Edward Ramirez, MD [ejrmd]
What is your specialty? What does your work consist of?
I am an infertility specialist. I treat all forms of infertility, from the most basic to the more complex. Our center specializes in intra uterine inseminations, ovulation induction, male infertility and the most advanced form of assisted reproductive technology--in vitro fertilization.
Can you provide a link to a site where we can get to know more about you or the activity you carry out?
What types of clients do you have? Why do they come to you and what can you offer them?
Our clients, or rather, patients, come to us from all over the world. They choose us because of our compassionate care, our state of the art facility and our excellent statistics.
The patient/doctor relationship is part of the success of treatment. What should it be like?
The patient-doctor relationship is an integral part to the success of an infertility treatment cycle. Trust in what the doctor is going to do and trust in his ability to treat the disease is paramount. If the patient does not trust, then more than likely they will not be compliant and not follow the correct treatment path. All infertility doctors differ in their approach to treatment. When a patient seeks a second opinion, for instance, she may be coming from a center that has a totally different kind of protocol. If my protocol is different from the one she has had before, then it stands to reason that the patient may need to readjust their thinking in order to accept a different approach to their problem. Sometimes it is the different approach that works, sometimes it has to do with the expertise of the physician and sometimes it is simply up to nature as to why a treatment works or does not work.
What is the best way to give bad news to a patient?
Sometimes a patient, a couple, has trouble conceiving despite everything that they do or that we can do. Sometimes the last step in conception, the one where the body has to accept the embryo and allow it to implant, just does not occur. Sometimes the patient has age-related infertility, meaning that she has stopped ovulating and there are no eggs to be had. Sometimes, altough rarely, it is simply a mystery as to why a couple cannot have the child of their dreams. At times like these, the news is very hard to take for the couple. It is equally hard for us to give them the news. A recent blog post of mine examines this issue and the difficulty that the physician and staff have when approaching a patient with the "bad news". http://womenshealthandfertility.blogspot.com/2012/02/hope-and-encouragement-during-ivf-is-it.html
Edward Ramirez, MD
Monterey, California, United States