Croatia in 1981. It is one of the world’s largest school of medical ultrasound and each year many celebrated students come through their advanced courses in medical ultrasonography.

And in recognition of his pioneering work in Ultrasound, an Ian Donald Gold Medal was awarded each year by the International Society of Ultrasound in Obstetrics and Gynaecology to the person whose pioneering work is considered to have the most profound influence in the development of Obstetrical and Gynecological ultrasonography.

The pic shows Donald with one of the earliest machines used in obstetrics, the Diasonograph circa 1960.

Read a wee bit more on the man here https://www.ob-ultrasound.net/iandonaldbio.html

[pgmedblogs]

Top 5 PG Courses After MBBS to Boost Your Career

Choosing the right postgraduate course after MBBS is key to advancing your career. Below are five prestigious PG medical courses that can boost your skills, offer global recognition, and open doors to new opportunities.

1) MRCP (Membership of the Royal Colleges of Physicians)

Globally recognized in internal medicine.

Provides expertise and enhanced job prospects.

2) MRCOG (Membership of the Royal College of Obstetricians and Gynaecologists)

Specializes in obstetrics and gynecology.

Respected worldwide, with a high earning potential.

3) FRCR (Fellowship of the Royal College of Radiologists)

Enhances radiology skills.

Offers international career opportunities.

4) MRCS (Membership of the Royal Colleges of Surgeons)

Focuses on surgical principles.

Leads to career advancement in surgery.

5) MRCPCH (Membership of the Royal College of Paediatrics and Child Health)

Specializes in pediatrics.

Improves patient care and career prospects.

These programs offer professional growth and global recognition in the medical field.

[rauthschild]

We recently reposted news of an important Circuit Court reversal that affirmed the literal fact that mRNA injections are not "vaccines" by function and definition, and covered expert testimony from the creator of the mRNA product admitting that it is a bioweapon covered under the domestic biowarfare program that these mercenaries have attempted to legalize. 

Today, we bring more good news from the Fifth Circuit Court of Appeals -- the First Amendment guarantees owed to American Physicians have been upheld.  

They cannot be muzzled and punished and prevented from bringing forward their analysis of Covid-19 or anything else by unelected and unauthorized medical certification boards threatening to take away their medical credentials. 

As Americans, we are wondering exactly how such a situation could ever be allowed to exist, wherein certification boards issuing credentials for medical professionals could be turned into and used as instruments of political coercion.  

This, like so many other terrible institutions, comes to us directly from J.D. Rockefeller and his progeny, misusing their private fortunes to promote political and social and economic injustice. 

For those who are unacquainted with history, J.D. Rockefeller was the Chairman and lead shareholder of Standard Oil.  Standard Oil was not really an oil company despite the name.  It was a pipeline company in the business of building and installing and connecting oil pipelines and oil transfer systems. 

Rockefeller gained a choke hold and dictatorial power over who could move oil where and when and how much, and so, established an oil transfer monopoly by which he could dictate the ability of actual oil companies to deliver on their contracts. 

Standard Oil was busted as a monopoly in the 1920's. The disgraced moguls retreated to Europe and started the International Monetary Fund (IMF)--- and together with their European friends, the Rothschilds, they did the same thing to the banking industry that they had already been convicted of doing to the oil industry. 

These transfer control monopolies are unlawful, illegal, and immoral, but unbelievable as this is, they got away with it again in another industry, and weren't called out for it until 2015.  

They used Standard Oil to create a transfer and use monopoly on oil, and a transfer and use monopoly in the banking industry by controlling bank transfers through SWIFT....

Look around and what do you see?   Public utility monopolies.  Public transit monopolies. 

These are all very much in the same vein: 

In all these cases, a vital commodity -- oil, money, electricity, telecommunications, transportation -- is monopolized indirectly by controlling access to it.  

Could you indirectly monopolize the supply of medical doctors and apply coercion to them to assure that they recommend (and by omission of other options, induce the Public to buy) your drugs, your therapies and approved "countermeasures"?  

Enter the American Medical Association, the American Board of Internal Medicine, the American Board of Family Medicine, the American Board of Obstetrics and Gynecology -- and, of course, the Food and Drug Administration.  

Here's your pipeline system on steroids, controlling the supply and therefore access to medical services, defining the kind of medical service available, and dictating the availability and use of drugs and therapeutic protocols.  

All these "Professional Associations" and "Credential Boards" have been bank-rolled on Rockefeller money and "Federal" Grants -- that have also been largely awarded based on compliance with "standards" imposed by these same bogus "industry authorities" and promoted by the same monopoly interests. 

These "Professional Associations" and "Credential Boards" and unaccountable  "Administrations" were sold to the Public as watch dogs acting in the Public Interest.  

Instead, they have acted in the interest of unscrupulous and largely veiled corporate monopoly interests for profiteering and purposes of political coercion.  

As usual, the Perpetrators have used "storefronts" and proxies to do their dirty work, setting up these sanctimonious hidden monopolies to excuse, whitewash, and promote their criminal profiteering and political agendas.  

These self-important Associations and Agencies purportedly here to protect the Public from quackery and incompetence, dangerous drugs and fraud, have instead willingly promoted all the above, and worse, have expedited and unleashed an actual biowarfare program against the American Public -- for profit. 

Over the past five years these hidden monopolies have murdered millions of innocent people and maimed and poisoned millions more for profit -- and laughed all the way to the bank in the name of protecting the victims.  

They even charged you for killing your family, your friends, and your neighbors.  Ask Joe Biden and Donald Trump about the billions (with a "b") of Covid injections and PCR Tests they bought. Who paid for that?  Who profited from that? 

Their fellow-franchise pals in the Mockingbird Media have helped out by trying to cover it all up. Down play it. Spin it. Bury it, like the victims.  

These organizations are identified as Criminal Monopoly Interests so far as the American Government is concerned. They failed to protect the Public Interest to such a fantastical degree that there is no coming back. 

Like the American Bar Association, the American Medical Association needs to be dismantled and held accountable, along with these politicized Certification Boards, and the complicit Agencies. 

This Notification of Liability is not limited to pandemic injuries and may be freely applied to private monopolies and corporate government offices, agencies, and departments that create regulatory monopolies -- and which as incorporated entities, do not enjoy any degree of State Immunity. 

This Notification of Liability also applies to any incorporated court, insurance fund, or pension fund profiting from a direct or indirect monopoly.  

Promotion of Monopoly Interests, establishment of Monopolies, control of Monopoly Interests, creating a Monopoly by indirect means, obstructing the free flow of trade and commerce, impersonating a public government institution, office, department, or agency, establishing or enforcing fraudulent regulatory controls, engaging in monopoly inducement, and profiting from a monopoly are all Federal Crimes.  

Notice to Principals is Notice to Agents; Notice to Agents is Notice to Principals.

The United States of North America, in the Family of Nations, Law of Nations

[killed-by-choice]

Pamela Colson, 31 (USA 1994)

Pamela Colson underwent a first-trimester abortion when she was 12 weeks pregnant. The date was June 25, 1994. On that fateful Saturday, William Keene killed Pamela’s unborn baby and inflicted the injuries that would kill Pamela before the end of the month.

She had managed to get her friends to drive her to Pensacola, Florida for the legal abortion. When her friends tried to drive her back home, Pamela was bleeding heavily. According to her friends, Pamela began having trouble breathing when they were about halfway home. Sometime close to 7:30 PM, Pamela was unresponsive. Her friends pulled into the parking lot of a hotel to try to save her. Soon the hotel manager and multiple passers-by were involved. The hotel's manager said that two passers-by did CPR while Pamela's friends called for an ambulance. Somebody else attempted to wave down traffic to seek additional help.

Despite the help of both friends and strangers, Pamela did not have a heartbeat and was not breathing at all when the paramedics got there. They took her to Bay Medical Center where doctors performed an emergency hysterectomy in a vain attempt to save Pamela's life. Despite the best attempts at saving her, Pamela was declared dead just after midnight the next day.

Her autopsy showed bloodstained fluid in her chest and her peritoneal space, and "extensive hematoma formation in the pelvic area with the peritoneum denuded from the left gutter area caudually." Her uterus showed extensive hemorrhage and blood clots. Her uterine artery was also damaged. Several of Pamela's ribs were fractured, apparently during attempts to resuscitate her. (This is common in even properly performed CPR.)

Her cause of death: "irreversible shock from blood loss due to a perforated uterus occurring at the time of an elective abortion."

After the investigation into Pamela's death, William Keene was fired from Sarasota Women's Health Center, the other Florida abortion facility where he worked. The director of Women's Medical Service, where Pamela's fatal abortion was performed, on the other hand, ridiculed the idea of firing Pamela’s killer. "Of course he's allowed to perform abortions. That's a ridiculous question. Complications occur all the time," facility director Sandy Sheldon told the Tuscaloosa News. She also showed disdain for the press for covering Pamela's death, telling the Tampa Bay Times, "Patients die all the time, whether it's a gall bladder operation or a hernia or a tonsillectomy, and nobody cares. It's not front-page news. ..... Why is this different? We did everything we were supposed to do."

The abortion facility did not do everything they were supposed to do. Pamela had an internal organ torn, was not told about the damage and was discharged with lethal internal bleeding. The CDC has stated that there is never any legitimate reason for an abortion patient to bleed to death. ("Fatal hemorrhage from legal abortion in the United States," Surgical Gynecology and Obstetrics, November, 1983): “Deaths from hemorrhage associated with legal induced abortion should not occur. Yet hemorrhage was the third most frequent cause of death from legal abortion in the United States between 1972 and 1979. .... Deaths from hemorrhage can be eliminated by preventing uterine trauma during abortion and by rapidly diagnosing and treating hemorrhage if it occurs.”

Pamela's family didn't find out about her death until the following Tuesday because they were traveling at the time. Pamela's parents sued the facility on behalf of themselves and Pamela's two surviving young children, but the case was dismissed because of the plaintiff attorney's “failure to submit an investigation in a timely manner.”

Pamela’s death at the age of 31 was an injustice. She and her baby would be alive today if it hadn’t been for a legal yet lethal abortion.