<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPnTDJ2NF_oICMsBOfVdkeeR2nKWOvU5PUB3Fn0dZnGo6pV4F129K2azHvToH-J5Qn4Z7yNWPobjIjUE0pPRW7igGsnNglJBrvrwtOYakZ45FA4mJe0Z00XPKpK8FktJuKF997pEEqUI2O/s1600/pregnant+white+lady.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" hea="true" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPnTDJ2NF_oICMsBOfVdkeeR2nKWOvU5PUB3Fn0dZnGo6pV4F129K2azHvToH-J5Qn4Z7yNWPobjIjUE0pPRW7igGsnNglJBrvrwtOYakZ45FA4mJe0Z00XPKpK8FktJuKF997pEEqUI2O/s200/pregnant+white+lady.jpg" width="160" /></a></div><span style="font-family: Verdana, sans-serif; font-size: large;">MORE INFO ON COMMUNICATING REPRODUCTION OPTIONS</span><br /><br /><span style="font-family: Verdana;">Provide clear, easy to understand information of complex genetic techniques and normal anatomic changes in pregnancy is a physician literacy skill. Despite the challenge of learning the jargon and concepts, consider how you would discuss this with someone who is a physicist, an engineer or an administrative aide. Getting at the right place where you and the patient are on the same page is an incredibly important skill to work on. This right place might feel too reductionistic or be too 'cartoony' - so it is not the 'right place' for you, rather it is the 'right place' for you patient.</span><br /><br /><span style="font-family: Verdana;">Below is an example of a clear, user friendly tool that is called a decision support instrument. Click on the caption to see the whole tool at the site.</span><br /> <br /><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJn1C1pJeMe0RZQh9pUvGjlU5WgpmygyvDk8O4SSHRk7wdA7UQpnmE_kH89lZ9m9bhkUnbu316oljuHCchBeEvX8OX-OAHEw5F82StkaVWUS4reeeLF7741HKFNzC0jNbwI4yQTIA7DzGJ/s1600/PrenataltestingpatienteducUCSF.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" hea="true" height="204" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJn1C1pJeMe0RZQh9pUvGjlU5WgpmygyvDk8O4SSHRk7wdA7UQpnmE_kH89lZ9m9bhkUnbu316oljuHCchBeEvX8OX-OAHEw5F82StkaVWUS4reeeLF7741HKFNzC0jNbwI4yQTIA7DzGJ/s320/PrenataltestingpatienteducUCSF.png" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;"><a href="http://www.panastream.com/_internal/pdfs/PTP_decisionsupport.pdf">http://www.panastream.com/_internal/pdfs/PTP_decisionsupport.pdf</a></td></tr></tbody></table> <br /><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggdeOYKit-uPe1OKIkke2HrZpDLXrK93DcEqp26s8xR2Q6YhhiUyRFMHC-bpZ0E32nHVkesrTmw_ZEJmStjdAAqLpfp38sQJ-Zp6JlV0DawxYJcRWNeYVKNirJZGX1tZLe4L3kLzP6tzNt/s1600/prenataldecisiontoolpage2ucsf.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" hea="true" height="146" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggdeOYKit-uPe1OKIkke2HrZpDLXrK93DcEqp26s8xR2Q6YhhiUyRFMHC-bpZ0E32nHVkesrTmw_ZEJmStjdAAqLpfp38sQJ-Zp6JlV0DawxYJcRWNeYVKNirJZGX1tZLe4L3kLzP6tzNt/s640/prenataldecisiontoolpage2ucsf.png" width="640" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Click on the picture above to enlarge</td></tr></tbody></table><span style="font-family: Verdana, sans-serif;"><strong>CVS, AMNIO FISH and PCR  - </strong></span><span style="font-family: Verdana, sans-serif;">For more visuals</span><br /><span style="font-family: Verdana, sans-serif;">Here's a picture of a chorionic villus (which when sampling becomes the <em>'S' </em>of CVS)</span><br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhH1xGKt_q3HMWaopKPzNEclq0eCkV9Pva9eUUE8_U_RslxV_NTIyvNolCqWCTcB5oxlGJ0Or1zRcRrrEJOvOQB3Dz9hLT2ul3FZ-DHqDWx6tJg56Vh-Eh1WSyqfmHzRDrXoZRJ4MGdADY/s1600/230px-Chorionic_villi_-_high_mag.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" hea="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhH1xGKt_q3HMWaopKPzNEclq0eCkV9Pva9eUUE8_U_RslxV_NTIyvNolCqWCTcB5oxlGJ0Or1zRcRrrEJOvOQB3Dz9hLT2ul3FZ-DHqDWx6tJg56Vh-Eh1WSyqfmHzRDrXoZRJ4MGdADY/s1600/230px-Chorionic_villi_-_high_mag.jpg" /></span></a></div><br /><span style="font-family: Verdana, sans-serif;">Here's a nice example of the use of FISH and PCR (you may have to register your name to watch the short video, but it's worth it!)  click </span><a href="http://www.phgfoundation.org/tutorials/dna/"><span style="font-family: Verdana, sans-serif;">here</span></a><span style="font-family: Verdana, sans-serif;"> </span><br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3SS0y4Z6WoL5uGgD3waAISuHc7Pf8eP-Ok_l8rT4ZN-Eeh-oiz4FrhqHy1IY9675k31bufR_ac-rKafw0t0JJUK0fRm2Chnwuooc1Z1DJGtmBsbktvEvaTvnXOIDu1jyMLjbN9SAx_Kmd/s1600/PCRphg.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img border="0" hea="true" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3SS0y4Z6WoL5uGgD3waAISuHc7Pf8eP-Ok_l8rT4ZN-Eeh-oiz4FrhqHy1IY9675k31bufR_ac-rKafw0t0JJUK0fRm2Chnwuooc1Z1DJGtmBsbktvEvaTvnXOIDu1jyMLjbN9SAx_Kmd/s320/PCRphg.png" width="320" /></span></a></div>   <br /><span style="font-family: Verdana, sans-serif;">Here's a patient information sheet on <a href="http://www.nlm.nih.gov/medlineplus/ency/article/003406.htm">CVS</a> from Medline</span><br /><br /><span style="font-family: Verdana;">And <a href="http://www.nlm.nih.gov/medlineplus/tutorials/amniocentesis/htm/_no_50_no_0.htm">here</a> is an interactive tutorial on AMNIOCENTESIS</span><br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAYKNualUhoh6wQzjsxhUSIXd3pzPooFIM6_aEgQu8SeISZ4rj24IZIkHtdkTvEGuIRBHHXNiVjfAEdnFd5TbZh0doWPDonkwuZdGy6J9F9QeAbOUtlsa6MMJqhGBJWGeOKte6tKB_nsOC/s1600/amniotutorialmedlineplus.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" hea="true" height="237" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAYKNualUhoh6wQzjsxhUSIXd3pzPooFIM6_aEgQu8SeISZ4rj24IZIkHtdkTvEGuIRBHHXNiVjfAEdnFd5TbZh0doWPDonkwuZdGy6J9F9QeAbOUtlsa6MMJqhGBJWGeOKte6tKB_nsOC/s320/amniotutorialmedlineplus.png" width="320" /></a></div><br /><span style="font-family: Verdana;">I mentioned in class, the image of the nuchal translucency (you can get to it from <a href="http://whepducom.blogspot.com/2010/08/resources-for-reproductive-options.html">here</a>)</span>

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