A Doctor Delivers Podcast with Shannon M. Clark, MD – Details, episodes & analysis

Dr. Shannon M. Clark discusses the following with genetic counselor, Liz Sheehan @agirlsnameisbizbiz:
•what are fetal chromosomal aneuploidies
•different types of antenatal screening tests
•cell-free DNA screening
•NT measurement plus serum screening in first trimester
•quad screen in second trimester
•screening PGT tested embryos
•ultrasound soft markers: choroid plexus cysts, echogenic intracardiac focus, echogenic bowel, pylectasis, single umbilical artery

Sen. Bill Cassidy of LA, who is also an MD specializing in GI or liver disease, had an interview with POLITICO for the Harvard Chan School of Public Health series Public Health on the Brink on May 19.

He has claimed to be unapologetically “prolife”, but said in this interview when asked what needs to be done about LAs high maternal mortality rate, “About a third of our population is African American; African Americans have a higher incidence of maternal mortality. So, if you correct our population for race, we’re not as much of an outlier as it’d otherwise appear. Now, I say that not to minimize the issue but to focus the issue as to where it would be. For whatever reason, people of color have a higher incidence of maternal mortality.”

I discuss these statements with Charles Johnson who founded of 4Kira4moms on 2017 after losing his wife Kira Dixon Johnson during a routine cesarean at Cedar Sinai hospital in Los Angeles. He is a voice for families facing unnecessary maternal loss and ending the maternal mortality crisis in this country.

Recently, he worked with congress to pass the preventing maternal death act which is the first ever to combat the maternal mortality crisis in the US. The bill was signed into law on 12/21/2018 and dedicated to the memory of Kira Dixon Johnson.

Dr. Shannon M. Clark discusses the following with Dr. Kristin Lasseter, @the.reproductive.psychiatrist: 

-Impact of maternal psychiatric illness Consequences of lack of treatment or undertreatment on pregnancy outcomes 

-General treatment concepts 

-Specific meds for treatment of depression, bipolar disorder, anxiety, schizophrenia, and ADHD 

-Recommendations from MFM and psychiatry 

-Resources: MCH Center or Women's Health, Mother To Baby, Postpartum Support International

Dr. Shannon M. Clark discusses the following with Kayleigh Summers @thebirthtrauma_mama: 

-Kayleigh’s story of surviving AFE 

-AFE and clinical presentation, diagnosis, risk factors, survivability, long-term effects on survivors, infant outcomes, recurrence 

-The @afefoundation 

-The AFE biorepository 

-Birth trauma and how to get help 

Dr. Shannon M. Clark discusses the following with cardiologist Dr. Rachel M. Bond @drrachelmbond: •preconception cardiovascular health amd evaluation 

-acquired versus congenital heart disease 

-cardiovascular health in pregnancy 

-cardiovascular physiologic changes in pregnancy why some people find out they have heart disease for first time during pregnancy 

-postpartum cardiovascular health and disease 

-peripartum cardiomyopathy 

-risk factors for maternal cardiovascular disease •symptoms of heart disease in pregnancy 

-cardiovascular disease and cardiomyopathy as leading cause of maternal mortality 

-race/ethnicity as a risk factor for cardiovascular-related maternal mortality -

how to advocate for yourself •social determinants of disparities in maternal cardiovascular disease 

-how to protect your heart health

Dr. Shannon M. Clark and Dr. Temeka Zore @temekazoremd discuss the following: ✔️the myth that the COVID vaccine causes fem ale (egg-producing individual) infertility ✔️fever after vaccination/booster and affect on female and male (sperm producing individual) fertility ✔️COVID vaccine and male fertility ✔️COVID vaccine and menstrual cycle disturbances ✔️ASRM recommendation regarding vaccination/booster while TTC ✔️recommended waiting period to start fertility treatments after having COVID infection or receiving a vaccine/booster ✔️partners and vaccination/booster ✔️COVID infection and fertility ✔️COVID infection and erectile dysfunction ✔️best time in pregnancy to get vaccinated ✔️surgical procedures during fertility treatments

Dr. Shannon M. Clark and Dr. Marta Perez @dr.martaperez discuss the following: ✔️requesting vaccinated nurses in labor and delivery ✔️what to do if you get COVID ✔️monoclonal antibodies ✔️what we know about Omicron variant ✔️adverse pregnancy and maternal outcomes of COVID+ and unvaccinated ✔️adverse pregnancy and maternal outcomes of COVID+ and vaccinated/boosted ✔️asymptomatic COVID infection and adverse pregnancy and maternal outcomes in unvaccinated and vaccinated ✔️getting COVID after vaccination or booster ✔️safety of COVID vaccine and booster ✔️vaccination/booster during lactation ✔️antibodies in neonate after vaccination in pregnancy or lactation ✔️best time in pregnancy to get vaccinated ✔️low dose aspirin and being COVID+

 Dr. Shannon M. Clark discusses the following with REI specialist, Dr. Lucky Sekhon @lucky.sekhon:

•diagnosis of PCOS
•irregular cycles and ovulatory dysfunction
•biochemical and clinical hyperandrogenism
•role of pelvic ultrasound in PCOS
•workup for infertility in someone with PCOS
•role of letrozole, clomid, metformin, gonadotropins and IVF in a fertility treatment plan for someone with PCOS
•adverse pregnancy outcomes in those with PCOS
•does getting pregnant fix PCOS
•PCOS in those over age 35
•role of OCPs in PCOS
•dietary recommendations
•supplements and PCOS
•beware of the influencers who are selling fertility and supplement products for PCOS!

Dr. Shannon M. Clark discusses all things bladder (overactive bladder, urinary incontinence, interstitial cystitis and more) with Pelvic Floor Physical Therapist, Dr. Alicia Jeffrey-Thomas of @thepelvichealthladies.

Dr. Shannon M. Clark discusses the importance of a healthy couple relationship while parenting little ones with Dr. Steven & Erin Mitchell @couples.counseling.for.parents.