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.

Appearances

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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

can make a big difference for someone i if they're still pursuing fertility, what would be their risk of preterm labor.

What are the just the surgical risks?

There so there was an accompanying editorial in that same issue.

It was co-authored by Jason Wright, who is the editor of the Green Journal.

And so his editorial points out that we still don't recommend a universal preference for one method over the other, leap or cone, but we do recommend adequate depths of in excision, so at least ten millimeters.

And then they point out that in-office leap procedures.

compared to usually in hospital or surgery center cold knife cones can really help sustain access to at least some kind of e excision in a world where patients already face barriers to screening and prevention.

And they also point out that

HPV clearance rate is still very high for both methods.

So doing one of them is better than not doing either of them.

And they suggest that we should also be giving the HPV vaccine at the time of excision to to close that gap.

And of course they point out that LEET procedure does have a lower complication rate and a lower impact on future pregnancies.

Yeah.

So essentially they found six genetic hotspots that are involved with the gut bacteria interactions.

Two of these are already known, but then they discovered four new ones.

And these genetics also change what the bacteria do.

So it could be the same bacteria but in two different people with the different genes, it does different things.

So our genetics will influence, for example, whether a certain gut bacteria is equipped to break down or to build up specific molecules.

And then they found

that the same genetic variants that alter your gut bacteria are also linked specifically to conditions like celiac disease and hemorrhoids.

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