Word: patients
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...ASRM's Tipton argues that it's difficult to determine whether doctors fail in their responsibility to communicate the risks or whether patients simply do not absorb all the necessary information before signing consent documents. "What are you supposed to do, give the patient a quiz or have them read it back to you before they sign it?" he says. "At some point you have to trust that a patient means it when they choose to participate and sign forms saying they had the risks explained to them...
...thing the fertility industry and some of its harshest critics appear to agree on, however: the need for an egg-donor registry. If there were a centralized repository for donor records, Ginsburg and Schneider believe, patient follow-up and long-term studies could be conducted. But the challenge is settling on the right kind of registry. After consulting with the ASRM, in January, advocates in the fertility industry founded a nonprofit voluntary registry of egg and sperm donors. It is still unclear who will pay for it, how it will work and what role the ASRM will play in maintaining...
...such data may not always account for the specific factors that help determine success rates, such as the age of the patient and the quality of the embryos. At Stanford's fertility clinic, where doctors can carefully select high-quality embryos by growing them in the lab for five days, until the blastocyst stage, instead of the more usual three days, success rates have been on par, if not higher among single transfers, says Westphal. "When I look at our data, in patients with really good blastocysts, the pregnancy rates were comparable," Westphal says. "The singles were just as good...
...Despite what the most reliable data may suggest, though, the hope of having a child is not one that most infertile patients and even some doctors would care to quantify - or put a price tag on. "Some clinics still have a so-called guarantee that if the patient is not getting pregnant, they get their money back," says Martikainen. "In those cases, of course, the doctor tries to get the patient pregnant at any price...
...with an anticoagulant, which allows the animal to feed continuously on blood but which also delivers the anti-clotting substance more effectively to the area of a wound than would a small injection puncture. Indeed, leeches are used very much like syringes. After a leech is used on a patient it has to be killed. "It's like a disposable syringe, it isn't good sanitary practice to use it twice," says Gennady Nikonov the director of the Leech Center. (See 10 Ideas Changing the World Right...