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		<title>Blog Entries for drchang</title>
		<description>Hello!  My name is Joe Chang.  I am a practicing OB-Gyn at the Women\'s Clinic of Vancouver.  When not at the hospital, I can usually be found running around town with my twin girls and my wonderful wife.</description>
		<link>http://www.yourbabyyourway.com</link>
		<lastBuildDate>Thu, 09 Feb 2012 13:31:28 +0100</lastBuildDate>
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			<title>Flu, Flu shot, Pregnancy..what's a mom to do?!</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,Flu-Flu-shot-Pregnancy..whats-a-mom-to-do-!.html/Itemid,0/</link>
			<description>&lt;p&gt;How many of you have had the flu?&amp;nbsp; Probably all of you at one point or another...&amp;nbsp; Or you could be like me and have had the privilege of multiple encounters with&amp;nbsp;my influenza virus friends - that is, until&amp;nbsp;the last few years when&amp;nbsp;I gave in and got....&lt;/p&gt;&lt;p&gt;&amp;nbsp;The Flu Shot.&amp;nbsp; &lt;/p&gt;&lt;p&gt;Three simple words that at the same time inspire feelings of joy (I don&amp;#39;t have to feel like I&amp;#39;ve been beaten with a stick and dumped in freezing water at the same time.) and [...]</description>
			<author>drchang</author>
			<pubDate>Tue, 17 Nov 2009 01:00:00 +0100</pubDate>
		<category>Pregnancy  Delivery</category>
 <category>Medical Advice</category>
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			<title>&quot;When is the 'right' time for a family?&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-When-is-the-right-time-for-a-family-.html/Itemid,0/</link>
			<description>&lt;p&gt;This was one of the frist blogs I wrote, but also still one of the most common questions i get in my practice.&amp;nbsp; I thought it was worth repeating....&amp;nbsp; Enjoy.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Anyway, a question that I&amp;#39;m asked a lot is &amp;quot;when is the right time to start a family?&amp;quot;&amp;nbsp; I wrote an article about this is Lacamas Life (It&amp;#39;s a magazine in Clark County, in case you don&amp;#39;t know!) a couple of years ago.&amp;nbsp; My answer then is the same as it is now.&amp;nbsp; There is no rig [...]</description>
			<author>drchang</author>
			<pubDate>Mon, 20 Apr 2009 01:00:00 +0100</pubDate>
		<category>Preconception</category>
 <category>Medical Advice</category>
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			<title>&quot;oh, the weather outside is frightful...&quot; Do I risk the drive to the hospital?</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-oh-the-weather-outside-is-frightful...-Do-I-risk-the-drive-to-the-hospital-.html/Itemid,0/</link>
			<description>&lt;p&gt;Man, the weather has been horrible.&amp;nbsp; I am currently stuck at Southwest Washington Medical Center at the Family Birth Center.&amp;nbsp; I&amp;#39;ve been here for over 36 hours.&amp;nbsp; The nurses and doctors have&amp;nbsp;mostly managed to make it in or have stayed over to help.&amp;nbsp; First thing is if you do come to Southwest to have a baby, please thank your nurses.&amp;nbsp; They really are dedicated to helping people have babies in any sort of difficult situation.&amp;nbsp; A lot of them are giving up tim [...]</description>
			<author>drchang</author>
			<pubDate>Mon, 20 Apr 2009 01:00:00 +0100</pubDate>
		<category>Pregnancy  Delivery</category>
 <category>Medical Advice</category>
 <category>Delivery</category>
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			<title>&quot;Oh, No!  My doctor said bed rest...&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Oh-No!-My-doctor-said-bed-rest...-.html/Itemid,0/</link>
			<description>&lt;p&gt;Bed rest.&amp;nbsp; Those are two words that most soon-to-be moms really don&amp;#39;t want to hear.&amp;nbsp; How can a woman just lay in bed all day and really not get up??&amp;nbsp; Who&amp;#39;s going to watch the kids?&amp;nbsp; I can&amp;#39;t leave my job!&amp;nbsp; Those are just a couple of reasons why true, strict bed rest really is a very, very difficult thing to do.&lt;/p&gt;&lt;p&gt;I hate telling women they need to be on bed rest.&amp;nbsp; Unfortunately, bed rest is really the only proven method of making certain conditions  [...]</description>
			<author>drchang</author>
			<pubDate>Mon, 20 Apr 2009 01:00:00 +0100</pubDate>
		<category>Pregnancy  Delivery</category>
 <category>Medical Advice</category>
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			<title>&quot;How do I know when it's time to go to the hospital?&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-How-do-I-know-when-its-time-to-go-in-.html/Itemid,0/</link>
			<description>&lt;p&gt;Probably the single question I have been asked more than any other.&amp;nbsp; In fact,&amp;nbsp;I&amp;#39;ve probably been asked that question twice as many times as any other.&amp;nbsp; &lt;/p&gt;&lt;p&gt;&amp;nbsp;There are tons of guides out there that have all kinds of advice.&amp;nbsp; It hurts in your back; it hurts on the top of your belly; it hurts at the bottom of your pelvis; you feel like you need a bowel movement;&amp;nbsp;your belly feels tight;&amp;nbsp;you see&amp;nbsp;dark colored mucous come out.&amp;nbsp; You have brown disch [...]</description>
			<author>drchang</author>
			<pubDate>Sun, 10 Aug 2008 01:00:00 +0100</pubDate>
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			<title>&quot;I love kids, but enough is enough...&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-I-love-kids-but-enough-is-enough...-.html/Itemid,0/</link>
			<description>&lt;p&gt;You&amp;#39;ve become a family.&amp;nbsp; It&amp;#39;d be nice to have a whole baseball team, but you&amp;nbsp;really think you&amp;#39;ve changed all the diapers you can during this lifetime!&amp;nbsp; Now what?&lt;/p&gt;&lt;p&gt;&amp;nbsp;Technology in the last 5 years has really provided all sorts of conveniences and&amp;nbsp;options for all sorts of things.&amp;nbsp; Contraception is no different.&amp;nbsp; Gone are the days when you either had to take a pill everyday or take the risks of surgery.&amp;nbsp; There are many semi-permanent and mu [...]</description>
			<author>drchang</author>
			<pubDate>Sat, 02 Aug 2008 01:00:00 +0100</pubDate>
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			<title>When bad things happen....</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,When-bad-things-happen.....html/Itemid,0/</link>
			<description>&lt;p&gt;Hello, again.&amp;nbsp; It&amp;#39;s been awhile since my last entry.&amp;nbsp; My parents have been in town, and the weather has been great.&amp;nbsp; I haven&amp;#39;t spent nearly as much time in front of the computer!&lt;/p&gt;&lt;p&gt;Anyway, I was reading some of the comments readers have left in response to my ramblings, and one stood out to me.&amp;nbsp; A lady was speaking of how difficult a miscarriage was for her.&amp;nbsp; I&amp;#39;ve seen many women through this horrible time.&amp;nbsp; Being a dad, I can hardly imagine a har [...]</description>
			<author>drchang</author>
			<pubDate>Thu, 24 Jul 2008 01:00:00 +0100</pubDate>
		<category>Pregnancy  Delivery</category>
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			<title>&quot;How active can I be in pregnancy?&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-How-active-can-I-be-in-pregnancy-.html/Itemid,0/</link>
			<description>&lt;p&gt;I know, I know.&amp;nbsp;&amp;nbsp;A lot&amp;nbsp;of you are thinking, &amp;quot;Uh, I&amp;#39;m not very active when I&amp;#39;m NOT pregnant much less during pregnancy...&amp;quot;&amp;nbsp; HA!HA!&amp;nbsp; Well, that may be true for a lot of folks, but believe it or not there is a significant population of women that doesn&amp;#39;t want to stop exercising during pregancy.&amp;nbsp; To y&amp;#39;all, I say..&amp;quot;Go for it.&amp;quot;&lt;/p&gt;&lt;p&gt;&amp;nbsp;Exercise during pregnancy is not only OK, but good for you.&amp;nbsp; Ever wonder why they call it  [...]</description>
			<author>drchang</author>
			<pubDate>Sat, 05 Jul 2008 01:00:00 +0100</pubDate>
		<category>Pregnancy  Delivery</category>
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			<title>&quot;What's with all of the crying?&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Whats-with-all-of-the-crying-.html/Itemid,0/</link>
			<description>&lt;p&gt;January 11, 2005...&amp;nbsp; 3AM...&amp;nbsp; Through my fog of half-sleep, I heard three voices - all of them were crying.&amp;nbsp; I thought about it for a second.&amp;nbsp; &amp;quot;I only have two children, right?&amp;nbsp; I&amp;#39;m pretty sure it was just twins...&amp;quot;&amp;nbsp; Well, being a responsible parent, I thought I should get up and verify the fact that I had two kids.&amp;nbsp; I needed to get more stuff if it was really three babies.&amp;nbsp; The preceding four days were a blur of activity and no sleep.&amp;nbsp [...]</description>
			<author>drchang</author>
			<pubDate>Sat, 21 Jun 2008 01:00:00 +0100</pubDate>
		<category>Postnatal  Parenting</category>
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			<title>&quot; It's almost time, and I don't have a birth plan!&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Its-almost-time-and-I-dont-have-a-birth-plan!-.html/Itemid,0/</link>
			<description>&lt;p&gt;Ahhh..the birth plan.&amp;nbsp; A blueprint for how you want your delivery to be.&amp;nbsp; A declaration of how your birth experience is going to be.&amp;nbsp;&amp;nbsp; This may surprise you, but....&lt;/p&gt;&lt;p&gt;The declared birth plan probably comes to fruition in one of ten deliveries.&amp;nbsp; Pregnancy, birth, and the 18 years that come after will not fall into any &amp;quot;plan.&amp;quot;&amp;nbsp; I&amp;#39;ve often been asked about the birth plan and what I think about the various aspects of it.&amp;nbsp; &amp;quot;It&amp;#39;s so con [...]</description>
			<author>drchang</author>
			<pubDate>Thu, 12 Jun 2008 01:00:00 +0100</pubDate>
		<category>Pregnancy  Delivery</category>
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			<title>&quot;What's wrong with my husband?!&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Whats-wrong-with-my-husband-!-.html/Itemid,0/</link>
			<description>&lt;p&gt;Wow.&amp;nbsp; That title could mean anything, huh?!&amp;nbsp; HA!&lt;/p&gt;&lt;p&gt;What I&amp;#39;m&amp;nbsp;actually&amp;nbsp;going to talk about a bit is intimacy - specifically, between you and your husband.&amp;nbsp; In the process of chatting with my pateints, the subject of the husband&amp;#39;s desire for intimacy with them often comes up.&amp;nbsp; It actually goes both ways.&amp;nbsp; What I mean is - some husbands seem to have found some long lost aphrodisiac during your pregnancy, some husbands seem to withdraw.&lt;/p&gt;&lt;p&gt;First, t [...]</description>
			<author>drchang</author>
			<pubDate>Thu, 05 Jun 2008 01:00:00 +0100</pubDate>
		<category>Pregnancy  Delivery</category>
 <category>Postnatal  Parenting</category>
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			<title>&quot;Why can't we have a baby??&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Why-cant-we-have-a-baby-.html/Itemid,0/</link>
			<description>&lt;p&gt;My wife and I asked ourselves that question many times over the stretch of time that we could not get pregnant.&amp;nbsp; We tried multiple infertility treatments.&amp;nbsp; Nothing.&amp;nbsp; What was wrong with us?&lt;/p&gt;&lt;p&gt;We were healthy, took care of ourselves.&amp;nbsp; (Well, the occasional Double Quarter Pounder with Cheese MIGHT have gone in my mouth...)&amp;nbsp; Seemed like there were babies flying out all over the place among our friends and associates.&amp;nbsp; We, of course, were happy for them, but stil [...]</description>
			<author>drchang</author>
			<pubDate>Thu, 29 May 2008 01:00:00 +0100</pubDate>
		<category>Preconception</category>
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			<title>Things to avoid in pregnancy and beyond....</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,Things-to-avoid-in-pregnancy-and-beyond.....html/Itemid,0/</link>
			<description>&lt;p&gt;Plastic containers.&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; Caffeine.&amp;nbsp;&amp;nbsp;&amp;nbsp; Seafood.&amp;nbsp;&amp;nbsp;&amp;nbsp; Non-organic food/drink.&amp;nbsp;&amp;nbsp; Sleeping on your back.&amp;nbsp;&amp;nbsp;&amp;nbsp; Nutrasweet.&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/p&gt;&lt;p&gt;It&amp;#39;s no longer good enough to &amp;quot;eat right, get rest&amp;quot;.&amp;nbsp; There are literally&amp;nbsp;reports coming out daily about yet another thing that is potentially harmful to your baby.&amp;nbsp; It&amp;#39;s enough to drive a mom crazy.&amp;nbsp; Pretty soon,&amp;nbsp;women are just going to hav [...]</description>
			<author>drchang</author>
			<pubDate>Thu, 22 May 2008 01:00:00 +0100</pubDate>
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			<title>&quot;Not now.  Daddy's busy...&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Not-now.-Daddys-busy...-.html/Itemid,0/</link>
			<description>&lt;p&gt;You know, I have many friends and patients who comment about how hard it must be to take care of twins. &amp;quot;How can you possibly have enough time??&amp;quot; One thing I say to them is, &amp;quot;What choice do I have?!&amp;quot; HA!HA! We just do whatever we have to. That&amp;#39;s not even the real answer, though. Here&amp;#39;s the real answer. &amp;quot;How can I not?&amp;quot; &lt;/p&gt;&lt;p&gt;I am Daddy to the two most wonderful and beautiful little girls ever in the history of the world. (I know everyone else thinks that [...]</description>
			<author>drchang</author>
			<pubDate>Wed, 14 May 2008 01:00:00 +0100</pubDate>
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			<title>&quot;Help! Am I a good parent?!&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Help!-Am-I-doing-a-good-job-!-.html/Itemid,0/</link>
			<description>&lt;p&gt;So today I&amp;#39;m going to write about something different.&amp;nbsp; Parenting is such a crazy thing.&amp;nbsp; I have twin girls.&amp;nbsp; They are three years old now, and sometimes I wonder &amp;nbsp;how they got here.&amp;nbsp; What I mean is....&lt;/p&gt;&lt;p&gt;One day when I was home with them and my wife was at work, I was on the computer checking my email. I heard...&amp;quot;thumpthumpthump...boom!&amp;quot;&amp;nbsp; This was soon followed by &amp;quot;WAAAAAHHHHH!!!!&amp;quot;&amp;nbsp; (By the way, why does it always take a second o [...]</description>
			<author>drchang</author>
			<pubDate>Wed, 07 May 2008 01:00:00 +0100</pubDate>
		<category>Toddlers</category>
 <category>Postnatal  Parenting</category>
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			<title>&quot;I'm ready, but my husband....&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Im-ready-but-my-husband....-.html/Itemid,0/</link>
			<description>&lt;p&gt;You know, I have a wife and two daughters.&amp;nbsp; I only see female&amp;nbsp;patients everyday.&amp;nbsp; My medical assistant is a female.&amp;nbsp; (She is, by the way, the best M.A. in the universe..!&amp;nbsp; =) )&amp;nbsp; Sometimes, I forget that I&amp;#39;m actually a man!&amp;nbsp; HA, HA!&amp;nbsp; Not really, but sometimes I do surprise myself that&amp;nbsp;sometimes I can go days without having any&amp;nbsp;&amp;quot;male&amp;quot; thoughts.&amp;nbsp; This entry, though, is going to be for the guys.&amp;nbsp; (well, sort of for you wome [...]</description>
			<author>drchang</author>
			<pubDate>Thu, 01 May 2008 01:00:00 +0100</pubDate>
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			<title>&quot;I'm new to the area.  How do I choose an doctor?&quot;</title>
			<link>http://www.yourbabyyourway.com/component/option,com_myblog/show,-Im-new-to-the-area.-How-do-I-choose-an-doctor-.html/Itemid,0/</link>
			<description>&lt;p&gt;Hello, again.&amp;nbsp; This is a question I also get asked a lot by friends and family.&amp;nbsp; (Obviously, my patient don&amp;#39;t ask me since they&amp;#39;ve already chosen me for some reason...HA!)&amp;nbsp;&lt;/p&gt;&lt;p&gt;How many of you have developed a relationship with your doc only to have to move because of one reason or another?&amp;nbsp; Most of us.&amp;nbsp; Some of us more than once!&amp;nbsp; &lt;/p&gt;&lt;p&gt;It&amp;#39;s really hard, right?&amp;nbsp; Think about it. Childbirth is one of the (if not THE) most wonderful, exciting, n [...]</description>
			<author>drchang</author>
			<pubDate>Wed, 23 Apr 2008 01:00:00 +0100</pubDate>
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