The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Tuesday, September 2, 2008
Microfluidic Chip Could Someday Lead to a More Targeted Embryo Selection Process
New technology could eventually make infertility treatments more effective and less expensive. Though it has so far only been tested with mouse embryos, the hope is that it could improve the process of selecting the most viable embryos for in vitro fertilization. Research on the new technology, informally called "lab on a chip," has been published in Analytical Chemistry.
In vitro fertilization, known as IVF, involves combining eggs and sperm outside the body in a laboratory. Once an embryo or embryos form, they are then placed in the uterus. IVF is a complex and expensive procedure. The average cost of IVF is more than $12,000.
Currently, fertility doctors evaluate the quality of an embryo being considered for IVF through microscopic examination of the embryo's physical characteristics, such as cell shape. This process is time-consuming and not reliable enough, according to researchers.
Almost 130,000 women undergo IVF procedures each year in the U.S. -- yet the success rate is only about 30%. To boost a woman's chances of conceiving, doctors may put more than one embryo into the uterus. This can lead to multiple births and makes the pregnancy riskier for both mother and child.
The scientists -- from the Massachusetts Institute of Technology and Fertility Laboratories of Colorado -- worked with a device called a microfluidic chip, which they hope will someday lead to a more targeted embryo selection process. The chip, about the size of a quarter, is designed to evaluate the health of embryos being considered for transplant by measuring how the embryo alters key nutrients in the tissue culture medium surrounding embryos, according to the study.
Researchers collected fluids surrounding 10 mouse embryos and analyzed the fluids using the computer-controlled chip. Within minutes, the device could accurately measure the metabolism of the embryos from the surrounding fluids. Long-term, the chip could improve the quality of embryos selected for human IVF, and it could also reduce the cost associated with the procedure, according to the study's authors.
Monday, September 1, 2008
The World's First Test-Tube Boy Finally Speaks!
The world's first test tube baby boy has launched a campaign for a "long overdue" award for the scientist who pioneered the IVF process that gave him life.
Alastair MacDonald, 29, said it is astonishing that Professor Robert Edwards has received dozens of accolades from all over the globe but he has had little recognition in his own country.
Mr Edwards, who studied at Edinburgh and Glasgow Universities, pioneered in-vitro fertilisation with Dr Patrick Steptoe, who died of cancer in 1988 aged 75, one week before he was due to receive his knighthood from the Queen at Buckingham Palace.
Mr MacDonald, from Glasgow, has written to the Prime Minister to have the man known to him as an "uncle" properly recognised.
He has the support of experts in the field from all over the world including doctors at Cambridge University, the British Fertility Society, the Society for Reproduction and Fertility, the American Society for Reproductive Medicine, Royal College of Obstetricians and Gynaecologist and the European Society for Human Reproduction and Embryology.
Although Leeds-born Mr Edwards was made a CBE 20 years ago, his peers say his achievements far outweigh that award and he "more than deserves" greater recognition, possibly a knighthood.
Professor Martin Johnson, of Cambridge University Anatomy School, described Mr Edwards as the "father of his subject".
"Prof Robert Edwards is the single most important and influential figure internationally in human reproductive biology.
"It is an indisputable fact that he has contributed more to the treatment of human infertility than any other individual and, in so doing, has made the early stages of our own development accessible to study. This achievement clearly places him in a league on his own. He is truly and uniquely the father of his subject'."
His comments were echoed in other clinics and research centres. They included Dr Key Elder, of the Bourn Clinic in Cambridgeshire, which was founded by Mr Edwards and the late Dr Steptoe, and is still going strong. It sees around 850 or 900 women a year, with an average age of 37, and around one in three cycles results in a successful birth.
Dr David Adamson, president of the ASRM, said: "I strongly support Prof Edwards and hope he will receive a knighthood, which is so justified and overdue."
Both Mr MacDonald, now a systems engineering officer with the Royal Fleet Auxiliary, and his mother, Grace, now 62, who separated from his father when he was four, believe Mr Edwards should be recognised for what they said were his "unequalled" achievements.
He wrote to Gordon Brown: "Prof Edwards has been honoured around the world . . . it is a travesty that he has not been honoured by his own country.
"I was born as the second ever IVF baby in 1979 and I have grown up very close to Prof Edwards. I simply would not be alive if it wasn't for Prof Edwards. It saddens me greatly that at his age of 83, he has never been honoured when he has given so much and has never requested anything in return.
"I hope that Prof Edwards can still be alive to see his rightful honour given to him, unlike Patrick Steptoe the co-pioneer with Robert Edwards, who died before he received his knighthood.
"I hope this government does not make that same mistake. I hope you can use your influence to give a truly great man the rightful status he deserves."
Sunday, August 31, 2008
Saturday, August 30, 2008
Proud Bostonian
From the county where drunk driving is considered a sport, comes this story. Recently a routine police patrol parked outside of a bar in Boston. After last call the officer noticed a man leaving the bar so apparently intoxicated that he could barely walk.
The man stumbled around the parking lot for a few minutes, with the officer quietly observing. After what seemed an eternity in which he tried his keys on five different vehicles, the man managed to find his car and fall into it. He sat there for a few minutes as a number of other patrons left the bar and drove off.
Finally he started the car, switched the wipers on and off -- it was a fine, dry summer night -- flicked the blinkers on and off a couple of times, honked the horn and then switched on the lights. He moved the vehicle forward a few inches, reversed a little and then remained still for a few more minutes as some more of the other patrons' vehicles left. At last, when his was the only car left in the parking lot, he pulled out and drove slowly down the road.
The police officer, having waited patiently all this time, now started up his patrol car, put on the flashing lights, promptly pulled the man over and administered a breathalyzer test. To his amazement, the breathalyzer indicated no evidence that the man had consumed any alcohol at all !!!
Dumbfounded, the officer said, I'll have to ask you to accompany me to the police station. This breathalyzer equipment must be broken.'
'I doubt it,' said the truly proud Bostonian, 'Tonight I'm the designated decoy.'
The man stumbled around the parking lot for a few minutes, with the officer quietly observing. After what seemed an eternity in which he tried his keys on five different vehicles, the man managed to find his car and fall into it. He sat there for a few minutes as a number of other patrons left the bar and drove off.
Finally he started the car, switched the wipers on and off -- it was a fine, dry summer night -- flicked the blinkers on and off a couple of times, honked the horn and then switched on the lights. He moved the vehicle forward a few inches, reversed a little and then remained still for a few more minutes as some more of the other patrons' vehicles left. At last, when his was the only car left in the parking lot, he pulled out and drove slowly down the road.
The police officer, having waited patiently all this time, now started up his patrol car, put on the flashing lights, promptly pulled the man over and administered a breathalyzer test. To his amazement, the breathalyzer indicated no evidence that the man had consumed any alcohol at all !!!
Dumbfounded, the officer said, I'll have to ask you to accompany me to the police station. This breathalyzer equipment must be broken.'
'I doubt it,' said the truly proud Bostonian, 'Tonight I'm the designated decoy.'
Friday, August 29, 2008
Life, Lust & LaVaSa
The sea is only beautiful if there's a shore. Life is like the sea. There'll be a direction to follow even if you sail more than one day or one life... the promise of a new land is your guide, because you know that the sea is a huge world that's beautiful only if there's a shore.
Patricky Field, as quoted in Beautiful if there's a shore (2008) song by Patricky Field
I'm in love with Lavasa. My wife & kids say they have never seen me in love with anyone like I love Lavasa. It was love at first sight. Now, the staff there agrees too! Almost every weekend, they look at me with wide eyes, treat me with kid-gloves and wonder what does doctor see in the Construction Sites? Ekaant is my base & I love exploring the nooks & corners of the growing city.
Lavasa is India's first hill station since Independence. It is being developed by HCC India near Pune. It is spread over 12,500 acres (51 km2) of land and is scheduled to be completed by 2021. The first phase (Dasave) is scheduled to become operational by June 2009. It will be a self-equipped city developed on the principles of New Urbanism.The city is planned to strike a balance between urban living and preservation of the environment. The master plan by HOK envisages a township in harmony with nature where nature begins at the doorstep. This master plan won both the Award for Excellence 2005, given by the Congress for the New Urbanism (USA) and the American Society of Landscape Architects Award—2005. The concept of a hill town dates from British colonial times and describes locations where British administrators went during the Indian tropical summer, prominent examples being Shimla, Kulu, and Ooty. It is just 210 minutes from home in Mumbai & this drive takes you to another world. The monsoons in Western India are the best time to visit the Sahyadris & with the Lavabahn (the equivalent of the German Autobahn) rolled out three years ago by HCC from Pirangut to Lavasa, driving in the rains on the Lavabahn is pure Lust!
Lust is any intense desire or craving for gratification and excitement. Lust can mean strictly sexual lust, although it is also common to speak of a "lust for men", "lust for blood" (bloodlust), or a "lust for power" (or other goals), and to "lust for love" - Wikipedia
The Greek word which translates as lust is epithymia (επιθυμια), which is also translated into English as "to covet". The word 'lust' originally had no negative connotation, but it has developed a connotation of sexual sin. We must add "Lust For Lavasa" to the Wikipedia annals. A few weekends ago, I decided to add to my solitude at Ekaant & introduce my Dad to Lavasa. My Dad convinced my daughter to accompany us. It was a beautiful weekend with Monsoon madness interrupted by the changing colors of the sky over the Mose valley. The clouds as I had promised them walked into our rooms & wafted into our nostrils. If you have never tasted a water-rich cloud, take in the fragrance at Ekaant on the upper level rooms. You open the 8 feet glass doors & the clouds come dancing in. The rains had scrubbed the place clean. This time the staff had some ugly tarpaulin & plastic curtains strapped down obliterating the view to the Warasgaon lake. Their argument was the rain lashes into the bedrooms if we leave them open. I convinced the FOM, Subashis Dutta that he was cutting off my Oxygen with the strapped down curtains. I spent most of Saturday evening walking around in the open - getting wet like I was having an anatabuse reaction! Early next morning, his staff got the curtains off & I got a new lease of life on this Wet Sunday.
I invited my Dad for a personal recce of the Valley city and told him how the lake was not yet full, but would be overflowing by our Independence day if the rains keep coming down like this. We decided not to go back on Sunday evening - Akanksha (my daughter) vetoed going back on Sunday evening. I was the happiest man at Ekaant! We decided to checkout at 5am on Monday so we could all be at our places of work by 9am Monday.
I am convinced that this will be the most beautiful amalgam of man & nature that India has ever seen in half a decade. as Indians, we should be proud of our brethren who had the vision.
Life is not measured by the number of breaths we take, but by the moments that take our breath away.
-Unknown
Mad Cow Fears Keep Euro Sperm Out of the USA
Health officials in the US have placed a ban on imports of sperm from European men to protect Americans from the human form of mad cow disease. Stores of European sperm are now running out, causing problems for women wishing to use them.
Before the ban, the use of sperm from Nordic donors in particular had grown in popularity. Companies such as California Cryobank in Los Angeles and Cryos International in New York City imported sperm from Denmark for which there was a huge demand, largely due to the donors' blue eyes, blond hair, and their tendency to be tall and well educated.
Since the ban, put in place in May 2005 by the Food and Drug Administration (FDA), sperm banks are no longer allowed to import sperm from Europe for fear it might spread the fatal and incurable human form of mad cow disease, Creutzfeldt-Jaokb disease (CJD). The ban was one of a number of restrictions the US government put in place after the spread of mad cow
disease in Europe in the late 1990s. Other measures included banning people who lived in the UK for more than three months between 1980 and 1996 from giving blood. The disease, in rare cases, is spread from cow to human by eating meat from infected animals, and has also been known to spread from using contaminated surgical equipment and transplanted tissue, such as corneas. There are, however, no known cases of infection from sperm and scientists say that, although it is theoretically possible, the risk is insignificant.
Soon, the last few vials of European sperm imported before the embargo will be gone. Many women, who used this sperm before and now wish to have another baby using the same donor, are having to pay thousands of pounds to travel to Europe for insemination. Other women are travelling to Canada or Mexico, or even haggling with other women who have leftover vials. In response to the uproar, Nordic Cryobank has filed a petition asking the FDA to lift the restrictions.
Before the ban, the use of sperm from Nordic donors in particular had grown in popularity. Companies such as California Cryobank in Los Angeles and Cryos International in New York City imported sperm from Denmark for which there was a huge demand, largely due to the donors' blue eyes, blond hair, and their tendency to be tall and well educated.
Since the ban, put in place in May 2005 by the Food and Drug Administration (FDA), sperm banks are no longer allowed to import sperm from Europe for fear it might spread the fatal and incurable human form of mad cow disease, Creutzfeldt-Jaokb disease (CJD). The ban was one of a number of restrictions the US government put in place after the spread of mad cow
disease in Europe in the late 1990s. Other measures included banning people who lived in the UK for more than three months between 1980 and 1996 from giving blood. The disease, in rare cases, is spread from cow to human by eating meat from infected animals, and has also been known to spread from using contaminated surgical equipment and transplanted tissue, such as corneas. There are, however, no known cases of infection from sperm and scientists say that, although it is theoretically possible, the risk is insignificant.
Soon, the last few vials of European sperm imported before the embargo will be gone. Many women, who used this sperm before and now wish to have another baby using the same donor, are having to pay thousands of pounds to travel to Europe for insemination. Other women are travelling to Canada or Mexico, or even haggling with other women who have leftover vials. In response to the uproar, Nordic Cryobank has filed a petition asking the FDA to lift the restrictions.
Thursday, August 28, 2008
Transfusion breakthrough as human blood grown from stem cells
A team of scientists from the Advanced Cell Technology company (ATC), California, USA, have made massive amounts of red blood cells from human embryonic stem cells (ESC). The work may lead to laboratories being able to produce blood for transfusions, providing a limitless supply and an alternative to donations. This exciting development in stem cell research was published in the journal Blood last week. [The paper] clearly shows that stem cells could serve as an unlimited source of blood for transfusion in the future', Dr. Robert Lanza at ATC, who led the research with colleagues from the Mayo Clinic in Rochester, Minnesota, and the University of Illinois in Chicago, told Nature.
The researchers created the red blood cells by exposing cultures of human ESCs to a sequence of nutrients and growth factors. An important step in the process was achieving 'enucleation' - making the cells eject their nuclei, as they do naturally in the body. The functions of the cells were tested, and results suggest the cells can carry as much oxygen as donated red blood cells. The cells were also able to respond to environmental stimuli, as donated cells would.
It will be possible to make type O negative blood from stem cells, which everyone can receive safely regardless of their blood type, believe the researchers. It may also be possible to produce red blood cells from adult pluripotent stem cells, avoiding the need for ESCs. This work is the first time red blood cells have been made in bulk from stem cells. The next step will be to test that the cells are safe and functional in animals.
Stem cells have the potential to develop into many different cell types, and it is possible they could be used to treat a variety of human disease. For example, scientists are currently researching the use of stem cells as therapy for Parkinson disease and diabetes, amongst others.
The researchers created the red blood cells by exposing cultures of human ESCs to a sequence of nutrients and growth factors. An important step in the process was achieving 'enucleation' - making the cells eject their nuclei, as they do naturally in the body. The functions of the cells were tested, and results suggest the cells can carry as much oxygen as donated red blood cells. The cells were also able to respond to environmental stimuli, as donated cells would.
It will be possible to make type O negative blood from stem cells, which everyone can receive safely regardless of their blood type, believe the researchers. It may also be possible to produce red blood cells from adult pluripotent stem cells, avoiding the need for ESCs. This work is the first time red blood cells have been made in bulk from stem cells. The next step will be to test that the cells are safe and functional in animals.
Stem cells have the potential to develop into many different cell types, and it is possible they could be used to treat a variety of human disease. For example, scientists are currently researching the use of stem cells as therapy for Parkinson disease and diabetes, amongst others.
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