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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

Arkansas Payment Improvement Initiative: The First Year
TweetEditor’s note: This post is part of a periodic Health Affairs Blog series, which will run over the next year, looking at payment and delivery reforms in Arkansas and Oregon. The posts will be based on evaluations of these reforms performed with the support of the Robert Wood Johnson Foundation. The authors of this post are part of the team evaluating the Arkansas model. Arkansas payers and providers actively participated in the design of both the episodic payment and patient-centered medical home (PCMH) models the state has recently implemented. We’ve written about each of these components of the multi-payer Arkan...
Source: Health Affairs Blog - August 25, 2014 Category: Health Management Authors: William Golden, Joseph W. Thompson, Michael Motley, Mark Fendrick, Christopher Mathis, and Michael Chernew Tags: All Categories Medicaid Payment Reform States Source Type: blogs

Randolph Hospital Is The Biggest " Non-Profit " In Randolph County, North Carolina . . . And The Courier Tribune Must Protect It . . . At All Costs (Subtitled: What Does A Million Healthcare Dollars Buy In Asheboro?)
I ' ve not blogged regularly since early 2013 - having moved my online activities over to Facebook . . . and, until fairly recently, curbed the time I spent there. & nbsp;I have enjoyed the time away from blogging, and have only put something up when the stars aligned and begged for commentary. < strike > Over the next week or so, I ' m going to put up at least three posts < /strike > *. . . all inspired by what passes for newspaper " coverage " of local healthcare these days. (* I never got around to it.) It ' s only gotten worse since I began blogg...
Source: Dr.J's HouseCalls - July 20, 2014 Category: American Health Tags: 501 (c)(3) Asheboro Bob Morrison Chip Womick Cone Hospital Courier Tribune IRS National Health Service Corps NHSC Non-profit Pediatrics Randolph Hospital Randolph Medical Associates Steve Eblin Source Type: blogs

Randolph Hospital Is The Biggest "Non-Profit" In Randolph County, North Carolina . . . And The Courier Tribune Must Protect It . . . At All Costs (Subtitled: What Does A Million Healthcare Dollars Buy In Asheboro?)
I've not blogged regularly since early 2013 - having moved my online activities over to Facebook . . . and, until fairly recently, curbed the time I spent there. I have enjoyed the time away from blogging, and have only put something up when the stars aligned and begged for commentary.Over the next week or so, I'm going to put up at least three posts . . . all inspired by what passes for newspaper "coverage" of local healthcare these days. It's only gotten worse since I began blogging in 2005. The world prefers "sound bites" (except when legislators are writing healthcare "reform" - then it's a 2000 page pile-o...
Source: Dr.J's HouseCalls - July 20, 2014 Category: Pediatricians Tags: 501 (c)(3) Asheboro Bob Morrison Chip Womick Cone Hospital Courier Tribune IRS National Health Service Corps NHSC Non-profit Pediatrics Randolph Hospital Randolph Medical Associates Steve Eblin Source Type: blogs

I don't feel your pain - Ideas - The Boston Globe
IF YOU STOPPED the average person in an emergency room and asked why she's there—not just her guess at the problem, but what really motivated her to show up—the number one answer would be "pain." For all that modern medicine has learned about disease and treatment, it's alleviating pain that still lies at the heart of the profession. And in recent years, the notion of treating "pain" as its own entity has been rising to the forefront in medicine. Pain management now has its own journals, conferences, clinics, and specialists, and pain relief is sometimes referred to as a human right. The In...
Source: Psychology of Pain - June 18, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Must a surgeon mention death as a complication?
Earlier, I wrote about the tragic case of a young girl in California who was declared brain dead after what most media sources called a tonsillectomy. In fact, the patient had a much more extensive procedure for treatment of obstructive sleep apnea. In addition to having her tonsils removed, she underwent an uvulopalatopharyngoplasty (UPPP) and resection (removal) of her inferior nasal turbinate bones. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 3, 2014 Category: Journals (General) Authors: Skeptical Scalpel, MD Tags: Physician Malpractice Surgery Source Type: blogs

Studies Prove Without Doubt That Unvaccinated Children Are Far Healthier Than Their Vaccinated Peers
Conclusion I find it amazing that despite mainstream media and leading government agencies stressing repeatedly that studies comparing vaccinated children to unvaccinated children cannot take place for ethical reasons, groups around the world are taking it upon themselves to do these studies anyway. While surveys of this kind are often dismissed as being purely epidemiological and passed off as little more than stamp collecting, I believe that studies of this nature should not be dismissed out of hand. After all, many stamp collections contain just one stamp that is worth far more than its weight in gold. These studies sho...
Source: vactruth.com - February 26, 2014 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories truth about vaccines vaccinated vs. unvaccinated Vaccine Safety Source Type: blogs

Tonsil and Adenoid Removal Surgery: One Family's Story
I am the mother of a loud mouth breathing, mucous producing, sleep lacking three year old. This is the story of how my husband and I decided to have our little noise machine’s tonsils and adenoids removed.Contributor: Amanda ZiebaPublished: Nov 12, 2013 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - November 12, 2013 Category: Other Conditions Source Type: blogs

How to Prevent and Treat Tonsil Stones
When I was a child, it was commonplace to remove tonsils. The thinking of the day was that tonsils didn’t serve much of a purpose. Much like the thinking of the day about the appendix. Now we know the tonsils serve as filters keeping bacteria, viruses, and foreign bodies that enter the mouth from making their way into the digestive system. When they do their jobs well, the trapped bacteria or viruses can cause a great deal of discomfort. In that regard, a sore throat is a sign that the tonsils are doing their job. For some people, especially adolescents, the tonsils can trap “mouth debris” (isn’t th...
Source: Conversations with Dr Greene - October 3, 2013 Category: Pediatricians Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Diseases & Conditions Source Type: blogs

Canada’s PHD Medical Migrates Traditionally Hospital-Based Services to The Home
Credit: Tiffany L. Photography While many of our Medgadget postings are focused on the latest technology or product approvals, we also like to focus on highlighting products/technologies that have significant impact in smaller markets. One such company is PHD Medical, founded in Canada in 2003, whose focus is on building platform-based technological solutions that migrate traditional services that are found in hospital to the home and community. Their core platforms each handle one aspect of the care spectrum; Diagnosis – Expert System (The sleep system also known as NPoses), Care Management – Etrending, and ...
Source: Medgadget - September 27, 2013 Category: Technology Consultants Authors: Janelle Chang Tags: Diagnostics Medgadget Exclusive Pediatrics apnea polysomnography sleep apnea Source Type: blogs

Angela S.
Angela, a patient of mine, wrote in with the story of her path to a gluten-free lifestyle. The journey she undertook, and how radically her life changed as a result, is proof-positive of the overwhelming health benefits of a gluten-free diet. -Dr. Perlmutter For over the last 10-11 years I have spent a great deal of time in and out of doctor’s offices, trying to figure out why I was having so many health issues. At 16, I was diagnosed with Polycystic Ovary Syndrome (PCOS), at 21 I was found to have severe candidiasis, at 22 I had to have my tonsils out, 23 I had an emergency appendectomy, and most recently I had a 10...
Source: Renegade Neurologist - A Blog by David Perlmutter, MD, FACN - September 14, 2013 Category: Neurologists Authors: gbadmin Tags: Success Fatigue Gluten gluten free Source Type: blogs

On Being A Grandparent
Peyton is my grand-daughter. She is three years old, and she is full of life. And I am so proud of her. I have to say, however, that I wasn't initially prepared for the experience. But it really is rewarding to watch her grow up. When my kids were her age, I was happy to watch them grow and change as well, but this is a little bit different. First, she isn't my child; she is my child's child. Not my responsibility, but I feel just as strongly responsible for her as I did for my kids at her age, mainly because she and her mother, my daughter Kerry, both live with us. And both Martha and me have taken an active role in...
Source: Life in Manch Vegas - September 3, 2013 Category: Ambulance Crew Source Type: blogs

Here, Fishy, Fishy
The skilled ED provider always takes proper precautions before attempting fish bone removal and preparing for patient discharge. And a sensible provider never sends an anxious patient down river without a thorough exam. Fish bones are usually slightly waxy, bendable, and sharp. These tiny bones lodge themselves in the throat with a vengeance. Common nesting sites of fish bones include the base of the tongue, tonsils, posterior pharyngeal wall, aryepiglottic fold, or upper esophagus. Late complications of leftover fish bones in the throat may cause airway obstruction or rarely esophageal perforation. The patient is alway...
Source: The Procedural Pause - August 29, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Everyday miracles: A day in the life of a special needs mom
Patience is passion tamed. (Lyman Abbott)My third daughter was born on a Monday, after a long and exhausting labor. Her appearance was a little shocking: she had large olive-colored eyes and a rug of dark blond hair sticking straight out from her head."Monday's child is fair of face." Yes, she was a little beauty and drew admiring remarks from many strangers as an infant. You could tell just by looking at her that she had a mind of her own - from the very day of her birth. As soon as I saw her, I thought there was something special about this baby. For three years, I marveled at her tenacity, her passion, and her precociou...
Source: Turquoise Gates - August 12, 2013 Category: Cancer Tags: vaccine related encephalitis special needs mothering homeschool 1000 gifts learning Source Type: blogs

Guest Blogger Simple Citizen on The Suicidal Patient's Right to Have Advance Directives Honored
Simple Citizen is a psychiatrist reader with his own blog (see our sidebar). This started as a comment, but I asked to use it as a stand-alone post. Dr. Citizen writes: We have the right to die, but not the right to commit suicide. This makes my life in Consult Psychiatry extremely difficult, especially when someone has an Advance Directive that states "Do-Not-Resusciate" and then they try to kill themselves.They arrive at the hospital in critical condition, the medical team knows the need to be intubated and they are likely going to go into cardiac arrest. Should they intubate them and save the...
Source: Shrink Rap - July 26, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs