BONUS 176: Selecting a Miscarriage Specialist

October 12, 2018

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Today’s bonus episode guest is Dr. Lora Shahine, a reproductive endocrinologist with Pacific Northwest Fertility in Seattle and author of Not Broken.

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Dr. Shahine and Heather discuss how to find, select, and advocate for yourself with a miscarriage specialist:

INTRODUCTION

  • I’d like to start by hearing a little bit more about you. Tell us about your professional background and career.
  • We talked about your personal infertility story when you were last on the show in BONUS 125. But for those who didn’t listen to that episode, please take us through the journey to build your family again.

FINDING, SELECTING, ADVOCATING FOR YOURSELF WITH A MISCARRIAGE SPECIALIST

  • Let’s start with a foundation on the topic of miscarriage. What are the different ‘types’ of miscarriage, and how is each one defined?
  • At what point is someone diagnosed with recurrent pregnancy loss? Please explain.
  • Miscarriage is always a painful experience, but it often hits the infertility community harder. At what point do you feel it’s important to find a reproductive endocrinologist who specializes in miscarriages and/or recurrent loss?
  • There don’t seem to be too many reproductive endocrinologists who specialize in loss. How should listeners begin their search? Should they be open to traveling, perhaps long distances?
  • Other than the special interest in miscarriage or recurrent loss, what else should listeners be looking for when selecting the best reproductive endocrinologist for them? What questions should listeners ask during their initial consultation, and why?
  • What are some signs that the reproductive endocrinologist is a good fit? What are some signs that it isn’t a good fit? Please explain.
  • What are some situations where listeners might have to advocate for themselves with their fertility treatment team? What tips do you have for advocating for themselves?
  • Is there anything else you’d like to add?

THE BOOK

  • Give us a broad overview of all the topics covered in Not Broken.
  • Who is the intended audience? Who will benefit from reading it?
  • Why did you decide to write the book, and why are you the best person to deliver this information?
  • What are some takeaways from the book that you can share with listeners today?
  • There are many misconceptions about miscarriage. What is one fact from your book that might surprise people? Please explain.
  • Medicine is constantly changing. Has any new research come out, thus changing your recommendations, since it was published? Do you plan to keep updating the book?
  • This is not your first book. Do you plan to publish more? If so, tell us about that.
  • Is there anything else you’d like to add?

WRAPPING UP

  • What are some of your favorite post-miscarriage or recurrent loss success stories?
  • What words of hope would you offer to a woman who’s struggling with both infertility and loss?

References:

Thanks for listening!

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