Greetings from the mile high city where I have yet to sleep past 5 am since I remain on East Coast time. All the zombies have left town and only the attendees of the ASRM remain...some of whom do ressemble zombies although better dressed.
Yesterday I attended a course on the role of mental health professionals in IVF and in particular in 3 rd party reproduction. Well it was certainly an eye-opener. Although I have had some unusual requests over the years (most commonly a woman who wants to use her adult daughter with husband #1 to be an egg donor for her and husband #2) these paled in comparison to some of the absolutely nutty cases that I was hearing about. The one that sticks in my mind was fhe couple in their 70s who wanted to use 2 gestational carriers simultaneously with multiple embryos transferred from egg donors to be able to have 4 children simultaneously! Honestly, you just couldn't make stuff like this up because no one would ever believe you....
This type of reproductive gymnastics can lead to the ultimate question of "just because you can do something doesn't mean that you should do it." We discussed whether gestational carrier on demand was reasonable to offer given that many ob gyns now will offer cesarean section on demand. One case involved a female professional who planned on using her niece as a gestational carrier because "I really like being a size 4." Good grief. Makes me glad that in general practicing in Virginia usually shields me from some of this nuttiness.
Well tomorrow we have 4 presentations on Natural Cycle IVF and then it will be off to the airport so I can wing my way home. I appreciate the understanding of my patients and my family for my absence over these past 5 days. Back to work soon enough!
TTFN
lundi 25 octobre 2010
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