17 Burst results for "Philip Fast"
WTOP
"philip fast" Discussed on WTOP
"Free estimate today It's one ten a man was arrested after making threats at barricading himself inside his apartment in northwest D.C. on Sunday We say it happened just before 1 o'clock in the 2300 block of 41st street in the Glover park neighborhood D.C. department of behavioral health was conducting a welfare check on a 22 year old man when he threatened his parents and units on the scene He proceeded to make bomb threats prompting police to evacuate that apartment building at others surrounding it The man refused to leave the apartment police say the situation ended around 5 30 when the man was arrested and police say no one was injured Where will the Washington commanders call home a vote is delayed in Richmond on bill's meant to bring the team to the Commonwealth Bills that would establish a stadium authority are being put off in the General Assembly special session Senator Jeremy mcpike of Prince William county says lawmakers have questions and concerns I think the temperature is cooled a little bit I think there's a lot of questions still around transportation no matter the site and the transportation and traffic is one of the keys that are going to drive the discussion Just two weeks ago documents leaked showing plans for a possible new stadium complex in woodbridge but senator mcpike says he won't vote for the stadium authority bill unless it includes extraordinary investments and transportation improvements Particularly on WTO P news It's one 12 Maryland popular parks Philip fast in the summer and people are turned away when the parking lots reach capacity but a new state law going into effect this summer aims to ease that problem State delegate and House majority leader Eric lutke sponsored the Maryland great outdoors act to create more access at more parks It's going to take time to build the new parks we need which will help reduce overcrowding but we're on the right path Lutke a Democrat has a goal to get to all the states parks It's one shared by Republican lieutenant governor Boyd Rutherford My number now is 64 or 65 parts that I visited The lieutenant governor may actually be ahead of me now Maryland state park superintendent need a catena looks forward to expanding the park system Does she have a current favorite That's sort of like asking me who my favorite child is It's really hard to choose one But if I had to I would go with swallow falls state park Kate Ryan WTO P news After over half a century the Theodore Roosevelt bridge.
WTOP
"philip fast" Discussed on WTOP
"Will have rapid antigen test available at our firehouses the same way that we did the day after Christmas to make that available So that is a change in our schedule And if your test is positive don't wait remove yourself from that situation And start your isolation process Melissa Howell WTP news Four 42 the climbing COVID number includes more and more children but getting to see the pediatrician is becoming a pretty tough order At an apple as pediatrics appointments Philip fast Not burdened of illness of really sick kids It's just volume of illness Doctor Katie Edwards is the medical director of the practice which has 5 offices in Maryland In the past parents wouldn't get too concerned about a kid showing symptoms of a cold but now People just want to know right This is this virus that has so many implications So positivity rate at children's national hospital right now 48% The very small minority of those patients actually end up being hospitalized Doctor anisha Abraham is a pediatrician and acting chief of adolescent medicine For those kids that are vaccinated we continue to see that they're having milder cases They're not being hospitalized We're also seeing that more kids that are younger They under the age of 5 are the ones that are hospitalized John Doe in WTO P news American university will go virtual to start spring semester on January 10th university officials say they expect in person classes to resume on January 31st officials are strongly recommending all students staff and faculty get tested at least 48 hours before that return to campus Georgetown university is also choosing to start spring semester online.
WTOP
"philip fast" Discussed on WTOP
"Remove yourself from that situation And start your isolation process Melissa how WTO penis The climbing COVID numbers include more and more kids but getting in to see the pediatrician could be a pretty difficult chore these days At an apple as pediatrics appointments Philip fast It's not burdened of illness of really sick kids It's just volume of illness Doctor Katie Edwards is the medical director of the practice which has 5 offices in Maryland In the past parents wouldn't get too concerned about a kid showing symptoms of a cold but now People just want to know right This is this virus that has so many implications The positivity rate at children's national hospital right now 48% The very small minority of those patients actually end up being hospitalized Doctor anisha Abraham's a pediatrician and acting chief of adolescent medicine For those kids that are vaccinated we continue to see that they're having milder cases They're not being hospitalized We're also seeing that more kids that are younger say under the age of 5 are the ones that are hospitalized John Doe and WTO P news American university will go virtual to start spring semester on January 10th university officials expect in person classes to resurrect resume I should say on January 31st officials also strongly recommending students staff and faculty get tested at least 48 hours before returning to campus Georgetown university also tries to start spring semester online They will be virtual through the end of the month as well University says students have the option to return to residents halls beginning January 11th but anyone who does come back on campus has to be tested first about university announcing they'll start spring semester online for at least two weeks when students and staffers do come back everyone will have to be boosted or have a negative test result and everyone will need to wear masks indoor Two 32 43 I should say food and fitness go hand in hand and that is why the Washington football team is giving loudon county schools a $10,000 grant to promote both the donation is meant to fund more breakfast options at four county high schools is all part of the American dairy association's northeast fuel up to play program the NFL kicks in ten grand for school districts per club Just ahead of cap's winner a big Maryland football winner and more Straight ahead with rob wood fork It is two 43 Who is that again I don't know that number Please hold for a very important question You can skip robocalls but don't skip your well visits and recommended vaccines They help protect you So ask your doctor at pharmacist about any recommended.
WTOP
"philip fast" Discussed on WTOP
"Will have rapid antigen test available at our firehouses the same way that we did the day after Christmas to make that available So that is a change in our schedule And if your test is positive don't wait remove yourself from that situation And start your isolation process Melissa Howell WTP news The climbing COVID numbers include more and more kids but getting in to see the pediatrician or the family doctor may be a tough order At an apple's pediatrics appointments Philip fast Not burden of illness of really sick kids It's just volume of illness Doctor Katie Edwards is the medical director of the practice which has 5 offices in Maryland In the past parents wouldn't get too concerned about a kid showing symptoms of a cold but now People just want to know right This is this virus that has so many implications The positivity rate at children's national hospital right now 48% The very small minority of those patients actually end up being hospitalized Doctor anisha Abraham is a pediatrician and acting chief of adolescent medicine For those kids that are vaccinated we continue to see that they're having milder cases They're not being hospitalized We're also seeing that more kids that are younger say under the age of 5 but the ones that are hospitalized John doeman It's 1242 American university will go virtual to start spring semester on January 10th university officials say they expect in person classes to resume January 31st they're also working to make arrangements for some science labs and art courses with unique in person requirements The student technology task force can assist students without computers Internet access or other techniques to get online for classes officials also strongly recommending all students staff and faculty get tested at least 48 hours before returning to campus Georgetown university also choosing to start spring semester online they will be virtual through January 30th the university says the student has options to return to the residence halls beginning January 11th but anyone who does come back will need to get tested first earlier on Wednesday marymount university announced that they'd be starting spring semester online for at least two weeks when students and staffers do come back everyone will have to be boosted have a negative test result and everyone's going to need to wear masks indoors Food and fitness go hand in hand and that's why the Washington football game team is giving loudon county schools $10,000 in a grant to promote both The donation is meant to fund more breakfast options at four county high schools it's part of the American dairy association northeast fuel up to play program the NFL kicks in ten grand for school districts per club per club market Just ahead in sports the cap's big winners a big Maryland football winner and more with rob's woodfork next is 1244 Think about your mother Your sister Your girlfriend One in 6 women is a victim of sexual assault Now think about your father.
WTOP
"philip fast" Discussed on WTOP
"Local hospitals including no vint health which operates hospitals and manassas and haymarket are issuing a similar plea on social media Gigi Barnett W TOP news As local COVID cases climb more kids are coming down with it but getting kids into the doctor's office might be tough At an apple as pediatrics appointments Philip fast It's not burdened of illness of really sick kids It's just volume of illness Doctor Katie Edwards is the medical director of the practice which has 5 offices in Maryland In the past parents wouldn't get too concerned about a kid showing symptoms of a cold but now people just want to know right This is this virus that has so many implications The positivity rate at children's national hospital right now 48% The very small minority of those patients actually end up being hospitalized Doctor anisha Abraham is a pediatrician and acting chief of adolescent medicine For those kids that are vaccinated we continue to see that they're having milder cases They're not being hospitalized We're also seeing that more kids that are younger say under the age of 5 but the ones that are hospitalized John doeman news Food and fitness go hand in hand and that's why the Washington football team is giving loudon county schools $10,000 in grant money to promote both The donation is meant to fund more breakfast options at four county high schools It's all part of the American dairy association's northeast fuel up to play program the NFL kicks in ten grand for school districts per club market With President Biden wrapping up his first year in office correspondent Stephen portnoy takes a look back On the platform where two weeks earlier rioters swarmed Joe Biden urged unity We must end this uncivil war The new president went about undoing the policies of his.
Beat Infertility
"philip fast" Discussed on Beat Infertility
"I'm supposed to be going back because you know he basically said we're gonna come into a menzies panel because you probably won't get created which of course have not got my period because i don't get periods anymore so Going into that and see what's going on. We're doing another new protocol this time. Which is using estrogen. pass priming which. I'm so much happier with. Because i really feel like we really not giving ourselves a good shot by using that birth control priming Two times the goal. This time is to go back go tomorrow. See where i'm at and then try to figure out when my l. h. search is going to be an start. The estrogen patch after that point. And then i guess we would start stems about a week later. And this time i think i'm back on the four fifty of gone all in one. Fifty of men appear every day. But without the loop ron and then later on once we start seeing some developed us start with cetera tied and continued that until trigger. And then stuart retrieval on and right now the plainest do another fresh transfer at day. Five if we get an embryo and freeze any others without doing pta. That would be our second transfer at that point and hopefully it works. Hopefully we get to go to retrieval. The time i guess that's where we're at right now. Hey infertility warrior. It's heather this episode of beat. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make decisions an advocate for myself as a result of took five years. Seventy five thousand dollars. three retrievals. Seven embryo transfers four miscarriages and two stillbirths. Before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people. Like you. Make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your ability. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open. And they generally philip fast so this is the help you need reach out today. Tell me your story and learn more about how i can support you. During your infertility journey at beat infertility dot o. slash hope now back to the show. I'm curious why do not want to do. Pg ta on your embryos. You mean because. I had a miscarriage. Well so this is my thought process. You know the way that they charge for. Pg ta is if you test one embryo or you. Test like eight embryos. You're paying the same price. There's a couple of contributing factors in my decision. I should say our decision because even on the most informed one of us. My husband i are. We winter a lot of conversations about this because he was kind of more like we should test because he doesn't want to have to deal with the miscarriage again and he doesn't want to have to continue going through these kinds of things while he looks on. So there's contributing factors number one again. I'm about to turn thirty eight and i. it's not necessarily exceptionally likely that. I'm gonna have higher level of abnormal embryos just because of miami. Although i do understand that once your animation gets below like wait for it it can also indicate quality issues. Because you know you're kind of scraping the bottom of the barrel as they say for eggs and not good ones have mostly gone by then but hey we got a good one with our son so seems like it might be okay but because of the way that our insurance coverage works we get three covered transfers so our strategy at this point is to a retrieval dua five-day fresh of what we think is the best and freeze any others. If that transfer doesn't work. Or if i have another miscarriage at that point we will do another retrievable or two or three or however many. My doctor allows us to do up to a certain point on. I mean there is a limit here of time and effort. In many times i would like to do retrievals but i think i would. At least be willing to do to moore retrievals and we would then batch the embrose and then we would unfreeze them. And by the aw incentive for pg t before we do arthur transfer because once we do the third transfer get no more coverage until we do their transfer. We can do retrieval round after a around until we hit our max of one hundred thousand dollars of coverage before we want to do the third transfer we would want to make sure that that was a normal embryo and so that is our strategy but another contributing factor for me for the pg ta especially for the first round. Because we're only getting one. Maybe one egg is what we thought. Mike clinic does not do those. Aic transfers at all and i think that there's some potential with mosaic embryos. I understand why they don't do it. And i understand that it's new the guidance on embryos is not consistent in has been changing. But don't do it there. And in fact i have another friend. Who's going to the same clinic. And i think my impression from her results. She's done a few rounds. Gotten all normal is that they don't tell you. I don't think they even tell you if it's mosaic versus abnormal or. The degree of zeta schism. Go very vocal about getting Reports which she has gotten her reports now that it would be very vocal about getting reports and very very vocal about not destroying his embryos. Until you have one hundred percent looked at them. Because even when i spoke to the genetic counselor at my mfm she you know. And i talked about this question and whether we should do pt before we do another transfer we talked about about. This and i think there is a gray area. There related to Mike clinic does not recognize that. Currently i mean maybe they will in the future but right now they so our thought is. Let's do one more fresh and hope for the best. And if that doesn't work then we're going to do some embryo. Banking or batching and then unfreeze get them tested and then rephrase them and i actually did. Speak to my. I mean i've told my doctor. This is what i want to do. And he hasn't objected. So i guess he's okay with it but my talk to the financial counselor to at our clinic and she did explain that that is something that they do. They're and not happens particularly in situations like mine. Where only getting one embryo. United time and you know. We have limited time to be waiting for the results to come back. So that's our thought process in our strategy. Speaking of insurance we are going to have you back on with your broker. But i'd like to talk to you in this episode about your insurance situation because it is fascinating and something. I did not know which is kind of hard to find these days. Because i've been doing this for so long. Tell us about your insurance. Yeah which i know. Listen to a lot of year episodes. Other so i which is why. Reach out the insurance. Because i live in maryland like you and in maryland there is a mandate for fertility coverage. And it has actually existed for a long time. I think since maybe late eighties early nineties. It's been around for decades even back in twenty eighteen. Actually i guess it was twenty seventeen when my husband and i are trying to get pregnant. Whatever i had bought independent coverage through a broker which through maryland exchange now.
Beat Infertility
"philip fast" Discussed on Beat Infertility
"Who at this newclimate protocol was totally totally different. The doctor swap men appear for logos h. cg she increase the dosage. And the time. That i was using a she h. She kept the folles down but she removed electrodes. Aw she split the doses up between the morning at night so identified the full amount of the medicine at once and she added baby aspirin. When we trigger we trigger with both lukman a h c g. She did that because my estrogen got pretty high so she on wants to revolt since we rejoin at press transfer and we use indoor matron tablets. Imperio shots after everything was over. We also use designed chip which is a sprinter. I i heard that when i was browsing posts on your app So again really helpful to be involved with the app in with these podcasts. We twenty plus vocals. Like i've always gotten we let Mature about summer eight fertilize. We had one or quality that we froze on day. Five before i finish up the story. What i found helpful is to write down what i would do on day. Five in different case scenario so that i don't have to think on table in. That's what i did. I wrote down beforehand. Okay we have any to freeze less freeze those america quality. If we have any that won't be frozen luscious transfer to our brianna so on the table the ra said we're gonna chance for the best quality one. And i said no less. Freeze that one. There are three others that were rolling on five by. They weren't good enough to freeze so they would have been discarded in Transfer those three issue happens. Minority said okay just understand the risk for multiples in has been That's fine so we transferred those three. That weren't gonna be frozen and we now have our baby sign cameron only once and he is happy and healthy. That's our journey. Hey infertility warrior if heather this episode of beaten infertility is brought to you by me in addition to hosting this podcast. I'm an infertility coach. Who supports warriors just like you regular listeners. Know that i struggled during my journey to make the decisions and advocate for myself as a result of took five years. Seventy five thousand dollars. Three agra triples seven embryo transfers four miscarriages an two stillbirths before finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people. Like you. Make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people blake you become an active member of your facility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open and generally philip fast so this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat infertility dot co.
This Week in Tech
"philip fast" Discussed on This Week in Tech
"You <Speech_Male> know it's always been the same <Speech_Male> but we should have <Speech_Male> changed our business model faster <Speech_Male> and more for you. <Speech_Male> We don't <Speech_Male> change. We <Speech_Male> should change it <Speech_Music_Male> <SpeakerChange> <Speech_Male> <Speech_Male> all right whatever. <Speech_Male> Whatever <Speech_Male> protocol dot <Speech_Male> com sign up for the <Speech_Male> newsletters. <Speech_Male> Thank you. it's great to <Speech_Male> have you always a pleasure <Speech_Male> to see you someday. <Speech_Male> We'll have all <Speech_Male> all three of you. <Speech_Male> Well are in the <Speech_Male> bay area sort <Speech_Male> of could <Speech_Male> have had this in studio <Speech_Male> but no <Speech_Male> darn co <Speech_Male> vid. <Speech_Male> Maybe someday <Speech_Male> <SpeakerChange> we <Speech_Male> will. <Speech_Male> I can say to that <Speech_Male> is couldn't tosh <Speech_Music_Male> coutanche. <Speech_Music_Male> <Speech_Male> It's <Speech_Male> a piemontese <Speech_Male> vulgarism. <Speech_Male> That means <SpeakerChange> while <Speech_Male> or something. <Speech_Music_Male> <Speech_Music_Male> <SpeakerChange> <Speech_Male> <Speech_Male> We do this week <Speech_Male> in tech every <Speech_Male> sunday afternoon. <Speech_Male> Two thirty pacific <Speech_Male> <Speech_Male> Twenty one thirty. Ut <Speech_Male> five <Speech_Male> thirty eastern time. <Speech_Male> I mentioned those <Speech_Male> times because you can watch <Speech_Male> us to live <Speech_Male> Tune in early. <Speech_Male> Because you wanna get the conversation <Speech_Male> before and after <Speech_Male> twit dot tv <Speech_Male> slash live has a live <Speech_Male> audio and video stream <Speech_Male> for you. If <Speech_Male> you're watching live chat <Speech_Male> live at irc <Speech_Male> dot twit dot. Tv <Speech_Male> course club <Speech_Male> members can also chat <Speech_Male> live in the discord. <Speech_Male> We have on demand <Speech_Male> versions of the show <Speech_Male> available at our website <Speech_Male> twit dot tv. <Speech_Male> There's <Speech_Male> a twit dot. <Speech_Male> Tv has a rather <Speech_Male> Twits show <Speech_Male> has a <Speech_Male> youtube channel dedicated <Speech_Male> to it so you can <Speech_Male> go there. You <Speech_Male> can also subscribe <Speech_Male> your favorite podcast <Speech_Male> audio and video available <Speech_Male> for <Speech_Music_Male> podcast clients <Speech_Male> if your podcast <Speech_Male> client <Speech_Male> supports reviews. Please <Speech_Male> leave us a five <Speech_Male> star review. <Speech_Male> Share your love. <Speech_Male> Let the world <Speech_Male> know about <Speech_Male> this week in tech <Speech_Male> we make <Speech_Male> it for you <Speech_Male> <Speech_Male> What else join <Speech_Male> the club. <Speech_Male> Don't forget the cruise. <Speech_Male> It's filling up fast. <Speech_Male> <Speech_Male> Think we're well over. One hundred <Speech_Male> people cruised <Speech_Male> twit dot tv <Speech_Male> lisa. And i <Speech_Male> paul thoradh <Speech_Male> and his wife <Speech_Male> stephanie. Were all going <Speech_Male> to alaska. <Silence> By the way <Speech_Male> <Speech_Male> i just got the <Speech_Male> list of excursions. <Silence> <Speech_Male> Oh <Speech_Male> my gosh. <Speech_Male> There's so many fun <Speech_Male> excursions <Speech_Male> we're gonna we're going to <Speech_Male> publish a list of the ones were <Speech_Male> signing up for so <Speech_Male> that those of you going <Speech_Male> on the cruise <Speech_Male> can join us if you <Speech_Male> want <Speech_Male> <Speech_Male> There's <Speech_Male> there's helicopter <Speech_Male> the one. I think we're <Speech_Male> gonna do you get to <Speech_Male> mush. Huskies <Speech_Male> i <Speech_Male> did a rod style <Silence> on a glacier. <Speech_Male> <Speech_Male> I think that sounds <Speech_Male> amazing <Speech_Male> <Speech_Male> So many interesting <Speech_Male> excursions find <Speech_Male> more cruised <Speech_Male> twit dot tv. <Speech_Male> We're going to alaska <Speech_Male> next. July's <Speech_Male> you got. <Speech_Male> You might say get a little <Speech_Male> time but you gotta sign up. Because <Speech_Male> he sings. Philip fast <Speech_Male> <Speech_Male> And we would love to love <Speech_Male> to seize going to be a lot of <Speech_Male> fun. Cruised twit <Speech_Male> dot <Speech_Male> tv thanks. Everybody <Speech_Male> we'll see you next <Speech_Male> time. Another <Speech_Male> twit <SpeakerChange> is <Music> in the can bye-bye <Music> <Music> <Advertisement> <Music> <Advertisement> <Music> <Advertisement> <Music> twit <Music> <Music> <Music> <Music> twit twit twit.
Beat Infertility
"philip fast" Discussed on Beat Infertility
"Right now. Hey infertility warrior. It's heather this episode of beat. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make good decisions. An advocate for myself as a result of took five years. Seventy five thousand dollars. Three retrievals seven embryo. Transfers four miscarriages and two stillbirths. Before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people. Like you. Make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your facility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open and generally philip fast so if this is the hell you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat..
Beat Infertility
"philip fast" Discussed on Beat Infertility
"A space for your partners experience and also and also be able to have create that a safe space for your partner and be able to handle some uncomfortable truths to i. Don't think a lot of times we talk about. How part of the growth in evolution of a relationship is to be able to sit in some discomfort of our partners experience. Many times couples. Want to let you know. Make their partner submit to their perspective and their point of view where actually you are both existing in the space between each other and each other's perspectives. So can there be space for both of you. Can there be space for both of your intimacy in your sexuality your world views in the way in which you see has to be a collaborative space where you can sit with each other stuff and know that there is unconditional love on the other side of that. So yes if your partner has to share with you some things that she may not love. There has to be some stretching in that space to get to another side of awareness to troubleshoot it and to be able to come up with solutions that work for your relationship. Hey infertility warrior. It's heather this episode of beat. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make good decisions. An advocate for myself as a result of took five years. Seventy five thousand dollars. Three egg retrievals seven embryo transfers four miscarriages and to still birds before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people lake. You make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for points. Identify opportunities to ask questions and advocate for yourself. I help people like you. Become an active member of your fertility treatment. Team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open. And they generally philip fast. So th this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat infertility dot co slash cope. Now back to the show. What are a few of your tips. That couples can use to co create a more satisfying sexual intimacy. Yeah so one of the tools that they can use his exactly what. I was just talking about while. There's no magic pill. There is a lot to be gained from doing this amazing work. It really is about you. Co create space for your sexual live together. I looking within yourself understanding. What's getting in the way of you being able to have the desire the love the passion the romance that you would like in your relationship being able to bring that to your partner in a way that is not blaming shaming but in in space empathy openness compassion curiosity really. Try to understand investigate. Hey we may have lost our way sexually. We may have lost that part of us trying to conceive in dealing with the stresses of work in dealing with our family and our friends in all of the fires that we've had to put out in our life we've sacrificed pieces of our and perhaps even our intimacy or maybe. We've both had to shift in adapt to each other in order to make this work and so we hide parts of ourselves from one another and the work is. How do we move beyond our blocks. I you know. I say that you could do that. By being courageous enough to have the much-needed conversations and not just conversations. When you're having sex or after you have intimacy and say. I didn't like that really being able to check in. Make an appointment with each other to like. Hey i just wanna really want to have a conversation about this and not making it. Oh this is talk. So that people get on engine feel like this is like a scary conversation but really just effortlessness of just grabbing t together and being like hey. This is what i'm thinking about. How these are the connections. That i'm making for myself around my own sexuality for a lot of the women in those that identify as women out there. Perhaps you have lost your own sense of desire and closeness to your own body over the last couple of years and you don't know what happened. That is something that you could share with your partner to say yes. Perhaps at one point. In time i was this person and i don't know what happened for you. Take a look in start talking about the stressors that have gotten in the way and perhaps even some self neglect how many times when stress goes up for women. We put our continue to put ourselves last week. Do not always prioritize our own self. Care self care is not just about bubble bath and spot as although they are wonderful. Self care is also about boundaries. It's also about saying no it's also about knowing what to say yes it's also about challenging ourselves picking ourselves up when things don't go the way as planned it's about learning from our mistakes and praising ourselves we did something and push through boundaries that were proud of self care is the committed that we have to ourselves is the commitment that we have to our own the love that we have for our sows. It's the commitment that we have to making ourselves be the best that we can be so that we can show up. It'd be the best that we can be for the people in our lives. It's not just about you know getting to the next checkpoint. South care is really the intention of giving back to ourselves and not in a negative way not just telling ourselves the things that we don't wanna hear telling ourselves things that is right and good about us.
Beat Infertility
"philip fast" Discussed on Beat Infertility
"If so what. Kind of protocol might be recommended. I feel like this is an added. Layer a traditional stem protocol. Hasn't been successful for me. This is definitely really disappointing of course for kim. So just to remind everyone turner's syndrome is where you're only have one. Sex chromosome usually have an extra x y so this is like an accident missing so these are are women. They usually have sort of short stature. They do have a risk of having some cardiac abnormalities in some other other issues. When you're mosaic it means just like mosaic embryos is that mosaic human. That has some of her cells. Have normal aren't and we do see sometimes. This is probably why this wasn't diagnosed when she was thirteen and didn't go through puberty normal. Probably ex ex and some of her cells have Nothing which is the turner cells so some of her cells are now usually women in the situation. Very few eggs. Sometimes they are burners eggs. You know or abnormal eggs which understandable for why she's had miscarriages potentially failed cycles people. Typically who have turner's as well as turner's mosaic art really high risk for a arctic dissection. Which is a problem with the order. Ah during pregnancy. In fact there's a two percent risk of death which can be really dangerous and the american society of reproductive medicine recommends that these patients really consider egg donor educational carrier. Which of course. Nobody wants to do. But it's definitely the safest option because she is mosaic. She certainly may be eligible to sort him before it. And be okay to carry a pregnancy depending on the health of her aaagh recruit. That's in her heart. Usually we do an mr. I am are a like a of her heart and her heart to see sort of how big the arctic route is in there some criteria. We use along working with cardiology and maternal fetal medicine. To see the issue is does she have the ability to have any healthy eggs on her own and could carry a pregnancy. So i think it's a pretty complicated and difficult scenario. That will definitely require a multi person team approach from high risk. Ob cardiology and reproductive endocrine. Hey infertility warrior. It's heather this episode of beat. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make good decisions. An advocate for myself as a result of took five years. Seventy five thousand dollars. Three agra travels seven embryo transfers four miscarriages and two stillbirths. Before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and pasta parenthood. I help people. Like you. Make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your facility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of spots open. And they generally philip fast so this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat infertility dot c o slash. Hope now back to the show..
Beat Infertility
"philip fast" Discussed on Beat Infertility
"Welcome to be infertility a podcast where we get real about infertility. Empowered you to take back control and provide you with hope for the future ready. Here's your host fellow infertility warrior. Heather whom in. Hey guys it's heather. Welcome to episode two seventy five. This isn't a replay and there won't be a guest today. My latest interview had to be rescheduled. So it's just me. This is going to be a short episode but make sure you listen to the end for a special announcement but first. Let's talk about my three elements for ivf success and how to evaluate your fertility clinic. This is just my opinion and others might disagree. But i believe the first element crucial to ibm. Success is the lab quality. If your clinic doesn't have a high quality lab. Your chance of success lowers dramatically. How new uncover the quality of a lab asked the right questions. I offer a detailed checklist in my paid coaching programs. But here are a few to get. You started how many procedures does and brielle perform per day. And how many years of training does the embryologist have. What is the labs fresh donor cycle. Success rate and what incubator type desktop versus big box does allow us and what is the oxygen percentage number two in terms of the elements crucial to ivf. Success is the right protocol. I cannot say this enough not everybody is welcome to the exact same protocol. We are all unique individuals. Our bodies are different are hormone levels are different are ages are different are diagnoses are different. So why would we all use the exact same protocol. Although everyone's first retrieval is a bit of a guess unless you stemmed with injectables during your prior cycle that guests shouldn't be the same across all patients even with a specific protocol the antagonists protocol for example dosage levels the number of stim- days that type of trigger etc will all vary between patients. Unfortunately this is one of those. You don't know what you don't know type situations like the lab quality checklist. I have a guy to via protocols. Availability may paid coaching programs. And i walk clients through. There's all the time. But here's my free advice. Ask why as many levels deep as it takes for you to understand your protocol. Here's an example. Why do you recommend this protocol. Why do you recommend these medications specifically. Why do you recommend these dosages. Why do you recommend this trigger shot. When in doubt a why question never fails the third and final crucial element for success is the best dr for you. Remember how you. And i are not the same that means you and i might not both do well with the same doctor. I routinely pair my coaching clients with doctors through a rather complicated process that i developed myself. But i'm about to talk about a simpler version of that. It won't help you find the right doctor but it will help you evaluate your current one. Don't misunderstand me though a doctor can be good the best even but not the best for you. Get out a sheet of paper and pen. Or because i'm going to have you write a few things down but i it's important to be brutally honest with yourself. Remember you are the customer and you deserve nothing short of excellent care so the first area that we are going to look at is overall clinic operations. I want you to write down the overhaul clinic operations. What do you like most. What do you like the least then. On a scale of one to ten with one being poor ten being excellent rate the overall clinic operations circle that number for reference later the second aspect is clinic atmosphere. What do you lake the most. What do you like the least then again. On a scale of one to ten with one being poor and ten being excellent rate the hall clinic atmosphere again. Circle that number. Because you're going to reference it later. Hey infertility warrior. It's heather this episode of beaten. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make good decisions advocate for myself as a result of took five years. Seventy five thousand dollars. Three egg retrievals seven embryo. Transfers four miscarriages and two stillbirths before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you navigate the complicated world authenticity treatments and other paths to parenthood. I help people. Like you. Make scientifically based a well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you prepare for appointments identify opportunities to ask questions an advocate for yourself. I help people like you become an active member of your facility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open. And they've generally philip fast so if this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat. Infertility dot co slash..
Beat Infertility
"philip fast" Discussed on Beat Infertility
"For myself as a result of took five years. Seventy five thousand dollars. Three retrievals seven embryo transfers four miscarriages and to still birds before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people. Like you. Make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your facility treatment. Tiv rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open. And they generally philip fast. So if this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat. Infertility dot co slash. Hope now back to the show. Let's dive into our main topic for the day. I actually didn't even know what to call it in my notes because her covering so many things but at the end of the day i think it really comes down to recurrent implantation failure and loss. Let's just call it that. We have a lot of different topics to go through. But i wanna start at the very beginning of the process and talk about reimplantation. There's a lot of confusion surrounding the structure of the endometrial before implantation. Can you tell us a little bit about the facts. There has so obviously helping the body be healthy is important for implentation things in perspective so the enemy trim is the lining of the uterus. We talk a lot about it because it's always being measured with to see a nice thick what we call try. Lamb inner lining where. We see almost like an oreo cookie. Where it's like three stripes but uterus has made of three layers the sarosa outside covering layer the meiomi trim which is the muscle layer of the uterus. That gives it that power to push baby out and then the end dmitri which is where when you have your period. That's that's what comes out. An emmy tree is composed of several things. Mainly glands that sort of lined. Dmitri i'm and they mature as the cycle goes on and they become branched tubular and the goal is to reach down to the muscle layer. And this happens because of changes in our hormones throughout the cycle if we think about a menstrual cycle hormones. The beginning of the cycle after a period have low levels of estrogen as the follicle grows the estrogen levels. Grow than you ovulate. And you start producing cra gesture own and progesterone changes the proteins. Being expressed in aligning and top layer with the functionalities is the layer. That sheds each cycle and the bottom layer is what we call the us and this is sort of the regenerative layer that grows every cycle and sort of helps grow that functionality. And we think about sort of the full phase or the time between your period and the time of violation where the enemy trim grows thicker and thicker the glands mature the vessels mature getting ready a potential implantation ovulation happens in between ovulation in the next period. This is what we call blue as we often hear about fees defects and stuff like that. That's where this comes in and there is what we call. As soon as progesterone is being expressed there are proteins that are turned on and those proteins are turn on in a very specific order and we have what we call the window of implantation. The window of receptivity. And it's a little unclear. Exactly how long this window is. Most people think it's about twelve to twenty-four hours where the uterus is sort of sticky and it usually happens sort of around six to nine days after ovulation depending on the person so that is a little bit about sort of the dimitrios in general and the structure around the lightning. You know not much of our all of our bodies changing all the time but obviously the uterine lining is one that regenerates itself holy every twenty eight days. It's pretty amazing. What about the question of thickness is there really an ideal or at least minimum thickness and data needs to be an order to accept an embryo. Not really bought what we like to see most of the data points to eight millimeters. There's not really a whole data and if it could be too thick but usually sort of eight to fifteen millimeters that range now. Some people have had whatever it is procedures. Pregnancy is other things that have damaged the base. Alice layer and it cannot grow thick or sometimes people just for whatever reason have never had any procedures can't grow a thick lining and aligning chambi thin and still receptive for an embryo. It just has a little bit of a lower chance of success. And when they did sort of some of the initial studies of embryo transfers in they measured the linings the sort of linings above some of the study said seven. Some of the study said e. We're going to be more successful. But it's not just about the thickness. It's about sort of the pattern that we see the ultrasound sort of that. Try lampeter pattern. And it's about the biochemical changes hormonal changes microscopic changes that are happening to the lining. Making sure those are happening in the correct way. Is it possible for the end. Dmitri to breakdown prior to an embryo transfer and therefore it's no longer in ideal environment.
Beat Infertility
"philip fast" Discussed on Beat Infertility
"For the most part. You can predict who's gonna get. Oh s but there are a lot of cases that you can't predict it comes on suddenly out of the blue and it's your body's reaction to the human koranic a gannett atropine so the h. Cg that gets administer jarring cycles and occasionally you get a patient that you just can't predict and it's really scary. It's also could be very useful for patients who have some sort of tumor or some kind of cancer where administering exogenous genotropin to them in. Hormones is not a good idea right so if you have a tumor that's responding to hormones. You definitely don't wanna take more hormones into your body to get preserve your fertility before your cancer treatment and then the third thing is just for the safety and comfort of our patients. Doing stimulations stem cycle after stem cycle. All those injections all those medications in here body like what if we could reduce all of that and just do that on immature eggs in the lab and grow them to maturity in the lab so the physician could go in in theory and extract a lot of eggs that are immature and then we can do the final maturation steps in the lab. That's always have medical procedures. Start off is that. I developed for people who desperately need it but then it ends up benefiting everybody a lot of times in the end even people who could undergo a stimulation cycle but i mean look at the discomfort associated with that right so how much pain and suffering could we solve by doing. Ibm in the lab. It's significant so. I would say for on the research side. It's going really well. But how far off are we from putting that into actual clinical practice. Were pretty far off from that. It's gonna take years you know. You're talking about a training. A whole new generation of physicians and embryologist changes in drugs that are available and even just the approval process for those drugs are for the use of those drugs can take a long long time. Hey infertility warrior. It's heavier this episode of beaten. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors like you regular listeners. Know that i struggled during my journey to make good decisions. An advocate for myself as a result. It took five years seventy five thousand dollars. Three egg retrievals seven embryo. Transfers four miscarriages and two stillbirths before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world fertility and other paths to parenthood. I help people. Like you. Make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your facility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent. I only have a couple of thoughts open. And they generally philip fast so if this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat. Infertility dot co.
Beat Infertility
"philip fast" Discussed on Beat Infertility
"Hey infertility warrior. It's heather this episode of beaten. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make decisions an advocate for myself as a result of took five years. Seventy five thousand dollars. Three egg retrievals seven embryo. Transfers four miscarriages and two stillbirths before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people. Like you. Make scientifically based a well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your facility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent. Vaster i only have a couple of thoughts open. And they generally philip fast so if this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat. Infertility dot co slash. Hope now back to the.
Beat Infertility
"philip fast" Discussed on Beat Infertility
"Heather this episode of beaten. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make decisions an advocate for myself as a result of took five years. Seventy five thousand dollars. Three egg retrievals seven embryo. Transfers four miscarriages and two stillbirths before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people. Like you. Make scientifically based a well informed decisions about your next steps rather than relying on dr google and facebook groups. I help people like you. Prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your treatment. Team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open. And they generally philip fast so this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat infertility dot c o slash..
Beat Infertility
"philip fast" Discussed on Beat Infertility
"That says whether you like those tissues feebles views for training or for research and it's always so when patients make that choice to allow us to use their materials after. They're done building their family. It is so important for the training of mbala. Just we would not really be able to train junior mbala just without having those tissues to work on so that is always just such a blessing to us when when patients do decide to make that choice. And there's also some investigations that we still would like to undertake in the lab that we need human tissues and human embryos to work on so whenever you can feel good about discarding in choosing that option to allow those embryos fused for research. That is always so good for us in so good for the industry. One of the other options is something called compassionate transfer. That's where the lab will actually be embryos as if they're going to be transferred to a receptive uterus but instead of being a receptive or prepared uterus. The embryos are passed into unprepared uterus where they would not be able to implant in the uterine lining and so that can be an interesting option. One other thing that i've seen and i think it's a little bit of fraying on Ivf patients there are some services that say that they will do a ritual with your embryos straws and discard them in a special way. And you know for me. I think that that would be the worst option. Not only would you be paying for this service. You go into the lab at actually asked to have those embryos yourself into your own ritual most labs i know are more than willing to give the embryos straws to the to the perspective parents. Hey infertility warrior. It's had this episode of beat. Infertility is brought to you by me. In addition to hosting this podcast. I'm an infertility coach. Who supports warriors. Just like you regular listeners. Know that i struggled during my journey to make good decisions. An advocate for myself as a result of took five years. Seventy five thousand dollars. Three egg retrievals seven embryo transfers four miscarriages and to still birds before i finally had my daughter in other words. I've been where you are now that i've on the other side. I help people like you. Navigate the complicated world of fertility treatments and other paths to parenthood. I help people like you. Make scientifically based well informed decisions about your next steps rather than relying on dr google and facebook groups. I helped people like you prepare for appointments identify opportunities to ask questions and advocate for yourself. I help people like you become an active member of your facility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of spots open. And they've generally philip fast so if this is the help you need reach out today. Tell me your story and learn more about how i can support you during your infertility journey at beat. Infertility dot co slash. Hope now back to the show okay. Let's dive into the main topic. We're going to be talking about top research priorities. An article was published in human reproduction in november. Twenty twenty outlining the top future. Infertility related research priorities. We are only going to be talking about one of them today. So this is part and one of a pretty long series but before we dive into the specifics of today's priority. Can you tell us about the study design methods and limitations. Yes so this is such a fantastic study in. It's a broad survey of a lot of different stakeholders that have specific concerns about infertility and there are many fundamental questions that still need to be investigated and so the question is for for countries in general is how do you allocate research funding to these questions. What are the questions. What are the most important things and really. How do you improve. Care for people with fertility problems so this was a huge study in it was survey it was also a systematic review of the clinical practices and systematic reviews that have been published over the past year. And like you said there were diverse stakeholders and they were in all across all different categories. So male infertility female infertility unexplained infertility assisted assisted reproduction ethics and access in organization of patient. Care in this particular study. There were three hundred eighty participants from forty different countries. There were four hundred and thirty two potential research questions that or submitted and ultimately what the survey does is sort of can help to guide our priorities where we put the research funding and highlight different areas that have been overlooked in the past including the emotional psychological impacts of infertility but really overall the goal is all about improving access to fertility treatments. And really just helping to organize. The you know. Future research agenda across multiple different countries. As i mentioned we are going to be talking about. Just the first research priority. Today i think this is going to generate a lot of interest though because a lot of us have this problem so this one is what are the causes of implantation failure. And i know you wanna talk about the placenta. I yeah and so. It's kinda need that our listener questions. Today were about the embryo in the placenta because the causes of implantation failure will relate to both you need both a healthy embryo and healthy uterine environment or a healthy womb. So just want a review like a couple of thoughts. That i had when i was preparing for this about the placenta in about human pregnancy and about the womb itself in in humans but i think one of the most riskiest moments in any human pregnancy is when the fertilized egg.