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Women, Weight Loss, and Semaglutide is a groundbreaking podcast hosted by Marcelle Pick, OB/GYN NP, a distinguished healthcare professional with a passion for empowering women through knowledge and understanding of their own health. This enlightening series dives deep into the revolutionary world of semaglutides, a new frontier in the journey toward effective weight management and overall wellness. Each episode is meticulously designed to demystify the science behind semaglutides, exploring ...
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Procedure Ready: Ob/Gyn (formerly called Pimped Ob/Gyn) is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn. It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and s ...
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Email podcast@procedureready.com with comments, questions, and episode ideas. Pimped-Ob/Gyn is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn. It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the Pimpin ...
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this podcast episode, weight loss expert Marcelle Pick discusses the effectiveness of weight loss drugs like Ozempic and Wegovy, noting that they may not work for everyone and can have side effects. He shares a case of a woman who gained weight despite using t…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this podcast episode, Marcelle Pick, Nurse Practitioner, discusses the effectiveness and limitations of weight loss drugs like Ozempic and Wegovy. She highlights that while these medications can produce dramatic results, they don't work for everyone and may no…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this podcast episode, Marcelle Pick discusses the risks of muscle loss associated with popular weight loss drugs like GLP-1 medications. She emphasizes the importance of preserving muscle for overall health, especially in older adults, and explores alternative…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** Today, we're diving into a crucial topic: muscle loss and weight loss drugs. If you're intrigued by the promises of shedding pounds, stick around. We're delving into the world of weight loss medications like Wegovy and Zepbound. While these drugs boast impressive…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this insightful episode, host Marcelle Pick, an OB GYN, pediatric nurse practitioner, and best-selling author, explores the complex world of weight loss drugs, specifically focusing on Semaglutide under the brand name Ozempic. Marcelle discusses the stark real…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In today's episode, I delve into the latest buzz surrounding new weight loss medications, a topic that's been all over the media and notably discussed in Oprah Winfrey's special. As a pediatric and OBGYN nurse practitioner, my aim is to provide a deeper understan…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** Join Marcelle Pick, OB/GYN NP, in this illuminating episode as she explores the ins and outs of semaglutide, a revolutionary weight loss medication. Marcelle breaks down the science behind semaglutide, explaining its mechanisms of action and how it affects the bo…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this enlightening episode of Women, Weight Loss, and Semaglutide, host Marcelle Pick, an OB/GYN and pediatric nurse practitioner, embarks on a comprehensive exploration of the latest craze in weight loss drugs, focusing on the significant drawbacks that have e…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this episode, we delve into the complex world of weight loss medications. My passion for discussing these topics stems from a personal journey that began when I moved to America at 11. Thrust into an environment where dieting was the norm, I struggled with my …
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this episode, Marcelle navigates through the craze, the science, and the societal impact of these medications, armed with insights from a Pew Research survey on American perceptions and the broader conversation on weight management. With a critical eye, she ex…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this insightful episode, host Marcelle Pick, OB/GYN NP, delves into the increasingly popular but controversial concept of taking breaks from Ozempic, a medication initially approved for managing diabetes and later for weight loss. With a balanced approach that…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** In this episode, host Marcelle Pick, OB/GYN NP, ventures into the intriguing intersection of weight loss drugs and addiction treatment, specifically examining the potential of Ozempic in addressing alcohol dependence. This episode sheds light on emerging research…
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**Click Here to join the 21 Day Quick Start and jump start your weight loss journey!** Today, Marcelle Pick, OB/GYN NP, takes listeners on an educational journey through the landscape of modern weight loss medications. With an emphasis on providing clear, accurate, and actionable information, this episode is dedicated to exploring the nuances, mech…
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Cancer Screening Cervical: Age 21-65 Cytology q3yrs, co-test q5 if normal. ASCCP guidelines (there is an app! Or PDF: http://www.asccp.org/Assets/51b17a58-7af9-4667-879a-3ff48472d6dc/635912165077730000/asccp-management-guidelines-august-2014-pdf ) Breast: ACOG: 40-75 annual mammogram Colon: Colonoscopy, FOBT, FIT. Begin at age 50. If first degree r…
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Swab/Urine Chlamydia: usually asymptomatic. Screen routinely. Can cause infertility/PID and Fitz-hugh-curtis. Treat with Azithro x1 Gonorrhea: often asymptomatic. Screen routinely. Can cause infertility/PID. Treat with Ceftriaxone and Azithromycin Trich: frothy/watery discharge. “Strawberry cervix” Can see trich moving on wet mount. Treat Flagyl 2g…
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Swab/Urine Chlamydia: usually asymptomatic. Screen routinely. Can cause infertility/PID and Fitz-hugh-curtis. Treat with Azithro x1 Gonorrhea: often asymptomatic. Screen routinely. Can cause infertility/PID. Treat with Ceftriaxone and Azithromycin Trich: frothy/watery discharge. “Strawberry cervix” Can see trich moving on wet mount. Treat Flagyl 2g…
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Cancer Screening Cervical: Age 21-65 Cytology q3yrs, co-test q5 if normal. ASCCP guidelines (there is an app! Or PDF: http://www.asccp.org/Assets/51b17a58-7af9-4667-879a-3ff48472d6dc/635912165077730000/asccp-management-guidelines-august-2014-pdf ) Breast: ACOG: 40-75 annual mammogram Colon: Colonoscopy, FOBT, FIT. Begin at age 50. If first degree r…
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Why: ASCCP guidelines (there is an app! Or PDF) Cervical dysplasia — caused by HPV CIN I–CIN3 is a progression Risk factors: Smoking, other STIs including HIV, immunodeficiency Histology: Increased Nuclear: cytoplasmic ratio when abnormal Acetic Acid: exact mechanism unknown, the higher N:C ratio cells (aka abnormal cells) reflect more light and ap…
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Every visit: Doptones, fundal height, vitals Four question: Vaginal bleeding, contractions, leaking fluid, fetal movement By Weeks: 20wks – get and review anatomy US 24wks – order glucola, cbc (check for anemia), discuss normal growing pains 28wks – Tdap and Rhogam if needed, discuss kick counts 32wks – Discuss BCM, sign tubal papers if needed, […]…
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Planned/Desired Options counseling if needed Exam/pelvic/pap Ultrasound for dating Screening options: QUAD, Sequential, NIPS, invasive testing Pregnancy guidelines Weight: BMI under 18.5 should gain 28–40 pounds. Normal-weight women (BMI, 18.5–24.9) should aim for 25–35 Overweight women (BMI, 25–29.9) should aim for 15–25 Obese women (BMI, 30 or mo…
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Why: ASCCP guidelines (there is an app! Or PDF) Cervical dysplasia — caused by HPV CIN I–CIN3 is a progression Risk factors: Smoking, other STIs including HIV, immunodeficiency Histology: Increased Nuclear: cytoplasmic ratio when abnormal Acetic Acid: exact mechanism unknown, the higher N:C ratio cells (aka abnormal cells) reflect more light and ap…
  continue reading
 
Planned/Desired Options counseling if needed Exam/pelvic/pap Ultrasound for dating Screening options: QUAD, Sequential, NIPS, invasive testing Pregnancy guidelines Weight: BMI under 18.5 should gain 28–40 pounds. Normal-weight women (BMI, 18.5–24.9) should aim for 25–35 Overweight women (BMI, 25–29.9) should aim for 15–25 Obese women (BMI, 30 or mo…
  continue reading
 
Every visit: Doptones, fundal height, vitals Four question: Vaginal bleeding, contractions, leaking fluid, fetal movement By Weeks: 20wks – get and review anatomy US 24wks – order glucola, cbc (check for anemia), discuss normal growing pains 28wks – Tdap and Rhogam if needed, discuss kick counts 32wks – Discuss BCM, sign tubal papers if needed, […]…
  continue reading
 
Intrapartum Differential diagnosis for Temp >38.0C Epidural fever (transient), DVT/PE (if prolonged IOL or limited mobility), UTI, Intraamniotic infection (with or without ROM), etc Chorioamnionitis aka IAI aka Triple-I (intrapartum intraamniotic Infection) One temp >39.0C One temp 38.0C-39.0C AND one or more risk factors Two temps >38.0C 30+ mins …
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Intrapartum Differential diagnosis for Temp >38.0C Epidural fever (transient), DVT/PE (if prolonged IOL or limited mobility), UTI, Intraamniotic infection (with or without ROM), etc Chorioamnionitis aka IAI aka Triple-I (intrapartum intraamniotic Infection) One temp >39.0C One temp 38.0C-39.0C AND one or more risk factors Two temps >38.0C 30+ mins …
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ACOG Practice bulletin: # 171 PTL or TPTL: Preterm <37wks, cervical change Evaluation: SSE first: Collect GC/CT cultures, FFN (no gel, blood or semen), GBS, eval for rupture if needed SVE: Cervical change–can dilation or effacement changes FFN: Fetal fibronectin If tPTL: Magnesium for neuroprotection if <32wks, decrease CP rates Betamethasone for f…
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ACOG Practice bulletin: # 171 PTL or TPTL: Preterm <37wks, cervical change Evaluation: SSE first: Collect GC/CT cultures, FFN (no gel, blood or semen), GBS, eval for rupture if needed SVE: Cervical change–can dilation or effacement changes FFN: Fetal fibronectin If tPTL: Magnesium for neuroprotection if <32wks, decrease CP rates Betamethasone for f…
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Nonreassuring fetal heart tracing Category 2-remote from delivery Minimal/absent variability is most significant predictor of fetal acidemia Category 3 any time is emergent deliver Failed IOL Many different definitions: Most commonly 12-24hrs ruptured membranes on pitocin without active labor Arrest of dilation Can only meet criteria once in active…
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Nonreassuring fetal heart tracing Category 2-remote from delivery Minimal/absent variability is most significant predictor of fetal acidemia Category 3 any time is emergent deliver Failed IOL Many different definitions: Most commonly 12-24hrs ruptured membranes on pitocin without active labor Arrest of dilation Can only meet criteria once in active…
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What approach: Abdominal, laparoscopic, vaginal or combination Taking or leaving the tubes and ovaries? Tubes: What benefit do they provide? Risk? Ovaries: What benefit do ovaries provide? What about after menopause? Still have benefit for bones and cardiovascular health. 65yr old cut-off If it’s laparoscopic–listen to the LSC podcast for more deta…
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What approach: Abdominal, laparoscopic, vaginal or combination Taking or leaving the tubes and ovaries? Tubes: What benefit do they provide? Risk? Ovaries: What benefit do ovaries provide? What about after menopause? Still have benefit for bones and cardiovascular health. 65yr old cut-off If it’s laparoscopic–listen to the LSC podcast for more deta…
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Review anatomy– you’ll be able to see well! Pimped- Youtube Channel videos for laparoscopic anatomy What case are you doing and why? Review common indications, steps to procedure and potential risks/complications Saying hi to the patient first Being helpful setting up — yellowfins or stirrups for lithotomy Scrubbing in — ask to grab your gown/glove…
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Review anatomy– you’ll be able to see well! Pimped- Youtube Channel videos for laparoscopic anatomy What case are you doing and why? Review common indications, steps to procedure and potential risks/complications Saying hi to the patient first Being helpful setting up — yellowfins or stirrups for lithotomy Scrubbing in — ask to grab your gown/glove…
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Why? Scheduled: Repeat cesarean, hx of uterine surgery, abnormal placentation (placenta previa, vasa previa, accrete, etc) malpresentation (not cephalic), multiple gestation In labor: arrest of dilation, arrest of descent, nonreassuring fetal heart tones, elective Anatomy: Layers of anterior abdominal wall: skin, subcutaneous tissue, superficial fa…
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Why? Scheduled: Repeat cesarean, hx of uterine surgery, abnormal placentation (placenta previa, vasa previa, accrete, etc) malpresentation (not cephalic), multiple gestation In labor: arrest of dilation, arrest of descent, nonreassuring fetal heart tones, elective Anatomy: Layers of anterior abdominal wall: skin, subcutaneous tissue, superficial fa…
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Cardinal movements of labor: engagement, descent, flexion, internal rotation, extension, external rotation and expulsion Complete dilation, now station: Labor down vs push 2nd Stage of labor: Pushing Offer to help with maternal positioning—holding ankle/leg Delivery—downward traction on head, thumbs to nose, anterior shoulder, posterior shoulder, b…
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Cardinal movements of labor: engagement, descent, flexion, internal rotation, extension, external rotation and expulsion Complete dilation, now station: Labor down vs push 2nd Stage of labor: Pushing Offer to help with maternal positioning—holding ankle/leg Delivery—downward traction on head, thumbs to nose, anterior shoulder, posterior shoulder, b…
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High yield resources and tips for your Ob/Gyn clerkship. Youtube Playlist: http://bit.ly/pimped-ob Books: Netters Obstetrics and Gynecology by Beckmann Apps: Pimped App – Clinical questions to expect in the OR and on the wards Uptodate Epocrates GoodRx LactMed – medications safe in breastfeeding ASCCP: Cervical cancer screening CDC STI guidelines A…
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