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Kamm McKenzie OBGYN by Erica G. Howard, Msn, Whnp-bc - 2d ago
“Can we check my hormone levels to see if I am menopausal?” Is a relatively common question asked of me during routine annual exams.  Because age-related hormonal shifts are normal, and symptoms present differently for different women, the answer is not always straightforward. For example, one woman might have fairly regular menstrual cycles with gradually lighter monthly periods until she no longer has them, while another might be affected by erratic, unpredictable, and heavy cycles until they subside. As with menstrual differences, vasomotor symptoms (think: hot flashes and night sweats) can vary widely as well. With a broadly ranging slew of information available on the internet these days, it can be difficult to determine what is “normal.” Here, I’ll discuss what’s normal, what’s not, and what might help ease this transition.
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Hopefully there are all kinds of reasons why you would want to join our practice.  Here is a big one.  Our cesarean section rate continues to be one of the lowest in the nation.  The Leapfrog Group tracks quality outcome measures in hospitals across the county.  They just released their most recent review of Maternity Care.  In it they report the cesarean section rate for first time moms at term with a single head down baby (NSVT). 
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Kamm McKenzie OBGYN by Joel M. Bernstien, M.d. - 1M ago

Congratulations, you are in the final third of your pregnancy.  Hopefully you passed your diabetes screen. If you did not, you are “enjoying” your new low carb diet or possibly new medications.  If this is your first kiddo you probably have a baby shower in the works. (I was amazed with how NICE everyone was with our first baby.  We got so many wonderful and useful things. I remember getting a little choked up seeing all the stuff we received.)

For most of you, visits will continue in two week intervals until the 36th week, then you will be seen weekly until delivery.  I previously wrote blogs about first trimester emergencies and second trimester emergencies. This blog is going to focus on third trimester emergencies and WILL NOT include regular labor precautions.  I have decided to write a separate blog about that so stay tuned!

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It’s the end of May in central North Carolina, which means it’s unofficially, officially summer. Summer in the south brings out all sorts of skin issues due to the hot and humid climate, accompanied by excess moisture and, well, certain discomforts that can occur “down there.” But don’t fret; we’re here to provide some helpful tips on how to prevent bikini line snafus, vaginal discomfort, and other summer skin conundrums in 2019!
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It’s the end of May in central North Carolina, which means it’s unofficially, officially summer. Summer in the south brings out all sorts of skin issues due to the hot and humid climate, accompanied by excess moisture and, well, certain discomforts that can occur “down there.” But don’t fret; we’re here to provide some helpful tips on how to prevent bikini line snafus, vaginal discomfort, and other summer skin conundrums in 2019!
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It’s that time of year again!  NHL and NBA playoffs? Yes, but no.  Powerwash the deck now that pollen season is over?  Maybe, but nope.  Drumroll please…… it’s time to announce the top 10 baby names for 2018!  Every May the Social Security Administration releases last years top baby names.  It’s really kind of a cool web page with lots of information.  You can see the national “winners” or search by state.  You can even look up the popularity of a name by birth year dating back to 1880.
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So you’ve decided on an intrauterine device (IUD) for contraception- Congratulations! But… now what?  You’ve probably heard stories from friends, family members, or coworkers about their various experiences that have you wondering whether or not you made the right choice. As with most big decisions, especially when it comes to our health care, it can be totally normal to have some second thoughts or worries about what to expect. Like most people, you’ve probably even found yourself turning to “Dr. Google” for some answers, which may, or [more likely] may not, be helping the situation. 
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It’s that time of year again!  NHL and NBA playoffs? Yes, but no.  Powerwash the deck now that pollen season is over?  Maybe, but nope.  Drumroll please…… it’s time to announce the top 10 baby names for 2018!  Every May the Social Security Administration releases last years top baby names.  It’s really kind of a cool web page with lots of information.  You can see the national “winners” or search by state.  You can even look up the popularity of a name by birth year dating back to 1880.
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So you’ve decided on an intrauterine device (IUD) for contraception- Congratulations! But… now what?  You’ve probably heard stories from friends, family members, or coworkers about their various experiences that have you wondering whether or not you made the right choice. As with most big decisions, especially when it comes to our health care, it can be totally normal to have some second thoughts or worries about what to expect. Like most people, you’ve probably even found yourself turning to “Dr. Google” for some answers, which may, or [more likely] may not, be helping the situation. 
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You made it! The second trimester is usually the best.  For most women, the nausea eventually subsides, your energy level returns (a little at least), and you are not yet so big as to inhibit most of your normal day to day activities. In addition, that first trimester miscarriage anxiety is decreasing a little because you know your risk of pregnancy loss is now 1% or less. For most of you, visits with Kamm Mckenzie are usually only monthly. Excitement builds as you look forward to your anatomy sonogram.  At some point you will start to feel the baby move. Then, most of you get to close out your 2nd trimester and begin your third with the wonderful, sweet, mouth puckering, orange or lemon lime flavored gestational diabetes beverage...yummy! If you read my last blog, I dove into what warrants an emergency call during the first trimester, and what can wait until the office is open again. I am going to try to address some of the more common second trimester emergencies and comment on things that ...

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