Observational Studies in Nutrition are a Waste of Time

Observational studies in nutrition are a waste of time. Their results should be ignored. An article in a Lancet sub-journal […]

On Home Birth & Relative Risk

Home birth, its merits notwithstanding, may be a bigger risk to the baby than some parents would tolerate in other decisions. With many friends getting pregnant these days, one question I get a lot is some version of “We’ve heard a lot about home births. What do you think about them?” Read moreDogs – Good […]

Human ovarian reserve from conception to the menopause. From Wallace & Kelsey. PLoS One. 2010.

Age & Fertility Furore, Part 1

Throwing a Little Data on the Media Fire over Maternal Age & Fertility First off, a belated Happy Father’s Day! […]

Probability of Pregnancy across Age Groups

Age & Fertility Furore, Part 2

The Real Data on Maternal Age & Fertility Part 2 took a critical look at maternal age and fertility as discussed […]

Our faithful hound Nikki

Dogs – Good for Babies & their Parents

Go out and adopt that puppy right away. Turns out dogs are good for babies and their parents. Back when […]

Market Failure, Part 2 – Deeper Look

Detail on the 3 interrelated “imperfections” that ruin the delivery of health in the United States and abroad. In the previous post, I promised a more thorough explanation but “ran out of room”. Read moreThe Fundamental QuestionFirst is the mismatch between objective medical quality and patients” perception of quality. Second, and closely related to the […]

Market Failure, Part 1

Why sustainable, quality care is so hard to find – nutshell version A fairly routine week here in Nairobi, so it”s a great chance to discuss a major problem I am  trying to navigate here – how to sell high quality health care.* Not like buying pizza At first glance, this may seem simple. Those who […]

The Fundamental Question

For my first* post, I will try to answer the fundamental question behind all this pregnancy and baby care hoopla – does it all matter? If kids were genetic automatons, then it wouldn’t much matter what we do to them. No amount of good parenting would do much good. As long as you and your partner have […]