May 18, 2012

Just say no

Phone conversation between one of my staff and a patient’s husband who was a former competitive athlete and who admitted to taking "a whole lot of steroids" in the past. STAFF: Hello, Mr. ___ . This is ___ from Dr (IVF-MD)’s office. We have the results of your sperm test back from this morning. I’m [...]

Recommended by 2 out of 10 doctors

I get a few emails asking me what brand of ovulation kit or what herbal fertility potions I recommend. Sometimes the questions mention specific trade names, as in "What is your opinion on Brand XYZ fertility vitamins?" It puts me in a difficult situation, because most of the time, the truthful answer is that it [...]

My first lecture to DO students

I’ve been on faculty at a University of California medical school for over 10 years now. Last year, I was invited to additionally join the faculty of a second medical school. At the first school, students graduate with an M.D. degree, which is the degree that the general public typically associates with "medical doctors". At [...]

I'm still here

I realize I’ve not been posting with my usual frequency. I know that some people use their blog for venting. I promise not to abuse this, but I will take my privilege this one time. There are a few reasons for by absence lately. Most notably, we’ve had more new patients this month than ever [...]

Holiday candy

My work place is hazardous. This is all because of our patients’ generosity. We receive on average, well over ten gifts of sweets every month, culminating near Christmas time in a tumultuous onslaught of donuts, boxed chocolates, goodie baskets and other random acts of sugar. It is heartwarming to know that our patients are truly [...]

It doesn't hurt to be inefficiently nice

The phones ring madly here. Theres no escaping it. We have stubbornly clung to the policy of having a team approach to answering the phone (usually with about five people), rather than having a single receptionist or voicemail handle most of the calls. Patients especially love it, because our staff is entirely cross trained, so [...]

Farewell to Old Betsy

My private desk is at one end of my office suite and our blood test lab is at the other end. So it would take a pretty loud noise to travel the distance. This morning, my door was open and I heard a distant happy group-scream coming from that direction. My office manager, whose desk [...]

A tale of two inseminations

People are so different. I love it! There was one time when in the same week, I performed intrauterine insemination procedures in my office on two different patients of extreme attitudes with regards to the level of emotional involvement in the process. “Mrs. Total Experience” requested the room lights be dimmed. She brought a CD [...]

Just another day for a reproductive endocrinologist. Fast forward version

6:30 am. I arrive at the surgery center. Two patients undergoing IVF procedures have been preparing for weeks to have their eggs harvested today. I greet the patients in the pre-op area and answer any last minute questions. I discuss any specific issues with the anesthesiologist and let her take over as she brings the [...]