OB GYN News articles from June 2005

OB GYN News archives from June 2005

Texas tort reform gets mixed reviews.(News)
June 1, 2005... When it comes to tort reform in Texas, physicians there say so far, so good. In 2003, the state enacted a tort reform law similar to that of California, including a $250,000 cap on noneconomic damages. So far, that's been good news for...

Top 10 drugs mentioned by ob.gyns. in 2004.(table)(obstetrician-gynecologist)(Table)(Brief article)
June 1, 2005... Top 10 Drugs Mentioned by Ob.Gyns. in 2004 Millions of Mentions* Prenatal vitamins 5.4 Premarin tablets 2.6 Depo-Provera 2.4 Yasmin 28 2.3 Ortho Evra...

Routine episiotomy offers women no benefits or relief: review notes longer recovery, some harm.(News)
June 1, 2005... Routine use of episiotomy for uncomplicated vaginal births provides no maternal benefits and may harm some who would have had lesser injury without a surgical incision, according to a literature review. When providers restricted their use...

Valacyclovir in pregnancy limits herpes recurrence.(News)
June 1, 2005... SAN FRANCISCO -- Women with a history of genital herpes or a primary herpes episode experienced a reduction in both subclinical and active disease recurrence when treated prophylactically with valacyclovir from 36 weeks' gestation until...

HHS pushes to enforce 'Born-Alive' law.(News)
June 1, 2005... Officials at the Department of Health and Human Services are trying to encourage enforcement of a 2002 law that defines any live birth as a person. The agency issued guidance in April that withholding medical care from an infant born alive...

FDA clears once-monthly osteoporosis therapy.(News)
June 1, 2005... A once-monthly formulation of the bisphosphonate ibandronate was recently approved by the Food and Drug Administration for treating postmenopausal osteoporosis, 2 years after a daily formulation of the drug was approved but never marketed. ...

History suggests postmenopausal fracture risks.(News)
June 1, 2005... WASHINGTON -- The risk of vertebral fragility fractures is threefold higher among postmenopausal women with at least one prevalent radiographic fracture, compared with those without such a history, Ethel S. Siris, M.D., said at an international...

High BMI, fewer nurses predict dystocia injury.(News)
June 1, 2005... SAN FRANCISCO -- Birth injuries from shoulder dystocia are increased among women with a high body mass index, according to a poster presented by Stacy M. Colombo and colleagues at the annual meeting of the American College of Obstetricians and...

DNA microarray suggests two forms of endometriosis.(News)
June 1, 2005... INDIAN WELLS, CALIF. -- DNA microarray technology has identified a simple set of markers that may differentiate two distinct types of endometriosis, Kathleen Cook, M.D., said at the annual meeting of the Pacific Coast Reproductive Society. ...

Depression found common in adolescent mothers in first year after giving birth.(News)
June 1, 2005... LOS ANGELES -- Half of adolescent mothers experience significant depression in the first year after giving birth, according to a study of 417 young mothers followed for 48 months. The study included roughly equal numbers of Mexican...

Pregnancy outcomes good after bariatric surgery.(News)
June 1, 2005... PALM DESERT, CALIF. -- Pregnancy outcomes after bariatric surgery appear to be largely positive, although such patients should be closely monitored for nutritional deficiencies, Richard N. Wissler, M.D., concluded after systematically reviewing...

Obesity and overweight tied to dementia.(News)
June 1, 2005... People who are obese or overweight at middle age are at significantly greater risk for dementia in later life than normal-weight people, reported Rachel A. Whitmer, Ph.D., of the division of research, Kaiser Permanente, Oakland, Calif. The...

Retainer practices: many doctors work less but earn more.(News)
June 1, 2005... DALLAS -- Physicians in retainer practices are reporting better quality of care and fewer hassles, but the new approach is not without its flaws, according to a survey presented at a national conference on concierge medicine. The retainer...

Hand gels not enough to block C. difficile.(News)
June 1, 2005... LOS ANGELES -- The use of alcohol-based hand-cleaning gels has burgeoned in hospitals, where physicians, nurses, and other medical staff members have enthusiastically embraced them as a quick and convenient alternative to soap and water hand...

Virulent C. difficile outbreaks worry experts.(News)
June 1, 2005... LOS ANGELES -- Discussion about the spread of a highly toxic new strain of Clostridium difficile dominated a recent meeting of infectious disease specialists and hospital epidemiologists, who cautioned that widespread reports of the aggressive...

Schiavo case shows need for clarity.(research)(care and treatment)
June 1, 2005... The case of Terri Schiavo serves as a lesson for physicians: Make sure you explain things in terms that patients and families can understand. From what I have read and heard, it is clear that Ms. Schiavo was in a persistent vegetative...

Will health savings accounts leave people vulnerable to bankruptcy?(PRO & CON)
June 1, 2005... YES When we studied more than 900 people who had filed for personal bankruptcy, more than half of them cited medical causes (Health Aff. [Mill-wood] Feb. 2, 2005; [Web exclusive]). This was true even though three-quarters of the debtors...

Two options, same relief in mild endometriosis.(Gynecology)
June 1, 2005... LONDON -- Patients with chronic pelvic pain and mild endometriosis can get temporary relief from excision or ablation of their lesions almost 70% of the time, according to a randomized controlled trial of both treatments. "If you look at...

Incontinence twice as likely with vaginal birth.(Gynecology)
June 1, 2005... RANCHO MIRAGE, CALIF. -- Women who had delivered vaginally were more than twice as likely to report stress urinary incontinence as were women who had delivered only by cesarean section in a study of 271 sets of identical twin sisters. In a...

Consider risk factors in osteoporosis therapy: increased fracture risk seen in those with T scores below -1.8, previous fracture, and fair or poor health.(Gynecology)
June 1, 2005... NEW YORK -- While bone mineral density T scores clearly are predictive of a postmenopausal woman's osteoporotic fracture risk, treatment decisions should take into account other factors, including her overall health and history of previous...

Vitamin D levels low in many women on osteoporosis Tx.(Gynecology)
June 1, 2005... WASHINGTON -- Vitamin D levels are inadequate in up to half of postmenopausal women who receive treatment for osteoporosis, Ethel Siris, M.D., reported during an international symposium sponsored by the National Osteoporosis Foundation. ...

Monthly oral ibandronate therapy boosts BMD as well as daily dose.(bone mineral density)(dosage and administration)
June 1, 2005... WASHINGTON -- A monthly dose of oral ibandronate is at least as safe and as effective at increasing bone mineral density as a daily dose, according to data from a study of more than 1,200 postmenopausal women with osteoporosis. The Monthly...

Reaching the underserved through the media.(importance of media in disease prevention and health promotion)
June 1, 2005... NEW YORK -- When Elmer E. Huerta, M.D., left his oncology practice in Peru to come to the Washington, D.C., area in 1987, "I thought I was going to the heavens," he recalls. In Peru, 85% of breast and cervical cancers are found at stage III...

Aggressive tx for ovarian ca in elderly doesn't raise morbidity.(Gynecology)
June 1, 2005... RANCHO MIRAGE, CALIF. -- Aggressive surgery for epithelial ovarian cancer did not increase mortality or morbidity, compared with less aggressive surgery in patients over age 65 or with medical comorbidities, a review of 140 cases found. ...

Infertility studies support anastrozole, letrozole.(Gynecology)
June 1, 2005... LOS ANGELES -- New data from two pilot studies support the use of aromatase inhibitors to promote pregnancy in women with ovulatory dysfunction or unexplained infertility, according to poster presentations at the annual meeting of the Society...

Infertility work-up should include examination with TVL, expert says.(care and treatment)
June 1, 2005... LONDON -- The modern infertility work-up should include a transvaginal hydrolaparoscopic exploration of the tubes and ovaries, said Stephan Gordts, M.D., of the Leuven (Belgium) Institute for Fertility and Embryology. He pioneered...

Smoking, estrogen bad combination for Alzheimer's.(Gynecology)
June 1, 2005... MIAMI BEACH -- The risk of Alzheimer's disease declines by almost half among postmenopausal nonsmokers who use estrogen therapy, but nearly doubles among those who both smoke and use estrogen therapy, Rosebud O. Roberts, M.B., said in a poster...

Early [beta]-HCG levels predict IVF pregnancy viability.(Gynecology)
June 1, 2005... LOS ANGELES -- Physicians counseling patients after in vitro fertilization can use early [beta]-HCG levels and slopes to predict whether a pregnancy is viable, according to a study presented at the annual meeting of the Society for Gynecologic...

Anterior rectal resection for endometriosis: in 76% of rectovaginal cases, pain was either eliminated or got much better, according to a study of 37 women.(Gynecology)
June 1, 2005... LONDON -- Anterior rectal resection and anastomosis for the treatment of rectovaginal endometriosis can provide significant pain relief with an acceptable level of complications, according to a study presented at the annual congress of the...

Good results, satisfaction after partial colpocleisis.(care and treatment)(Statistical data)
June 1, 2005... RANCHO MIRAGE, CALIF. -- Three of 32 women regretted undergoing partial colpocleisis a mean of 28 months after surgery, two because of recurrent prolapse and one due to continued stress incontinence, Thomas L. Wheeler II, M.D., reported. ...

Grafts offer no added protection against recurrence in pelvic prolapse.(Gynecology)
June 1, 2005... RANCHO MIRAGE, CALIF. -- Graft augmentation did not offer additional protection against recurrence in patients undergoing vaginal surgery for symptomatic pelvic organ prolapse and was linked to an increase in postoperative complications in a...

Radical, fertility-sparing surgery improves pain: early results are called 'encouraging' in the first study reporting treatment outcomes in adolescents.(Gynecology)
June 1, 2005... LONDON -- Radical, fertility-sparing excision of severe endometriosis in adolescent girls can eliminate or greatly improve pain, reported Andreas I. Stavroulis, M.D., at the annual congress of the International Society for Gynecologic...

Posterior colporrhaphy plus dermal graft eases bowel dysfunction.(Gynecology)
June 1, 2005... RANCHO MIRAGE, CALIF. -- Posterior colporrhaphy with AlloDerm graft augmentation significantly improved bowel dysfunction while causing no major complications in a prospective study of 188 women treated for symptomatic rectocele. Symptoms...

More cystotomies seen when sling is combined with reconstructive surgery.(Gynecology)
June 1, 2005... RANCHO MIRAGH, CALIF. -- The risk of cystotomy while placing a tension-free transvaginal tape suburethral sling tripled when surgeons performed concomitant pelvic floor reconstructive surgery, according to a review of 106 sling procedures. ...

Gum disease again tied to pregnancy outcomes: women with periodontal disease had higher rates of low-birth-weight babies, preterm births in a small study.(Obstetrics)
June 1, 2005... LOS ANGELES -- A small study adds to the growing body of evidence implicating periodontal disease in poor pregnancy outcomes. Twelve percent of women with periodontal disease had low-birth-weight babies in a 277-patient observational study....

'Super obese' parturients may account for higher C-section rates.(Obstetrics)
June 1, 2005... PALM DESERT, CALIF. -- There may be a threshold of morbid obesity associated with a sharply increased risk of nonelective cesarean delivery that is not shared by less obese women, according to results of a preliminary study presented at the...

Gaps found in parturient resuscitation knowledge.(Obstetrics)
June 1, 2005... PALM DESERT, CALF. -- Obstetricians, emergency physicians, and anesthesiologists may suffer significant knowledge gaps when it comes to resuscitation of parturients, suggest survey results presented in poster form at the annual meeting of the...

Anterior genital trauma, incontinence link studied.(Obstetrics)
June 1, 2005... RANCHO MIRAGE, CALIF. -- Genital trauma during delivery was common but did not lead to postpartum urinary incontinence in a prospective study of 455 midwifery patients with low-risk pregnancies. The findings of the study counter a common...

Gene variant may be key to fentanyl response: patients with the genetic variant didn't require as much fentanyl as did the patients without the variant.(Obstetrics)
June 1, 2005... PALM DESERT, CALIF. -- Women with a common genetic variant on the [mu]-opioid receptor had a markedly reduced need for intrathecal fentanyl during labor, raising the strong possibility that genes influence analgesic response to the drug. ...

Genetic psychiatric disorders cited in children with FAE.(Obstetrics)
June 1, 2005... GRAPEVINE, TEX. -- The behavioral and cognitive defects in children with fetal alcohol effects may be partly due to genetic psychiatric disorders, researchers reported in a poster presentation at a meeting sponsored by the American College of...

Investigational test screens for abnormalities in early pregnancy.(Obstetrics)
June 1, 2005... LOS ANGELES -- Scientists have developed a noninvasive "genetic Pap" test to screen for Down syndrome and other chromosomal abnormalities early in pregnancy. The test analyzes trophoblast cells shed by the fetus and scraped from the...

Be wary of fetal monitors in nonobstetric setting.(Obstetrics)
June 1, 2005... LAS VEGAS -- Take adequate precautions when fetal monitoring is requested in a nonobstetric setting, Patricia M. Witcher, a registered nurse clinician, advised at a conference on fetal monitoring sponsored by Symposia Medicus. First, ask...

Know your Pitocin policy, lawyer advises.(Obstetrics)
June 1, 2005... LAS VEGAS -- From a legal standpoint, your hospital guidelines for the preparation and administration of Pitocin are a double-edged sword in the case of a bad birth outcome, Stephen Crandall advised at a conference on fetal monitoring sponsored...

Tips for managing variable decelerations: focus not only on intensity and duration, but on how factors affect baseline in second stage of labor.(Obstetrics)
June 1, 2005... LAS VEGAS -- When assessing variable decelerations in the second stage of labor, measure their depth and duration but also determine how those decelerations are affecting the baseline variability and baseline rate, Suzanne McMurtry Baird, a...

Risk factors found in most obstetric patients who require transfusions.(Obstetrics)
June 1, 2005... PALM DESERT, CALIF. -- Just 9% of obstetric patients who required transfusions had no identifiable risk factors for hemorrhage in a study presented at the annual meeting of the Society for Obstetric Anesthesia and Perinatology. A review of...

Vaginal, cesarean deliveries result in same trauma rate, but nature of events varies.(Obstetrics)
June 1, 2005... SAN FRANCISCO -- Birth trauma occurs at the same rate in vaginal and cesarean deliveries, but the nature of the trauma is different, according to data presented at the annual meeting of the American College of Obstetricians and Gynecologists....

Live births by race.(DATA WATCH)
June 1, 2005... Live Births by Race Note: Data from women aged 15-44 years. Source: Centers for Disease Control and Prevention KEVIN FOLEY, RESEARCH/ELIZABETH B. LOBOELL, DESIGN

MRSA necrotizing pneumonia cases 'not subtle'.(Clinical Rounds)
June 1, 2005... SAN FRANCISCO -- There are two important things to know about the recently identified threat of staphylococcal necrotizing pneumonia: It generally follows an influenza illness, and a physician seeing a patient in the clinic or office is not...

Could a lidocaine patch plug the COX-2 gap?(Clinical Rounds)
June 1, 2005... BOSTON -- Preliminary findings from a prematurely halted trial suggest that osteoarthritis patients may have options beyond cyclooxygenase-2 inhibitors at their disposal for easing their pain. In a poster presented at the annual meeting of...

Steps to take for incomplete antidepressant response.(Clinical Rounds)
June 1, 2005... SAN FRANCISCO -- The goal of antidepressant treatment should be remission, but most clinical trials use a 50% response in 50% of patients as the criterion for effectiveness. Only about 20%-30% of patients achieve complete remission, and this...

Concerns raised about rhinosinusitis management.(Clinical Rounds)
June 1, 2005... SAN ANTONIO -- Primary care physicians and otolaryngologists are both over-diagnosing and undertreating chronic rhinosinusitis, according to a new study from the University of Mississippi. "There is a giant knowledge gap, which can lead to...

Exercise, diet best offset metabolic syndrome risks.(Clinical Rounds)
June 1, 2005... ORLANDO, FLA. -- Moderate-intensity exercise that is coupled with caloric restriction was better than exercise alone for inducing favorable changes in waist circumference in women in a recent study. This combination approach to lifestyle...

Regular cereal consumption may help maintain a healthy BMI.(Clinical Rounds)
June 1, 2005... SAN DIEGO -- You'd better eat your Wheaties. Results from an analysis of the National Health and Nutrition Examination Survey (NHANES) 1999-2002 suggests that the regular consumption of ready-to-eat cereal may help adults maintain a healthy...

Asymptomatic microscopic hematuria.(Disease/Disorder overview)
June 1, 2005... Asymptomatic microscopic hematuria--the presence of at least three to five red blood cells per high-power field on microscopy--has been estimated to occur in as much as 16% of the general population, although population-based studies vary...

Calcium gives 5 years of colon polyp protection.(Clinical Rounds)
June 1, 2005... ANAHEIM, CALIF. -- Long-term daily supplementation with 1,200 mg elemental calcium protects against the development of adenomas and hyperplastic polyps, John A. Baron, M.D., reported at the annual meeting of the American Association for Cancer...

Enlarged waist, high triglycerides tied to CV risk.(cardiovascular diseases)(Brief article)
June 1, 2005... Screening for an enlarged waist in combination with elevated triglycerides appears to be a simple, effective tool to flag postmenopausal women at increased risk for accelerated atherogenesis and related adverse outcomes, reported Laszlo B....

Some major food-borne illnesses declined in 2004.(Clinical Rounds)
June 1, 2005... The incidence of several major food-borne infections declined markedly between 1996 and 2004, preliminary data from the Centers for Disease Control and Prevention suggest. For the first time in 2004, the national incidence of...

Dark-skinned patients still at risk for skin ca.(Clinical Rounds)
June 1, 2005... NEW ORLEANS -- Melanoma and other skin cancers in blacks and Hispanics are likely to be discovered at a more advanced stage and are associated with significantly poorer survival rates, researchers said at the annual meeting of the American...

Stem cell ethics.(POLICY & PRACTICE)
June 1, 2005... All institutions conducting research using human embryonic stem cells should establish special oversight committees to review the research, according to a report that was issued by the National Research Council and the Institute of Medicine....

Obtaining emergency contraception.(POLICY & PRACTICE)
June 1, 2005... Emergency contraception may not be available at hospitals even in states that require emergency departments to provide it, according to a study published in the Annals of Emergency Medicine. The study, published online in May, is based on a...

Improving the WIC program.(special supplemental nutrition program for women, infants, and children)(Brief article)
June 1, 2005... Changes are needed to the Special Supplemental Nutrition Program for Women, Infants, and Children to promote breastfeeding and encourage participants to eat more whole grains, fruits, and vegetables, according to the Institute of Medicine. In...

Teen's abortion allowed.(POLICY & PRACTICE)
June 1, 2005... A Florida judge last month cleared the way for a 13-year-old girl to have an abortion. This comes as state lawmakers consider legislation to require parental notification when minors seek abortions. The case was controversial in Florida, where...

Lobbying for breast-feeding.(POLICY & PRACTICE)
June 1, 2005... Mothers descended on Capitol Hill last month to support legislation that would offer incentives for women to breast-feed or pump milk while at work. The Breast-Feeding Promotion Act of 2005 (H.R. 2122) would provide tax incentives to businesses...

Success of electronic records lies in planning.(Practice Trends)
June 1, 2005... BOSTON -- To successfully implement an electronic health record system, set clear and specific goals and involve your clinical and administrative staff in all of the planning, Jerome H. Carter, M.D., said at a congress sponsored by the American...

How to make a paperless office work for you.(Practice Trends)
June 1, 2005... SAN FRANCISCO -- There is a cost-effective way to go paperless and make a profit for your group practice, Jeffrey P. Friedman, M.D., said at the annual meeting of the American College of Physicians. Dr. Friedman, an internist and founding...

Morbid obesity carries a large economic health care burden.(Practice Trends)
June 1, 2005... CHICAGO -- Health care costs for morbidly obese adults are nearly double those of normal-weight adults, according to a study presented at the combined annual meeting of the Central Society for Clinical Research and the Midwestern section of the...

Doctors face conflicting standards of EHRs.(Practice Trends)
June 1, 2005... BOSTON -- Interoperability is key to the success of electronic health records, but there are barriers to sharing data between systems, said David Brailer, M.D., national coordinator for health information technology. The major challenges...

Consensus reached on ambulatory care measures.(Practice Trends)
June 1, 2005... Taking a crucial first step in an effort to make pay for performance work for office-based physicians, a coalition of physician groups, insurers, and the federal government has endorsed a set of 26 clinical performance measures for the...

CMS eyeing Part D performance measures.(Practice Trends)
June 1, 2005... WASHINGTON -- Medicare intends to use performance measures to monitor cost, quality, and access issues related to the new prescription drug benefit, a research analyst indicated during a meeting of the Medicare Payment Advisory Commission. ...

'Do no harm'.(THE MASTER CLASS)(laparoscopic surgery)(Brief article)
June 1, 2005... Physician, do no harm is a credo all gynecologic surgeons must live by. Nowhere do these words ring more true than during laparoscopic surgery. With the slightest lapse in technique, the simplest of laparoscopic procedures can quickly become a...

Ensuring safe laparoscopic access.(THE MASTER CLASS)
June 1, 2005... Safe laparoscopic access begins before an incision is ever made. It begins when you review the patient's history, which includes any pertinent previous surgeries. It extends to the examination, which should rule out pelvic or abdominal...

Generic allegra-D approved.(PRODUCTS)
June 1, 2005... A combination of fexofenadine HCl and pseudoephedrine HCl in an extended-release tablet (60 mg/120 mg) is indicated for the relief of symptoms associated with seasonal allergic rhinitis in adults and children 12 years and older. For more...

Rapid fecal occult blood test.(PRODUCTS)
June 1, 2005... The Clearview ULTRA fecal occult blood test, a rapid two-step immunoassay, is now available. Results are available in less than 5 minutes and only one sample is required from the patient. The test does not require the patient to follow a...

Dictionary of Drug Names.(pharmacopeia dictionary introduced)(Brief article)
June 1, 2005... The 2005 U.S. Pharmacopeia Dictionary of Adopted Names and International Drug Names is available. This 41st edition contains nationally and internationally recognized names for all drugs. The dictionary is available in book form for $299 or in...

Fertility treatment launched.(menopur from Ferring Pharmaceuticals Inc.)(Brief article)
June 1, 2005... Menopur (menotropins for injection) is indicated for the development of multiple follicles and pregnancy in patients undergoing assisted reproductive technology procedures, such as in vitro fertilization. This purified human menopausal...

Pigmentation treatment.(PRODUCTS)
June 1, 2005... Aclaro (4% hydroquinone) emulsion treats ultraviolet-induced dyschromia and discoloration due to oral contraceptive use, pregnancy, hormone therapy, or skin trauma. For more information, contact JSJ Pharmaceuticals by visiting www.aclaro4.com...

Soft, inflatable speculum.(PRODUCTS)
June 1, 2005... The FemSpec is a soft, rolled, tamponlike speculum that the physician can inflate for a better fit during gynecologic exams. This disposable product is patient friendly. The speculum comes in small, medium, and large sizes. Contact FemSpec LLC...

Alendronate/vitamin D in one tablet.(PRODUCTS)
June 1, 2005... Fosamax Plus D (alendronate sodium/cholecalciferol) is approved for treatment of osteoporosis in postmenopausal women. The once-weekly tablet combines 70-mg alendronate sodium with 2,800-IU vitamin [D.sub.3]. For more information, contact Merck...

Laborist movement poised to take off.(News)
June 15, 2005... SAN FRANCISCO -- Ten hospital systems in the United States have started or are about to start using "laborists"--physicians whose sole focus is managing the patient in labor--Louis Weinstein, M.D., reported at the annual meeting of the American...

Percentage of capitation tied to median physician compensation.(VITAL SIGNS)(Brief article)
June 15, 2005... Percentage of Capitation Tied to Median Physician Compensation Specialty Care Primary Care No capitation $315,460 $159,761 [less than or equal to]10% $271,814 $152,811...

Early Herceptin use cuts breast Ca recurrence in half: 'stunning' results when used as adjuvant tx.(News)
June 15, 2005... ORLANDO, FLA. -- Trastuzumab, a monoclonal antibody that was developed to fight one of the most aggressive forms of breast cancer, cut recurrences by 52% when used as adjuvant therapy in two large phase III trials that were unblinded early by...

Exercise affects risk of sudden cardiac death.(News)
June 15, 2005... NEW ORLEANS -- A little bit of exercise can be a dangerous thing for a woman. New data from the Nurses' Health Study show the risk of exercise-triggered sudden cardiac death is higher in occasional exercisers than in women who are total...

FDA requests data on possible suicide risks posed by 14 anticonvulsants.(News)
June 15, 2005... The Food and Drug Administration has asked 10 manufacturers of 14 anticonvulsants to submit data on the drugs' potential to spur suicidal thoughts or acts in users. The request was almost identical to the one the agency sent last year to...

Dr. Louise Tyrer retires to new challenges.
June 15, 2005... When Louise Tyrer, M.D., says, "It's time for me to settle into some kind of a quiet life," you'd better take it with a grain of salt. The 84-year-old ob.gyn., medical director emeritus of the Association of Reproductive Health...