Word: specialists
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Which of these or half a dozen other procedures a specialist will call upon depends largely on the reason a patient or couple is infertile. For Anita and Vincent Bielicki, both Chicago police officers, the problem was in Vincent's sperm. Before turning to more elaborate measures, the couple tried several courses of therapy, in which Anita took ovulation-stimulating drugs (a la Bobbi McCaughey) and fertilization was to occur inside the body...
Months after I had given up on fertility treatments, I visited a new gynecologist for a routine exam. When he heard the diagnosis (premature ovarian failure) rendered by a specialist at one of Manhattan's pre-eminent fertility clinics, he scoffed, "You're awfully young for that." I told him my husband Joe and I were launched on an adoption search, but he ignored me. Instead he palpated here, suggested we snip a sample for a biopsy there, then asked, eyes glowing with expectation, "Would you do anything to have a baby?" His confident expression dimmed when I answered firmly...
...hours a day, I did not fantasize the imprint of Joe's and my genes on a small face; my thoughts dwelled on the imprint of a small hand on my cheek. By the time we had sat out the seemingly interminable three-month wait to see a fertility specialist, I was thinking I'd like to adopt. But with Joe not yet ready to consider that option, I proceeded deeper into the fertility labyrinth...
...care has been replaced by the reality that you won't be able to see any doctor at all. At one HMO you can see a nurse-practitioner in a week, but it takes three months to schedule an appointment with a normal, run-of-the-mill doctor. A specialist? Forget it. Major surgery? Yes, if you really, really need it. But they'd rather you not spend the night...
...forces once again, as if some socialist, Swedish-type system were about to land on these shores. It's girding to defeat several pending bills that would correct some marketplace excesses. A provision in one bill would ensure that a woman could have direct access to an obstetrician (a specialist, after all) throughout her pregnancy. Another would allow emergency care anytime a "prudent layperson" would consider it appropriate. Another would remove bonuses for doctors who restrict care...