We share a practical, clinic‑tested system for hereditary cancer screening that standardizes intake and education, then confront how malpractice pressures distort obstetric decision‑making, fetal monitoring, and access to care. Former ACOG president Dr. Richard Waldman offers data, history, and solutions we can use now.

• digital workflow that screens every patient annually from age 18
• video education improving informed consent and test completion
• one in four patients meeting hereditary testing criteria
• management changes after testing including MRI, meds, referrals
• addressing cost and genetic discrimination concerns
• OBGYNs as leaders in genetics amid counselor shortages
• malpractice landscape, rising verdicts, and physician burnout
• neonatal encephalopathy criteria grounding courtroom science
• fetal monitoring limits, category II overreaction, cesarean pressure
• VBAC safety tied to selection, readiness, and team systems
• safety culture, simulation, and checklists reducing risk

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Antonia and special guest Kristi Angevine explore how physicians can rethink habits beyond routines to include default thoughts, feelings, and reactions, and how that shift relieves burnout and restores purpose. Practical micro-habits, internal validation, and redefining productivity help us lead better and live better.

• habits as automatic thoughts, feelings, reactions
• perfectionism, people pleasing, catastrophizing as learned solutions
• survival seasons and low‑friction wins
• two micro‑habits: emotional check‑ins and box breathing
• escaping all‑or‑nothing with iterative learning
• redefining productivity around alignment, not to‑do lists
• internal validation and making yourself make sense
• training culture, criticism, and choosing supportive mentors
• identity beyond “doctor first” to include rest and health
• coaching options: group community and private work

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0:01 Setting The Stage: Habits In Medicine

0:32 Introducing Dr. Kristi Angevine

2:05 Redefining What A Habit Really Is

4:20 Perfectionism, People Pleasing, Catastrophizing

7:12 Coping Gone Sideways And Burnout Risk

11:21 Unrealistic Standards And The Inner Critic

15:54 When Work Ethic Becomes Self-Neglect

19:30 Why Simple Routines Aren’t Easy

23:12 Survival Seasons And Low-Hanging Fruit

26:12 Two Five-Minute Habits That Stick

30:45 Escaping All-Or-Nothing Thinking

36:05 Internal Validation As A Mental Habit

41:05 Success Beyond The To-Do List

48:39 Burnout’s Roots And Moral Injury

52:42 Training Culture, Criticism, And Resilience

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We challenge long-held beliefs about fibroids, highlight new ectopic pregnancy nuances, and dig into real-world dermoid cyst outcomes. We also unpack the evidence and ethics of 39-week induction after IVF and ICSI, balancing small absolute risks with maternal tradeoffs.

• Evidence overturning links between fibroids and miscarriage, PROM and abruption
• Distinguishing spontaneous versus iatrogenic preterm birth in fibroid pregnancies
• Why myomectomy can raise early delivery and cesarean rates in some patients
• Ectopic care updates: tube-sparing choices, HCG thresholds, two-dose methotrexate
• Experimental adjuncts to methotrexate remain unproven
• Dermoid data supporting laparoscopy, irrigation, and specimen bags over open surgery
• Surgical decision making during pregnancy and avoiding uterine manipulators
• IVF and ICSI timing: late stillbirth risk signals, limits of testing, 39-week logic
• Shared decision making when absolute risks are low but values differ

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1:33 Fibroids And Miscarriage Myths

5:53 Preterm Birth, PROM, And Hemorrhage

9:31 Myomectomy: Risks, Scars, And Outcomes

13:25 Ectopic Pregnancy: What’s New

18:37 Surgery Versus Methotrexate Nuances

22:05 Experimental Add-Ons To Medical Therapy

27:47 Dermoid Cysts: Real-World Data

32:48 Laparoscopy, Spillage, And Pregnancy

36:06 When Open Surgery Makes Things Worse

40:34 IVF, ICSI, And 39-Week Induction

48:05 Stillbirth Risk: What The Data Shows

55:20 Testing, Timing, And Shared Decisions

1:04:10 Practical Counseling And Tradeoffs

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