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When we first started practice , a laparoscopy was considered to be a basic tool in the evaluation of an infertile woman. Laparoscopy was considered to be a major advance , because it allowed... 
’s fertility. However, as IVF technology has improved the need for laparoscopy has dwindled. I explain it to patients in this fashion: If I do a laparoscopy and find significant adhesions (scar tissue...
percentage of these laparoscopies revealed either no problems or very minimal endometriosis. Over the past 20..., some patients still benefit from laparoscopy which leads to today's Question of the Day
11...
even worse because patients don’t know whom to trust.
In the past, a diagnostic laparoscopy... ; and remove peritubal adhesions. Not only did laparoscopy allow the gynecologist to make an accurate visual... 
I get questions every week concerning if someone should or shouldn't get Gastric Bypass Surgery. People come to me for affirmation that they are doing the right thing or for me to talk them out of it. I don't do either 
all along and the costs are coming down!!
From the Agency for Healthcare Research and Quality
Press Release Date...—increased use of laparoscopy, a technology that allows physicians to operate through small incisions; increased use of banding...
As always, a thoughtful piece by Steve Bailey in today's Boston Globe, this one quoting Regina Herzlinger from Harvard Business School. An excerpt:
What consumers need, she says, is greater transparency. "The premise is
Cut costs, cut costs, cut costs. That’s what we have been hearing lately (30 + years?) in order to effectively reform health care.
The problem is those costs are someone’s income. In a free market economy...
that I had to relinquish my lap top to the geek squad twice. (Cost me $100 but it was worth it. I got cleaned... 
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