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Lyudinovo is no stranger to unemployment: it suffered a bad bout in the early 1990s, when several of the town's factories closed and 4,000 workers lost their jobs. But by October, after a run of good years, the number of unemployed people had fallen to just 320. That number doubled in November, and for this year, all bets are off. "This is just the beginning," says Pronin, the newspaper editor, with worry...
...soles of your feet, and overnight, the ads claim, you will sweat out metals, minerals and any other accumulated nastiness. Who wouldn't be appalled by the brown footprint left the next morning by a body newly unburdened of pollutants? And who wouldn't dial that toll-free number right away, credit card in (toxin-laden) hand? (See the best and worst Super Bowl commercials...
...confounding thought from both a parent's perspective--Suleman already has six children under the age of 8--and a physician's. In June, just about the time those eight babies began growing inside her womb, the American Society for Reproductive Medicine (ASRM) issued updated guidelines on the number of embryos that should be transferred to a woman's body in the hope they'll implant in the uterus and lead to a live birth. Women under 35 should transfer no more than two embryos, down from the maximum of three recommended in 1998, and women over 40 should attempt...
These are guidelines, however, not laws. And until Suleman discloses how the octuplets came to be (via fertility drugs? IVF? embryos splitting into multiples in utero?), the mere possibility of a doctor's transferring a large number of embryos to a relatively young patient--an unmarried mom raising four singletons and a set of twins--has put fertility specialists on the defensive as they try to counter the perception that theirs is an undisciplined, irresponsible profession. "The word cowboys comes to mind," says Robert Stillman, medical director at Shady Grove Fertility Center in Rockville, Md., the country's largest fertility...
...other fertility doctors contend that reproductive medicine is among the most regulated specialties in the U.S. Clinics have to report to the Centers for Disease Control and Prevention the number of embryos transferred in each IVF cycle--in which sperm and egg are fertilized outside a woman's body then transferred to her uterus--as well as the resulting number of live births. This reporting system was set up to help potential patients assess their chances of having a baby but has evolved into a way to monitor a clinic's number of triplets and higher multiples, who are more...