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Showing posts from August, 2009

Avoiding "cookie-cutter" Medicine

Medicine has been called an art and to some extent this is clearly true. Although statistics, protocols and algorithms exist to guide therapy a thoughtful physician must always take into account the particular needs of his patient. I know that this sounds incredibly obvious but the reality is that with the advent of the internet additional voices have been added to the patient-doctor relationship. I stress to my patients that they are unique and although others may voice their opinions as to the best course of action, the final decision should rest between doctor and patient.

Recently I had a patient with a strong history of depression whose insurance required a series of 3 IUI cycles before covering IVF. She had only a single good fallopian tube and as a couple they had no previous pregnancies. The semen analysis was a bit borderline as well. So given the situation I was proposing moving directly into IVF. Looking at the whole picture this seemed an appropriate plan and the couple was…

Fluid in the Endometrium

As usual I find myself apologizing for the long delay between blog posts and as usual I have no real excuse except that I am just a bit tapped out....sigh. The summer has flown past and soon we will be back in the grind of school and work with the playtime of summer a distant memory. This Fall will be memorable as my oldest child will be off to college. Hard to imagine. You know, when I started practice I used to get the "you look too young to be my doctor...." but now not so much! I was thinking about looking into microscopic hair transplantation but my wife assures me that she loves me even as my bald spot and waistline seem to growing inexorably larger. But enough about me....

Everyday I answer posts on the INCIID.org website. I have done this for over 10 years and hope that some of you have found the feedback helpful. Dr. DiMattina and I have launched an online community for our practice (Fertile Grounds) that also provides opportunities for both patients (and non-patien…