Funtabulously Frivolous Friday Five 217
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blogJust when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 217: children who changed medicine. Question 1In 1796, What did James Phipps (1788-1853) participate in that significantly changed the course of modern medicine?+ Reveal the Funtabulous Answerexpand(document.getElementById('ddet87874616'));expand(document.getElementBy...
Source: Life in the Fast Lane - December 8, 2017 Category: Emergency Medicine Authors: Mark Corden Tags: Frivolous Friday Five Christmas disease cow pox Doogie Howser Edward Jenner Haemophilia B IVF James Phipps Lorenzo's oil. Lorenzo Odone Louise Joy Brown small pox stephen christmas test tube baby Source Type: blogs

Cryonics in the News of Late
Cryonics is the low-temperature preservation of at least the brain following death, leaving open the possibility of restoration to life in a future in which molecular nanotechnology and total control of cellular biochemistry are mature industries. As individuals, each of us is the data of the mind, no more, no less, and that data is stored in the form of fine physical structures, most likely those of the synapses connecting neurons. If that structure is preserved sufficiently well, then the individual is not yet gone - only ceased for the moment. Early cryopreservations involved straight freezing to liquid nitrogen tempera...
Source: Fight Aging! - November 23, 2016 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

First Baby Born Via ‘3-Parent IVF’ Raises Ethical Questions
On Tuesday it was reported that the first live birth resulting from mitochondrial donation was born in New York to a Jordanian couple. According to The New York Times, the fertility procedure – also referred to as “3-parent IVF” – … Continue reading → (Source: blog.bioethics.net)
Source: blog.bioethics.net - September 28, 2016 Category: Medical Ethics Authors: Ethics and Society Tags: Ethics Health Care bioethics Center for Ethics Education children Contemporary Ethical Issues Donor Elizabeth Yuko Fordham University In the News In vitro fertilisation IVF reproductive ethics syndicated Uncategorized Source Type: blogs

Bed rest after IVF is harmful
Most gynecologists in India continue to routinely prescribed bedrest after the embryo transfer . They scare them that if they do not rest, their embryo will fall out of their uterus ! Some of them insist that the patient not get out of bed even to go to the bathroom; while others tell the patient to put a pillow under her hips, so that her embryos remains safe and secure within her uterus.We know this is complete rubbish , and IVF clinics all over the world now allow patients to resume normal activity immediately after the embryo transfer . Once the embryos is inside the uterus, it cannot fall outside, whether the patient ...
Source: The Patient's Doctor - September 1, 2014 Category: Obstetricians and Gynecologists Tags: Bed rest Embryo Embryo transfer In vitro fertilisation India ivf Mumbai Uterus Source Type: blogs

The problem with IVF supplements
Lots of infertile patients take supplements in the hope that these will increase their chances of getting pregnant . Lots of doctors also prescribe these supplements, for many reasons. Some are designed to improve egg quality; others to improve endometrial receptivity; while others are supposed to boost sperm quality.Most of these supplements are “natural products” which is why doctors are quite liberal about prescribing them . Also, the FDA does not need the manufacturer of these nutraceuticals and supplements to prove their efficacy. Most doctors and patients believe that since these are natural herbs, they are unlik...
Source: The Patient's Doctor - August 30, 2014 Category: Obstetricians and Gynecologists Tags: Dehydroepiandrosterone DHEA Dietary supplement FDA Food and Drug Administration In vitro fertilisation Medical prescription Polycystic ovary syndrome Source Type: blogs

When IVF patients have unrealistic expectations
One of the major problems we have to deal with in IVF is the unrealistic expectations which many patients have about IVF success rates.  Infertile couples will move heaven and earth in order to maximize their chances of having a baby. They try to cover all their bases by finding the best possible doctor and going to temples and churches to seek divine intercession.Because there is so much riding on the outcome of the IVF cycle, they are understandably  distraught when the cycle fails. They let their emotions colour their logic, and start looking for alternative options.Aggressive patients , who naively believe th...
Source: The Patient's Doctor - August 29, 2014 Category: Obstetricians and Gynecologists Tags: Egg donation Failure In vitro fertilisation Infertility ivf patient Preimplantation genetic diagnosis Sachin Tendulkar Source Type: blogs

What makes some IVF clinics better than others
For most surgical operations, the outcome of treatment is pretty much the same , no matter who the doctor is, and which hospital you select. Thus, most competent surgeons will perform routine operations such as appendectomy and tonsillectomy perfectly adequately , and patients will go home without any problems .However , the situation seems to be completely different with IVF. This is because IVF is such a complicated treatment , which involves not only clinical expertise , but sophisticated IVF lab services as well. Because of the many biological variables involved in IVF treatment, the success rate amongst IVF clinics va...
Source: The Patient's Doctor - August 28, 2014 Category: Obstetricians and Gynecologists Tags: Clinic Embryo transfer In vitro fertilisation Intracytoplasmic sperm injection ivf patient Poor ovarian reserve Testicular sperm extraction Source Type: blogs

When not to do IVF
Most infertile patients know that IVF is the treatment option which maximizes their chances of getting pregnant .However, the problem seems to be that the pendulum has swung in the other direction , and lots of patients are being advised to do IVF, even though they do not need it. The truth is that there are many simpler treatment options available to treat infertility, and not every infertile couple needs IVF !Thus, young patients with PCOD can easily be treated with medicines for ovulation induction. This is much less expensive than doing IVF – and it’s much more fun making babies in the bedroom than going to an IVF ...
Source: The Patient's Doctor - August 27, 2014 Category: Obstetricians and Gynecologists Tags: Asherman's syndrome Assisted reproductive technology Embryo In vitro fertilisation Infertility Ovulation induction Polycystic ovary syndrome Preimplantation genetic diagnosis Source Type: blogs

Is Malpani Infertility Clinic expensive ?
There are some patients who believe that we charge too much for IVF treatment . They compare the prices at Malpani Infertility Clinic with what their local clinic charges, and feel that we charge a premium. They feel this is unfair. After all, don’t all IVF clinics offer the same treatment ? Then how can we justify charging more ? Is it because we are greedy ?While it is true that IVF treatment at a good clinic is expensive , it’s actually a bargain as compared to doing IVF in a bad clinic in order to save money .There are many reasons why we believe our charges are cost effective. For one, they are open and transparen...
Source: The Patient's Doctor - August 26, 2014 Category: Obstetricians and Gynecologists Tags: Assisted reproductive technology Cleveland Clinic Embryo In vitro fertilisation Mumbai patient Pregnancy rate Source Type: blogs

What are my chances of getting pregnant ?
This is the commonest question the IVF specialist is asked – especially by someone who has failed an IVF cycle.In one sense, it’s an easy question to answer. IVF clinics keep statistical records of the pregnancy rates we achieve in the women we treat, which means we can quote success rates in various groups of women ( for example, women under 35;  women over 40; and so on.)The trouble is that these figures apply to groups of women . How can we intelligently extrapolate these to the individual patient sitting in front of you and asking the question?Thus, not all 40-year olds are the same. Some have good ovarian res...
Source: The Patient's Doctor - August 25, 2014 Category: Obstetricians and Gynecologists Tags: American Society for Reproductive Medicine Anti-Müllerian hormone Antral follicle Clinic In vitro fertilisation Ovarian reserve patient Pregnancy rate Source Type: blogs

IVF emergencies and complications
IVF treatment is usually fairly straightforward . Patients are usually young and healthy, and the treatment usually goes smoothly as planned. This is why most IVF cycles are uneventful without any problems at all . However, sometimes there can be emergencies which patients need to be aware of.The commonest medical emergency is ovarian hyperstimulation syndrome or OHSS. This occurs when the patient grows too many follicles, and if the doctor doesn’t know how to manage this problem , patients can end up with severe hyperstimulation which can be life-threatening . The good news is that hyperstimulation is a preventable prob...
Source: The Patient's Doctor - August 22, 2014 Category: Obstetricians and Gynecologists Tags: Assisted reproductive technology ectopic pregnancy Embryo Embryo transfer In vitro fertilisation ivf Ovarian hyperstimulation syndrome Source Type: blogs

Why personal attention from Dr Malpani for all patients at Malpani Infertility Clinic is guaranteed
The reason is remarkably simple.It's because we don't have any assistants. This means we have to provide hands on care to all our patients ourselves !I answer all my emails myself - and patients are confident that they can get in touch with me directly, rather than having to go through assistants and juniors.Most patients in other IVF clinics find it frustrating that they have to deal with clueless juniors and inexperienced assistants. The senior doctor is often unavailable or inaccessible. This is never an issue at Malpani Infertility Clinic where we take care of all our patients personally  - we don't delegate your ...
Source: The Patient's Doctor - August 21, 2014 Category: Obstetricians and Gynecologists Tags: Clinic Clinical trial Health care In vitro fertilisation India Mumbai patient Physician Source Type: blogs

Not all patients with Irregular cycles have PCOD
Many doctors and gynecologists misdiagnose and mismanage patients with irregular cycles.  Most of them seem to automatically jump to the conclusion that any young patient with irregular cycle has PCOD .  While it is true that the commonest cause of anovulation is polycystic ovarian disease , there are some unfortunate young women whose irregular cycles are because of poor ovarian reserve.While gynecologists will think of this diagnosis when they deal with older women, they fail to consider this possibility in younger women. The problem is that once the woman has been labeled as having PCOD, doctors refuse to thin...
Source: The Patient's Doctor - August 21, 2014 Category: Obstetricians and Gynecologists Tags: Anti-Müllerian hormone Follicle-stimulating hormone In vitro fertilisation Irregular menstruation Luteinizing hormone Ovarian reserve patient Polycystic ovary syndrome Source Type: blogs

MY EXPERIENCES WITH I V F from a patient at Malpani Infertility Clinic
I am writing this at the request of Dr.Aniruddha Malpani with whom my wife underwent IVF procedure in November 2013 at it clicked at the first cycle by God's grace.While I have tried to give the best analysis from my first hand experience,I have to mention that everybody's life and their situational factors are unique and there are no tailor made solutions to everybody's problem.However, some points from my experience may be applied to their situation,and I would be happy if that helps the reader of this article.OUR STORYWe had a very late marriage i.e when we both were above 35 years of age.We got married in 1999.After in...
Source: The Patient's Doctor - August 20, 2014 Category: Obstetricians and Gynecologists Tags: Assisted reproductive technology Dr.Malpani Health In vitro fertilisation India ivf Mumbai Source Type: blogs

Please do not waste your money
I often see patients who do not require any medical intervention at all.  For example, I just saw a couple where the wife is 26 years old, the husband is 30, and even though they have been married for 3 years, they have been trying to have a baby only for the last four months . They are now under a bit of social pressure to start their family, but since prima facie everything seems to be five, it’s hard for me to justify doing tests for them, since they are not infertile.The probability of the test results coming back as normal is extremely high , and their chances of making a baby on their own in their bedroom with...
Source: The Patient's Doctor - August 19, 2014 Category: Obstetricians and Gynecologists Tags: Endometrial polyp Health In vitro fertilisation India Infertility Medical ultrasonography patient Uterus Source Type: blogs