Word: patients
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Dates: during 2000-2009
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...this the future? I believe more than ever that the patient can be saved. But media companies need to help themselves. In the boardrooms of some of the biggest publishers, people are already discussing giving away devices with subscriptions. Why not? In the end, it's far cheaper, more efficient and more ecological for us than paper distribution - and more enjoyable for you than reading on the Web. And that's the key. Because the only real question is, Brother, will you pay me a dime...
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...
...success rates have increased, the average number of embryos transferred has gone down, from 3.9 in 1996 to 2.4 in 2005. Single-embryo transfers are now recommended in many cases; generally, the younger the patient, the likelier it is that an embryo will implant. A recent article in the journal Fertility and Sterility even suggested recasting how fertility clinics view outcomes: a singleton birth should be considered a success, triplets a failure...
...Physicians may advise a patient to transfer only one or two embryos, but the patient may insist on double the number - or more. "Doctors' attorneys are advising them, 'You have to do it,' " says Sean Tipton, spokesman for the ASRM. "The courts have made clear that decisions about what to do with embryos are in the hands of patients, not in the hands of physicians...
...birth of triplets, he's irritated at calls to legislate assisted reproduction. Doctors aren't the problem, he contends; laws are. Some European countries limit the number of embryos transferred, but that doesn't allow for physicians to take into account individual medical histories; generally, the older the patient, the less likely embryos will implant...