The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Sunday, April 12, 2009
Saturday, April 11, 2009
Friday, April 10, 2009
First Israeli Gay Man Gets ‘Maternity’ Leave
The National Insurance Institute authorized Israel’s first-ever “maternity” leave for a male couple on Thursday. Yonatan Gher, director of Jerusalem’s nonprofit Open House Pride and Tolerance organization, has received institute approval of a 64-day leave from work on the occasion of the birth of his biological son, born of a surrogate mother in India. His partner of seven years commenced formal adoption procedures, so that the child will be formally recognized as his as well.
Despite confirmation of the leave, Gher has not received an answer to his request for reimbursement of NIS 10,000 in hospitalization costs (Gher and his partner also stayed in the hospital prior to the delivery) from the NII.
The process began two years ago, when the couple realized formal adoption by a single man or two gay men was not an option here. They did not want to agree to joint parenthood with an Israeli woman, because they said it would expose the child to a situation similar to divorce.
They opted instead for IVF treatment through Rotunda-CHR, a Mumbai clinic(www.iwannagetpregnant.com), and chose the donor of the egg and a surrogate mother. They returned to Israel with their son in November 2008, and Gher took leave. Earlier this month he requested that his leave be acknowledged by the NII, and says he was “surprised” to have received a positive reply within a few weeks, without needing to take any additional action or submit an appeal. Gher sees the decision as a significant achievement. “What we have here is the establishment taking responsibility for a process that had been forced upon us,” he explained. “We have no legal possibility of having a child with a surrogate mother in Israel. Because it won’t allow that, the state is obliged to share with us the costs of the alternative, by the very fact of recognizing the maternity leave.”
The overall cost of the IVF procedure, including all expenses, is estimated by Gher to be over NIS 130,000. Meanwhile, his partner’s request for a leave is presently being debated at a labor court.
New Family organization lawyer Irit Rosenblum, who represents the couple, praised the NII decision. “This is an important milestone on the way to equity for the rights of the same-sex family in Israel. Up to now, the approach of the institute was detrimental to the rights and welfare of children in such families,” she said.
“The purpose of maternity benefits is to allow a devoted parent to answer the most important basic needs of an infant during the first months of its life,” Rosenblum added. “The needs of a male and female parents are identical in this situation, and the time has come for the legislator and the authorities to face reality and prevent gender discrimination in basic family rights.”
Tel Aviv’s District Labor Court is presently debating a precedent-setting lawsuit by two men seeking leave following the birth of their daughter from a surrogate mother in the United States.
Thursday, April 9, 2009
The Price of Children
I have repeatedly seen the breakdown of the cost of raising a child, but this is the first time I have seen the rewards listed this way. It's nice.
The government recently calculated the cost of raising a child from birth to 18 and came up with $160,140.00 for a middle income family. Talk about price shock! That doesn't even touch college tuition.
But $160,140.00 isn't so bad if you break it down. It translates into:
* $8,896.66 a year,
* $741..38 a month,
* $171.08 a week.
* A mere $24.24 a day!
* Just over a dollar an hour.
Still, you might think the best financial advice is; don't have children if you want to be 'rich.' Actually, it is just the opposite.
What do you get for your $160,140.00?
* Naming rights. First, middle, and last!
* Glimpses of God every day.
* Giggles under the covers every night.
* More love than your heart can hold.
* Butterfly kisses and Velcro hugs.
* Endless wonder over rocks, ants, clouds, and warm cookies.
* A hand to hold usually covered with jelly or chocolate.
* A partner for blowing bubbles and flying kites.
* Someone to laugh yourself silly with, no matter what the boss said or how your stocks performed that day.
For $160,140.00, you never have to grow up. You get to:
* finger-paint,
* carve pumpkins,
* play hide-and-seek,
* catch lightning bugs,
* never stop believing in Santa Claus.
You have an excuse to:
* keep reading the Adventures of Piglet and Pooh,
* watch Saturday morning cartoons,
* go to Disney movies, and
* wish on stars.
You get to frame rainbows, hearts, and flowers under refrigerator magnets and collect spray painted noodle wreaths for Christmas, hand prints set in clay for Mother's Day, and cards with backward letters for Father's Day.
For a mere $24.24 a day, there is no greater bang for your buck. You get to be a hero just for:
* retrieving a Frisbee off the garage roof,
* taking the training wheels off a bike,
* removing a splinter,
* filling a wading pool,
* coaxing a wad of gum out of bangs, and
* coaching a baseball team that never wins but always gets treated to ice cream regardless.
You get a front row seat in history to witness the:
* First step,
* First word,
* First bra,
* First date,
* First time behind the wheel.
You get to be immortal. You get another branch added to your family tree, and if you're lucky, a long list of limbs in your obituary called grandchildren and great grandchildren. You get an education in psychology, nursing, criminal justice, communications, and human sexuality that no college can match.
In the eyes of a child, you rank right up there under God. You have all the power to heal a boo-boo, scare away the monsters under the bed, patch a broken heart, police a slumber party, ground them forever, and love them without limits - so one day they will, like you, love without counting the cost. That is quite a deal for the
Price !!!
Love & enjoy your children, grandchildren, & great-grandchildren!!!
It's the best investment you'll ever make !!!
by Anonymous
The government recently calculated the cost of raising a child from birth to 18 and came up with $160,140.00 for a middle income family. Talk about price shock! That doesn't even touch college tuition.
But $160,140.00 isn't so bad if you break it down. It translates into:
* $8,896.66 a year,
* $741..38 a month,
* $171.08 a week.
* A mere $24.24 a day!
* Just over a dollar an hour.
Still, you might think the best financial advice is; don't have children if you want to be 'rich.' Actually, it is just the opposite.
What do you get for your $160,140.00?
* Naming rights. First, middle, and last!
* Glimpses of God every day.
* Giggles under the covers every night.
* More love than your heart can hold.
* Butterfly kisses and Velcro hugs.
* Endless wonder over rocks, ants, clouds, and warm cookies.
* A hand to hold usually covered with jelly or chocolate.
* A partner for blowing bubbles and flying kites.
* Someone to laugh yourself silly with, no matter what the boss said or how your stocks performed that day.
For $160,140.00, you never have to grow up. You get to:
* finger-paint,
* carve pumpkins,
* play hide-and-seek,
* catch lightning bugs,
* never stop believing in Santa Claus.
You have an excuse to:
* keep reading the Adventures of Piglet and Pooh,
* watch Saturday morning cartoons,
* go to Disney movies, and
* wish on stars.
You get to frame rainbows, hearts, and flowers under refrigerator magnets and collect spray painted noodle wreaths for Christmas, hand prints set in clay for Mother's Day, and cards with backward letters for Father's Day.
For a mere $24.24 a day, there is no greater bang for your buck. You get to be a hero just for:
* retrieving a Frisbee off the garage roof,
* taking the training wheels off a bike,
* removing a splinter,
* filling a wading pool,
* coaxing a wad of gum out of bangs, and
* coaching a baseball team that never wins but always gets treated to ice cream regardless.
You get a front row seat in history to witness the:
* First step,
* First word,
* First bra,
* First date,
* First time behind the wheel.
You get to be immortal. You get another branch added to your family tree, and if you're lucky, a long list of limbs in your obituary called grandchildren and great grandchildren. You get an education in psychology, nursing, criminal justice, communications, and human sexuality that no college can match.
In the eyes of a child, you rank right up there under God. You have all the power to heal a boo-boo, scare away the monsters under the bed, patch a broken heart, police a slumber party, ground them forever, and love them without limits - so one day they will, like you, love without counting the cost. That is quite a deal for the
Price !!!
Love & enjoy your children, grandchildren, & great-grandchildren!!!
It's the best investment you'll ever make !!!
by Anonymous
Wednesday, April 8, 2009
Sushi and Sashimi
This is a true case of a Japanese man from Gifu prefecture who complains incessantly about a persistent headache. Mr. Shota Fujiwara loves his sashimi and sushi very much to the extent of trying to get them as 'alive and fresh' as can be for his insatiable appetite. He develops a severe headache for the past 3 years and has diagnosed it as migraine and stress from work. It was only when he started losing his psychomotor skills that he seeks medical help. A brain scan and x-ray reveals little however.
But upon closer inspection by a specialist on his scalp, the doctor noticed small movements beneath his skin. It was then that the doctor did a local anesthetic to his scalp and discovered the cause when tiny worms crawled out.
A major surgery was thus immediately called for and the extent of the infestation was horrific. See the attached pictures to the scene that one thought only a movie could produce.
Remember, tapeworms and roundworms and their eggs which abound in all fish- fresh or salt-water fish can only be killed by thorough cooking and/or freezing the fish to between 4 deg C - 0 deg C. The eggs of these parasites can only be killed if it is cooked or frozen to the said temperatures for a week or more.
Think twice about that raw dish next time...or you might get a headache.
Tuesday, April 7, 2009
Flamingos and The Sewri Fort
The Sewri Fort (also spelled Sewree Fort) (Marathi: शिवडी किल्ला) is a fort in Mumbai built by the British at Sewri. Built in 1680, fort served as a watch tower, atop a quarried hill overlooking the Mumbai harbor.Up to the eighteenth century, Mumbai consisted of several small islands. In 1661, seven of these islands were ceded by the Portuguese to the British as part of the dowry of Charles II of England. The harbor proved eminently apposite, and the British planned to shift base from Surat to Mumbai. The Siddis, who were of African descent and noted for their navies, had allied themselves with the Mughals. The British, under the East India Company and the Mughals were constantly waged war on each other. As allies of the Mughals, the Siddis also declared the British as enemies.Faced with relentless attacks by the Siddis in 1672, several fortifications were constructed in Mumbai, and in 1780 the Sewri fort was complete. It stood on the island of Parel, on a hill overlooking the eastern seaboard and Indian mainland. It had a garrison of 50 sepoys and was managed by a subedar. It was also armed with eight to ten cannons.
How would Mumbai look today if the African Siddi Yakut had captured the island city from the British in 1689? If the British hadn’t filled the coffers of Mughal Emperor Aurangzeb to end the nine-month siege of the Mazgaon fort, Mumbai’s history would have been very different.Chances are that the city would perhaps never have witnessed its transformation into the 18th century modern city and the present-day financial nerve centre.Most Mazgaon residents who frequent the amazingly clean and well-maintained civic garden atop Bhandarwada Hill for evening walks don’t know that a fort once existed on this hillock, perched above the Dockyard railway station and overlooking P D’Mello Road. Nor do the elders who frequent a shelter created for senior citizens in the garden.But, Suman Tate with Bhau Daji Laud Museum, Byculla, however, confirms that Bhandarkar Hill was the place where the Mazgaon fort stood. ‘‘After the Siddis captured the Sewri fort, they attacked the Mazgaon fort. I came across references to a battle between Chhatrapati Shivaji’s son Sambhaji and Siddi Yakut on this fort, but that needs to be confirmed. I even remember seeing a cannon there several years ago,’’ says Tate, who is engaged in a research project on Mumbai’s forts.The Bombay Gazetteer, a highly detailed account of the city by the British, provides a fascinating glimpse into the strategic location of the Sewri Fort and the ferocity of the invasions by the Siddis, the generals of North African origin who worked with Mughal Emperor Aurangzeb. The Siddis repeatedly attacked the islands in Mumbai harbour from 1672, at a time when the British had acquired the island city from the Portuguese but were yet to shift their trading headquarters from Surat to Mumbai. The increasing invasions by the Siddi fleets were one of the reasons why the East India Company finally moved its base to secure the Mumbai harbour.There are references to show that the Siddis terrorised Mumbai’s natives; they drove people from their houses, pillaged and burnt their homes, adorned the heads of massacred Marathas on poles along the Mazgaon shore, and sold Maratha captives in the town market.According to the Gazetteer, the most ambitious of Siddi invasions was in 1689, when Siddi Yakut, backed by 20,000 men, stormed Mumbai. The fleet first captured the Sewri fort, plundered Mahim town, and moved towards Mazgaon. The news that the Siddis had arrived at Sewri frightened Mazgaon the ‘‘natives’’ so much that they abandoned the fort.Despite British Governor Sir John Child’s attempt to dislodge the Siddi, he had captured virtually the whole of the island city except the fortified British garrison in South Mumbai. The Siddi siege, from April to December of 1689, forced the British to survive on stocked food, and eventually strike a deal with Aurangzeb to get rid of him.The Gazetteer notes that in December, Child despatched envoys to Aurangzeb to buy peace. In February, 1690, the Mughal emperor issued an order agreeing to withdraw the Siddi fleet if the British paid Rs 1.5 lakh and sacked Child as governor.Siddi Yakut eventually withdrew his forces on June 8, 1690, but before leaving Mazgaon, he burnt and destroyed the fort in a single act of defiance.After the decline of the regional powers, the fort was subsequently used to house prisoners. It was later converted as a Bombay Port Trust godown.
The fort was built primarily for defence, and embellishments are absent. It is bordered by high stone walls, including an inner ring for added protection. It is landlocked on three sides, and sits atop of sheer cliff of about 60 m (197 ft).Today it is in a pitiable state, just like other heritage monuments in Mumbai:(( The plight of these monuments is not solely due to the neglect of the authorities but also due to the indifference of the elite. Since we cannot depend on the authorities, who are always short on money and imagination, it is the people who should take the initiative to preserve these structures.
The Sewri Fort is currently owned by Maharashtra state's Department of Archaeology and Museums. It is classified as a Grade I heritage structure, and efforts are underway under Phase I of Mumbai Fort Circuit Project to restore it.The restoration involves the creation of two zones. Zone I includes the immediate fort area. The crumbling walls are to be repaired, debris cleared off, roofs rebuilt, steps fixed and a garden created in the complex. A museum is also to be constructed. Zone II renovation consists of the surrounding areas that belong to the Mumbai Port Trust. In this, a sea-facing promenade is to be created that links the fort to the waterfront, along with the creation of a landscaped garden, food court, and amphitheater. The total cost for this project estimated in 2008 is Rs. 3.65 crore (US$ 732,000).The strategic location of the fort would also promote ornithology as the area overlooks the Sewree mudflats, that are frequented by migratory birds, particularly the lesser flamingos. Mumbai is never short when it comes to surprises. One of the surprises is the arrival of beautiful flamingos in this highly polluted and crowded metropolis. Currently these flamingos are in the news as plans for the construction of the Sewri-Navi Mumbai bridge are taking shape. Environmentalists are voicing their concerns as they see a total destruction of this habitat.The huge expanse of colorless mud flats in Sewri glow with the arrival of countless pink lesser flamingos. For 6 months this area gets a look of an exotic bird sanctuary. They are coming to Mumbai since the early 90s and stay on these mudflats from October to April/May.
Nearly 10,000 Greater Flamingos and Lesser Flamingos can now be spotted in large groups on the wet and marshy mudflats of Sewri bay.We decided to go on impulse after our Bandra-Worli sealink tour & I drove there on pure memory from our school-trip!‘‘No one knows exactly where the flamingos come from at this time of the year. Some experts feel that the birds fly here from the Rann of Kutch, where they normally breed,’’ Isaac Kehimkar, the spokesperson of Bombay Natural History Society (BNHS), said in a DNA interview.Best time to watch them is between high tide and low tide. A good pair of binoculars, a cap and patience are the only things required to make this visit a memorable experience.
Apart from flamingos, numerous other species including gulls, terns and waders can also be spotted at Sewri. Standing there on the BPT jetty,looking down at the grease stained, rocky beach with plastic bags strewn in all directions, with the heavy rumbling of the Colgate Palmolive factory behind us, we saw a distant line of light pink covering the mudflats, the pink birds eating tiny mussels and walking about like Japanese puppets in the hot sun. I needed a better vantage. Walking away from the jetty I could see the ruined Sewree Fort above so I decided to make a photo-stop at the fort. Looking down at the mud-flats, I could visually imagine the historical sea-battles for supremacy of the Mumbai harbor. I then decided that I would keep my free weekends to explore our heritage in and around Mumbai....
I came back to the jetty at 9:00am & saw serious bird watchers with their equipment. We were given impromptu lessons by an experienced bird-watcher from the UK, who let us take a close-up view with his 30X telescope. Kids, their parents & grand-parents started arriving in droves & we decided to come another day with a foldable table & have breakfast at dawn on the jetty with Flamingos as our guests. Just as we were about to return to our respective cars, we saw this diminutive local, who came in sliding from the mud-flats towards the jetty. He was carrying his catch of fresh live crabs. Twenty crabs took him all of 5 hours in the hot sun. He gave us some education about crab-catching & also tales about the mud-skippers!!!(seen in my photograph).We saw these "skipping" fish all over the mud-flats. Mudskippers are completely amphibious fish, uniquely adapted to intertidal habitats, unlike most fish in such habitats, which survive the retreat of the tide by hiding under wet seaweed or in tidal pools. Mudskippers are quite active when out of water, feeding and interacting with one another, for example to defend their territories.Compared with fully aquatic gobies, these fish present a range of peculiar behavioral and physiological adaptations to an amphibious lifestyle. These include anatomical and behavioral adaptations that allow them to move effectively on land as well as in the water. As their name implies these fish use their fins to move around in a series of skips. They can also flip their muscular body to catapult themselves up to 60 cm into the air. We were amazed by their acrobatics & there were serious fish watchers video-filming these jumps & flips!!!
What an amazing and memorable Sunday morning!
Monday, April 6, 2009
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