Midterm+essay+2273

toc [|Dr. Damon Cudihy] My brother in law is one of the greatest doctor I know he is a member of the Catholic Medical Association. And his message to all women out there is:Birth control is not the answer. He is a huge believer in other forms of contraceptives. Many times i have asked him why is it so important to you to get the message out there about contraceptives not being the way for birth control? He says just look at what you could be putting in your body. There's a lot of different opinions out there about when and if artificial birth control should be used. I even got sued and fired for my beliefs on this.[|charged falsely]. Nevertheless to this day he still doesn't prescribe artificial birth control pills to women. Over the years he has read written and talked about his beliefs on this, at medical outings, pod casts, and many other medical functions and he says its pretty amusing about all the biased comments and opinions he gets. He often refers to an article online that he really likes [[http://He%20has%20lived%20a%20very%20amazing%20life%20he%20has%20six%20children%20hoping%20to%20have%20at%20least%20ten,%20they%20are%20all%20home%20schooled%20by%20their%20mother.%20He%20says%20the%20biggest%20reason%20for%20his%20strong%20beliefs%20on%20this%20topic%20was%20that%20when%20he%20was%20a%20child%20he%20had%20a%20brother%20born%20while%20his%20mother%20was%20taking%20some%20form%20of%20birth%20control%20his%20name%20was%20Brandon.%20Brandon%20was%20born%2012%20weeks%20early%20and%20started%20his%20life%20with%20dozens%20of%20complications.%20Most%20of%20his%20organs%20were%20under%20developed,%20and%20he%20had%20almost%20no%20immune%20system.%20Brandon%20died%20at%203%20months%20old.%20Even%20though%20he%20said%20there%20was%20no%20connection%20to%20the%20birth%20control%20he%20still%20believes%20to%20this%20day%20that%20it%20was%20the%20under%20laying%20cause.%20The%20research,%20in%20an%20article%20entitled:%20%22Impact%20of%20Oral%20Contraceptives%20on%20Sex%20Hormone%20Binding%20Globulin%20and%20Androgen%20Levels:%20A%20Retrospective%20Study%20in%20Women%20with%20Sexual%20Dysfunction%22%20published%20in%20The%20Journal%20of%20Sexual%20Medicine,%20involved%20124%20premenopausal%20women%20with%20sexual%20health%20complaints%20for%20more%20than%206%20months.%20Three%20groups%20of%20women%20were%20defined:%2062%20%22Oral%20Contraceptive%20Continued-Users%22%20had%20been%20on%20oral%20contraceptives%20for%20more%20than%206%20months%20and%20continued%20taking%20them,%2039%20%22Oral%20Contraceptive%20Discontinued-Users%22%20had%20been%20on%20oral%20contraceptives%20for%20more%20than%206%20months%20and%20discontinued%20them,%2023%20%22Never-Users%20of%20Oral%20Contraceptives%22%20had%20never%20taken%20oral%20contraceptives.%20SHBG%20values%20were%20compared%20at%20baseline%20while%20on%20the%20oral%20contraceptive%20(groups%20i%20and%20ii),%20and%20well%20beyond%20the%207%20day%20half-life%20of%20sex%20hormone%20binding%20globulin%20at%2049-120%20days%20and%20more%20than%20120%20days%20after%20discontinuation%20of%20oral%20contraceptives.%20The%20researchers%20concluded%20that%20SHBG%20values%20in%20the%20%22Oral%20Contraceptive%20Continued-Users%22%20were%204%20times%20higher%20than%20those%20in%20the%20%22Never-Users%20of%20Oral%20Contraceptives%22.%20Despite%20a%20decrease%20in%20SHBG%20values%20after%20discontinuation%20of%20oral%20contraceptive%20pill%20use,%20SHBG%20levels%20in%20%22Oral%20Contraceptive%20Discontinued-Users%22%20remained%20elevated%20when%20compared%20to%20%22Never-Users%20of%20Oral%20Contraceptives%22.%20This%20led%20to%20the%20question%20of%20whether%20prolonged%20exposure%20to%20the%20synthetic%20estrogens%20of%20oral%20contraceptives%20induces%20gene%20imprinting%20and%20increased%20gene%20expression%20of%20SHBG%20in%20the%20liver%20in%20some%20women%20who%20have%20used%20the%20oral%20contraceptives.|mayo clinic]]His belief is that even though there is no proven causes of taking the pills if you may already be pregnant, but why take the risk at all. He has lived a very amazing life he has six children hoping to have at least ten, they are all home schooled by their mother. He says the biggest reason for his strong beliefs on this topic was that when he was a child he had a brother born while his mother was taking some form of birth control his name was Brandon. Brandon was born 12 weeks early and started his life with dozens of complications. Most of his organs were under developed, and he had almost no immune system. Brandon died at 3 months old. <range type="comment" id="517459072_4">Even though he said there was no connection to the birth control he still believes to this day that it was the under laying cause.</range id="517459072_4"> <span style="background-color: #fdfdfd; color: #111111; font-family: 'Open Sans',Arial,sans-serif;"><range type="comment" id="517459072_3">The research</range id="517459072_3">, in an article entitled: "Impact of Oral Contraceptives on Sex Hormone Binding Globulin and Androgen Levels: A Retrospective Study in Women with Sexual Dysfunction" published in The Journal of Sexual Medicine, involved 124 premenopausal women with sexual health complaints for more than 6 months. Three groups of women were defined: 62 "Oral Contraceptive Continued-Users" had been on oral contraceptives for more than 6 months and continued taking them, 39 "Oral Contraceptive Discontinued-Users" had been on oral contraceptives for more than 6 months and discontinued them, 23 "Never-Users of Oral Contraceptives" had never taken oral contraceptives. SHBG values were compared at baseline while on the oral contraceptive (groups i and ii), and well beyond the 7 day half-life of sex hormone binding globulin at 49-120 days and more than 120 days after discontinuation of oral contraceptives. <span style="background-color: #fdfdfd; color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px;">The researchers concluded that SHBG values in the "Oral Contraceptive Continued-Users" were 4 times higher than those in the "Never-Users of Oral Contraceptives". Despite a decrease in SHBG values after discontinuation of oral contraceptive pill use, SHBG levels in "Oral Contraceptive Discontinued-Users" remained elevated when compared to "Never-Users of Oral Contraceptives". This led to <range type="comment" id="517459072_2">the question of whether prolonged exposure</range id="517459072_2"> to the synthetic estrogens of oral contraceptives induces gene imprinting and increased gene expression of SHBG in the liver in some women who have used the oral contraceptives. <span style="background-color: #fdfdfd; color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px;">Below are some of the findings that <range type="comment" id="517459072_1">he believes was directly linked</range id="517459072_1"> to artificial birth control. <span style="color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px; line-height: 21px;">He has told me that he would love to be a guest speaker in one of my classes one day to answer any of the questions that one may have about why he believes the way he does.He has had many heart to hearts with me over the years and was very disappointed when i told him that me and my wife used birth control when we first married. And that being his sister truly outraged him he went on a torrent about thats against her upbringing and that we should be ashamed of our selves, and so finally i told him look just because your views are one way doesnt mean that everyone you love and care about must abide by them. He then said you know your right thats why im always getting into trouble <range type="comment" id="517459072_6">its not about what i believe its the way i push it on others</range id="517459072_6">.
 * <span style="color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px; line-height: 21px;">Woman age 20 carries baby full term non smoker and used prenatal vitamins baby was born with autistic characteristics.
 * <span style="color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px; line-height: 21px;">Woman age 26 third child born with an under developed respiratory system baby was full term.
 * <span style="color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px; line-height: 21px;">Woman age 32 gave birth to twins both of which were born with heart problems (parents used invetro-fertilization)[|invetro]
 * <span style="color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px; line-height: 21px;">There are several more he says but he didnt have the time to go on and on about any more.

http://acadianaobgyn.com/doctors.htm <span style="color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px;">Acadiana OB/GYN <span style="color: #111111; font-family: 'Open Sans',Arial,sans-serif; font-size: 14px;">Cudihy Damon Md Lafayette LA

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Rubric

Content/Development--40%
If the essay doesn't follow an approved prompt: -15% (You did not use any of the interview questions) If the word count is above 1300 words or below 900: -2% per 50 words (-4% for 799 words)

Organization--30%
If the thesis is unclear: -10% (You say he is a great doctor, but the rest of this is about his personal hangup with something he has very little evidence for. And the end appears to be a full-on disagreement with his position.)

**Style/Mechanics--30%**
If the references are not in APA/MLA format: -10% If the grammar/spelling/punctuation is poor: -2% for every instance (-10%, see comments) =Final Grade: 61%=