More Indian single women are using IVF to have babies - Hindustan Times Brunch article
(Source: The Patient's Doctor)
Source: The Patient's Doctor - August 21, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

A Doctor’s Advice To His New Patients
As a doctor, I see many hundreds of patients every week. I am very happy being a doctor, and nothing is more satisfying to me as a professional than to help a childless couple finally have the baby they have always wanted. However, when it comes to being my patient, there are some things that a patient has to understand about the kind of doctor I am. I am a doctor, and as a medical professional and I am expected to do things like examine patients, interpret test results, and recommend treatments. However, I am a doctor who believes in patients doing as much as they can to help me to treat them. The reason why I say tha...
Source: The Patient's Doctor - August 20, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

When minor operations turn fatal - Times of India article
Dr Aniruddha Malpani of HELP Library says transparency would help. "A part of the problem is that no one wants to talk about medical errors. The aviation industry records its near-misses so that it can learn from it. In contrast, even in medical schools, effort are made to gloss over medical errors," says Dr Malpani. Is there something patients should do? Asha's daughter Radhika Sachdev insists on proper homework by patients: "Don't be afraid to ask questions even when the doctor's answers are vague or evasive." Dr Malpani suggests that doctors should have a checklist and the government should draw up m...
Source: The Patient's Doctor - August 19, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Patients Have the Right and Duty to Complain
Every day, when infertile patients come to see me, they often talk about times when they had problems with another IVF clinic, and were very unhappy with the services they received, even though these places had good reviews. As a doctor, I understand that sometimes patients have bad experiences, but what these patients need to understand is that they have the power to do something about bad services. Patients need to complain to the doctor if they are unhappy After all, how can a clinic improve how they treat patients if their patients do not let them know they are unhappy ? When people pay money to a clinic for IVF tre...
Source: The Patient's Doctor - August 19, 2013 Category: Obstetricians and Gynecologists Tags: reviews patient complaints malpani reviews patient reviews Dr Malpani complaints IVF clinic reviews IVF clinic complaints Source Type: blogs

The Pseudoscience of "treating" IVF failure
Biological systems are very unpredictable and uncontrollable. This is why it is almost impossible to foretell what the result of your IVF cycle will be. Though we, at Dr.Malpani’s clinic are experienced in making embryos, it is still not possible for us to figure out what the outcome will be after we have placed your embryos into your uterus. We cannot tell you which embryos  may turn into a baby - and which embryos will not. If your IVF cycle becomes a failure after Grade-A embryos are transferred to the uterus, as a patient you are very likely to ask this question – Why was the transfer a failure? Wh...
Source: The Patient's Doctor - August 17, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

How my bright daughter is lighting up lives !
My daughter Sanjna is a social entrepreneur who is going places ! She has started a non profit called Jal Jyoti. You can read more about this at http://campusdiaries.com/stories/jal-jyoti-0 She's now off to Madrid on an Erasmus scholarship for business studies. (Source: The Patient's Doctor)
Source: The Patient's Doctor - August 16, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Why I am so proud of my daughter !
Natasha Malpani Social Impact Associate Natasha’s experience bridges the financial and social sectors, having worked for a boutique asset manager; and founded an award-winning social enterprise. She has previously been awarded multiple academic fellowships, and conducted research on cancer stem cells at IISc, fear learning at MIT and agricultural innovation in rural India. She holds an MPhil in Environment and Development from the University of Cambridge and an MSc in Immunology from the University of Oxford, where she was a Clarendon Scholar. Natasha is a trustee at Charities Evaluation Serv...
Source: The Patient's Doctor - August 12, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

What You Should and Shouldn’t Do During the 2 Week Wait When Undergoing IVF
Most IVF patients dread the two week wait which is often the most nerve-wracking part of their treatment. A quiet two week time period of waiting and hoping follows after a huge flurry of activity with injections, scans, visits to the IVF clinic for monitoring, medical inspections during superovulation, egg collection and finally the embryo transfer. In this two week period, patients feel unusually alone. IVF clinics do not bother patients during this period and have less support to offer except advise to the patients for taking their luteal phase meds. During this idle phase following turmoil, patients are more often t...
Source: The Patient's Doctor - August 12, 2013 Category: Obstetricians and Gynecologists Tags: IVF 2 week wait IVF 2ww Source Type: blogs

Is there any correlation between Stress and IVF Failure ?
IVF abounds with myths about the effects stress can have on its success .  Blaming stress for every failed IVF cycle has become a popular trend , resulting in the springing up of numerous “mind-body” programs for teaching stress management to IVF patients. With good embryos, a good uterine lining and an easy embryo transfer being the hallmarks of a well carried out IVF cycle many patients naively expect each perfect IVF cycle to result in a pregnancy. Doctors too aim to cheer up their patient by being enthusiastic at the time of embryo transfer. But when this perfect IVF cycle fails it is the patient...
Source: The Patient's Doctor - August 10, 2013 Category: Obstetricians and Gynecologists Tags: IVF failure stress and fertility IVF stress Source Type: blogs

Coming to India for IVF treatment
This is a guest post from an expert patient from Italy. Getting ready for an IVF cycle abroad may seem overwhelming, but with a little organisation everything will go smoothly.  Thanks to a lot of experience, I have learned a few things to help me avoid any unnecessary stress when planning a cycle abroad.  The first thing to do is to contact your IVF clinic and let them know when you plan on coming for treatment so you can be sure the clinic will be open and the doctors will be there.  Then it is very helpful to have a local doctor who is aware that you are going through fertility treatment and is abl...
Source: The Patient's Doctor - August 9, 2013 Category: Obstetricians and Gynecologists Tags: IVF India IVF in mumbai IVF in India Source Type: blogs

Why are patients scared to question their doctor ?
While talking to one of my patients , I wanted more information about her earlier IVF cycle.”  Did you ask your Doctor why he selected that particular dose of HMG injection for your super ovulation? “She seemed puzzled . “ How can I question my doctor ? Isn’t that rude ? Won’t he get offended if I ask him questions ? I don’t want to upset him by challenging his authority ! And in any case, what do I understand about any of these medical terms. Even if he did answer my question , most of it would go over my head so there would be very little point in cross-examining him . And he&rsqu...
Source: The Patient's Doctor - August 8, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

The health impact of cell towers
There has been a lot of hue and cry in the media about the adverse impact of cell ( mobile) towers and how the radiation they emit can cause cancers. Sadly, none of these alleged adverse effects have ever been scientifically documented . A lot of these reports are based on anecdotal case studies of people staying in one building who have developed cancer , and who are happy to blame the cell tower radiation for this. The bureaucratic response has been the expected knee-jerk one - prevent cell towers construction in residential area. My biggest worry is that by clamping down on cell towers, the service which mobile phone...
Source: The Patient's Doctor - August 7, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Why Is the First IVF Cycle the Toughest?
Women are understandably greatly disappointed when their first IVF cycle is unsuccessful. Some of them even abandon the hope of ever having a baby after their first IVF cycle fails. This is truly tragic because the second IVF cycle is often much easier than the first. Firstly, the patient knows exactly what awaits them and is well aware of the fact that IVF treatment does not involve any surgery or pain.  Secondly, because the patient now knows the doctor and the nurses more closely, their comfort level is raised. Finally, what is most important is that patients have more realistic hopes from the second IVF c...
Source: The Patient's Doctor - August 7, 2013 Category: Obstetricians and Gynecologists Tags: IVF treatment IVF treatment protocols IVF treatment options Source Type: blogs

IVF Patients Should Gather All the Information About Their Condition
An interesting patient has been referred to me by a gynecological oncologist. She had been diagnosed with early endometrial adenocarcinoma. She was sent to Malpani Clinic because she wanted to have her reproductive options assessed. She was a 24-year old woman with polycystic ovarian disease and had been married for just six months. She had complaints of heavy menstrual periods so she had gone to a doctor for an evaluation where a polyp had been detected in her uterus. For this, she had had a hysteroscopy performed. To her chagrin, her histopathology report indicated that she had complex hyperplasia with atypia with early...
Source: The Patient's Doctor - August 6, 2013 Category: Obstetricians and Gynecologists Tags: IVF homework IVF expert patient IVF information Source Type: blogs

What Should an IVF Doctor Do When He Knows That the Patient Is Not Likely to Have a Successful IVF Treatment?
Many times, patients come to Malpani Clinic with unrealistic expectations of success. The only thing I can usually think of saying to them is no, because I am aware that their chances of success are extremely poor. Recently, I refused a request for IVF treatment from a patient who had high FSH levels. I told her that using donor eggs would be a better idea for her. However, she put an insightful query before me. She wanted to know why I was refusing to treat her even when she was spending her own money for her treatment out of her own will. She made it clear that she was neither asking for anyone’s help nor burdenin...
Source: The Patient's Doctor - August 5, 2013 Category: Obstetricians and Gynecologists Tags: ivf IVF success rates futile IVF IVF treatment options Source Type: blogs

Wellness and illness and corporates
It always amazes me what a wide disconnect there is between wellness and illness - not only in our own heads , but in society at large. Logically, your health is a continuum, but this is not the way we approach this topic. When you are well , you think you are immortal and that everything will be fine. We take our health for granted , and don't really about worry about things like exercise or fitness , because we naively assume that everything is always going to be fine. It's only when we fall ill that we realize what a precious gift health is , and how important it is to maintain our health by keeping our body and our min...
Source: The Patient's Doctor - August 3, 2013 Category: Obstetricians and Gynecologists Tags: corporate health insurance corporate wellness illness Source Type: blogs

Is your IVF Doctor taking you for a ride ?
Every IVF patient knows that finding the right doctor can spell the difference between success and failure in their IVF treatment. This is why they spend a lot of time and energy in trying to find the right doctor . Part of the problem is that patients are not sophisticated enough to be able to differentiate between good doctors and bad doctors . They will often select a doctor based on his word-of-mouth reputation ; or because a friend tells them that they got pregnant after taking IVF treatment with that doctor; or after reading a newspaper article or full page advertisement about the doctor. They conclude that the docto...
Source: The Patient's Doctor - August 2, 2013 Category: Obstetricians and Gynecologists Tags: crooked doctor IVF cheat cheating IVF cheating doctor bad doctor Source Type: blogs

Doctors are treated like condoms
Medicine is becoming increasingly corporatized, and some doctors are very excited when they get offered a job at these hospitals. They are promised a fat salary , and the job seems to be all they could ask for ! The hospital takes care of all the administrative hassles, so that the doctor can focus on taking care of his patients – and the hospital promises them that they'll have a long line of patients clamouring to see them. Doctors are not good managers, and are very happy if someone else does all the work of attracting patients; billing them; and providing the secretarial support they need, so they can do what t...
Source: The Patient's Doctor - July 31, 2013 Category: Obstetricians and Gynecologists Tags: Indian corporate hospitals doctors Indian doctors Source Type: blogs

Social surrogacy for non-medical reasons
Traditionally surrogacy has been reserved as a treatment option for women whose uterus was absent or was irreparably damaged . It is an expensive treatment option , which involves a lot of coordination as well as legal issues to make sure that the child is handed over to the intended parents. However, we are now seeing an interesting trend , so that there are women who are no longer using surrogacy for medical reasons , but for social reasons ! These are women who know that they are able to carry the pregnancy themselves, but who decide for social reasons not to get pregnant themselves , but to use a surrogate instead....
Source: The Patient's Doctor - July 29, 2013 Category: Obstetricians and Gynecologists Tags: Indian surrogate surrogate mother Indian surrogacy surrogacy in India Source Type: blogs

IVF processes and outcomes
When patients do an IVF cycle, the only thing really care about is the outcome – they just want a baby ! If life were perfect , then every time the patient had a perfect IVF cycle , she would get pregnant . Unfortunately, human reproduction is not an efficient enterprise , and the outcome of an IVF cycle is always uncertain. This is because biological processes cannot always be influenced by the doctor and we have very little control over what will happen to the embryo after we transfer it into the uterus. The sad reality is that we cannot manipulate the process of implantation This is not something which must patien...
Source: The Patient's Doctor - July 27, 2013 Category: Obstetricians and Gynecologists Tags: malpani complaint ivf Dr Malpani complaints IVF Process IVF outcome drmalpani malpani review Source Type: blogs

Wombs for hire
Surrogacy means many things to many people. For infertile couples it’s a chance to have a child. For working women, it’s a shot at parenthood without a mid-career break. For surrogate mothers, it’s big money. And, of course, for the lawyers and doctors, it’s big business. Rashmi Pratap takes a look at the flourishing business of surrogacy. http://www.thehindubusinessline.com/features/wombs-for-hire/article4937784.ece (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 24, 2013 Category: Obstetricians and Gynecologists Tags: Indian surrogacy surrogacy in India Source Type: blogs

Age and fertility
A woman's age is always a sensitive topic - and this is true, no matter how old she is. If she's infertile, she is likely to become even touchier about this, because she's aware of the fact that she has a biological clock which she cannot rewind. As she ages, she no longer has all the time in the world in order to have a baby. Read more at http://www.drmalpani.com/age-and-fertility.htm (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 23, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Make my baby for me. And, oh, I'll pay extra for twins
It's not just Bollywood celebrities. Many affluent Indian women are opting to have a surrogate child simply to avoid the pain of pregnancy, finds Shuma Raha http://www.telegraphindia.com/1130721/jsp/7days/17140129.jsp Is this the ultimate in outsourcing ? (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 23, 2013 Category: Obstetricians and Gynecologists Tags: Indian surrogate Indian surrogacy Source Type: blogs

Check on your doctor before check-up
Back-of-the-envelope calculations show that about 1 out of every 5 doctors passing out each year could be those who bought seats in medical colleges.    The huge amount of money which politicians can make out of capitation fees and management quotas has led to an explosion of medical diploma mills ( who are allowed to call themselves medical colleges) which churn out doctors who are poorly trained and poorly qualified. Sadly, the Medical Council of India has failed sadly in ensuring medical education standards are met - it's easy to make doctors buckle under political pressure. http://timesofindia.indi...
Source: The Patient's Doctor - July 22, 2013 Category: Obstetricians and Gynecologists Tags: private medical colleges doctors Times of India capitation fees incompetent doctors Information Therapy Source Type: blogs

In search of fair babies, Indians chase Caucasian donors for IVF
This article in the Times of India describes changing trends in babymaking. I'd love to hear your comments ! Is it understandable that because we have high expectations from our children, if people want to have children with certain characters, we should allow them to use technology to do so ? After all, isn't this why men look for fair brides, so they can have fair children ? Isn't this technology a logical extension of fulfilling their desires ? Or is this is a misuse of technology ? Are parents being greedy and too demanding ? Do "designer babies" represent a downward slippery slope where children are trea...
Source: The Patient's Doctor - July 21, 2013 Category: Obstetricians and Gynecologists Tags: Times of India designer babies Caucasian donors Source Type: blogs

Mommy at 40?
Can you postpone motherhood? Clinically, it is possible, Dr Aniruddha Malpani tells Amy Fernandes. Red the article in Today's DNA newspaper ! http://www.dnaindia.com/lifestyle/1863362/report-mommy-at-40 (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 21, 2013 Category: Obstetricians and Gynecologists Tags: older mothers egg vitrification egg freezing Source Type: blogs

Should I freeze my eggs ?
I just completed a consultation with a single 38-year-old banker who wanted to freeze her eggs. She said, " Doctor , I have still not been able to find the right guy to marry , and I am not getting any younger . If at some point I do want to have babies, I want to freeze my eggs now so that I don't have to worry about the increased risk of birth defects or reduced fertility as I get older ". I explained to her that we could freeze her eggs, but my concern was that she may have already missed the boat ! The right time to freeze eggs is when they are of good quality, and there are lots of them. From a biological p...
Source: The Patient's Doctor - July 17, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

The home pregnancy test showed two lines !
" Yes, it is a positive. I saw a positive hpt almost 4 years back, in 2009 January. If that embie had managed to become my baby, my child would have been three and a half years by now. I need to remember that little embie which gave me the strength to hold on to hope and keep trying. I am feeling so calm and serene. No overt emotions are there. After expecting this for a long time, I feel surprisingly numb. I am grateful that I had a positive. I know from now on it is a long journey and I wish I get the strength to face whatever comes my way. Surprisingly, I am not afraid of the future. I take this opportun...
Source: The Patient's Doctor - July 15, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Donor egg IVF success story for a nurse from the USA
I am Sangeetha a Registered Nurse of Indian origin who now lives in the USA. I have been married for 8 years have been and trying to get pregnant for the same amount of time. We started with so many IUIs  (artificial insemination) in the USA with no success and decided to do our first IVF in India where our  parents lived. That time I was a novice patient and later realized that I was victimized by the care I had received from that clinic. I would say that it was a very unpleasant experience and caused us extreme frustration. Read more at www.drmalpani.com/success-stories-112.htm (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 15, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Doctors are bottlenecks
Doctors think of themselves as being indispensable . Most have pretty high self-esteem – after all, in order to successfully get through medical college , you need a lot of physical stamina and mental energy. You need to perform well academically , in order to graduate , and if you are used to being in the top 10 % of our class, you start thinking of yourself as being special ! The fact that their patients are so dependent on them – and that they are willing to wait patiently for hours for their advice , it’s easy to understand why doctors get used to being put on pedestal. It's hard to think of yourse...
Source: The Patient's Doctor - July 13, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Indian language patient educational materials on cancer
It breaks my heart when I see what a poor job the Indian government does with educating patients. Sadly, even hospitals are no better - and there is precious little educational materials available in regional languages for Indian patients. This is a crying shame - for a country which prides itself on offering world-class medical facilities - and which is the IT powerhouse of the world. Fortunately, when I see the initiatives taken by individuals to address this deplorable state of affairs, my faith in humanity is restored. Please check out the excellent series of patient educational booklets which JASCAP has published in...
Source: The Patient's Doctor - July 12, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Celebrities and IVF
The private life of celebrities has always been an area of great interest to the average person , which is why they hog so much of the limelight. Their life is tracked with great interest, and anything which happens to them gets splashed all over the media. This is why whenever a celebrity does IVF , this is often front-page news . Readers and TV channel viewers want to know all the gory details. Why did they need IVF ? did they use donor eggs ? or a surrogate ? Reporters have to do a lot of digging to get at the truth – and this has consequences - some of which are good , and some of which are not. The details of...
Source: The Patient's Doctor - July 12, 2013 Category: Obstetricians and Gynecologists Tags: Shahrukh Khan ivf Surrogacy Source Type: blogs

Cuts and kickbacks for doctors
It's a fact of life that kickbacks , cuts and commissions have become an integral part of the healthcare system in India. In fact, this is one of the reasons why healthcare has become so sick. However, you disguise them – in the form of referral fees ( the euphemism which corporate hospitals use when they pay family physicians to send patients their way); or consultancy fees ( the dignified term which pharmaceutical companies use to incentivize doctors to prescribe their brands), commissions are ubiquitous have become an accepted norm in the medical profession. A lot of this was started by pharmaceutical companies...
Source: The Patient's Doctor - July 11, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Medical Council of India, doctors and advertising
The Times of India recently reported that the Maharashtra Medical Council is taking action against doctors for advertising their skills. Whether or not to allow doctor to advertise has been a thorny issue for many years – not only in India but in the US as well . The traditional approach has been that doctors are professionals , and that advertising is below their dignity because they're not businessman. The belief used to be that there was no need for good doctors to advertise, as patients would come to them because of their reputation. However, we need to acknowledge that times have changed , and that we nee...
Source: The Patient's Doctor - July 10, 2013 Category: Obstetricians and Gynecologists Tags: maharashtra medical council advertising by doctors Medical Council of India medical advertising Source Type: blogs

Free IVF app !
IVF treatment is complex and expensive. It needs a lot of coordination and monitoring.You have a busy life style and need to know in advance what is going to happen when, so you can plan your work around your IVF schedule. You cannot afford to forget your meds or miss your appointments ! MyFertilityDiary is a free app for android smartphones which can help you organise your life and manage your IVF treatment efficiently !  The unique heart of the app is the Treatment Calendar. This has prepopulated schedules for the commonest infertility treatments , including the various IVF and IUI protocols. You can modify ...
Source: The Patient's Doctor - July 8, 2013 Category: Obstetricians and Gynecologists Tags: fertility app smartphone app android IVF app infertility app Source Type: blogs

But I trust my IVF Doctor
A lot of patients ask me for a second opinion after their IVF cycle fails. In order to try to help them, I need some basic medical data about their IVF cycles, such as: how many follicles did they grow; how many eggs were retrieved;  and photos of their embryos. Some patients get very agitated and upset when I ask these questions because they often don't have this basic information. When I ask them why their documentation is so patchy and why they are so poorly informed, the standard answer is - This is all my doctor provided me. When I tell them that every good IVF clinic routinely provides a written treatment summar...
Source: The Patient's Doctor - July 8, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Surgeons and perverse incentives
There is a lot of criticism that surgeons do too many unnecessary operations and that all this overtreatment increases the cost of healthcare . Even worse, all this surgery doesn't help to improve patient outcomes – and can actually result in harm. While there is truth in this criticism, we also need to understand that society itself is partly responsible for the sad state of affairs. After all, if you teach and train surgeons how to do surgery , and then you pay them to perform surgery, it’s very irrational to expect them not to do surgery ! After all surgeons are homo economicus as well and will maximize ...
Source: The Patient's Doctor - July 8, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

If I were the CEO of a health insurance company
Health insurance companies ( also known as health plans) don't have a good reputation in the US . They are usually considered to be villains who block access to medical care for patients in order to try to pinch pennies ; and many people believe that one of the reasons healthcare costs are so high in the US is because of the million dollar bonuses which health plan CEOs so generously reward themselves with. This money is siphoned away from funding quality healthcare services , as a result of which both doctors and patients suffer.Things are no better in India. Today, health insurance companies are merely financial intermed...
Source: The Patient's Doctor - July 5, 2013 Category: Obstetricians and Gynecologists Tags: Health United Healthcare Health insurance Aetna Mediclaim IRDA health plans Source Type: blogs

MyFertilityDiary is a patient friendly tool to assist in your fertility treatment
My Fertility Diary is the first mobile application available that provides infertile couples the ability to plan and track fertility treatment. The app places this valuable and extremely helpful information in the palm of your hand...for free. It reduces the stress of IVF treatment, by helping you plan your life. Read more at http://www.drmalpani.com/myfertilitydiary-patient-friendly-tool.htm (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 4, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

When Doctor and Patient Disagree
Patients often pressurize doctors to do stuff for them - in subtle , and sometimes not-so-subtle ways . This is especially true for IVF patients , and this can put IVF doctors into a quandary. Let's take the example of a 43-year-old woman who wants to have a baby. She goes to the doctor and says - I want you to do surrogacy for me. She is convinced that the reason she's not getting pregnant is because her uterus is no longer working properly - and that if she uses a young surrogate , she will surely get pregnant. Read more at http://www.drmalpani.com/when-doctor-and-patient-disagree.htm (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 2, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Why are doctors so cruel ?
The patient in front of me was crying and sobbing her heart out. She was telling me about a consultation she had had with the famous gynecologist in Chennai, who told her bluntly to her face - "Madam, you will never have a baby." Her biggest complaint was - Why did he have to tell me this so cruelly ? Couldn't he have been kinder ? Aren't doctors supposed to understand that patients have feelings ? Read more at http://www.drmalpani.com/why-are-doctors-so-cruel.htm (Source: The Patient's Doctor)
Source: The Patient's Doctor - July 1, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Why don't patients ask for their IVF medical records ?
IVF patients understand that their chances of success to a large extent depend on the competence f their doctor. This is why they go to great pains to do their homework, to try to find the best possible doctor for their treatment. This is extremely important, and it's good that patients are demanding and assertive during their search. However, during and after the IVF cycle, I am very disappointed when patients don't insist on copies of their medical records. I still find it hard to understand why this is so. It's important to have documentation - whether you're talking about your bank account or your credit card statement...
Source: The Patient's Doctor - June 28, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

What patients want from IVF doctors
IVF can be an emotionally taxing treatment. Not only is it very expensive, there is a lot riding on the outcome. Patients know that the success rate depends on how good the doctor is, which is why they have very high expectations from their doctor. They will spend a lot of time hunting for Dr Right - an IVF expert who is approachable and affordable; who will design their treatment plan and personalize it specifically for them; and who will be available to answer their questions. Read more at http://www.drmalpani.com/what-patients-want-from-ivf-doctors.htm (Source: The Patient's Doctor)
Source: The Patient's Doctor - June 28, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Endometriosis - laparoscopy or IVF
Patients with endometriosis who are infertile are often very confused. They don't know which doctor they should go to ? Gynecologist ? Infertility specialist ? and what treatment they should take. The first point of consultation is usually their gynecologist - and most gynecologists usually advise doing a laparoscopy. This is usually a knee-jerk reflex - for many reasons. The importance of making the right diagnosis has been drilled into doctors right since Day 1 of medical school - and the only way of making a definitive diagnosis of endometriosis is a laparoscopy. They also sell the patient on this procedure, by...
Source: The Patient's Doctor - June 27, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

If I were the CEO of an Indian pharmaceutical company
The primary job of a CEO is to maximise profits , and as a pharmaceutical company CEO , I know that the best way of doing this is to maximize the number of prescriptions of my drugs. Since the people who write the prescriptions ( the influencers and the decision-makers ) are doctors , like any sensible CEO, I will spend a lot of my energy in convincing doctors to prescribe my drugs. This is what the Pharma industry has done for many years , using advertising and marketing and an army of medical reps in order to create relationships with doctors , so that doctors will prescribe their brands.However , this is a broken model ...
Source: The Patient's Doctor - June 24, 2013 Category: Obstetricians and Gynecologists Tags: pharma ceo pharmaceutical marketing pharmaceutical companies Source Type: blogs

IVF doctors who cheat
While most IVF doctors are competent and ethical , the sad truth is that not all doctors are equally good - and some doctors will actually cheat their patients. What can you do to protect yourself ? IVF is an extremely competitive field, and in order to lure patients, some clinics with overpromise and under deliver. They do not share information with patients and are not transparent about even basic information, such as how many eggs were retrieved. Only a minority provide photographs of embryos to their patients; and as result of this shroud of secrecy, most IVF patients are completely clueless about their treat...
Source: The Patient's Doctor - June 20, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Shah Rukh Khan and Gauri Khan: All your questions about IVF and surrogacy answered
Bollywood megastar Shah Rukh Khan is all set to become a father for the third time. But before you start looking for pictures of a pregnant Gauri Khan, here is the big news – the power couple are actually having a baby via surrogacy. Ironically, it was his arch-rival Aamir Khan and his wife Kiran Rao who made headlines by declaring they were having a baby through in-vitro fertilisation or IVF which went a long way in making these topics mainstream and getting rid of the taboo attached to it. We spoke to our expert Dr Aniruddha Malpani, renowned IVF specialist, about surrogacy and what it...
Source: The Patient's Doctor - June 19, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

IVF Promises a Bundle of Joy
Instead of wasting time with ineffective procedures that score low on success rate, many patients are opting to go for IVF, to maximise their chance of living their dream of healthy baby “Technological innovations which simplify IVF and make it less expensive are going to be very important” In the past, In-Vitro Fertilisation (IVF) was often the method of last resort for infertile couples. There were very few clinics which had the equipment and expertise to offer this advanced technology; the success rate was poor; and there were many myths and misconceptions...
Source: The Patient's Doctor - June 18, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Doctor why did I miscarry ?
Miscarriage is always an emotionally painful event. When you are looking forward to having a baby, they losing the pregnancy can break your heart. It's much worse for infertile patients ! After all that waiting, when you finally get a positive pregnancy test, you are over the moon and start looking forward to holding your baby. However, if you then end up miscarrying, this is extremely cruel, because when someone gives you something and then snatches it away, it's much harder to cope with the pain and heartache. Sometimes patients are confused as to what actually constitutes a miscarriage. A lot of them think that once a ...
Source: The Patient's Doctor - June 17, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Why do IVF patients feel the doctor cheated them when an IVF cycle fails
When the cycle fails, IVF patients are understandably upset and angry and they need to vent their frustrations on someone. There are only 4 possible targets. They can get angry with themselves and curse their fate; they can curse God, for not giving them a baby; they can blame their spouse, for not supporting them ( for example, by not agreeing to do IVF when she was younger and had a higher chance of success) ; and, finally, they can get upset with their doctor. The doctor is an easy target and there are many reasons why patients will feel angry and cheated when an IVF cycle fails. Some of this has to do with the patient,...
Source: The Patient's Doctor - June 17, 2013 Category: Obstetricians and Gynecologists Source Type: blogs