About me

I am an OB/GYN and a pain medicine physician. I authored the book,The Preemie Primer, a guide for parents of premature babies.

In addition to my academic publications, my writing has appeared in USA Today, theA Cup of Comfort series, KevinMD.comEmpowHer.comExceptional ParentParents PressSacramento Parent, and the Marin Independent Journal.

I also am fascinated with social media and how we can use it to build a better Internet. I’ve written about Twitter, on-line reviews, and why I think doctors should blog.

I was born and raised in Winnipeg, Canada and graduated from The University of Manitoba School of Medicine in 1990 at the age of 23 (I started young). In 1995 I completed my OB/GYN training at the University of Western Ontario and moved to the United States to complete a fellowship in infectious diseases at the University of Kansas. After completing my fellowship I continued my studies in pain medicine. I am board certified in OB/GYN in both Canada and the United States. I am also board certified in pain medicine by the American Board of Pain Medicine and by the American Board of Physical Medicine and Rehabilitation. That’s why I have so many letters after my name.

Jennifer Gunter MD, FRCS(C), FACOG, DABPM

Discussion

213 thoughts on “About me

  1. Hi DrJen,
    I agree that doctors should blog. I have been enjoying your Twitter stream! I’m a family doc and mom of 4 boys.

    -@AskDocG

    Posted by Dr. G | September 7, 2011, 7:44 pm
    • I also agree – I have learned SO MUCH from reading medical blogs where physicians aren’t afraid to say what they really feel-so much more informative than the news regarding healthcare. Thank you for taking the time to share!

      Posted by maribelchavez | April 1, 2012, 9:36 am
  2. Thank you for blogging! As an FNP in Family Practice and Pain Management, and being a mom – I have just taken the leap into blogging. It is my attempt at “answering the questions you always forget to ask” while at the doctors. Looking forward to reading your blog!

    Posted by thenpmom | September 12, 2011, 3:11 am
  3. Hi, quick question. I’ve been following your blog for a short while and this question is totally unrelated to the content. I wanted to ask you where you got this comment widget from or what is it called. I’m starting my own blog and the standard template for the same theme doesn’t have this comment box. [what I like about it is the fact that people can log in with their wordpress account/ twitter or facebook].

    In case you have a minute to spare, do let me know about this. I’ll delete the comment soon so that it doesn’t clog up your site.

    Thank you!

    Warm regards
    Rohan Abraham

    Posted by Rohan Abraham | September 15, 2011, 5:54 pm
  4. r u married o i.m so interested

    Posted by 829673 | September 30, 2011, 10:30 am
  5. I am excited to have found you as I am a sociologist who teaches sexuality courses which are centered around the structure and patterns of our sexual behaviors, identities, communities, politics, etc. However, I know sometimes the students want to know more about the biological and physiological side and I think it is important to also include those issues.

    Posted by dcompton | December 4, 2011, 6:57 am
  6. I just read the your article on the abortion gone horribly wrong, and there does not seem to be a place to comment on this. So, here, now: Thank You.

    Posted by Clara Randle, RN | February 13, 2012, 10:14 am
  7. I have also just read your article on the abortion gone wrong – all I can say is thank you as well.

    Posted by Richard Hill | February 14, 2012, 6:54 am
  8. Hi, Jen,

    I am a psychiatrist in Toronto who just happened to be a medical student on rotation with you in either 1992 or late-1991. I wasn’t terribly impressive on the surgical rotations (real fish out of water, I was), so you likely don’t remember me. But you were damned impressive even then, and I sure remember you. You have had a most impressive career after UWO, and I am delighted to have found you and to see you doing this great work.

    I am proud to tell you that after some meandering I have in recent years found my niche in outpatient in community-based consultation and psychotherapy. Like you, I have developed a healthy scepticism around anything that is presented to me as medical authority, and in my highly interactive and educational style of practice I am always endeavouring to best convey the state of the art of the evidence to my patients in an accessible way. As you can appreciate, if there is one medical specialty that is in desperate need of being demythologized, it’s mine!

    I resonate with the comments of the sociologist who wrote above. As a psychotherapist dealing mostly with non-psychotic mental health issues (depression, anxiety, addictions, relationship issues, to name a few), the majority of my patients are women and scarcely a clinic day goes by when I am not impressed–and dismayed–at how the suffering of such patients is embedded in networks of dysfunction, oppression, inequality, sexism, and abuse. My partner has trained in abuse counselling and therapy from a feminist perspective, and it is refreshing to bring these tools and sensitivities to my work. Mind you, this took a lot of growth and just simple getting older on my part. It takes a long time–too long–for many men to learn that we can wage an effective war against sexism and patriarchy and we don’t risk losing anything that we really shouldn’t be clinging to anyway. Unfortunately, many men–and an alarming number of women, too–never learn, and they perpetuate oppression because they are afraid.

    I commend your work here on behalf of women. I was particularly moved and appalled by your most recent post regarding the botched abortion–moved at how you and so many good people came together to save a life that NEVER should’ve been endangered in the first place, and appalled that in your adopted country there is someone who has pretensions for the land’s highest office AND who desires an America in which what came to your ER that day will happen even more.

    It’s fascinating what a couple of decades can bring. You have grown hugely and I–well–am glad to have grown up! I am glad to have found you and will be following you closely. Say hi back if you get the time.

    Cheers.

    Les Wright, UWO MD’93

    Posted by Les Wright | February 14, 2012, 5:17 pm
  9. I am the Director of the Abortion Care Network, an organization of independent abortion providers and allies. One aspect or another of abortion has been my work since I became an abortion counselor in 1975. Reading your article about an abortion gone wrong made me weep for the many thousands of women every year whose lives are lost because of the arrogance and righteousness of men who think they have the right to control us. Thank you for sharing this and for caring. Now that we are fighting about access to birth control–the most common-sense health measure in the history of human kind– I fear for the future. Charlotte Taft, ACN

    Posted by Charlotte Taft | February 16, 2012, 1:07 pm
  10. Thank you for your piece on vaginal yeast
    Infections. My beloved OB GYN said the same thing regarding yeast. However and this is a big however……I cut sugar completely put of my diet including bread, etc. it tooke months
    and my vaginal yeast itch finally diss appeared along with the itch in my ear. Today I ate a tiny piece of cherry pie. The itch in my ear came back slightly with the very first bite of that
    Tiny piece of pie. Sure enough, like clockwork the vaginal itch appeared about 20 minutes or so after eating the pie. It was completely gone after omitting sugar from my diet (with the exception of a small amt of fruit). The itch only re-appears after I ingest sugar. it’s true that people try to sell supplements that don’t work but drugs also kill the good bacteria and compound the yeast problem. yeast is due to a gross imbalance of hormones and too much bad estrogen occurring on women’s bodies today. Menopause has become the sugar disease. When I got off sugar I got all my energy back so you should listen to your patients, they are correct. Thanks for listening! Betsy Dunn

    Posted by Betsy | February 22, 2012, 2:24 pm
  11. From a fellow ob/gyn who’s trying to get my workout in … I love your blog topics! Keep up the good work. Kelly

    Posted by Kelly Wright | February 22, 2012, 4:52 pm
  12. Dr. Jen,
    I am aware of your position on HPV vaccination. What about the counter argument?
    http://scr.bi/xixahQ

    Posted by richard pierce | March 15, 2012, 11:47 am
  13. Jen;

    If you are Luise’s sister, then I was the best man at her wedding with Dan.

    Small, small world.

    Posted by Malkin To The Kings | March 30, 2012, 12:53 pm
  14. Hello Jen;

    If Luise is your sister, then I’m the guy who was the best man at her wedding with Daniel. Small world.

    Say hello to them for me. It’s been a long time.

    Posted by Michael Slavitch (@slavitch) | March 30, 2012, 12:55 pm
  15. Out of curiousity, why did you go to the US? I assume, you went because the salaries for doctors are higher. I don’t have a medical doctor here in Ottawa. A lof of Canadians go to the US for the lower taxes but also complain about the result? I read one of your blog posts and almost cried. What an awful thing to happen.

    Posted by peter | April 1, 2012, 7:35 am
  16. Hello. Is there anyone you would recommend in the Seattle area that does what you do — specializes in OB/pain management? I read your blog post regarding unresolved c-section pain and it’s truly on point. My OBGYN is at a loss, we’re two surgeries in (counting c-section) looking for a solution and we’re no closer to fixing it. The pain specialists I am meant to go to shortly are not OBs and want to leave me on pain meds (which I loathe but have a hard time functioning physically without) and introduce an antidepressant. I’m confused as to the latter – I don’t think I’m necessarily depressed; I think I’m in pain. I feel like there must be a solution beyond simply living with it? It’s dehabilitating. A recommendation would be truly appreciated.

    Posted by Julie | May 9, 2012, 10:45 pm
    • To the moderator – could you please delete my last name? I wasn’t aware it would post when I registered.

      Posted by Julie | May 9, 2012, 10:49 pm
    • Hi Julie, I came to this site to check out more re Dr Jen and saw your comment…have you seen a physical therapist who specializes in obstetric and pelvic floor care? Our practice does (Boston-area) and we have worked with many women post c-section for persistent pain and decreased function. Maybe that rec was included in the blog post you mention (which I have not yet read), so my apologies if this is redundant! Good luck!

      Posted by Jessica | May 10, 2012, 6:37 pm
      • I saw one they gave me pelvic pain exercise to stretch vaginia.. also you can buy a tool http://www.icrelief.com that helps to stretch it.. Physical therapy told me about it and how to use it plus the exercises .. it works..!!
        and another positive I now have stopped dripping those little drops of urine when I think I have finished using the bathroom So good luck with this.. oh a note .. here… I went to many gynos men and women.. they ignored my problem finally I went to a pelvic pain specialist
        2 hr drive away from home. HE knew exactly what the problem was. and for that I am thankful

        Posted by ariel | August 27, 2014, 11:15 am
  17. Great blog. I’m a sucker for intelligent discourse.

    Posted by Chester M | June 16, 2012, 4:21 pm
  18. You granted Vitamin W permission to repost a few weeks/months ago. I loved your post about contraception for pleasure sex and want to ask to repost. Can you pls send me your direct email, I have another question for you.

    Posted by amy cross | October 29, 2012, 10:07 am
  19. I can’t find a link to contact you via email. I would like to speak to you regarding a guest post for TheGypsyNurse.com Please contact me at your convenience.

    Posted by Candy aka The Gypsy Nurse | November 10, 2012, 10:06 am
  20. As a fellow author, physician, blogger and supporter of physicians use of social media, I applaud you. Your perspective is excellent and the content is spot on. Omar S. Manejwala, M.D.

    Posted by Omar Manejwala, M.D. | November 13, 2012, 10:43 am
  21. Thanks for caring about Savida in Ireland, from Shan at Thyroid Support Ireland http://www.mythyroidireland.webs.com

    Posted by Shan Kelly | November 15, 2012, 1:36 pm
  22. Hi Dr, I see your focus and was wondering if you might have any suggestions for me. I was hurt, mutilated, my bf used the opportunity as my caretaker to sodomize me. I was hospitalized. I had ptsd and my mind was so fogged. I trusted him because he saved me, and didn’t realize what he was doing. When I was able to piece it together from the flashbacks, he had me arrested for harassment. I tried to get help but no one would believe me and the DA held me in jail 2 weeks for a sanity test. They won’t prosecute and say ptsd is too hard to prove, but he destroyed my entire. I’m deformed now- because I let him care for me. It’s so hard just to leave my apt. I want to die every night and morning. I think everyone already knows I’m dead. I’m trying to finish a book so the truth will be revealed, but it’s so hard to think about. If I could get justice, maybe I’d find joy again, maybe I could stop being so paranoid and afraid, maybe I could have normal relationships again. If you know anyone who might help me get my memory back or speak on my behalf, in my book, in court, maybe just someone who wants to help in any possible way, I welcome any information that can get me closer to healing and justice. Thank you

    Posted by Layla | December 3, 2012, 6:32 am
  23. This is truly random because I saw a link to your awesome article on gun control on twitter. I went to your “About me” page and found that you are from Winnipeg just like me! I am also a Doctor (PhD in Molecular biology) and work in Australia at the moment. I also got my training at the U of M. Anywho, just wanted to say wonderful blog and good on you for doing it – small world this is 🙂

    Posted by Kat | January 22, 2013, 12:23 am
  24. Hi Jennifer –
    I am a psychologist and writer in Seattle, and co-chair of Washington Women for Choice. I write for online news and opinion sites about religious right issues and women’s issues including contraception. (Articles are archived at AwayPoint.wordpress.com). In addition, I am also working with a project in Seattle aimed at making LARC methods more accessible to teenage girls. In my experience, insertion pain is a significant issue and barrier to uptake among nulliparous teens and young women. Given your focus on pain management I would love to hear your recommendations an thoughts you have on how best to manage insertion pain as we move younger women onto these top tier contraceptive methods. I’ve seen the data on misoprostol, NSAIDS, and paracervical blocks, all of which are disappointing. My email is valerietarico at hotmail.

    Posted by Valerie Tarico | February 18, 2013, 12:23 pm
  25. i agree with Dr Les Wright above that the pain and psychological suffering of women is often embedded in networks of dysfunction, oppression, inequality, sexism, and abuse.

    His partner has trained in abuse counselling and therapy from a feminist perspective, and they are bringing those tools and sensitivities to their work.
    He says: that it took a lot of growth and just simple getting older on his part. It takes a long time–too long–for many men to learn that we can wage an effective war against sexism and patriarchy and they don’t risk losing anything that theyreally shouldn’t be clinging to anyway.

    Unfortunately, he says, many men– and an alarming number of women, too–never learn, and they perpetuate oppression because they are afraid. It IS hard to Embrace Change- to make the decision to go forward in a new way, because the old ways just don’t work any more.
    It takes a lot of courage to confront the way we have always done things and to ask is there a better way.
    And there is never enough time. And we are constantly distracted.
    But that does not mean we should give up.
    March 21 or 22 is #NoNewsday and I’m remembering Marie Colvin, who died in Syria last March reporting the beginning of the civil war there.

    RIP Marie Colvin, who reminds me of why we still need to change lots of things.

    Posted by Shan Kelly (@Sandyshark) | February 21, 2013, 3:26 am
  26. For Layla, who was sodomised by your BF while he was caring for you. It sounds like it is a good start to try writing it down. Maybe when you get through a first draft you are happy with, then you can think about finding a writer and/ or an agent to get your story published. I am going to a group interview on Monday to see whether I can do volunteer work with rape victims. You have memory problems and PTSD, so things are very hard to prove, but you are already taking control and on the road to healing. Every little step can help to take you to a new and better place. Trying to find joy in small things is a good way to start. Social isolation is a problem too, so finding safe ways to get out of the house – like a class once a week – as regular as you can make it. – might help.

    Even just going out for a regular walk with someone that you like and trust can give you a lift.

    Finding a new structure for your new life can help you too. It did for me. Try to believe that things can get better.
    You can contact me via Twitter. Hang in there. Shan

    Posted by Shan Kelly (@Sandyshark) | February 21, 2013, 3:38 am
  27. Thank you for your recent posting about chronic pain. As a pain clinician in St. Paul it frustrates me everyday to see the issues you have aid out so eloquently. Thanks for helping me feel like I’m not the only one who understands that “more opioids” is seldom the answer. Narcotic abuse and narcotic induced hyperalgesias are both far too common and voices like yours are needed to help put the brakes on this epidemic of overprescribing,
    Ben Waxman PA-C United Hospital Pain Service, benwax@aol.com. Ps let me know if I can help!

    Posted by Ben Waxman | February 23, 2013, 4:00 am
  28. Anyone advocating all 4 one type of treatment for all patients every where has obvious motivation other than the patient’s well being. Anyone in pain mgmt claiming that all opioid therapies are wrong isn’t in the business for their patient. They R in it for their own motives. Its no wonder why.

    Posted by StanMe | March 2, 2013, 1:10 pm
  29. Dr. Gunter, I am a health journalist who follows you on twitter. I love your blog. I am writing a story on birth control and immune response and I’d love your input. I can’t seem to find an email address for you… would you be interested in being interviewed for my story?? Please e-mail me at ameliafaith AT gmail. (I’m doing this story freelance so I can’t tweet @ you…) Thanks in advance for your time!! best, amelia harnish

    Posted by ameliafaith | March 24, 2013, 9:42 am
  30. Dr. Jen
    I happened upon your homepage after a google search. I write because my wife is suffering from chronic migrane and abdominal pain. She has had this pain for over three years. It began with her pregnancy with our second child. She has seen over 30 docotors with no relief. She tried using oxycodone, but that provided some complications. Both child births were emeregency c-sections and the second was the result of a uturine rupture. She is in so much pain that her motivation to find a new doctor is just not there. We are in San Diego and you sound like someone who could help. Do you have any contacts in our area that could help.

    Posted by jason | March 29, 2013, 10:19 pm
  31. To Jason…A Trailer You Should Review…If you need more information on resources (books) to review for immediate help…email me jc3369@hotmail.com

    http://vimeo.com/59297382
    USE PASSWORD tmh123

    Posted by Joe Christie | April 10, 2013, 1:55 pm
  32. Dear Dr Jen, I know you blogged that there are several states that have laws protecting doctors from wrongful life lawsuits if the doctor withholds information about fetal anomalies from a pregnant woman in order to prevent her from getting an abortion.. Do you have a reference for this info? I’m trying to learn more. Thank you, Susan Robinson

    Posted by Susan Robinson MD FACOG :- ) (please don't publish my email) | April 13, 2013, 4:18 pm
  33. Dr Gunter, We would like to use an extract from your most recent blog about Savita’s inquest. The site is called Broadsheet.ie. Would this be possible? John

    Posted by John Ryan | April 14, 2013, 3:42 am
  34. In the abortion debate in Ireland there are frequent comments that Ireland is the safest place to give birth – and there is then a claim about low infant mortality figures. However my understanding is that Ireland calculates these figures differently than in much of the rest of the world. There’s been some discussion that Ireland may change to the accepted standards and that the numbers will not be as good – but I’ve never seen the discrepancy explained.

    I know your main focus is on the US and Canada, however your writing is very clear and you break things down very well. I don’t know if these stats would be an area you’d be familiar with, but if you are then an article on them would be fascinating.

    Thanks.

    Posted by Kevin Lyda (@lyda) | April 15, 2013, 11:47 am
  35. Hi Dr. Jen! I read your piece on milk sharing and really enjoyed it, and the comments too. I wanted to share my website with you, thought you would find our work interesting in light of your article. Check it out: http://www.mothersmilk.coop I would love to hear from you, take care, and keep up your terrific site.

    Posted by Adrianne | May 10, 2013, 8:02 pm
  36. Hello Dr. Jen,

    Are you aware of any pain experts in the Southern CA region (Kaiser Network) specializing in Vestibulitis? Ideally in the Inland Empire (San Bernardino/Riverside Counties)? Thanks and keep up the good work!

    Posted by Allan | June 4, 2013, 7:52 am
  37. You have too many letters after your name. Most anagram makers will only allow up to 12, which gives you “affords”, “Orgasm” or “Frogs”. But if I use them all, the longest I can get is “Mapboards”. Perhaps you should concentrate on some more qualifications that have vowels in them 🙂

    Posted by Gillian B | June 8, 2013, 8:15 am
  38. I have a unique question. I read your article on nerve damage after a c-section and was wondering if have a large problems with adhesions could make the nerve damage pain worse. If so would you have any ideas that could help.

    Posted by Nikki | June 12, 2013, 9:09 pm
  39. Dr. Jen, I have a question for you. I spend a lot of time ‘debating’ anti-choicers, and they always tell me that pregnancy is absolutely NOT a health condition unless there are complications. And, until there are complications, a ‘normal healthy pregnancy’ is just that…normal.

    I have argued that the changes to the woman’s physiology as a result of pregnancy MAKE IT a medical/health condition, but as I am still largely ignorant regarding pregnancy, I would love to hear your thoughts on the matter.

    Typical quotes from pro-lifers:

    “Martin, life itself is a “health issue.” Pregnancy can be harmful if something goes wrong, but healthy pregnancies can and do occur with the result being… babies.

    Things like cancer and MIs are inherently, inescapably destructive. There are no “healthy” versions thereof.

    You and Alix implicitly acknowledge this in following comments when you more specifically and correctly wrote “complications” versus pregnancy itself.

    For example, an ectopic pregnancy is pathological because the fertilized egg is not implanting in the correct place. But in order for me to even write that sentence there must BE a correct place and a healthy way for the process to occur. Is there a similarly healthy way for malignant neoplasm – you know, ‘cancer’ – to grow, spread and transform body tissues and organs?

    The difference is also well illustrated by the goals of medical research concerning them: In the best case, oncologists and cardiac researchers seek to put themselves out of business by removing those maladies from human experience. Is this true for pregnancy as well? Is the point of OB/GYN to entirely eliminate or obviate childbirth?

    “Health issue,” indeed. Nice try.”

    and this:

    “And when a woman’s life has not been confirmed to be at risk she has no right to usurp to right of the child to live.”

    ” The mere likelihood of a possible life threatening situation exists everywhere and in every situation.
    The whole purpose of monitoring of pregnancies by medical personnel is to minimize health risks that a person (and the child) MAY incur. Pregnancy does not REQUIRE medical treatment.”

    ——————-

    I would be interested in what you have to say, or what resources you could direct me to, so that I can combat this ignorance.

    Thanks in advance Dr. Jen!

    Posted by Amara | June 29, 2013, 9:33 am
  40. Hi Jen
    Stumbled across your byline – blog post on BMJ. Great work.
    If you don’t remember me …
    Graduated uManitoba 89.
    Anesthesia uOttawa 94
    MSc Epi uOttawa 98.
    Still in Ottawa, married, 14yo daughter.
    Late adopter of soc. media.
    Looking forward to more of your posts.
    Keep up the good work.
    Greg

    Posted by Greg Bryson | July 22, 2013, 4:06 pm
  41. Hi Jennifer…Rich Mayerchak here.I liked you IUD article in OBG Management.take care-

    Posted by Richard Mayerchak MD | October 19, 2013, 3:05 pm
  42. As you write your blog, you are self publishing and that is your right in the United States. With all right comes responsibility, and it is your responsibility to fact check, and allow others to freely discuss information. Otherwise you have become a censor of truth. The same way you feel fit to share your thoughts, you must allow others to share theirs.

    Posted by CSM Povell Jackson | November 24, 2013, 4:53 pm
  43. I read your “thermography” article when I saw Mercola’s girlfriend posted a link to a “natural news” article about how it is “MORE ACCURATE” than mammograms. It quoted a study that said so, but neglected to cite that study. http://blogs.naturalnews.com/thermograms-safer-more-accurate-than-mammograms/

    Posted by jOE f | December 7, 2013, 9:32 pm
  44. Pelvic vein congestion syndrome!!

    Raising awareness

    IR options for same. Check out Tony Lopez from Guildford UK. Huge series. Seems to work well

    Like ur work. Keep it up

    GOS

    Posted by Gerry OSullivan | January 2, 2014, 10:11 am
    • Actually, the jury is still way out on pelvic congestion syndrome. The incidence of congested veins is about 50% among multiparous women and in pregnancy the pelvic veins are very congested, yet no pain. The studies are nor randomized and in fact amount to case series with all their inherent issues.

      Posted by Dr. Jen Gunter | January 19, 2014, 11:55 am
  45. Dr, Jen Gunter, Hi I’m using valium in vaginally. i was wondering if it effects your brain. I’m really scared its reaching my brain and I’m having problems. Could you please e-mail me back the answer. Thank you. Annette

    Posted by Annette Myrick | January 17, 2014, 12:22 pm
  46. Please email me from my last post.

    Posted by Annette | January 17, 2014, 12:28 pm
  47. I put this here because um… no other contact, recently I saw a flurry of links to this (link below) on my fb (smells like bovine end product). I look’d through your archives and see nothing on flu, flu shots and pregnancy, so I’d suggest this as a topic.

    http:(slash slash)www.vaccinationinformationnetwork(butt)com/press-release-cdc-covers-up-influenza-vaccine-related-fetal-deaths/

    If moderated, no need to approve this post.

    Posted by Gibbon1 | January 25, 2014, 5:03 pm
  48. I am so sorry you had to endure the complete lack of compassion from the morgue at your hospital. Thank goodness for the advocacy of your admin assitant. No one should have to go through that. I am a pediatric OR nurse but if I had been the CEO I would have personally apologized for adding to your pain.

    Posted by Lynda Harrold-Blake | February 3, 2014, 5:53 pm
  49. Love your site, it’s refreshing to hear from a Doctor on a social platform! I will probably “borrow” some of your layout ideas, well done!

    Posted by Kevin Arvai | February 23, 2014, 12:08 pm
  50. Dr. Gunter, I have been following your blog for about a year now and you have become my go-to on issues concerning the healthcare system, i.e. the HPV vaccine controversy, the nuvaring controversy, and many more…I am so torn when it comes to this recent news story: http://www.usatoday.com/story/news/nation/2014/03/10/compassionate-drug-josh-hardy/6258321/; as a previous business reporter, I can understand where the company is coming from, but I just can’t help but REALLy want it to change it’s mind and give the little boy the drug that may help him to recover. Would love to know your thoughts!

    Posted by BABS | March 10, 2014, 9:02 pm
  51. Dr. Gunter, Your description of chronic pain, scar tissue and possible nerve damage with anxiety, inflammation, infections, depression, numbness after a C section seems to fit my ailment. I have spent the last 6 years trying to convince doctors that I am in pain and something is wrong. I live in a small town in Central Ontario and wonder if you could possibly recommend out of London Ontario a physician/specialist who might be familiar with your work. I am desperately looking for accurate diagnosis and possible treatment for this. Natasha

    Posted by Natasha Bell | April 17, 2014, 7:49 am
  52. Just found your blog. Nice.

    I an an RN with not nearly so many letters after my name, but I too have written a book and it gets published in a few weeks. I am looking for influential persons in the blogosphere and found you.

    The book is titled The Sacrament of the Goddess. It’s on amazon. Google the title.

    I’d like to send you a copy to read and review. Send an email to me at joeniemczura@gmail.com

    Thanks

    Posted by Joe Niemczura, RN, MS | April 20, 2014, 12:07 am
  53. Hi,
    I am approaching your website to see if you are open to inserting text link ads in your blog posts. If you are interested, Please let me know and we can talk about the cost and other details. Contact me at emailviveknow@gmail.com.

    Thanks,
    Vivek

    Posted by Vivek | May 23, 2014, 3:45 pm
  54. Thank you so much for your eloquent response to George Will. Unfortunately I read it in a faculty meeting and didn’t expect it to make me re-live my own experience. But I’m curious if you heard from him, or had it published more widely. I am so discouraged by the growing misogyny in our world. Thank you for speaking truth to power.

    Amy Levi (I have a bunch of letters after my name, too, but it’s not worth explaining it !)

    Posted by Amy Levi | June 16, 2014, 7:49 am
  55. I just want to applaud and thank you for writing the open letter to George Will.

    Posted by Ashley Y. | June 16, 2014, 1:09 pm
  56. Jen, I just read your response to George Will’s bs. on rape. Rock it girl! I had the same exact experience as you. Though…I must admit…I’d be hard pressed to be so politically correct when discussing it as you have…My God woman…you are sharp! 🙂

    I look forward to following you path!

    Peace & 🙂

    Marie Tyler Wiley

    Posted by ctjpmarie | June 16, 2014, 2:03 pm
  57. Recently I have sent to your website (for discussion entitled A study rating female attractiveness: the journal Fertility and Sterility publishes misogyny – 2012) my little comment (at number 21), to thank you because you have defended the science and women’s dignity.
    As human being, as thinking mind, as woman, suffering from endometriosis for 26 years, as philosophy teacher and as scholar of psychoanalysis, I don’t share these kinds of “research”. So, thank you again: your criticism give me heart.
    I’m also surprising because of the classification Expertscape, by Association of Palo Alto, California, with regard to the world’s leading experts in this field: between the Italian “women and men of science” expert about the endometriosis, who are at the first positions in the world, are also the inventors of that “research”. Do you think it’s possible and true? What do you think about that? I hope you would like to write also about this subject.
    I’ll read your Website again. It’s very interesting for me.
    Maria (Roma)

    Posted by Maria | June 20, 2014, 12:20 pm
  58. Recently I have sent to your website (for discussion entitled A study rating female attractiveness: the journal Fertility and Sterility publishes misogyny – 2012) my little comment (at number 21), to thank you because you have defended the science and women’s dignity.
    As human being, as thinking mind, as woman, suffering from endometriosis for 26 years, as philosophy teacher and as scholar of psychoanalysis, I don’t share these kinds of “research”. So, thank you again: your criticism give me heart.
    I’m also surprising because of the classification Expertscape, by Association of Palo Alto, California, with regard to the world’s leading experts in this field: between the Italian “women and men of science” expert about the endometriosis, who are at the first positions in the world, are also the inventors of that “research”. Do you think it’s possible and true? What do you think about that? I hope you would like to write also about this subject.
    I’ll read your Website again. It’s very interesting for me.
    Maria (Roma)

    Posted by MARIA | June 20, 2014, 1:36 pm
  59. your blog is super. i love your voice. keep on.

    Posted by Sana Johnson-Quijada MD | July 7, 2014, 4:28 pm
  60. Greetings –
    I write about women’s issues, reproductive rights, and contraceptive technologies for online news and opinion sites with the broad goal of empowering women and children to flourish. My short term goal is lowering barriers that young and poor women face in obtaining top tier contraceptive methods that fit their goals and bodies.

    Right now I am working on an article about contraceptive class action suits and how they affect access and method mix. A number of “relevant experts” have been generous with their time, including providers, ngo advocates, and one exec in a small mission-driven drug company, and I’m wondering if you might have some thoughts to add to the mix.

    Here is a little more context. This winter I became concerned that TV ads paid for by law firms seeking class action clients were creating a de-facto anti-advertising campaign against most effective contraceptives. The ads tap anxieties about a long list of known but rare side effects, and some that are questionable. Women have no way to put the information in perspective, no information about absolute risk, and no way to weigh what they hear against the health and life risks associated with unintended pregnancy. For some low information women these ads may be the primary formal source of birth control information.

    I recognize and value the importance of litigation in protecting women’s health. At the same time, I wonder if today’s pattern is tipping the balance against positive health outcomes.
    The routine class action litigation that has grown up around contraception has the potential to increase barriers and possibly morbidity and mortality in the following ways:
    • It stifles innovation by increasing financial risks and costs and by delaying potential returns to investors, reducing method mix and woman-friendly options
    • It increases costs to public health agencies and end users, making top tier methods unaffordable for some
    • It distorts risks and produces fear among members of the general public, creating ambivalence that can lead to risky inaction

    That said, no contraceptive is risk free, and some women get hurt. So we need means to guard against negligence and care for those who are harmed even if the net net is a vast improvement in public health and wellbeing.

    I would like to put together a thoughtful article on the topic and would love to get your input. Here are my questions:
    Is your sense generally that the current balance serves the public interest?
    If not, how do you perceive the nature and magnitude of the problem?
    Do you have any direct experience e.g. anecdotes that can be included in a story?
    Do you have or know of any relevant data?
    Do you have any thoughts about how we might refine or revise the current system so that women have recourse when they are harmed while also reducing the harm that comes from increased costs, decreased utilization and low method mix?
    Can you point me to anyone who would have additional knowledge on this topic?
    Any chance you’d be willing to schedule a call and share some of your thoughts?
    Valerie Tarico, Ph.D.
    Senior writing fellow, Sightline Institute
    Co-founder, Progress Alliance of Washington
    Member, Board of Advocates—Planned Parenthood of the Great Northwest
    Article Archive: http://www.awaypoint.wordpress.com
    vt at valerietarico

    Posted by Valerie Tarico | July 10, 2014, 8:11 pm
  61. Hello! I am a content strategist and EIC of a site and would love to discuss a writing opportunity with you (but can’t dig up an email contact here). Can you please be in touch? Many thanks!

    Posted by Jessica Ashley | August 11, 2014, 9:23 am
  62. Hi Dr Gunter,
    I am the health correspondent for the Daily Mail.
    I just read your extraordinary blog about attempting to pay for your son’s NHS care. Unfortunately not everyone is as honest as you-you make some very valid points about our system.
    I just wondered if it would be possible to speak further on this matter and if there was any way I could get in touch?
    Yours,
    Sophie Borland

    Posted by Sophie Borland | August 13, 2014, 11:07 am
  63. Hi Dr. Genter. Really enjoyed your piece in the Independent re the NHS. I too write for the Indy sometimes. Please check out my blog and follow back if you don’t mind. Thank you so much!

    Posted by noahsin | August 17, 2014, 10:47 am
  64. question 1. I need advice.. oddly enough my gyno has no idea. I am now using coconut oil to keep away vaginial dryness.. NOW what kind of condom can I use? all I can find is one propolyne that contains a LUBRICANT I do not need the lubricant they say it is silicone so now.. how is that going to react with my coconut oil as I use it in my vaginia every night. Please advise.. I definatly want to use a condom but how and what kind. I am also sensitive to lubs. never used silicone before..
    Question 2 what about silicone toys.??? coconut oil?? yes no

    Posted by ariel | August 27, 2014, 11:08 am
  65. Hi, came across this because of your entry about your son going into an NHS hospital. Very interesting read. You might be interested that UK online adult material filters don’t allow your site to be read on mobile phones unless you enter a credit card to show the network provider that you are over 18.

    Keep up the good work.

    All the best

    Andreas

    Posted by Andreas | September 2, 2014, 6:18 am
  66. i have no son…. If I was on your site it probally was to ask if you could use coconut oil to mositurize the vaginia because of age it dry .. and then would it be safe to use polypropolyene condoms that contain silicone/dimethecone lubricant.. as I do not know if it would be safe conconut oil mixed with the silicone lube?????
    I cannot use vagifem anymore yeast.. right now I have taken 2 tsp of nystatn 4 x day for 2 weeks and did a feces test and I still have yeast. my fam dr said to take it for 2 more weeks…… It gives me constipation and hemroids…
    for side effects……. I simply do not know what to about
    1.. concom/ silicone/coconut oil
    2. yeast………..systematic

    Posted by ariel z | September 2, 2014, 4:54 pm
  67. I love you Dr.Jen Gunter..God bless you.

    Posted by Ngozi Olachi | September 13, 2014, 8:19 am
  68. You stated, If your question is, “Do I have genital herpes,” that answer can’t be answered reliably with a blood test.
    Well then, what will answer this question?

    Posted by mary a. | November 12, 2014, 9:21 pm
  69. Dr Jen. Please advise about reading of HSV IgG positive (33) in first test and unequivocal in the second test after 15 days. Does it suggest virus has become dormant?

    Posted by Canee | November 14, 2014, 3:44 am
  70. Someone I knew mailed me nerium day and nerium night dreams to try for 6 days. I got so sick on the nerium. I never throw up and I was throwing up all over. My tongue felt numb and I had a really bad taste on the tip of my tongue. I was really scared so I called poison control. The man acted concern then talked to his supervisor about me. After talking to the supervisor you would have thought he was a nerium salesperson. He said nerium held seminars for poison control and he said it was so safe a child are some. He said the reports on the internet of it being toxic were false. He asked me my age and what health issues I had and add could be from something else. I only have high blood pressure and he acted like 59 was ready for the grave so who cared if I was poisoned. I find it extremely odd poison control is promoting nerium as a great product, even when I told him a little had got in my eyes. And the most ironical thing is the woman that sent it to me got real sick, too. I don’t know what I should do. Thank you for your time
    Yours truly,

    Terri Stewart

    Posted by Terri Stewart | November 15, 2014, 8:46 pm
  71. I found your article on blood testing for herpes a breath of fresh air. I am one of those people who was tested for herpes by my internist along with all general blood work without being askes and without any herpes symptoms either orally or genitally. Had I known the information I read and the sociopath psychological ramifications of being positive for HSV 2 without a history of herpes nor previous transmission to partners, I would not have allowed someone to test me without my consent. It makes me angry because I also wasn’t given any information from my doctor about what to do with the diagnosis afterwards. He just said, you have herpes. I feel violated by ineptitude. I told my GYN that I had it without symptoms and he erroneously told me it just means I was exposed and since I was asymptomatic, I didn’t have to tell my lovers or be afraid of transmission. So for the past five years I buried this in denial. Thankfully, I haven’t infected anyone that I know of. The fact that everyone says if you have HSV2, you have it generally is astounding as you say if you test negative for HSV1 and only HSV2, and have no genital symptoms, you may only have it orally. I also tested positive for Epstein Bar. I am wondering what that means if anything as Epstein Bar is an oral virus. I wish I could know definitively what I have. The fact that I was tested without symptoms and the fact that I wasn’t tested before giving birth makes no sense. If anything that should be the only time without symptoms that it could be warranted. As far as I know, I could have had herpes for thirty years and just now am finding out. I really appreciate the information, I don’t see anything but standard rhetoric anywhere else and most doctors are ignorant and are a part of the population that stigmatized you.

    Posted by Cindy | January 26, 2015, 7:45 am
  72. What took me so long to find you? Thank you, Martha Plimpton! Glad to meet you, Doc….:)

    Posted by writersmama | January 30, 2015, 7:26 am
  73. I think IM having preemie triplets

    Posted by Rachael Meghan Peterson | February 15, 2015, 7:43 pm
  74. I was reading your article about the nerve pain from c sections. Well i had a cesarean almost 9 month’s ago. And I’m in constant pain. It doesn’t hurt where my scar is. It hurts above it mainly in the middle. Sometimes it can feel like something is in there. When i lay on side like fetal position i can feel like a huge hard knot about 3 inches long but it’s so hard that i don’t even know.

    Plus is it normal to still have leakage on scar? Because i have discharge that comes out in middle that is white very thick puss that has a foul smell to it. As well at on one side that will have discharge that looks like puss and blood. I have tried ibuprofen but they do not work. Pain is consistent all the time.

    Posted by jeana | February 21, 2015, 9:52 pm
  75. I’m hoping you’re all over this like a bad case of crabs: http://www.startribune.com/lifestyle/health/293718211.html
    Counting on you and your Lasso of Truth!

    Posted by annelippin | February 24, 2015, 11:28 am
  76. Ok. Well see i have talked to a doctor and they said that it’s “normal”. And they prescribed me tramadol. That and ibuprofen doesn’t work for the pain. But I don’t even know. They used glue instead of stitches and staples. I still have drainage and leakage still a foul smell and still in excruciating pain.

    Posted by jeana | February 24, 2015, 8:41 pm
  77. Delighted to have found your well informed and well written blog. In one of my jobs I worked extensively with Doctors and other health professionals and learned that the area that needed more attention from the patient perspective was the art of clear communication. Looking forward to lots of reading here. Regards from Thom at the immortal jukebox.

    Posted by Thom Hickey | February 25, 2015, 10:33 pm
  78. thank you for your comments and insights on the Nerium products it is greatly appreciated keep up the good work

    Posted by sam jones | March 13, 2015, 12:08 pm
  79. I need to delete one of my previous comments. How do I do that? I cannot find anything that would allow me to do that. I feel trapped. Thank you.

    Posted by Inna | March 17, 2015, 12:36 pm
  80. Gosh, you’re great

    Posted by gary gromet | April 9, 2015, 5:19 pm
  81. Ii was wondering about your statement that the fetus cannot feel pain at 20 weeks. I have 2 friends whose babies were born prematurely at 21 and 22 weeks respectively. I’m pretty sure they could feel pain if they were dropped or stuck with a needle or something like that. Do you disagree? And on what basis of you did you make that statement?
    Thanks
    Nancy Kingston

    Posted by Nancy Kingston | May 13, 2015, 12:36 am
    • The survival rate at 21 weeks is 0% and at 22 weeks <5% so it's curious your friends histories.

      Thalamocortical fibers don't start penetrate the cortical plate until 24 weeks. The cortical changes needed to interpret ion nocioception as noxious are likewise not developed before 24 weeks.

      Posted by Dr. Jen Gunter | May 13, 2015, 7:00 am
  82. This is perhaps outside of your specialism, but if you have any views on chronic lyme disease, I would be interested in reading them. Many thanks.

    Posted by Chikashi | May 20, 2015, 5:27 am
  83. I find this very interesting

    Posted by samantha ash | June 2, 2015, 12:44 am
  84. Dr. Gunter –

    I am so glad I found your blog! Fourth year medical student applying for Ob-Gyn. Can’t wait to read more.

    Elizabeth

    Posted by Elizabeth | June 18, 2015, 1:19 pm
  85. I’ve been Dx’d w/HSV 1 & 2. So your blog is helpful to me. I’m still trying to understand it. At this point, I’ve not seen my family in person, only telephone conversations. Thanks again for your expertise. Please add me to your emailing list. MN

    Posted by MaryLee Nichols | June 24, 2015, 12:51 pm
  86. Enjoyed your blogs recently about the U of T and its lack of oversight in allowing a homeopathic quack to teach a course. Am also from Winnipeg (Fort Richmond) and went to U of M medical school. Now an anesthesiologist in Toronto. Some of my Korean friends have been going on about some new herbal supplement called HemoHIM… it sounds like snake oil to me:
    http://www.hemohimreview.com/what-is-hemohim/

    Posted by Teddy Lim | July 13, 2015, 6:48 pm
  87. You wield the lasso of truth, we wield the lasso of mayo. Its more powerful than you might think… We’re talking over 2.7 billion milligrams of cholesterol avoided. Shoot me an email if you’re intrigued.

    Posted by Shannon | July 16, 2015, 4:07 pm
  88. well, this isn’t a slame or anything but you did write an an article about a research article and it’s Author about Colloid Cyst.

    our group +100 members in the United States and over 1000 over in Europe are doing some grass root research you might be interested in…

    about the article, we are also talking about you.

    maybe you would like to join us?

    Houston Genaux
    2008 endoscopy/ 3erd vent/ Colloid Cyst

    Posted by Houston | August 17, 2015, 6:09 pm
  89. If you find a lab i have placenta pills from two babies and extra “powder” I’d be happy to donate for a study

    Posted by Mary | August 23, 2015, 5:53 am
  90. Been following your blog for quite awhile – while not a doctor, I work as a compliance officer and have found your posts, whether directly related to my work or not, worthwhile reads. I have ranged from total agreement to total disagreement with you – and frankly, I like that because it means you believe in what you write.

    I also wondered if you will be writing about the upcoming lawsuit Planned Parenthood is going to file against the state of Lousiana regarding the defunding of Medicaid to PP. That is an issue I am following closely as I worked at PP before my current position. I saw firsthand what services they provide and frankly, they get a bad rap because regardless of one’s position on abortion, there is so much more offered there. And I saw many young men as clients, not just women.

    Sorry to ramble – just letting you know I read your posts religously and am hoping you will supply your expertise to this.

    Posted by Lance | August 25, 2015, 1:12 pm
  91. Hi Jennifer –
    I’d like to interview you about fetal pain for Salon. You would have a lot of control over the structure of the article, which would be formatted as a written interview. If you are interested you can reach me at ValerieTarico at Hotmail. Previous articles can be found in my archive at ValerieTarico.com.

    Posted by Valerie Tarico | August 25, 2015, 1:42 pm
  92. Would like to read your take on the j&j investigave piece hufpost published today. 9/15/15
    http://highline.huffingtonpost.com/miracleindustry/americas-most-admired-lawbreaker/

    Posted by Sarah | September 15, 2015, 10:18 am
  93. Help, please Dr. Gunter! My bullshit meter is going off strong at this article about the safety and efficacy of the flu vaccine, not leastly because it’s on a site called “Living Traditionally”. Facebook friends are sharing it left & right. I don’t have the creds to effectively analyze the claims. Can you help, please? http://livingtraditionally.com/johns-hopkins-scientist-reveals-shocking-report-flu-vaccines-3/

    Posted by veronica svatos | September 25, 2015, 6:29 am
  94. Hello. I so appreciate your site. Thank you. I sent you a tweet but you probably receive so many. I had a cs and think I have that nerve pain you write about. Do you have any dr recommendations in London or nyc? thank you.

    Posted by Leah | September 28, 2015, 7:38 am
  95. Hi dr Gunter for some reason I wanted to get tested for herpes so I went to my doctor and he did a blood test he did a hsv I/II Igm it came back as positive for both 1. 24 I have been win my wife for 5 years and I had never had sores can this be right

    Posted by Sergio | October 1, 2015, 8:36 pm
  96. Thank you for debunking the Goop article so brilliantly! I read Goop -and my field is public health – and this guy has been making various (strange) claims about the basis for breast cancer without backing them up with legitimate (or any) research. I’m glad the question of his credibility is getting some attention now.

    Btw he didn’t actually coin ‘Conscious Uncoupling’; he used someone else’s concept without attribution.

    Posted by BW | October 21, 2015, 7:04 am
  97. Odd request. Many OBGYNs don’t discuss kink, and what is and isn’t safe with regards to it. With 50 Shades of Grey coming out a few years back, I find a lot of people have become more open and intrigued with kink, specifically BDSM. Would you mind writing your medical thoughts on the topic? It can be any forms of kink.

    Here are some questions I feel should be started with:
    Nipple Clamps: Can they cause permanent damage if not used properly? If so, what constitutes proper use? Can they affect breastfeeding?
    Anal Play: What types of problems can occur from not being careful? What constitutes properly being careful (safe sex with regards to anal play)?

    There are tons of articles out there filled with opinions and experiences, but I have a hard time finding a medical opinion on the topic, and I think it would be nice to have some medically related thoughts on the topic.

    Thank you!

    Posted by Sex Booze and Reality | December 2, 2015, 2:31 pm
  98. I can’t find a contact address so I’ll leave this here:

    A simple improvement to your website: The archives should have the archive page selector box on them. I was looking for a post of yours in the archives and each time I had to go back to the main page to select the next month.

    Previous Month/Next Month buttons would also be nice.

    Posted by Loren Pechtel | December 2, 2015, 7:50 pm
  99. I have a chronic lung infection that comes and goes [tests suggest atypical, CAP, gram negative? and mycoplasma pneumonia bacteria (though this does not give strong lunged people pneumonia!)]. Recently the colour of my urine deepened, the urge to urinate became very , and it keeps me from sleeping at night when this condition makes me feel a little agitated. I wonder if some bacteria from the lung could cause this. I feel slight sensitivity in the ovaries but I am post menopausal ( a young senior who can swim fifty pool lengths). What about multiple infections?

    Posted by Cornelia L. | December 9, 2015, 6:47 pm
  100. By the way, interesting article. I do no see the post I just wrote, though.

    Posted by Cornelia L. | December 9, 2015, 6:50 pm
  101. How virus is converted in toxins and how it will be more likely to go out from the body? Urine? sweat ? Acne nails hair ???

    Posted by James | December 16, 2015, 6:04 pm
  102. I have been cut open hip to hip 3 times for cervocal cancer procedures hysterectomy being the last two and I have constant pain at surgery site and a mass behind my scar who could I see to treat this I live in nc us

    Posted by Melissa Molina | December 19, 2015, 1:40 am
  103. Certainly will be very interesting if you ever write about Canada’s health care system vs. U.S. since you’ve worked in both systems. My sister is an emergency medicine doctor in Greater Toronto Area..in practice for last 15 yrs. I have several other siblings in other positions working at hospitals in GTA area also.

    By the way, I am concerned about a sister early 50’s who has some huge fibroids that should be removed..but she is delaying it. She looks pregnant. She has seen a gyn-ob and has been lectured by her dr. Dr.-sister thinks if it’s not life-threatening she shouldn’t worry about it…. I’m concerned since I’ve read other experiences of women patients ..

    Posted by Jean | January 2, 2016, 3:56 pm
  104. Have you seen this?
    https://www.kickstarter.com/projects/892018590/kgoal-boost-smart-kegels-for-men
    Do you think that the male or female version would help people? Thanks for your writing even when I’m sick of what is happening around us.

    Posted by Tong Ginn | January 3, 2016, 5:48 pm
  105. No, I don’t really believe that they are feminists. I have been reading the site and:

    some of them support FGM (provided it’s done in a hospital)
    some say that a percentage of rapes is acceptable in order to protect Muslim migrants (Cologne) and people like Stefonknee Wolscht (Google it).

    Posted by Autumn | January 26, 2016, 2:44 pm
  106. I have a question — I have, in my past, had a few abortions. I am not proud of this, but I am not uncomfortable with it either (never wanted children). I have since had a total hysterectomy (endometrioses which had latched onto my urethra). I have not had any unusual “female” problems since then. Why is it that doctors ask on the forms if the patient has had an abortion, or they want to know how many pregnancies and live births?

    I ask because I can hardly wait for the day that some representative proposes that not only abortion is illegal, but that hose who had them in the past will be brought forward and punished. I know, probably won’t happen, but our lawmakers seem to have gone off the deep end in this issue.

    Posted by mystiquelady59 | January 27, 2016, 9:44 am
  107. Hello Dr,
    V happy to see your blog and I read a few posts. You are doing a great job. I have been wanting to blog for a long time but have been putting it off due to so many reasons,one of them being…I was really unsure if there are doctors out there who blog regularly. Well,any way I just started last month. And reading your blog gives me the motivation to continue posting regularly.

    Posted by Dr.Seethalakshmi | January 30, 2016, 10:45 am
  108. please check out the few posts I have published in my blog..and give your valuable comments.
    http://seethawrites.com/

    Posted by Dr.Seethalakshmi | January 30, 2016, 10:48 am
  109. Hello my name is Heidi and I have been experiencing myofascial pain since I had my first baby by c section. It’s been a long lonely road trying to get some help in all areas from go to consultants to gynaecologist’s to Physio therapist. I Have baby 2 now again by c section and have nowhere left to go having recieved so little help. I’m not sure but ireland seems to be very far behind in terms of knowledge of this.

    Posted by Heidi Mackenzie smith | January 30, 2016, 4:03 pm
  110. I was really interested in reading your blog after I saw your post on real self about not washing your face.

    After looking at many of your topics, however, I came to the realization that you are just another liberal blogger who is biased even before you do your “research.” You have your own agenda like the many folks you talk about in your posts.

    I am extremely disappointed. Was hoping for an unbiased report on many of your topics, but it was no where to be found.

    Posted by Stephanie | March 11, 2016, 2:03 pm
    • Ah, you mean that you hoped that Dr. Jen shared some perhaps-faith-based assumptions that define the boundaries of your world view? Here is the top dictionary definition of the term “liberal,” which you seem to interpret to mean the opposite. “open to new behavior or opinions and willing to discard traditional values.”

      Posted by Valerie Tarico | March 13, 2016, 6:53 pm
  111. Definitely agree that doctors should blog. I’m new to WordPress, just had a browse through your profile and I am interested and excited to read more into some of your thoughts.

    Posted by realhumans23 | July 5, 2016, 1:35 am
  112. Media inquiry: writer looking to talk to you about pubic hair grooming and JAMA and UCSF study. I’m with the Bay Area News Group and Mercury News and was working on story the next couple days about women’s attitudes about their public hair and reasons for trimming or removing.

    Posted by Martha Ross | July 24, 2016, 9:17 pm
  113. Hello Jennifer! This is Nancy, co-founder of TOM Pads. If you can please reach out to me, i’d really appreciate it.
    I just have a few points I’d like to clarify about our pads. Thanks!

    Posted by Nancy Tsaur | August 22, 2016, 4:48 pm
  114. Doc, your thoughts, ideas and experiences are really nice and true. You have worked very hard in your specialties. This is indeed a true spirit of life.
    well, I am a medical transcriptionist and medical biller, working for two companies currently while living in an unfortunate country, Pakistan. I too believe on hardwork and working on different kinds of medical reports from many american hospital and also for NHS london. while still working on EHR and voice recognitions and insurances, i think still future of medical documentation is kind of vague vision, especially for me as i am living in such country, which has approximately closed doors of all other european countries.
    Hopefully, your writing will be more helpful and informative for me, keep up this good work !

    Posted by Zahid Ameen | September 27, 2016, 7:36 am
  115. can you be my doctor?

    Posted by jb | October 20, 2016, 9:28 am
  116. Hi Jennifer, I’m concerned that the overemphasis on the term rip is taking away from the great article.

    People can be ripped from their homes from eviction but are never physically ripped.

    Everything in your article is really great information but it focusing on ripped as a literal term detracts from all of that.

    Hope this helps.

    Posted by trekkinlife | October 21, 2016, 10:50 am
  117. I am a nursing student and am trying to collect data regarding late-term abortions. A lot of friend of mine have a strong misconception and I would like to arm myself with research and facts. I read your article on HuffPost regarding this subject and saw you mentioned 80% of late-term abortions are due to fetal anomalies. Could you please tell me where I could find this information? I had a tough time finding out anything in the way of why women get late-term abortions. I found a lot of “it could be any reason.” Thank you so much for your insights and knowledge.

    Posted by Sarah | October 21, 2016, 1:14 pm
  118. Just read your article on Huffington Post on Abortion Myths. My name is Emily, I am a high school girl from Texas. Last year I met with one of my representatives, Giovanni Capriglione. I asked him about Texas HB2, and he swore to me it was all for the protection of women’s health. I can’t impart the amount of frustration and disrespect I felt listening to him speak.

    Posted by Emily Bug | October 24, 2016, 1:09 pm
  119. Dr. Gunter, I recently found you on Twitter and have enjoyed following you. Thank you for everything you do and keep it up!
    Sheldon Weisgrau
    @ACAResource

    Posted by Sheldon Weisgrau | November 8, 2016, 9:17 am
  120. Hi Dr. Jen!

    I’ve read several articles that you’ve written on the “abortifacient” qualities (or lack thereof) of the Mirena IUD. I’ve been obsessing about the “evidence” that some groups, mainly religiously affiliated groups, say they have for Mirena’s ability to prevent implantation of a fertilized egg (if the egg even ever gets fertilized in the first place). You’ve also mentioned the potential for miscarriage. I’m obsessing about what some are calling “embryonic deaths”. I’m just not sure if one can call a fertilized egg “life”….considering that more than half of fertilized eggs fail to implant “naturally”. I would love to see what studies you reference. I trust your medical background, but I’ve developed an unhealthy obsessive complex over fertilized eggs and the 2 years my wife had a Mirena IUD between our two kids before my vasectomy. Any help you can give me would be GREATLY appreciated. Thanks so much!

    Posted by Keith Zeise | January 26, 2017, 2:22 pm
  121. I saw your interaction with Dr Dude online. I’m not media savvy but saw on his FB page his main medical practice was in radiology…. we know how much he actually dealt with patients…ZERO. I’m a disabled RN because a highly respected hospital could not diagnose my severe weight loss over 10 month period. But they did take me off my IBD medication worsening my condition to include adult failure to thrive and osteoporosis. My body was literally eating itself. Anyway, health care, insurance, and big Pharma need fixed. Price of epi pens? Narcan? Shortages of resuscitative drugs? Please!!!! Lastly, people who cuss have been proven to be honest!!! ✌🏻

    Posted by Carol | February 3, 2017, 11:52 am
  122. Dear Jen,

    I came across your site while looking for data to my sister (who lives in another state)about Trump apparently writing his own Dr. letter, and in reading your impressive background, saw that you have experience in pain management.

    I am hoping that my finding your blog is a fortuitous coincidence for me. I am trying to find evidence to deliver to my own Pain Dr’s nurse practitioner to show that the new drug Movantik can produce false positive urine tests for hydromorphone, before it is too late.

    I am hoping that you may have already encountered a situation where urine tests performed by “Millenium Laboratories” appear to be unable to distinguish the new OIC drug Movantik from hydromorphone, or have spoken to another physician who has encountered the same thing, or perhaps know of a resource I could reach out to to help find proof that this is the case.

    I have called the FDA, Astra-Zeneca, and others that they have suggested I contact, with no success so far, and cases they have opened won’t even start to be investigated until it is too late for me to remain in my Dr.s pain management practice.
    (Somewhat Twilight-Zone-like, of those I called, Millennium was the only one that would not even try to answer any question I posed, instead deflecting even the simplest of any question I tried to ask, until the question was “How can I get a copy of this recording?”, at which point the person on the other end put me on hold for two minutes, and asked me for a callback number when she returned).

    [ This Monday afternoon, when I see my electrophysiologist at UCLA (a periodic followup for a succesful atrial flutter repair via ablation a few years ago) I will try to see if there is a pharmacologist there who might be willing to speak with me about this, but I’m just barely not holding my breath]

    Because the Nurse Practitioner has repeated the same test multiple times, with no change in variables, (but somehow hoping she can tell me the results were different) I have a short time frame left. (I’ll be seeing the Dr. himself a week from now regarding a urine test I was administered just before beginning this investigation a week ago, and barring some miracle, I expect he will “discharge” me).

    I know that P.M.physicians may feel a patient could say anything on their own behalf, and the environment in which they have to practice these days leads them to feel themselves up against inordinate pressure to protect their licenses, so finding proof that the urine positives are indeed false positives soon is likely the only thing that will vindicate me, keep me from being discharged, and keep me from being “branded” as unwanted in any subsequent practice.

    Below is a brief summary of my reasoning for believing that naloxegol is the culprit. Would you, or perhaps one of your readers, be able to suggest additional resources I have not considered?

    While trying to research this on the web (which is not easy, as my field before retirement was computer science, not pharmacology), googling for variants of “false positive” led me to an article at the US National Library of Medicine (US-NLM) which ended with the conclusion:

    “clinicians should be aware that the commonly used opioid antagonist naloxone can produce false-positive opiate immunoassay results.

    That was the first interesting hit I found, as available literature stated that naloxegol is essentially “PEGylated” naloxone (naloxone with the addition of a very short bit of polyethylene glycol, serving to inhibit passage across the blood-brain barrier). Looking further, I found an article in the Journal of Biochemical Chemistry that was mostly greek to me, but contained structural images on it’s last page showing just how close the structures of naloxone and hydromorphone are to each other, independently seeming (at least to my layman’s eyes) to provide support for the conclusion drawn by the US-NLM article.

    It seemed possible, then, that the same conclusion about naloxone might also apply to naloxegol, although I have not found an irrefutable reference for this as of yet.

    I’m assuming that an antibody designed to match surface features that distinguish hydromorphone from other opiates could also match features of a more recently introduced molecule, naloxegol, bearing those same features.

    Thinking about this in computer science terms, unlike antibodies produced naturally to key on specific antigens (in an environment where an antibody is being used to match one of a fairly small subset of members of a huge, but sparse domain), as far as I can tell, antibodies produced in the lab do not have the luxury of being tailor-able “at run-time”, and so must act similarly to search functions for “hash buckets” in Computer Science.

    Trying to search a huge domain when the range of possible values is sparse can be an enormously expensive task, so one can instead use an algorithm (called a “hash algorithm”) which assigns (or retrieves) values to or from a limited number of “buckets” that can each hold the specifications or values of several interesting members of the sparse sets, related by the design of the hash algorithm).

    A bucket can hold several different values, so once a search has “hashed” to a particular bucket, a “distinguishing function” can do the rest of the work, identifying the correct member within the bucket . Yes, there are two lookups done, rather than one (first the hash lookup, then the differential), but the cost doing it this way can be many orders of magnitude less than the alternative. The only “serious gotcha” is that the “distinguishing function” must have been designed to consider all possible values that could have led one to the hash bucket in question, otherwise one could get “a wrong answer”.

    Given the number of opioid-ish molecules with surface features similar to hydromorphone, I would wager that a procedure similar to that used in “hash lookup” mechanisms may already be used by the urine tests, but that it had not occurred to test designers yet to add a function to distinguish (the completely unscheduled) naloxegol from it’s older cousins.

    (One hope I have is that there may be a different kind of test that does not need to use what I am calling a “distinguishing function” if something like that is even used by the type of test I have been administered).

    Posted by Michael | February 6, 2017, 1:23 am
    • Dear Jen,

      I don’t know the degree of relevence, but as I was starting to coalescing a list of published items I had found, I also found and just added an abstract about circumstances of GS/MS false positives to the others. If appropriate and accepted in the moderation process, could you keep it together with my previous posting?

      – Thanks

      Desperately (and more so, day by day) looking for reports of false positives for opiates (especially hydromorphone) being reported in those taking nalexogol (sold as Movantik), as has been reported in those taking naloxone (a non-PEGylated naloxegol, (to say it backwards)).

      Ref:
      The article “https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2975969” at the US National Library of Medicine ends it’s discussion with the conclusion
      “clinicians should be aware that the commonly used opioid antagonist naloxone can produce false-positive opiate immunoassay results.”

      I’ve also noted the substantial similarity between the structures of hydromorphone and nalexogol as displayed in in the wikipedia pages:
      The last page of the article http://www.jbc.org/content/268/21/16059.full.pdf
      in the Journal of Biochemical Chemistry shows comparable similarity between hydromorphone and nalexone
      (also noting slight “style preference” difference between that Journal’s drawings and ones in Wikipedia pages)

      Bearing in mind that I’m not a chemist, and much of this is over my head,
      could this have any relevance:

      Ann Clin Lab Sci. 1995 Jul-Aug;25(4):319-29.
      Mechanism of interferences for gas chromatography/mass spectrometry analysis of urine for drugs of abuse.
      Wu AH1. Toxicology Laboratory, Hartford Hospital, CT 06102, USA.

      “Abstract:
      Although gas chromatography/mass spectrometry (GS/MS) is recognized as the definitive procedure for confirming positive immunoassay screening results of urine for drugs of abuse, targeted GC/MS analysis does have limitations.
      [ . . . a brief mention of false negatives, then back to . . . ]
      False positive results can also occur through a number of mechanisms. Two substances with the same mass spectrum require gas chromatographic conditions that enable adequate separation of the compounds prior to MS analysis. In the case of optical isomers, special columns or derivatives must be used for identification and quantification. The widespread use of selected ion monitoring may further limit GC/MS assays. Drugs that produce similar high molecular-weight mass fragment ions could potentially interfere if they have similar GC retention times and if inappropriate ions are selected for monitoring. The conversion of one drug to another by the GC/MS instrument itself is a particularly insidious problem.”

      Poster’s comment: Might hydromorphone and nalexogol count as two substances that substantially share the same mass spectrums?

      Unfortunately, I only “grok” part of that Abstract, but obviously, I’m wondering if the similarity of the hydromorphone and nalexogol structures as mentioned above might also extend to similarity of their mass spectrums (or conversely: might the presence of the very short PEG chain throw off mass spectrums commonality by a noticable amount, or again alternately: might the little PEG segment get separated and/or discarded during later processing or perhaps via interaction with any of the eight other medicines I’m presently prescribed???):

      Posted by Michael | February 6, 2017, 3:58 am
      • [I tried posting this a fewminutes ago, but it seems to have gotten lost (no copy with comment about awaiting moderation) – apologies if it appears again ]

        P.S. After writing the above, I came across an article stating that naloxone is a “structural analogue of oxymorphone”. Since two different molecules, both present, cant both be oxymorphone, could this be a source of confusion for the GC-MS technician, who needs to make a distinction?

        Would I be correct in making the uneducated guess that subsequent to the ionization process, the active portions of naloxone and naloxegol would be identical, making the previous paragraph have the same truth value if the compound naloxegol is substituted for naloxone in the first sentence?

        I think I’m very near to losing my Dr., as I couldn’t convince him that there would be any importance to reporting to Millennium the fact that I’m taking Movantik or any of the meds (all of which he has in my chart) Rx’d by other doctors, and I’m afraid that without knowing what other drugs I’m taking, they will again report detecting hydromorphone despite [ fentanyl, oxymorphone, and naloxegol ] being the complete set of opioid drugs present.

        The net result of that would be “discharge” and the concomitant need to find a new physician despite the stigma of being discharged hanging over my head.

        So, if anyone reading this can point me toward any definitive documentation that could help with this issue, or suggest some way to resolve it, I would be greatly appreciative.

        Thank you

        Posted by Michael | February 19, 2017, 11:07 pm
      • Update: I saw the doctor, and although he is not convinced that naloxegol is what is being reported, and still does not believe it is of any importance to tell the lab about non-pain meds, he agreed to prescribe two weeks of Relistor in place of Movantik, and call me in at a random time for another test.

        I have my fingers crossed, but (at least in wikipedia) the main part of the relistor molecule looks much like main part of the movantik and dilaudid molecules, so I am worried that the same thing could happen with methylnaltrexone as it did with naloxegol.

        On the other hand, methylnaltrexone is a much older molecule than nalexogol so there may be a greater chance that it’s spectral signature is present in the MS library the lab has.

        Again, if anyone reading this can help direct me towards a solution, I would greatly appreciate it.

        Posted by Michael | February 19, 2017, 11:30 pm
  123. I am concerned about pediatric transition of self diagnosed trans teens. There isn’t evidence in favor of early transition but there is a lot of political weight in favor. Meanwhile there is a growing community of detransitioners who feel harmed by having been encouraged to medically transition. Is this something you could speak to?

    Posted by Lisa Marchiano | February 26, 2017, 5:45 pm
  124. I just discovered your blog!!!! Yes!!! If only Safari will let me subscribe! I’m am still a fish outta water..lol about to start residency, also I have begun blogging about medicine (still very early stages), but my focus is on forgotten diseases/tropical diseases/ and health disparities. Awesome blog!

    Posted by Kemz | April 26, 2017, 6:00 pm
  125. Hello,

    I always end up shaking my head whenever I read about GP/goop/jade eggs on your blog. Today I clicked through to Leyla Martin’s website so I could shake my head at her too. I was quite horrified to read a claim by her that jade egg practices can heal the trauma of sexual abuse. Isn’t there a trading regulation against profiteering from that kind of horrific experience? Not to mention the obvious hocus pocus bs that it is.

    Just wanted to add that to the already ridiculous ways in which goop et al are taking advantage of women. I read it here: laylamartin.com/programs/jade-pleasure/

    Posted by A | May 24, 2017, 1:47 am
  126. Dr. Gunter, I’d like to subscribe to your blog but when I click on subscribe it doesn’t work. Any ideas? Thanks

    Posted by Sandy Rosen | May 24, 2017, 1:01 pm
  127. Thank you for having the courage to call out Ms Paltrow. Her machine seems to be able to shut down any professionals that expose the frauds and Self Appointed Experts in her posse. People with celebrityitis need guidance and science based information.
    You go girl!
    Tired of the “Poop”

    Posted by Lea Contissimo | May 25, 2017, 11:44 am
  128. You are the best. Why don’t you live in nyc where I could go to you and we could compare Gwyneth Paltrow’s latest horrible advice?

    Posted by Judith newman | May 26, 2017, 12:37 pm
  129. I would like you person opinion about Nerium ad the oleander plant thank you Karen

    Posted by Karen hathy | May 26, 2017, 7:07 pm
  130. Have you seen the article comparing GOOP products to those sold by Alex Jones on Infowars? It’s on Quartz Daily Brief this morning.

    Posted by Erin | June 30, 2017, 3:51 am
  131. I just saw this article. It looked like the kind of dangerous popular practice you write about. I don’t recall if you already have.

    http://www.jwatch.org/fw113049/2017/06/30/cdc-warns-against-consumption-dried-placenta-capsules?query=pfw&jwd=000020088552&jspc=N

    Posted by Andrew C. Bragdon, MD | June 30, 2017, 7:10 pm
  132. I read your article about Goopists and jade eggs in vaginas…eeew! Gemmologists know about all the toxic processes the “jade” is subject to , bleaching, dyeing, waxing to mention a few. The egg women seem to have missed any thoughts about how healthy their eggs are. Please consult a local Gemmologists for full details to use in your next article. ( in Australia we use two m’s in gemmologist)

    Posted by elizabeth langdon-smith | July 15, 2017, 4:37 am
  133. Hi Dr. Jen

    I think you were my OB/GYM for my first born at KU Med Center back in 1987; a 2 month early preemie. If so, I have always wondered where you went to. I just happened to come across your incredibly perfect responses to Goop. I’ve never been a Paltrow fan and had no idea she was so….not smart is the nicest way I can say it. Anyway, good to find you!

    Posted by Donna Zimmerman | July 15, 2017, 5:49 am
  134. Thank you for raising awareness about this dangerous pseudoscience nonsense.

    Posted by Janet Boseovski | July 15, 2017, 8:32 am
  135. Dr. Jen, I just discovered your blog today and I have to say: you are amazing! I am a family doctor in Canada and struggle with people who prefer to trust “natural” things to scientific, evidence based medicine. I just read your GOOP post and OMG, I was so relieved to read that passion in the voice of someone who is ACTUALLY qualified to make claims about the TRUTH! Thank you for being so thorough in your research, for bringing down every argument against you so well (and with plenty of humor – you made me laugh several times in your post), and for taking the time to correct this troublesome era of misinformation. I look forward to read more of your blog posts!

    Posted by Dr. S.B. | July 15, 2017, 9:09 am
  136. Dr. Gunter-
    You are a funny human. I am an English teacher, and I wouldn’t even f**k with your grammar; it’s not necessary, and you nailed the point. Thank you for being honest and sharing your wisdom with the world. I appreciate your candid and science based rhetoric. Keep writing!
    Sincerely,
    Lisa

    Posted by Lisa | July 21, 2017, 12:40 pm
  137. Hi Dr. Jen,
    I’m never one to write in but your blog is such a wonderful breath of fresh air that I’m compelled to do so, and congratulate you on such wonderful debunking of idiots (i.e. goop) and straightforward explanation of health issues. Your correction of misinformation is such a passion it reminds me of my dad (Physics prof at UofM), who did the same but on nuclear power issues. Being from Winnipeg and about the same age as me you might have seen some of his letters (typed! mailed with a stamp! before twitter!) to the WFP where he argued with the anti-nuclear activists, and talked about climate change before it was cool. He’s passed on now but he would heartily approve of your efforts to correct the record–as we all do. Thank you. And if you’re interested: http://jovan.jovanovic.ca/

    Posted by Vera Jovanovic | July 25, 2017, 2:38 pm
  138. Dr. Gunter,

    Thanks for your informative post. I am working on developing a Facebook chat book to help make clinic web pages more engaging. It can help answer questions about one’s practice and also do patient intake to turn the visitor into a patient.

    I would love to hear your feedback about this.

    Posted by Tashfeen Ekram | July 26, 2017, 2:23 am
  139. Have you heard the these new pads called ‘Cherish by Nspire’? Some claims are that it’s healthier than current menstrual pads. If you could do a post it would be great.

    Posted by Autumn R Roe | July 27, 2017, 12:09 am
  140. Jenn, a lasso is too gentle. I recommend a trident or pitchfork of truth. http://www.bbc.co.uk/bbcthree/item/fc3d3f13-60c8-424a-98a1-85fd2393b3c4
    Here’s another company that needs a dose of truth (Depot injection preferably).
    Snake oil. It’s what’s for lunch.
    Keep up the good work 🤘

    Jahan

    Posted by Jahan | July 29, 2017, 12:37 pm
  141. I’m so happy I read the article in the NYT this morning! Keep up the wonderful work & f-bombs!!

    Posted by brett | July 30, 2017, 5:20 am
  142. You’re a breath of breath air! Keep doing what you’re doing!

    Posted by Dr S | July 31, 2017, 10:44 am
  143. I’m interested to know your opinion on essential oils. I have many friends who use them religiously for everything. I’ve done some research- and there’s conflicting information.

    Posted by Heidi | August 29, 2017, 1:41 pm
  144. Thanks for blogging and trying to educate the masses. As a dermatologist with many patients who only want to use “natural” products, I was most appreciative of your piece on insecticides. I plan to share your well researched comments with them.

    Posted by Tina Alster, MD | September 3, 2017, 7:55 am

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