Howard Harrell

speaker

1,260 appearances 4 recordings 1 series first heard May 2026 last heard 23 Jul

Howard Harrell’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 4 in all, peaking in Jul 2026 with 2.

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Thinking About Ob/Gyn · Episode 12.1 IVF Add-Ons and More! · 9 Jul 2026 podcast

And if you're doing that really for no reason

No evidence besides that they're forty, then you're definitely doing some net harm.

Yeah, so this gets into the inertia in practice that you always talk about.

Cause I I remember hearing this age 40 rule as an intern and just

uh accepting it as this is the absolute truth because my attending is telling me this.

And it's all over reference sources like up to date and lots of classic textbooks.

But again, we need to be more like Ella and track down the sources and go down some rabbit holes and realize that the people who write these references are just reporting what they were also taught as interns and just kept doing forever.

and still are doing now.

So especially with very rare diseases like Barthel and Gland cancers, there's it's not like there's

a whole lot of new literature

or n new breakthrough discoveries or other impetus to readdress or revisit these recommendations, it's the same old ones from

Generations ago that are just getting carried forward.

But

Good clinical practice would be to assess the clinical presentation.

And

Individualized care instead of

Going straight to the OR every time someone over forty

Or maybe even fift a fifty three year old, if it's a simple sis they

Even they might not be

A slam dunk that you have to go to the OR even for that.

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