May 21, 2012

Case of the month June/July '08: Episode #13

Click here for episode 1 Caroline and Darryl have come a long way. After several IUI cycles, they are pregnant. But they realize that it is a never-ending journey. After discovering that they had twins, they found out that this good news was short-lived. On the previous ultrasound, it was discovered that one of the [...]

Earthquake and embryo updates

This morning, we had a 5.8 earthquake centered pretty much where we are. I was in my office doing charts and by the time I made it to a doorway, things had stopped. I called up the embryologists, concerned about my patients’ embryos and got the good news. Everything had held up. We had taken [...]

IVF Protocols – FAQ (Part 1)

As I discussed before, the success rate of IVF depends on many factors including the status of the embryos, the status of the uterus and the nature of the transfer. Furthermore, the first component, the status of the embryos is determined by four factors: the patient’s characteristics, the embryology lab, some random factors and the [...]

Case of the month June/July '08: Episode #12

Click here for episode 1 Summary: Caroline returns today for her second prenatal ultrasound. The first one was done at around 6 weeks and showed two gestational sacs. Today, Caroline is 8 weeks pregnant. Her last ultrasound showed two gestational sacs, but heart motion was not yet seen. She chose this particular day for her [...]

Death on the ER floor – the inside view

While this is outside my area of medicine, I’m impressed by the excellent detailed analysis of a recent unfortunate event in this blog post. This case has many implications for the state of medicine and lawsuits in the US and impacts your future medical care, so it might be in your interest to brush up [...]

Case of the month June/July '08: Episode #11

Click here for episode 1 Summary: Caroline is now pregnant after doing an aggressive IUI cycle in which she had six mature-sized follicles. It was roughly estimated that she had close to a 40-50% chance of getting pregnant and close to a 1-2% chance of triplets. She was clearly informed and she chose to take [...]

A well-balanced team

I’m proud of my staff. They are the best. The first time I heard this said, I wasn’t sure of its sincerity or if it was just something nice that pharmaceutical reps say. However, after hearing it spontaneously from three different reps, I’m pretty convinced. Plus, I agree with its truthfulness. According to one rep, [...]

Case of the month June/July '08: Episode #10

Click here for episode 1 I knew something was up. Even as I sat in my private office, going over patient charts and answering email, I could hear happy shouts coming from the outside my door. I looked at my schedule. We had just finished the last ultrasound of the morning and I was pretty [...]

Turning away business

We received a phone call this morning from a couple who wished our help to get pregnant. They said they were ready to do IVF using donor eggs. It’s not often that you come across someone who expresses their readiness to commit $25K or so to having a baby. However, before the patient could make [...]

Case of the month June '08: Episode #9

June’s story has spilled over a bit into July Click here for episode 1 Caroline is set to start her fifth attempted IUI cycle. Three previous cycles failed to result in pregnancy and one previous attempt was cancelled, never making it to the ovulation stage. My recommendation was to do an HSG to make sure [...]