SCOPED helps patients make better decisions

(Friday, July 11, 2014) Making decisions when you are ill is hard. Patients are often confused - and the overload of poor quality information on the internet just makes a bad situation worse. Doctors are often not very helpful, because they can be quite d...

The 2014 budget and the Indian healthcare industry

(Saterday, July 12, 2014) The healthcare industry was very hopeful that the 2014 budget would provide lots of incentives for health care service providers. There was a lot of buzz that the government would place a lot of stress on education and...

IVF process versus outcome

(Monday, July 14, 2014) The outcome of an IVF cycle is always uncertain . When a cycle fails, the patient is never sure whether the failure was because the right process was not followed, or because of plain bad luck or an intrinsic biological problem (...

Fee for service results in overdoctoring

(Monday, July 14, 2014) " The financial incentives for doctors are wrong. Sometimes a doctor should be rewarded for not intervening !" http://www.ehfg.org/839.html If we pay surgeons for doing surgery, then why are we surprised that they respond rationally to these ec...

IVF over testing in the futile quest for certainty

(Monday, July 14, 2014) When I review the medical records of patients who have done IVF in other clinics, I'm quite amazed by the amount of testing which they've undergone. A lot of these tests are extremely expensive and many are exotic; of un...

Tandem IVF for older women

(Saterday, June 14, 2014) One of the newer options we can now offer older women is Tandem IVF – a unique combination of fresh IVF with their own eggs, along with frozen donor eggs as a backup plan in the same cycle. This allows them the flexibility...

Low cost IVF treatment in developing countries

(Friday, July 18, 2014) "The unmet need in developing countries is higher still. That is partly because people have less money, but also because infertility is more common. Genital mutilation, unsafe abortion and poorly attended births cause infections that leave...

Is your doctor referring you to the best IVF clinic ?

(Wednesday, May 28, 2014) When patients find they need IVF Treatment, they expect that their doctor will refer them to the best possible IVF specialist, to maximize their chances of having a baby. This is why they ask their family physician or gynecologi...

Gynecologists, infertility and TB

(Thursday, May 29, 2014) Indian gynecologists seem to be extremely fond of making a diagnosis of genital TB at the drop of a hat! I saw an interesting patient today. She was completely confused, because she had been to many gynecologists, each of whom ha...

Why hysteroscopy before IVF is not a good idea

(Friday, May 30, 2014) Lots of IVF clinics routinely do a hysteroscopy prior to doing IVF. They justify this because they say it's important to have a normal uterine cavity in which to transfer the embryos, and that a hysteroscopy is the best techniq...