We trace the arc from variolation and Jenner to mRNA, show how vaccines leverage natural immunity, and explain why maternal shots protect both parent and newborn. Data, history, and personal stories make the case that prevention beats cure for OBGYN care.

• pertussis surge in Kentucky and preventable infant deaths
• child mortality then and now and what changed
• variolation to Jenner and the origins of vaccination
• how innate and adaptive immunity learn and remember
• vaccine types and why today’s antigens are fewer
• effectiveness data across polio, measles, rubella, Hib
• sanitation myths versus vaccine impact
• Wakefield’s fraud and why autism claims fail
• three major studies debunking autism myths
• essential pregnancy vaccines and timing
• RSV options and COVID safety during pregnancy
• herd immunity as protection for newborns

0:02 Setting The Stage: Vaccines Under Fire

1:09 Pertussis Surge And Preventable Tragedy

2:20 Child Mortality Then And Now

4:19 What Killed Children In 1850

5:31 Out Of Sight, Out Of Mind

9:51 Origins Of Vaccination: Variolation To Jenner

15:20 Vaccines Use Natural Immunity

20:00 Types Of Modern Vaccines Explained

25:30 Innate And Adaptive Immunity 101

28:40 How Effective Are Vaccines Really

33:40 Polio’s Human Cost And Iron Lungs

39:00 Measles, Rubella, And Pregnancy Risks

44:20 Sanitation Myths Versus Vaccine Impact

47:05 The Wakefield Fraud And Aftermath

52:20 Big Studies Debunk Autism Claims

55:20 Essential Vaccines In Pregnancy

58:00 Takeaways And Next Steps

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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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