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Doc, I have tremendous admiration for your columns around pregnancy and childbirth. I think you are a bit more gentle, but you remind me of the frank truth-speaking of Dr. Robert Mendelsohn. Perhaps you have a book in you? Even a collection of your articles would be of great service.

You take a calm, common-sense approach and consider the health of all concerned. You remind us of the quaint axis of the doctor-patient relationship, something which is an "endangered species" as a result of insurance practices, administrative cost cutting, and ignorance. I would guess many of the lessons you offer represent paradigmatic truths which could and should be applied in other areas of practice. Thank You!

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Curious, thanks for your note and your care! Yes, Diane and I have two books. The first is Modern Medicine: What you are Dying to Know, and is a 34 year precursor to Luigi Mangione's "manifesto," which concerns the very real financial, emotional and physical cost of denying healthcare, which should be considered to be criminal, but is not considered to be. We have NO understanding of the risks of failed or absent evolution vs desperate revolution...move over Louie VI and Nicholas II. How Trump will deal with this issue I don't know, but I don't think it can be worse than Biden. Mandates and propaganda are the death of healthcare, and freedom of thought, which is only tangentially guaranteed by our Bill of rights. Who would have thought we'd be in danger of losing it.

We also have a more recent release, Pregnancy You Way: Choose a Safe and Happy Birth, another book about the benefit of a stitch in time saves 9. A normal mom and baby are not only the best outcome, but they are by far and away the cheapest out- come. I could write a book about that. For the best outcome just do the right thing. That should be a no-brainer!

You're right, the patient provider partnership has never been at greater risk and we seem to have NO acknowledgement of the pressing problem. You can rest assured, I'll continue to write about it. Thanks for "getting it!" Alan L

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Writers put in a lot of time laboring in solitude, and the number one thing they hope for is feedback, and of course, esp. positive feedback. It's a form of listening, another endangered species, which can even grow into dialogue. At least writers should take the time to extend that gift to one another!

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Thanks, I think listening is an acquired skill, and yes listening is how we learn. It also requires energy. Thanks for making reading more fun. Years ago my wife said, "How do you ever learn anything, you talk all the time." Naturally, I listen to my wife, who provides good advice. And yes, I like solitude. Thanks.

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BTW, we have the same given name. A fine coincidence.

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Extremely interesting - thank you! (from a layperson)

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Thanks Liz, not every problem is Dobbs. Although I don't like Dobbs, because it is just one more regulatory problem which we DON"T need, too many regulations take our minds from which we should be concentrating, our patient's benefits.

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