I'm on vacation. When I walked out of the clinic on Tuesday many people commented "don't think about this place," "relax - we'll take care of your patients," "don't do work while you are away." I never heed that advice. When I am on vacation I find it is the perfect time to relax and flip through research journals, catch up on emails and think about work, a lot. It's this break from the day-to-day concentration each patient sitting in front of you needs to getting to think bigger picture about practice, the future and how we can do better.
In IVF we create embryos by fertilizing eggs with sperm. Once you have an embryo, you can do one of three things with it:
There are 3 main IVF protocols we use regularly: antagonist, agonist, MD Agonist Flare. Sure, there are plenty of variations on these protocols, but essentially all protocols come from these 3, even minimal stimulation IVF, natural cycle IVF and others. Study after study has shown that there is little difference between pregnancy outcomes with the different protocols. What does seem to matter is what dose your physician picks for you, the timing of the different medications used during the protocol and the "extra" medications that are used based on the patients
Live with no regrets, dance like no one is watching, live every day like it is your last. For me that is all nonsense. That kind of fridge-magnet and facebook-friendly advice just makes me feel badly about myself. I have regrets, I waste a lot of time, and why would i dance like no one is watching? Anyway, for people like me who are pretty sure we aren't yet living our "best life" the new year is awesome. It's this awesome time when you get a little reset. You get to imagine being a better version of yourself in the future.
Merry Christmas! Every time one of my patients does a pregnancy test I hold my breath a little bit, but at Christmastime I hold it a long time.
Nearly all of us are deficient in vitamin D. Ninety percent of our body’s vitamin D comes from the sun, meaning cholesterol in our skin is converted into vitamin D3 (cholecalciferol) by the action of UV rays from the sun. Vitamin D3 is then converted by the liver and kidneys into the active form of vitamin D. The other 10% of out body’s vitamin D3 comes from our diet. If you live in Canada you are probably vitamin D deficient. The rates are so high the BC government health plan no longer pays for testing - they want us to just assume we are deficient.
My blog went stale the past few weeks. I really didn't want that to happen. I haven't posted in a really long time... I think I got a bit busy, was feeling like I didn't have much interesting to say (research published in the last couple of months has been rather boring - either too esoteric or too silly), I started watching Game of Thrones and just kind of felt like I was in a funk.
Ever notice when you get something in your head you start seeing that thing everywhere? I remember when I was a teenager I wanted a cordless telephone. I begged my parents for one with the claim that "everyone had one." It did seem like they did: Carrie, my short, rebellous friend would walk around her house on one for hours, Monica down the street had one she'd hide from her brother, Radio Shack had them prominently on display. It felt like I was the only person without one and I had the 1980s version of FOMO.
I didn't want my blog to become stale but lately I haven't been writing much. I blame myself and Facebook and Instagram and Netflix and a few other life distractions. I am sure in the pre-social media years I got a lot more done. Then again, maybe I didn't and I am just glamourizing the olden days. Anyway, I am on vacation this week so thought I'd put fingers to my keyboard.
At least once a month I have a woman in my office crying because her IVF cycle didn’t work and she believes in her heart that she is to blame. Typically she will say she “did too much after the transfer.” Women are so hard on themselves.