We move from a Dolly Parton story to the very real ways policy, training, and clinical guidance shape what patients can access and what clinicians can safely provide. We break down the end of global OB billing, the risks of vaccine schedule “tweaks,” and why surgical convenience can quietly drive worse care.
• rural maternity deserts and why reimbursement must cover facility costs
• content warnings and protecting our own mental health while learning from high-profile perinatal cases
• the shift from global maternity fees to E/M problem-based prenatal visits
• work RVUs, delivery billing and why correct coding matters
• measles deaths, herd immunity and why splitting MMR increases missed protection
• robotic surgery dominance, laparoscopic deskilling and training priorities
• ACOG opportunistic salpingectomy guidance for ovarian cancer prevention
• practical techniques to complete salpingectomy during vaginal hysterectomy
• listener question on urinary retention and pudendal nerve injury myths

0:00 Welcome And A Dolly Parton Story

6:07 Perinatal Mental Health And Content Warnings

8:20 OB Billing Shifts From Global To E/M

15:17 Measles Deaths And The MMR Split

20:05 Robotic Dominance And Laparoscopy Deskilling

31:41 ACOG Salpingectomy Guidance And Ovarian Cancer

40:53 Vaginal Hysterectomy Tube Removal Techniques

53:10 Urinary Retention And Pudendal Nerve Myths

1:06:22 Final Takeaways And Where To Follow

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