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 11.12 The Malpractice Crisis Is Real And Blaming Evidence-Based Care Makes It Worse · 10 Jun 2026 podcast

Using oxytocin.

Managing category two tracings according to the best evidence and then not giving heparin to every single caesarean patient.

Yeah, yeah.

We should realize there's emotional bias associated with feeling this urgent need to take some immediate action.

without fully properly assessing the situation and actually weighing evidence and alternative options first.

Yeah, yeah.

I think no no one wants to really acknowledge that.

especially the earlier they are in the career, it's just this painful thing to think about.

But

Many of the most unfortunate outcomes in medicine are things that

really could happen to any one of us, any one of our patients on any given day that we're just going about our business at work, just doing what we always do, that we're what we're good at doing.

These things can still

come up and many of these outcomes are

Unavoidable.

And that can be just a terrifying thought.

Yeah, so that's not an excuse just to admit defeat and just be cynical about it.

We of course we need to.

be diligent about training ourselves, continuously learning, training our teams.

building quality programs, but we do have to acknowledge every day that a certain percentage of deliveries will be shoulder dysocias.

A certain percentage of those will have brachial plexus injuries and be difficult.

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