Pam Madsen's latest blog is compelling.
This patient was angry. No one had counseled her before the IVF procedure about the amount of embryos that would be transferred. No one talked about ASRM guidelines. No one told her what the standard of practice was at the IVF Center. When she was laying down on the transfer table - that was when the doctor told her that he was transferring two of the three embryos.
Shades of my former life as a case manager -- it appears, at least in this instance, that we now need fertility case managers who can do some professional on-site hand-holding.
The next time we're all ranting and raving about the lack of insurance coverage for infertility treatment, let's try to remember this story. In the grand scheme, an individual physician's choices can indeed impact us all, one patient at a time, far more than whether or not every single person who wants to access infertility treatment can afford to do so.
Advocates must often wear many hats to get the job done. They're also human. We're all working with limited time, energy, and resources, so prioritization of our efforts is key. Otherwise, we're just spinning wheels instead of plates.