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Reproductive psychiatry, also known as perinatal psychiatry or maternal mental health, focuses on mental health concerns in pregnancy (also including planning and IVF), delivery, postpartum, and parenting. As a reproductive psychiatrist, I try to imagine myself in the situation of my patient, to conceptualize the stresses she’s dealing with, who can support her at home,…

Every physician I know has a story about an unanticipated patient event.  A story that was traumatic at the time and easy to now recall in fine detail.  A story that was so impactful that it still haunts them.  When a patient suffers an adverse event, many people are affected — the patient, his or…

In a small community not far from my hometown, Paul sat peacefully in his self-built abode on a July day like just about any other. Happy to experience the peace of his bucolic life far from the hustle and bustle of the city, he rarely visited a doctor despite a festering back ailment that limited…

“We are grateful to be avoiding the need to use draconian measures for resource allocation. We have been afforded the blessing of lead-time here in Los Angeles and have the chance to learn from other parts of the world, as well as other areas within the United States. We are preparing our personal protective equipment,…

“Time is generally the best doctor,” according to the Roman poet Ovid. But these days, in the middle of the pandemic, what doctor has time? Health care professionals already have 29-hour days. In many places, hospitals are at or near capacity because of Covid-19 cases. Some hospitals and staff are functioning in crisis mode; chaos…

In this world of misinformation, fear, social media overload, and mistrust, seek counsel from your health care provider. Over the course of the COVID-19 pandemic, I have witnessed the bravery of my colleagues on the front lines treating patients and putting themselves and their families at risk, heroic nurses swabbing hundreds of patients tirelessly in…

We are tired, overwhelmed, very committed, missing our families, and carrying each patient with us as we try to deliver excellent care in a very disorienting time. We worry about the health of our families and friends and community as well as our own health, for we are no help if we become sick and…

As an obstetrician, I am asked daily, what is my birth going to look like? What happens when I am in labor? Where do I go if I think I am in labor? Before COVID, these were easy questions to answer. I would explain what the usual steps are and then politely refer them to…

Maybe I haven’t been paying close attention. Forgive me, I’ve been a bit busier than usual. When did it become acceptable or seemingly the norm to attack the medical community for simply doing our jobs? I understand that corporations, notably big pharma, and all politicians have inherent biases as profits, constituents, and election campaigns influence…