The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Wednesday, March 16, 2011
What is a Golf Ball Worth?
The ball was in the pond on Hole 16 at Oak Crest Golf Club in Norway, Michigan. It was a brand new Titlelist with the Verso logo on it and he didn't want to loose it or take the two stroke penalty as he was already behind in points!!!
NEVER PUT YOUR ARM IN THE WATER TO RETRIEVE A GOLF BALL!!!!!!!!!!!
Tuesday, March 15, 2011
Do Dogs go to Heaven?
Do Dogs go to Heaven? Hysterical! Absolutely unreal that this actually happened! These two churches face each other across a busy street
Monday, March 14, 2011
World's most expensive dog: Tibetan Mastiff sold for $1.5 million
A male Tibetan Mastiff puppy has created a stir in the dog breeding world and gained the title of the world's most expensive dog after being sold in China for a record 10 million yuan ($1.5 million).
The 11-month-old Tibetan Mastiff male puppy named 'Big Splash' and 'Hong Dong' is red in color, a rarity in the breed. He was purchased by a Chinese coal baron who will reportedly use him for breeding, earning as much as $100,000 yuan in stud fees for each female bred to the pricey pooch.
Big Splash took the coveted title of most expensive dog from another Tibetan Mastiff pup that was sold last year for $600,000, as reported by Digital Journal.
"The Tibetan Mastiff, also known as Do-khyi , meaning 'home guard' has been used for centuries to guard herds of domesticated farm animals, villages, monasteries, palaces and private homes," according to Wikipedia. The males can grow to heights of 31 inches tall and can weigh as much as 275lbs.
The dog is considered a primitive breed with a temperament that can vary from one dog to another. They are considered to be both 'noble and impressive animals', said the AKC.
"According to legend, both Genghis Khan and Buddha had them, and they are known to be great guard dogs. They are rarely found outside Tibet and China, making them an especially exclusive breed. In China, they are considered a state protected animal, and there are reportedly just 15,000 in the country, most belonging to the wealthy," reports Yahoo's The Week.
Sunday, March 13, 2011
Saturday, March 12, 2011
'Three-parent' mitochondrial IVF technique to be assessed
Scientists have been invited to advise whether the new "three-parent IVF" procedure should be approved to help couples affected by devastating conditions.
An expert panel from the Human Fertilisation and Embryology Authority (HFEA) will consider its safety and effectiveness before reporting to Health Secretary, UK Andrew Lansley.
The technique could help couples have healthy children even if they are affected by mitochondrial diseases.
At present, babies born with one of the rare diseases can suffer fatal liver, heart and neurological disorders.
Mitochondria are located in every human cell and act as "power houses" to provide the energy for cells to function.
Mitochondrial DNA is not present in the nucleus of a fertilised egg, meaning scientists could extract the nucleus and place it into another egg from a donor.
The resulting embryo would have almost 100 per cent inherited genetic material from its mother and father.
Alison Murdoch, head of the department of reproductive medicine at Newcastle University, which has developed the technique, said: "We are not ready to do this in patients now but the science is progressing very rapidly and we need to get Parliament to discuss this again now.
"We anticipate that the process of review could take about a year so we are asking for this process to start now.
"Of course there is no guarantee that we will have all the evidence we need to secure a licence in a year but we need to anticipate that we may have and prepare accordingly.
"We recognise this process is necessary and will co-operate fully.
"As doctors we have a duty to treat disease and where possible to prevent disease. With diseases for which there are no treatments the imperative to develop new treatments is even greater.
"Of course no treatment is ever risk free and if there are risks we will need to quantify these so that doctors can discuss the relative risks and benefits with patients and their families."
A spokesman for the Department of Health said: "We have asked the Human Fertilisation and Embryology Authority to co-ordinate an expert group to assess the effectiveness and safety of a new technique to treat mitochondrial disease.
"This is in response to a request from researchers asking the Department of Health to make new regulations under the Human Fertilisation and Embryology Act to allow this treatment.
"This treatment is not currently possible under current legislation.
"We welcome scientific innovation and this group will investigate the safety of this technique reporting back to us.
"When the group reports back, and based on the evidence available, we can decide whether it is the right time to consider making these regulations."
Friday, March 11, 2011
How the inventor of the pill changed the world for women
Among certain people – Catholics, moralists, social conservatives – the urge to make Carl Djerassi regret his invention seems to be overpowering. He brought us the pill. The more you think about it, the more crucial it has been to the world as we now know it. We used to talk about it as the facilitator of promiscuity, the chemical agent behind sexual liberation. That's just the warm-up act. The rest is monumental: women taking on professional identities, waiting longer to become mothers, ageing populations, smaller families – every stamp of the household of the developed world can be traced back to this discovery. Furthermore, every new direction of the fertility industry – which, after the postponement of death, is the major focus of medical enquiry – can be attributed to this breakthrough. No one would be researching egg storage or ICSI (fertilising an egg with a single implanted sperm) or IVF if it weren't for this discovery.
"For the last 50 years, the leitmotif was contraception. The present 50 years, it's conception," says Djerassi, 88, as though it's the simplest leap in the world, which in a sense it is. Medicine follows the money – once people knew how not to conceive, the issue became how to conceive. It wasn't just ageing parity – women waiting until their mid-30s to have a child – that forced the change. The smaller, deliberated families of the developed world, post-pill, lent cultural credence to the idea of a child as a right and a necessity.
But besides the technology, it is also a conceptual leap larger than the fall of communism, larger than the advances in communication that we hold so vital. Women were hitherto enslaved by biology; and suddenly we weren't. To be in the presence of Djerassi, emeritus professor of chemistry at Stanford University, is so momentous that I fancy at one point I've gone a bit deaf in one ear.
And yet precisely because the world has changed so much, hinged on one discovery, what you want to know is: has he any regrets? Knowing how much can be attributed to his work, at 26 years old, 60 years ago, is there nothing he would change? "To me, the greatest disadvantage is what it has done in the 80s, 90s, perhaps not so much recently: modern, intelligent men won't take responsibility, wouldn't even use condoms. They shrugged and said: 'All women are now on the pill, I don't need to bother.' This has become another woman's burden."
How burdensome is it, though? He wonders, would women believe a man, if he said he'd taken the pill? That's a moot point, since this hassle has now ossified into a fact of life. "Of the 20 largest pharmaceutical companies in the world, not one is working on male contraception. They wouldn't touch it with a 10ft pole. The first question a man would ask is: would it affect my potency? There have been clinical trials – it has no effect on potency. The second question is erection. The third one is prostate cancer. There would be questions we would not be able to answer. Medicine is mainly geared towards geriatric concerns, Alzheimer's, cancer, anti-inflammatories, and people there are not concerned about side effects. No cancer patient has ever sued for vomiting during chemotherapy or losing their hair. But if you lost your hair because of your oral contraceptive, male or female, I can assure you that there would be lawsuits."
This is where we are (literally, not culturally): Austria-born Djerassi has a flat in London. It's beautiful: the corridors and landings could hold a diplomatic reception. The flat itself is laden with art (he is the largest private collector of Paul Klee in the world – those are at his San Francisco estate). The bookshelves are full of Frankfurt School Marxists and science giants. He is a theoretically impossible person: entirely erudite, and nevertheless still concerned about whether or not people can have sex without negative consequence.
"How many acts of sexual intercourse would you guess occur every 24 hours?" he asks. "I often do this with my students, and they say a billion. I say: 'No, no, no, you're dreaming. There are six billion people. Well, you need two for sexual intercourse, so there are only three billion. And some of them are five years old, so they're out.' So then they say a million. Well, now you're underestimating, because you're sitting here and you're not having sex. It's actually 100m, every 24 hours. And they produce about a million conceptions, about half of which are unexpected. Of the 500,000, half of them are unwanted. As a result, every 24 hours, 150,000 abortions occur; of these, over 50,000 are illegal." He doesn't labour the point; rather, leaves a moment for it to sink in, how much squalor and danger still surrounds unwanted pregnancy, even so long after its means of prevention should be universal.
Naturally, though, there are countries such as the UK and the US that have moved on, where the pressing issue is conception. He is droll on the subject of egg freezing and casts himself as a 20-year-old woman: "So, I am a young woman, I collect my eggs – I haven't the foggiest idea yet whether I want children, I have not yet met the man with whom I would like to have children, I do not know yet whether I want to be a single mother, I have not made up my mind yet but I have it in the bank. Men could do this, but men don't do this unless they have testicular cancer, because we produce sperm all the time."
Ultimately, while he admits to some slight reservation about sex selection, he is clear, in his creative writing (taken up over the past 20 years), in his lectures, in everything he does: sex and reproduction have been severed. This is the future – you freeze your material, then get yourself sterilised. It looks a little bald written down. But when you think about it, you want to stand up and cheer.
Zoe Williams,The Guardian,UK
Thursday, March 10, 2011
Diet Plan With Hormone Has Fans and Skeptics
Every morning, Kay Brown engages in a ritual similar to a heroin addict’s, or a diabetic’s: she sticks herself with a syringe. Only hers contains hCG, a pregnancy hormone.
Ms. Brown, 35, is not taking hCG to help her bear a child. She believes that by combining the hormone injections with a 500-calorie-a-day diet, she will achieve a kind of weight-loss nirvana: losing fat in all the right places without feeling tired or hungry. “I had a friend who did it before her wedding,” Ms. Brown said. “She looks great.”
Women like Ms. Brown are streaming into doctors’ offices and weight-loss clinics all over the country, paying upward of $1,000 a month for a consultation, a supply of the hormone and the syringes needed to deliver it. More than 50 years after a doctor at a Roman clinic began promoting hCG as a dieting aid, it is as popular as ever, even though there is scant evidence that it makes any difference.
The regimen combines daily injections with a near-starvation diet, and patients, mostly women, are often enticed by promises that they can lose about a pound a day without feeling hungry. Perhaps even more seductively, they are frequently told that the hCG will prompt their bodies to carry away and metabolize fat that has been stored where they least want it — in their upper arms, bellies and thighs.
In response to inquiries stirred up by the diet’s popularity, the Food and Drug Administration warned in January that “homeopathic” forms of hCG, like lozenges and sprays, sold over the Internet and in some health food stores, are fraudulent and illegal if they claim weight-loss powers.
The injectable, prescription form of hCG, human chorionic gonadotropin, is approved as a treatment for infertility and other uses, and it is legal for doctors to prescribe it “off-label” for weight loss.
But the F.D.A. has also reiterated a warning, first issued in the mid-1970s, that is required on hCG packaging: It has not been shown to increase weight loss, to cause a more “attractive” distribution of fat or to “decrease hunger and discomfort” from low-calorie diets.
The F.D.A. recently received a report of a patient on the hCG diet who had a pulmonary embolism, said Christopher Kelly, a spokesman for the agency. He said the hormone carried risks of blood clots, depression, headaches and breast tenderness or enlargement.
Dr. Pieter Cohen, an assistant professor at Harvard medical school who researches weight-loss supplements, said that aside from the issue of side effects, the use of hCG as a diet tool was “manipulating people to give them the sense that they’re receiving something that’s powerful and potent and effective, and in fact they’re receiving something that’s nothing better than a placebo.”
But unlike other popular diet supplements, hCG, which is derived from the urine of pregnant women, has acquired an aura of respectability because the injections are available only by prescription.
Ms. Brown’s physician, Lionel Bissoon, a well-known society doctor with an office off Central Park West, charges $1,150 for his hCG program, which covers an examination, injection training, a month’s supply of the hormone and syringes, and blood work to monitor for possible trouble.
“From an anecdotal point of view,” Dr. Bissoon said, “physicians all around the country have seen people losing a tremendous amount of weight with this stuff, and you cannot afford to ignore that.”
Another New York doctor, Scott M. Blyer, offers the hCG diet as an adjunct to his cosmetic surgery practice, working with Jacqueline Fulop-Goodling, an orthodontist, out of her office in Midtown. Dr. Fulop-Goodling does not prescribe hCG, but she counsels patients. They charge $800 for a 40-day course of therapy, half-price for repeat rounds; they also require an EKG to make sure the patient has no heart trouble.
One of Dr. Blyer’s patients, a 30-year-old business consultant named May, who asked that her last name not be used because she was embarrassed to be considering the diet, described herself as an “emotional eater.” She is 5-foot-3 and 130 pounds, but said she hoped to shed 20 pounds in time to be a bridesmaid at an April wedding. “So I have just six weeks,” she said.
Dr. Blyer looked uneasy. “Your legs are thin, your face is thin,” he told her. “You’re a very attractive woman.” But he reassured her that she would lose weight where she wanted to, in her stomach. The hCG, Dr. Blyer said, “tricks your body into a state of pregnancy; it burns off fat so the fetus can get enough calories, but it protects muscle.”
May eventually decided that she did not need to lose much weight and did not go through with the diet.
Dr. Blyer’s explanation of how the hCG diet works resembles a theory first popularized in the 1950s by A. T. W. Simeons, a doctor in Rome who said he had used it on more than 500 patients, and published a paper about it in The Lancet, the British medical journal, in 1954.
In 1995, a Dutch study in The British Journal of Clinical Pharmacology tried to resolve the question of whether the hCG diet really worked by analyzing 14 randomized clinical trials of the diet. Only two, including one co-written by an advocate of the diet, found that people on hCG lost more weight, felt less hunger and had an improved body shape, compared with people on the same 500-calorie diet who received a placebo, like saline injections.
But several studies concluded that the ritual of the daily injection and the instant gratification of quick weight loss helped motivate people to stay on the diet.
However arcane the theory, some doctors say it is theoretically plausible that hCG would create a more toned body, because it can induce the production of male hormones and increase muscle mass.
“There’s a reason Manny Ramirez took it,” said Dr. Martin Keltz, director of the division of reproductive endocrinology and infertility at St. Lukes-Roosevelt Hospital Center in Manhattan. Mr. Ramirez, the baseball star, was suspended for 50 games in 2009 after evidence surfaced that he had used hCG, which is banned by Major League Baseball.
Dr. Keltz said he thought it was possible to redistribute fat with hCG, but, he added, “there are risks, like cardiovascular risks.”
“I would shy away from them,” he continued.
Then there are the nutritional concerns about a diet that some say mimics anorexia. “The average person is going to eat 1,800 to 3,000 calories,” said Kristen Smith, a bariatric surgery dietitian at Montefiore Medical Center.
“I don’t think it promotes healthy long-term eating habits,” she added.
Doctors who prescribe hCG for dieting say that experience is in their favor, even if the research is not. They point to women like Guldal Caba, a 53-year-old psychologist from Toledo, Ohio, who traveled to New York for treatment from Dr. Bissoon. “It was the fat that needed to go — you know behind my bra, that back fat, my belly,” Dr. Caba said.
Ms. Brown, a theater administrator who is 5-foot-8, said she was thrilled to lose six pounds in seven days, and hopeful about reaching her goal of losing 30, which would bring her close to her ideal weight of 135. She said she did not feel hungry and did not obsess about food as she had years ago, when suffering from anorexia.
“A lot of people have a lot of opinions,” Ms. Brown said, “but I don’t want to be a person who feels like my weight is not under my control.”
By ANEMONA HARTOCOLLIS
Published: March 7, 2011
The New York Times
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