Academic OB/GYN

The Endometriosis Podcast : Episode 4: Robotic Surgery vs. Excision, Medical Treatment Post Excision, Endometriomas and Fertility

Episode 4: Robotic Surgery vs. Excision, Medical Treatment Post Excision, Endometriomas and Fertility Join surgeon Nicholas Fogelson and endometriosis researcher Libby Hopton as they answer listener questions and discuss recently published research. This episode was recorded in July 2017. Stay tuned for future episodes! 

The Endometriosis Podcast : Episode 3: Ablation vs. excision for superficial endo, hormonal contraceptives, the "Endobiota" and more

Episode 3: Ablation vs. excision for superficial endo, hormonal contraceptives, the "Endobiota" and more Dr. Nicholas Fogelson, MD, and Libby Hopton discuss new literature on endometriosis. Studies include a comparison of excision and ablation surgeries for superficial endometriosis, and a literature review on treating the disease with hormonal contraception. Also, a look at how endometriosis may be co...

New Blog Post: Secondary Insurance is Broken
I hate secondary insurance coverage. It is a total scam on the consumer and should be illegal as it currently exists. I used to think Dental Insurance was the worst medical insurance product you could buy. I think probably now that the worst policy you can buy is a commercial policy when there is already another policy in force. It costs full freight, but the benefits are a fraction of what they would be if it were the only policy in force.

https://www.nwendometriosis.com/blog/secondary-insurance-is-broken

Secondary Insurance is Broken https://www.nwendometriosis.com/blog/why-double-coverage-is-a-scam about how it makes no sense to buy secondary insurance coverage. The reason for this is beca

Hello Academic OB/GYN fans!

I'm proud to announce the formal launch of my new podcast project The Endometriosis Podcast. Much like The Academic OB/GYN Podcast, this podcast is a discussion between myself and colleague Libby Hopton about what's new in the endometriosis literature from the last few months .

Please listen, subscribe, and leave comments/reviews on iTunes and other aggregators.

iTunes link is in the graphic. Also available on Stitcher, GooglePlay, or direct through our RSS feed at https://nwendometriosis.libsyn.com/rss.

‎The Endometriosis Podcast on Apple Podcasts ‎Health · 2019

Presacral Neurectomy - Anatomy and Technique This video demonstrates technique for safe and effective performance of a presacral neurectomy procedure. Narrated and performed with Dr. Nicholas Fogelson o...

I was recently interviewed by Buffy Stinchfield's podcast about endometriosis. I really enjoyed the interview and hope you will take a listen!

http://hwcdn.libsyn.com/p/9/d/f/9df63684cac6dba5/final_Fogelson_episode.mp3?c_id=38611772&cs_id=38611772&expiration=1554243777&hwt=1c2f43ddf8497b051c338f505d999a33

hwcdn.libsyn.com

Hello Academic OB/GYN Fans! My new practice Northwest Endometriosis and Pelvic Surgery has a new page "Northwest Endometriosis and Pelvic Surgery - Nicholas Fogelson, MD". If you would like to get updates on new blog posts and messages from me, please like that page.

I was hoping to just transition this page over being the page for the new practice to preserve the almost 3000 people following it, but it seems that Facebook does not allow this. So please like the new page!

I would also help if you like and/or share this post and leave a comment so that other followers will be more likely to see it and make the transition!

Academic OB/GYN updated their business hours.

My beautiful wife is a great cook and a healthy eating aficionado, and recently has started a health coaching consultancy. Check out Wild Lilac Wellness for great cooking and health tips. Not endometriosis specific, but I often recommend an low inflammation diet to my patients and Zarya’s recipes are mostly in that category as well.

New Blog Post:

Nicholas Fogelson is Moving on Up.. To the Big Time - Announcing Northwest Endometriosis and Pelvic Surgery

Nicholas Fogelson is Movin On Up… To The Big Time – Announcing Northwest Endometriosis and Pelvic Surgery Hello Friends and Colleagues –   As of Aug 1, 2018, I am excited to announce my new business and practice Northwest Endometriosis and Pelvic Surgery (NWEPS). NWEPS is a practice dedicat…

New Blog Post: Why Double Coverage is a Scam

Why Double Coverage is a Scam You have just gotten a job offer that includes health insurance. You’re lucky enough that your spouse has great family insurance already, but hey that health insurance is going to cover the …

Hello Academic OB/GYN fans and readers - I wanted to let you all know that I do not post a great deal on Academic OB/GYN Facebook anymore, preferring my professional facebook profile "Nicholas Fogelson - Physician". If you want to follow what I'm posting please like that profile and you'll get occasional updates from me. Academic OB/GYN started in 2005, and now in 2018 I'm no longer in academia, nor am I an OB/GYN anymore. My primary practice is in minimally invasive gynecologic surgery with a focus in endometriosis care. So if you're not a friend of "Nicholas Fogelson - Physician" and want to continue to get updates, please send a request and I'll accept it.

“I am protesting because it’s been 30 years since my mother was diagnosed with endometriosis and not much has changed. Now I have the disease and suffer in pain.” Michela, 15 years old.

Hello Portland endometriosis friends!

I will be at the Portland Women's Expo from 12-6 at the Pearl Women's Center booth to answer questions about endometriosis or any other gynecologic questions anyone may have. Maybe I'll even do a Hamilton rendition you never know!

If you're in Portland come out and support the event! Lots of great exhibitors.

Was just reading JMIG and found an amazing case and video:

What is amazing about this is that the pt has an endometrioma within the obturator internus muscle and NO PELVIC ENDOMETRIOSIS. One usually believes that cases of very deep retroperitoneal endometriosis come from extension of pelvic disease, but in this case this is clearly not the case. In fact, the pelvis is entirely clean and the surgeon had to cut into a pristine looking pelvic sidewall to reach the very deep lesion within the obturator internus muscle. Fascinating and also beautiful technique.

http://www.jmig.org/article/S1553-4650(17)30400-4/fulltext

Obturator Internus Muscle Endometriosis with Nerve Involvement: a Rare Clinical Presentation To describe our surgical approach in a rare case of deep infiltrating endometriosis of the obturator internus muscle with obturator nerve involvement.

New Blog Post:

On High Volume Gynecologic Surgery, and How to Pick a Surgeon for Your Hysterectomy

On High Volume Gynecologic Surgery, and How to Pick A Surgeon for Your Hysterectomy If you had a serious issue with your knee and needed a surgeon to repair it, how would go about picking that surgeon? If you were like most people, you would find the most experienced and best su…

Being denied an abortion may lead to poverty It's linked to long-term consequences.

Just saw a patient today with the clearest case of abdominal wall endometriosis you will ever see. What is fascinating about it is that she saw several doctors previously, all of which did all kinds of things before making the diagnosis, including putting a needle in the thing to prove that it was what it was. Here's the thing. If there is a mass in a previous surgical scar, particularly a cesarean scar, and it hurts really bad every month, its endometriosis. No biopsy is required. Just needs to be cut out and the resulting hole needs to be fixed. She is posted for surgery now and will be cured of this shortly.

Abdominal wall is endo is different than peritoneal (traditional endo). With peritoneal endo some women get dramatically better from surgery and some struggle even though they have as good a surgery as can be done. But with abdominal wall endo surgery works very reliably and completely as long as the lesion is thoroughly removed.

A new post on our sub-brand Tubal Reversal Northwest:

Why Don't Doctors Do Their Tubals in the Most Reversible Way? | Outpatient Tubal Reversal in Portland, OR As physicians that spend time helping women to restore fertility after a previous sterilization surgery, one is often left to ponder why some physicians who per

Great article from my partner at Pearl Women's Center

Pearl Health's Narrow Gyn Network is Just What the Doctor Ordered R Rosenfield MD October 26, 2017. Portland OR. Over the past several years, there has been a push for more transparency in healthcare pricing in a

New Blog Post:

Obamacare: The Uncanny Valley of Healthcare As a young person, I always believed that our country provided healthcare for the poor and indigent. When I became a medical resident, I found out that this wasn’t really true. There was a medica…

Another example of how profit motives undermine simple changes that would save healthcare dollars. When profit is the motive in medicine, there is every incentive for healthcare to be more expensive.

Drug Companies Make Eyedrops Too Big, And You Pay For The Waste When eyedrops dribble down your face, it's not your fault. Drugmakers have long known that their drops of medicine exceed the capacity of the human eye. Why didn't companies make the drops smaller?

Home | Tubal Reversal Northwest Home

Hmm. CNN getting on the bandwagon I've been on for awhile, many of the same ideas I have expressed in my series of blog posts. Does Sanjay Gupta read Academic OB/GYN?

https://academicobgyn.com/category/cost-of-healthcare/

Why is health care in the US so expensive? - CNN Video As Congress debates a new health care bill, Dr. Sanjay Gupta asks: Why is health care in the United States so expensive in the first place?

An interesting case of abdominal wall endometriosis.

https://academicobgyn.com/2017/10/03/academic-obgyn-cases-large-abdominal-wall-endometrioma-with-mesh-reconstruction/

For once a great article on endometriosis in the press. With quotes from fellow Endo surgeons Arrington and Lee!

Hysterectomy is occasionally part of treatment for pelvic pain, but is not really a treatment for endometriosis.

http://www.teenvogue.com/story/hysterectomies-for-endometriosis

Women May Be Getting Organs Removed Unnecessarily to Treat Endometriosis This may be why.

Doc Vader on Boundaries Vader likes to keep his work friends and his friend friends separate. Like, WAY separate.

10% of women have endometriosis. Many of these women have severe symptoms such as painful menstruation, back pain, or infertility. Expert surgical therapy can really help! Both Drs Fogelson and Rosenfield of Pearl Women's Center practice advanced excision surgery, and see patients from throughout Oregon and the Pacific Northwest for this condition. If you, a friend, or a family member is affected by endometriosis or other issues with pelvic pain, we may be able to help!