Friday, 29 November 2013

Dumb Politicians!!


A DC airport ticket agent offers some examples of 'why' the country is in trouble:

1. I had a New Hampshire Congresswoman (Carol Shea-Porter) ask for an aisle seat so that her hair wouldn't get messed up by being near the window. (On an airplane!)

2. I got a call from a Kansas Congressman's (Moore) staffer (Howard Bauleke), who wanted to go to Capetown. I started to explain the length of the flight and the passport information,
and then he interrupted me with, ''I'm not trying to make you look stupid, but Capetown is in Massachusetts ....''
Without trying to make him look stupid, I calmly explained, ''Cape Cod is in Massachusetts , Capetown is in Africa '' his response -- click.

3. A senior Vermont Congressman (Bernie Sanders) called, furious about a Florida package we did. I asked what was wrong with the vacation in Orlando .
He said he was expecting an ocean-view room. I tried t o explain that's not possible, since Orlando is in the middle of the state.
He replied, 'don't lie to me, I looked on the map and Florida is a very thin state!'' (OMG)

4. I got a call from a lawmaker's wife (Landra Reid) who asked, ''Is it possible to see England from Canada ?'' I said, ''No.''
She said, ''But they look so close on the map.'' (OMG, again!)

5. An aide for a cabinet member(Janet Napolitano) once called and asked if he could rent a car in Dallas . I pulled up the reservation and noticed he had only a 1-hour layover in Dallas .
When I asked him why he wanted to rent a car, he said, ''I heard Dallas was a big airport, and we will need a car to drive between gates to save time.'' (Aghhhh)

6. An Illinois Congresswoman (Jan Schakowsky) called last week. She needed to know how it was possible that her flight from Detroit left at 8:30 a.m., and got to Chicago at 8:33 a.m.
I explained that Michigan was an hour ahead of Illinois , but she couldn't understand the concept of time zones. Finally, I told her the plane went fast, and she bought that.

7. A New York lawmaker, (Jerrold Nadler) called and asked, ''Do airlines put your physical description on your bag so they know whose luggage belongs to whom?
I said, 'No, why do you ask?'
He replied, ''Well, when I checked in with the airline, they put a tag on my luggage that said (FAT), and I'm overweight. I think that's very rude!''
After putting him on hold for a minute, while I looked into it. (I was dying laughing). I came back and explained the city code for Fresno , Ca. is (FAT - Fresno Air Terminal),
and the airline was just putting a destination tag on his luggage.

8. A Senator John Kerry aide (Lindsay Ross) called to inquire about a trip package to Hawaii .
After going over all the cost info, she asked, ''Would it be cheaper to fly to California and then take the train to Hawaii ?''

9. I just got off the phone with a freshman Congressman, Bobby Bright from Ala who asked, ''How do I know which plane to get on?''
I asked him what exactly he meant, to which he replied, ''I was told my flight number is 823, but none of these planes have that number on them.''

10. Senator Dianne Feinstein called and said, ''I need to fly to Pepsi-Cola Florida. Do I have to get on one of those little computer planes?''
I asked if she meant fly to Pensacola , FL on a commuter plane. She said, ''Yeah, whatever, smarty!''

11. Mary Landrieu , La. Senator called and had a question about the documents she needed in order to fly to China . After a lengthy discussion about passports,
I reminded her that she needed a visa. 'Oh, no I don't. I've been to China many times and never had to have one of those.''
I double checked and sure enough, her stay required a visa. When I told her this she said, ''Look, I've been to China four times and every time they have accepted my American Express!''

12. A New Jersey Congressman (John Adler) called to make reservations, ''I want to go from Chicago to Rhino, New York .''
'Yes, what flights do you have?'' replied the man.
After some searching, I came back with, ''I'm sorry, sir, I've looked up every airport code in the country and can't find a rhino anywhere."
''The man retorted, ''Oh, don't be silly! Everyone knows where it is. Check your map!''
So I scoured a map of the state of New York and finally offered, ''You don't mean Buffalo , do you?'' The reply? ''Whatever! I knew it was a big animal.''

Now you know why the Government is in the shape that it's in!

Could anyone be this DUMB?
Yes our Indian Politicians are no Smart Alecs either!!

Thursday, 28 November 2013

Thanksgiving letter to Surrogate mother


Recieved a very Warm THANKSGIVING letter from one of our patients from USA
 
 
"Good Day Gentlemen, 

Our culture is celebrating THANKSGIVING day today. We wanted to send you both and our clinic a blessed day and happy tidings. 

Together we and KIRAN INFERTILITY CENTRE  have been through the hardest and most happiest times of "our" lives. We praise our lord that we found KIC and have been blessed with a pregnancy that is almost due to meet us very soon. 

Thank you for giving us hope when we failed to see the light. Thank you for being our rock when we've fallen from our hope and dreams. 

We do and will always hold KIC, Dr.Samit sEKHARand staff as our "angels in waiting" for our soon to be blessing, our miracle child. We are still excited as we are about to venture in beginning parents. We have and always will consider KIC STAFF, Dr.Samit Ranbeer and Satvinder singh as family. 

Thank you for everything you have and are currently doing for us. Please give our love and blessing to our Surrogate mother as we continue to pray for her and her family as well"
K&S
USA.

 

Wednesday, 27 November 2013

Surrogacy India-Exit visa granted for American Couple


Dr. Samit,
Jak and Eldam and their gorgoeus twins flew back to the USA yesterday night!!yes the regulations are different now for singles but it does not mean that anyone will stop you from taking your baby back home.
if you have signed up before the regulations were in place,the government agencies will do their job,they will screen and if everything is fine then you will be granted the exit visa.there is a lot of stuff being written about on the Net.99% of it is hearsay by vested interests.dont get bothered by the rumour mongering!!
A good clinic and their team will back you all the way even in the most difficult of circumstances,it is important that you do the same.
a big round of applause is due for Mr Satvinder Singh and Mr.Ranbeer singh who have slipped into their jobs as case managers with stupendous ease!!Both the singh's played a big part several babies getting their exit visas by continuously following up with the FRRO officials and other Govt.Agencies and making sure the exit visas were granted in the quickest possible time.
i guess they are right when they say-"SINGH IS KING"

 


 

Tuesday, 26 November 2013

Surrogacy Story from USA

After years of trying to have a baby, we only ended up in disappointment after each failure. It was in early 2011, we decided to try surrogacy through KIC. I guess we perfectly fit into the 'third time lucky' group! After 2 unsuccessful cycles, we were back in Hyderabad for the third time in September of 2012.. the whole city was decked up for Ganesh Chaturthi and we took that as a sign of hope and positivity!   
After weeks and months of email-waiting, belly-scan-understanding, nail-biting moments, in April of 2013, we both were blessed with the birth of our daughter, Aditi and we became a family! She has been such a joy in our lives.. feel truly blessed!
Our eternal gratitude to our surrogate Mrs. M! Thanks to KIC for making our dream come true!
-Ach & Sree

Happy Thanksgiving message from Surrogacy couple.


As always we want to say thank you to you, our surrogate mother and KIC staff not only when Thank Giving day comes but every time we are being with our girls. Wishing everyone have a good time and Happy Thank Giving to all.

We have attached newest picture of our girls so you could see how big they are now.

Thank you very much from bottom of our hearts.

 

Thai & Ngan

Friday, 22 November 2013

surrogacy laws-Uruguay latest to open doors for Surrogacy

in a landmark legislation,Uruguay’s Parliament approved a law recently allowing women to rent their wombs for assisted reproduction
Left-wing and right-wing parties passed the law with almost total unanimity. In all, 59 voted in favor and one voted against.
The law states that these “services” are for couples with a biological impediment to conceive as well as for “women with an independent civil status.”
It will, however, not allow for single men or male homosexual couples to access assisted reproduction. Lesbians will be able to do so.
 

Tuesday, 19 November 2013

surrogacy law in relation to Ireland

The Irish Govt. Intends to modernise Ireland’s “substantially outdated” laws on the care and upbringing of children during 2014.
The proposed laws will also cover the legal status of children in civil partnerships, surrogacy arrangements and assisted human reproduction.
According to a recent briefing note published by the Department of Justice, the Bill will provide for a “contemporary legal architecture on guardianship, custody, access and the upbringing of children in diverse family forms”.
This will include married families, families that rely on the care of children by relatives, families based on cohabiting couples and civil partnerships.
Surrogacy
The department says that there is a growing concern around the practice of commercial surrogacy in Ireland and the use of international commercial surrogacy by Irish people.
This has “very serious implications” for the birth registration of children in Ireland, as well as concerns relating to the possible exploitation of people involved in the arrangements.
A number of cases related to surrogacy have already made their way to the Irish courts with the Supreme Court to hear another early next year.
When enacted, the Bill will permit non-commercial surrogacy arrangements. At the same time, it will prohibit people or agencies from advertising surrogacy services. It will also be illegal to try and persuade a woman to act as a surrogate.
Under the legislation, it will be an offence for a person to receive payment for making or facilitating a surrogacy or advertising surrogacy arrangements.
The reimbursement of “reasonable” surrogacy costs, including medical bills, travel, accommodation and loss of earnings, can only be enforced where an arrangement was put in place before conceptions.
The laws will mean that parentage of a child can be legally assigned by the court on the basis of genetic connection to one of the intending parents and the spouse, civil partner or cohabiting partner of that person.
The consent of any surrogate will be essential. If that consent is not given, she will be the legal mother of the child if she does not consent to the application.
Parentage can be declared by the court when the child is born in the State or the alleged parent ordinarily resides here.
The bill will oblige parties to an arrangement to obtain legal advice before conception.

Monday, 11 November 2013

Crispr Technique heralds genetic revolution for embryo screening for chromosomal and genetic defects for ivf and surrogacy


 
A breakthrough in genetics – described as “jaw-dropping” by one Nobel scientist – has created intense excitement among DNA experts around the world who believe the discovery will transform their ability to edit the genomes of all living organisms, including humans.


The development has been hailed as a milestone in medical science because it promises to revolutionise the study and treatment of a range of diseases, from cancer and incurable viruses to inherited genetic disorders such as sickle-cell anaemia and Down syndrome.

For the first time, scientists are able to engineer any part of the human genome with extreme precision using a revolutionary new technique called Crispr, which has been likened to editing the individual letters on any chosen page of an encyclopedia without creating spelling mistakes. The landmark development means it is now possible to make the most accurate and detailed alterations to any specific position on the DNA of the 23 pairs of human chromosomes without introducing unintended mutations or flaws, scientists said.

 
The technique is so accurate that scientists believe it will soon be used in gene-therapy trials on humans to treat incurable viruses such as HIV or currently untreatable genetic disorders such as Huntington’s disease. It might also be used controversially to correct gene defects in human IVF embryos, scientists said.

Until now, gene therapy has had largely to rely on highly inaccurate methods of editing the genome, often involving modified viruses that insert DNA at random into the genome – considered too risky for many patients.

The new method, however, transforms genetic engineering because it is simple and easy to edit any desired part of the DNA molecule, right down to the individual chemical building-blocks or nucleotides that make up the genetic alphabet, researchers said.

“Crispr is absolutely huge. It’s incredibly powerful and it has many applications, from agriculture to potential gene therapy in humans,” said Craig Mello of the University of Massachusetts Medical School, who shared the 2006 Nobel Prize for medicine for a previous genetic discovery called RNA interference.

“This is really a triumph of basic science and in many ways it’s better than RNA interference. It’s a tremendous breakthrough with huge implications for molecular genetics. It’s a real game-changer,” Professor Mello told The Independent.

“It’s one of those things that you have to see to believe. I read the scientific papers like everyone else but when I saw it working in my own lab, my jaw dropped. A total novice in my lab got it to work,” Professor Mello said.

 
The new gene-editing technique could address many of the safety concerns because it is so accurate. Some scientists now believe it is only a matter of time before IVF doctors suggest that it could be used to eliminate genetic diseases from affected families by changing an embryo’s DNA before implanting it into the womb for both ivf and Surrogacy

“If this new technique succeeds in allowing perfectly targeted correction of abnormal genes, eliminating safety concerns, then the exciting prospect is that treatments could be developed and applied to the germline, ridding families and all their descendants of devastating inherited disorders,” said Dagan Wells, an IVF scientist at Oxford University.

“It would be difficult to argue against using it if it can be shown to be as safe, reliable and effective as it appears to be. Who would condemn a child to terrible suffering and perhaps an early death when a therapy exists, capable of repairing the problem?” Dr Wells said.

The Crispr process was first identified as a natural immune defence used by bacteria against invading viruses. Last year, however, scientists led by Jennifer Doudna at the University of California, Berkeley, published a seminal study showing that Crispr can be used to target any region of a genome with extreme precision with the aid of a DNA-cutting enzyme called CAS9.

Since then, several teams of scientists showed that the Crispr-CAS9 system used by Professor Doudna could be adapted to work on a range of life forms, from plants and nematode worms to fruit flies and laboratory mice.

Earlier this year, several teams of scientists demonstrated that it can also be used accurately to engineer the DNA of mouse embryos and even human stem cells grown in culture. Geneticists were astounded by how easy, accurate and effective it is at altering the genetic code of any life form – and they immediately realised the therapeutic potential for medicine.

“The efficiency and ease of use is completely unprecedented. I’m jumping out of my skin with excitement,” said George Church, a geneticist at Harvard University who led one of the teams that used Crispr to edit the human genome for the first time.

“The new technology should permit alterations of serious genetic disorders. This could be done, in principle, at any stage of development from sperm and egg cells and IVF embryos up to the irreversible stages of the disease,” Professor Church said.

David Adams, a DNA scientist at the Wellcome Trust Sanger Institute in Cambridge, said that the technique has the potential to transform the way scientists are able to manipulate the genes of all living organisms, especially patients with inherited diseases, cancer or lifelong HIV infection.

“This is the first time we’ve been able to edit the genome efficiently and precisely and at a scale that means individual patient mutations can be corrected,” Dr Adams said.

“There have been other technologies for editing the genome but they all leave a ‘scar’ behind or foreign DNA in the genome. This leaves no scars behind and you can change the individual nucleotides of DNA – the ‘letters’ of the genetic textbook – without any other unwanted changes,” he said.

Friday, 8 November 2013

Cryopreservation in Surrogacy

Cryopreservation is a process where cells or whole tissues are preserved by cooling to low sub-zero temperatures. At these low temperatures, any biological activity, including the biochemical reactions that would lead to cell death, is effectively stopped.

Sperm Freezing


Semen can be used successfully almost indefinitely after cryopreservation. The longest reported successful storage is 21 years. It can be used for sperm donation where the recipient wants the treatment in a different time or place, or for men undergoing a vasectomy to still have the option to have children.

Oocyte cryopreservation


Oocyte cryopreservation is a new technology in which a woman’s eggs (oocytes) are extracted, frozen and stored. Later, when she is ready to become pregnant, the eggs can be thawed, fertilized, and transferred to the uterus as embryos.

Egg freezing can also be beneficial for women who, for the purpose of education, career or other reasons, desire to postpone childbearing. Freezing eggs at an early age may ensure a chance for a future pregnancy.

Additionally, women with a family history of early menopause have an interest in fertility preservation. With egg freezing, they will have a frozen store of eggs, in the likelihood that their eggs are depleted at an early age.

The egg retrieval process for oocyte cryopreservation is the same as that for in vitro fertilization. This includes one to several weeks of hormone injections that stimulate ovaries to ripen multiple eggs. When the eggs are mature, a medication to trigger ovulation is given and the eggs are removed from the body using an ultrasound-guided needle through the vagina. The procedure is usually conducted under sedation. The eggs are immediately frozen.

cyopreservation

Embryo cryopreservation


Cryopreservation for embryos are used for embryo storage, e.g. when in vitro fertilization has resulted in more embryos than is currently needed. The benefit of cryopreservation is that a woman has an additional chance to conceive without stimulation procedure and follicular puncture. She only needs to prepare for the embryo transfer with oral medication. This process starts in the first 3 days of menstruation, lasts for two weeks and requires 1-2 US examinations.

It has no negative impact on the foetus and pregnancy. Some embryos, however, can be lost during freezing - thawing processes since not all embryos survive them. Embryo cryopreservation increases the couple's chances to conceive. It's fairly economical since preservation, unfreezing and embryo transfer costs are much lower compared to the cost of a new IVF attempt.

The Assisted Reproductive Technology Procedures (ART) in IVF and Surrogacy

The Assisted Reproductive Technology Procedures (ART)



How to Begin an IVF Cycle?


An IVF patient should call advanced fertility services on day 1 or 2 of her period. A nurse or a doctor will relay instructions as to when to come to the office for the first IVF visit and at which time she will receive instructions regarding her specific treatment plan. The second visit of protocol treatment is started on day 20th of the menstrual cycle.

IVF Medications


Each patient's medication plan is individualized, but most IVF regimens include one or more of the following:

GnRH Agonist


GnRH Agonist is used to help create equally mature eggs. Some statistics indicate that these drugs GnRH Agonist may be associated with higher success rates and lower IVF cycle cancellation rates. GnRH Agonist is usually started on Day 21 of the patient's previous cycle and is injected subconsciously (under the skin). However, in some instances, GnRH Agonist may be started on cycle Day 2.

HMG / FSH / LH


HMG (Human Menopausal Gonadotropin), which consists of 75 units of FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone), is administered by intramuscular (into the muscle) injection and is usually given in the evening or morning. Some of the patients will receive pure FSH or Recombinant FSH.

Recombinant FSH (no trade name as of yet)


This ultra-pure FSH product, currently available in India, is made by genetic engineering. From a treatment point of view, it will be similar to pure FSH in all respects. A KIC staff member will teach the patient and her partner to reconstitute the different medications and administer the injections at their places from a doctor, if the patient is from out- of- station. Most of the patients and their partners have little trouble getting used to the shots. Placing an ice-pack on the injection site, before and after the injection is given, will help reduce any related discomfort. Patients must have their visit between 10:00 AM to 4:30 PM on weekdays and from 11:00 AM to 12:30 AM on Sundays to ensure consultation with the infertility specialist.

Patient Monitoring


Patients are usually asked to come in to KIC for blood tests and sonograms to determine the maturity of their developing eggs beginning on cycle Day 3, 5, 7 or 9. Further monitoring will be carried out as needed until the eggs are determined to be mature. Occasionally, some patients will need to be monitored on a daily basis near the end of the ovarian stimulation phase of the cycle.

Blood Tests


Patients usually receive 2 or 3 blood tests during the course of the monitoring process: Estradiol (Estrogen) and Progesterone. Estradiol allows us to approximate the relative maturity of the eggs. Generally, the tests will show between 100 and 200 units of estrogen for every matured egg. Progesterone tells us if the eggs are becoming overripe, the patient's progesterone level, which depends on the number of egg follicles created, should be below 2 units.

Sonograms


The maturity of the follicles developing in the ovaries is monitored via vaginal ultrasound. During this painless procedure, a Sonographer inserts a small probe into the vagina. This enables her to visualize the ovaries and the uterus, to evaluate the maturity of the Endometrium (the inner lining of the uterus), and to count and measure the follicles developing in each ovary. A mature follicle measures from 16 to 22 millimeters. An Advance technology of Color Doppler study is used at KIC to monitor the blood in the follicle and Endometrium.

The Final Step to Egg Maturation


When blood tests and sonograms indicate that the eggs are mature, the patient will be instructed to administer a final injection called HCG (Pregnyl, Profasi) to complete the maturation of the egg. The HCG shot must be taken at KIC, (Hyderabad) between 9:30 PM and 11:00 PM on the date specified, and the retrieval will be scheduled for some 30-34 hours after the HCG injection. For example, if a patient's Monday monitoring showed her follicles to be of the appropriate size and her estrogen levels were found to correlate with maturity, she would be instructed to take her HCG between 9:00 PM and 11:00 PM Monday evening. Her egg retrieval will then be performed on Wednesday morning.
The timing of the retrieval after the HCG injection is critical, since HCG may cause the egg follicles to release prematurely, making IVF retrieval impossible. Fortunately, this rarely happens.

Before the Procedure


The patient will be instructed not to eat solid foods after midnight, prior to the procedure. It is advisable to abstain from sexual activity for two days prior to the procedure to ensure the highest possible sperm count from the male.

What are the chances of success with IVF?


Here at Kiran Infertility Center (P) Ltd, the Overall Delivery Rate Per Egg retrieval until now was 41.33%%. Now with the advent of newer drugs & protocols, the Clinical Pregnancy Rate Per Egg Retrieval for 2009-10 was 45.33%. Our ongoing pregnancy rate for 2009-10 is 38.9%(CONFIRMED HEART BEAT/CYCLE).

FOR 3 CYCLES OUR CUMULATIVE PREGNANCY RATES ARE AS HIGH AS 90%.


The specific chance of success varies with a number of factors including the indication for the procedure, the patient's age, the number of embryos transferred and a variety of other factors. Your chances of success with IVF will be discussed on an individual basis with your physician. The success rate with IVF must be viewed considering the natural fertility rate in fertile couples that is approximately only 15% per month. We advise you to undergo a package of at least 3 cycles, so that finally we can ensure you at least 85-90% success rate. Appropriate concessions are given in the financial aspect of treatment if you undertake this type of package.
sperm donor

Surrogacy baby!!

Hearty Congratulations to Mrs and Mr.Patel on the birth of their baby boy.
the lad came was born at 2am today and is 3 kilos in weight and i have now been up 36 hours without any sleep.
still some work in the lab and got to hit the Gym today evening without fail,the flab is catching up(:
 

Nature never ceases to amaze me!!

God’s beauty never ceases to amaze me!!!!!!
There is so much of beauty in this world but we dont have the time to appreciate it.reminds me of this poem i read in school
 
What is this life if, full of care,
We have no time to stand and stare.

No time to stand beneath the boughs
And stare as long as sheep or cows.

No time to see, when woods we pass,
Where squirrels hide their nuts in grass.

No time to see, in broad daylight,
Streams full of stars, like skies at night.

No time to turn at Beauty's glance,
And watch her feet, how they can dance.

No time to wait till her mouth can
Enrich that smile her eyes began.

A poor life this is if, full of care,
We have no time to stand and stare.

Thursday, 7 November 2013

Some Facts about the Ovum Donation in ivf and Surrogacy at kiran infertility centre

Why egg donors or oocyte donors?



Egg donors are an essential part of Assisted Reproduction as about 30% of women suffer from infertility because of decreased or absent ovarian reserve.
Some women may have a specific genetic condition such as cystic fibrosis or fragile x syndrome because of which they cannot have their genetically related babies.


Where do we get egg donors from?



Majority of the egg donors at Kiran Infertility Centre are through word of mouth and from information over the internet


Do you provide egg donors or do I have contact a third party egg donation agency?



KIC has a strong database of more than 300 Indian, Caucasian, Thai and African American egg donors. KIC does not work with third party agencies.


Is egg donation affordable? What are the costs involved if need an egg donor?



Yes, egg donation is affordable but fees for egg donors vary based on their education and other qualities.


Do you have Caucasian egg donors?



Yes, we have more than 100 caucasian egg donors in our database.


Do you have Indian egg donors?



Yes, we have more than 100 indian egg donors in our database.


Do you have African egg donors?



Yes, we have African as well as African American egg donors as well.


Do you have Asian egg donors or Oriental egg donors or Thai egg donors?



Yes


How do I go about IVF with egg donation?



Usually, if the female undergoing this kind of a treatment undergoes what is known as a Down regulated cycle.this is to match the patient’s cycle with the Donor cycle.


How do I go about Surrogacy with egg donation?



The process is similar to the IVF process with egg donation. The only difference is that the embryo is transferred into a surrogate mother instead.


What is the medical process involved in egg donation?



Controlled Ovarian Hyper-Stimulation (COH) to cause super-ovulation. For more information write to one of our Doctors at info@kiranivfgenetic.com


What tests are done on egg donors?



The tests include:
Fertility testing by hormonal assays and ultrasound
  • STD testing
  • Routine and advanced pathology
  • Genetic and chromosomal testing
  • Psychological screening and testing


What are the success rates with egg donation?



Success rates vary from cycle to cycle based on the number and quality of embryos transferred, cumulative(5 cycles) pregnancy rates in IVF are 83% and surrogacy 94%


How can I be an egg donor?



You have to send in your profile and you may write to us at info@kiranivfgenetic.com


How much do I get paid to be an egg donor?



The fees offered is confidential and may vary depending on your profile. You can write to us at info@kiranivfgenetic.com


Sources of Oocyte donation



  • Volunteers
  • Relatives
  • Professional Donors
  • Egg Sharing (Patients Needing IVF/ICSI who cannot afford entire ART Cycle)


Donor Selection



  • Age less than 30 years
  • No Genetics / Infectious history
  • Counseling and informed consent


Preparation OF Endometrium in THE Recipient



  • Estradiol Vale rate 6mg / day
  • Micronized Progesterone 600mg/day


Day 14 serum beta hCG



Ist Trimester Support


  • 6-8mg of Estradiol Vale rate orally per day - 10-12 wks
  • 600 mg Micronized Progesterone - 14-16 wks
  • Folic Acid 5mg / day


II nd Trimester monitoring


  • Weight & BP Recording
  • USG Monthly
  • Hemoglobin, RBS, CUE
  • Iron and Calcium Supplementation


III rd Trimester monitoring


  • Doppler at 28 wks
  • NST after 30 - 32 wks /OPTIONAL
  • BPP Monthly
  • Prophylactic Dexamethasone IM weekly


 

Sunday, 3 November 2013

Sardar Vallabhbhai Patel-The Iron man of India


i Love History.it was my favourtie subject in school,i am always on the lookout for anecdotes like these which were shared by one of my Father's friends.

This is quite an insight into the Sardar's life and way of thinking.

Sardar Vallabhbhai Patel, the then Deputy Prime Minister and Home Minister of India, whose 137th birth anniversary is on October 31, was insulted, humiliated and disgraced by the then Prime Minister, Pandit Jawaharlal Nehru, during a Cabinet meeting.

"You are a complete communalist and I'll never be a party to your suggestions and proposals," Nehru shouted at Patel during a crucial Cabinet meeting to discuss the liberation of Hyderabad by the Army from the tyranny of the Razakkars, the then Nizam's private army.

"A shocked Sardar Patel collected his papers from the table and slowly walked out of the Cabinet room. That was the last time Patel attended a Cabinet meeting. He also stopped speaking to Nehru since then," writes MKK Nair, a 1947 batch IAS officer, in his memoirs "With No ill Feeling to Anybody".
Nair had close ties with both Sardar and VP Menon, his Man Friday.


Though Nair has not written the exact date of the above mentioned Cabinet meeting, it could have happened during the weeks prior to the liberation of Hyderabad by the Indian Army. Operation Polo, the mission to liberate Hyderabad from the Nizam, began on September 13, 1948 and culminated on September 18.

While Sardar Patel wanted direct military action to liberate Hyderabad from the rape and mayhem perpetrated by the 2,00,000 Razakars, Nehru preferred the United Nations route.

Nair writes that Nehru's personal hatred for Sardar Patel came out in the open on December 15, 1950, the day the Sardar breathed his last in Bombay (now Mumbai). "Immediately after he got the news about Sardar Patel's death, Nehru sent two notes to the Ministry of States. The notes reached VP Menon, the then Secretary to the Ministry. In one of the notes, Nehru had asked Menon to send the official Cadillac car used by Sardar Patel to the former's office. The second note was shocking. Nehru wanted government secretaries desirous of attending Sardar Patel's last rites to do so at their own personal expenses. "But Menon convened a meeting of all secretaries and asked them to furnish the names of those who want to attend the last rites of Patel. He did not mention anything about the note sent by Nehru.

Menon paid the entire cost of the air tickets for those secretaries who expressed their wish to attend Sardar's last journey. This further infuriated Nehru, Nair has written about his memoirs "In the Corridors of Power in New Delhi".

Nair's friendship with Patel began during the former's posting in Hyderabad as a civilian officer of the Army. "I was a bachelor and my guest house was a rendezvous of all those in the inner circle of the then Nizam of Hyderabad. Every night they arrived with bundles of currency notes. We gambled and played flash and the stakes were high. During the game I served them the finest Scotch. After a couple of drinks, the princes and the junior Nawabs would open their minds and reveal the secret action plans being drawn out in the Nizam's palace.

Once intoxicated, they would tell me about the plans to merge Hyderabad with Pakistan after independence. This was information that no one outside the Nawab's close family members and the British secret service were privy to. But I ensured that this information reached directly to Sardar Patel and thus grew our relation," writes Nair.

The relation between Nair and Sardar Patel was such that the former's director general in the ministry told him once: "Sardar Patel keeps an open house for you." Nair, who worked in various ministries during his three-decade long civil service career, writes that the formation of North East Frontier Service under the Ministry of External Affairs by Nehru and the removal of the affairs of the Jammu & Kashmir from the Ministry of Home Affairs are the major reasons behind the turmoil in both the regions.

"This was done by Nehru to curtail the wings of Sardar Patel," Nair has written. Though Sardar Patel was known as a no-nonsense man devoid of any sense of humour, Nair has written about lighter moments featuring him. The one centres around VP Menon with whom Patel had a special relation. Menon had to face ire of Nesamani Nadar, a Congress MP from Kanyakumari, during his visit to Thiruvananthapuram in connection with there organisation of States.
Nadar barged into Menon's suite in the State Guest House and shouted at him for not obeying his diktats. Menon, who was enjoying his quota of sun-downer, asked Nadar to get out of his room. A furious Nadar sent a six-page letter to Sardar Patel trading all kinds of charges against Menon. "He was fully drunk when I went to meet him in the evening and he abused me using the filthiest of languages," complained Nadar in his letter.

Sardar Patel, who read the letter in full asked his secretary V.Shankar, an ICS officer: "Shankar, does VP take drinks?" Shankar, who was embarrassed by the question, had to spill the beans. "Sir, Menon takes a couple of drinks in the evening," he said. Sardar was curious to know what was Menon's favourite drink. Shankar replied that Menon preferred only Scotch. "Shankar, you instruct all government secretaries to take Scotch in the evening," Sardar told Shankar. Nair writes that this anecdote was a rave in the Delhi evenings for a number of years!

Balraj Krishna (92), who authored Sardar's biography, told The Pioneer that Nehru was opposed to Babu Rajendra Prasad, the then President, travelling to Bombay to pay his last respects to Patel. "But Prasad insisted and made it to Bombay," said Krishna. MV Kamath, senior journalist, said though Nehru too attended the funeral of Patel, it was C Rajagopalachari, who delivered the funeral oration.

Prof MGS Narayanan, former chairman of Indian Council of Historical Research, said there was no reason to disbelieve what Nair has written. "But his memoirs did not get the due recognition it deserved. It is a historical chronicle of pre-and post independent India," he said.....

.....IF only Sardar had become PM, as per the votes of CWC, and Gandhi had not dissuaded him, in favour of a sulking Nehru..many of the Country's problems would never have seen the day.....!!

Saturday, 2 November 2013

in Honour of the Nut case!!


 just think back it is not so stupid after all
 
 
    
 In Honour of Stupid People...
 

 
In case you needed further proof that the human race is doomed through stupidity,
Here are some actual label instructions on consumer goods.


On Tesco's Tiramisu dessert (printed on bottom) --
'Do not turn upside down.'
(well...duh, a bit late, huh!)
==========================

On Sainsbury's peanuts --
'Warning: contains nuts.'
(talk about a news flash)
==========================

On Boot's Children Cough Medicine --
'Do not drive a car or operate machinery after taking
This medication.'
(We could do a lot to reduce the rate of construction accidents if we
Could just get those 5 year-olds with head-colds off those bulldozers.)

==========================

On Marks &Spencer Bread Pudding --
'Product will be hot after heating.'
(...and you thought????...)
==========================
                    
On a Sears hairdryer --
Do not use while sleeping.
      (That's the only time I have to work on my hair.)

==========================

On a bag of Fritos --
You could be a winner! No purchase necessary.
Details inside.

(the shoplifter special?)

==========================

On a bar of Dial soap --
'Directions: Use like regular soap.'
(and that would be???....)
============================



On some Swanson frozen dinners --
'Serving suggestion: Defrost.'
(but, it's just a suggestion.)
==========================

On packaging for a Rowenta iron --
'Do not iron clothes on body.'
(but wouldn't this save me time?)
==============================

On Nytol Sleep Aid --
'Warning: May cause drowsiness.'
(..I'm taking this because???.....)
==============================

On most brands of Christmas lights --
'For indoor or outdoor use only.'
(as opposed to what?)
==========================

On a Japanese food processor --
'Not to be used for the other use.'
(now, somebody out there, help me on this. I'm a bit curious.)
==============================

On an American Airlines packet of nuts --
'Instructions: Open packet, eat nuts.'
(Step 3: say what?)
===========================


On a child's Superman costume --
'Wearing of this garment does not enable you to fly.'
(I don't blame the company, I blame the parents for this one.) 
==========================

On a Swedish Chainsaw --
'Do not attempt to stop chain with your hands or genitals.'
(Oh my God..was there a lot of this happening somewhere?)
  ===========================
 

****   Blessed are the cracked: for it is they who let in the light   *****