February 4, 2012

Case of the month Mar '08: Episode #3

Start here with Episode #1 Terra and Miles have infertile for three years. They have already made the big decision to seek medical help and are currently in the middle phases of the diagnostic process. So far, Miles’ semen analysis is unremarkable and we are about to learn more about Terra. This month, she had [...]

Case of the month Mar '08: Episode #2

Start here with Episode #1 Thursday morning, Terra got her period. She asked to come in and talk to me on Saturday to review the plans for this month. When she came that day, I also did an ultrasound which confirmed, as expected, that there were no mature follicles growing. Both ovaries were quiet. This [...]

Understanding what's wrong with medicine today

My patients know that I like to use stories and analogies to help explain things. One fellow blogger has done a tremendous job explaining what’s wrong with the state of medicine today using a fantastically clever story about the tomato market. I urge all medical students to read it.

Case of the month Mar '08: Episode #1

When Terra and Miles (not their real names) first came to me, they confessed that they were unsure if they should be pursuing fertility treatment yet. After all, they had only been trying for one year and were both healthy. Terra was 30 and had never been pregnant before in her life. Miles was 33 [...]

Exercising good judgment

Honestly, I have a whole load of stories from this past particularly-busy week. However, I’m realizing, to no surprise, that many of my actual patients read this blog and as such, I have to respect commenting on some sensitive stories even if their identity is completely shielded. I’ve written some notes for myself, but I [...]

Para asistencia en Espanol, oprima el dos

I received a notice from the State of California Franchise Tax Board regarding a missing payment. I needed some help, so I tried calling their support line several times in the past two days. Each time, I followed the voicemail instructions and was put on hold. I would put it on speaker phone and do [...]