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With weight loss surgery, we measure our success on a different scale. The expertise of a multidisciplined team. That's how we measure success here at the Weight Loss Surgery Program at Beth Israel Deaconess Hospital – Milton. And the American College of Surgeons agrees. They've designated us a Level 2 Bariatric Center. We offer LAP-BAND and Gastric Sleeve approaches, along with focused education and support. We've even waived the program fee to help eliminate the traditional barriers to treatment. The Weight Loss Surgery team at BID – Milton. To make a referral, call 617-313-1440. 199 Reedsdale Road, Milton, MA bidmilton.org/weightloss M M ORE THAN A third of twin births and three-quarters of births of triplets or greater multiples in the United States can be attributed to fertility treatments, according to recent figures published in The New England Journal of Medicine. By comparing data on multiple births from 1962 to 1966, prior to the availability of fertility treatments, with data from 1971 to 2011, Eli Y. Adashi, MD, Professor of Obstetrics and Gynecology at Brown University, and his colleagues found that 36 percent of twins and 77 percent of triplets and higher-order births by 2011 resulted from fertility treatment-assisted conception. High Proportion of Multiple Births Linked to Fertility Treatments Since 1998, when physicians were discouraged from implanting three or more embryos, there has been a 29 per- cent decrease in triplet and higher-order births. That reduction occurred in the same period during which transfer of three or more embryos during in vitro fertilization (IVF) decreased 70 percent and triplet and higher-order births related to IVF fell P RIMARY CARE PHYSICIANS are sig n if ica nt ly m o r e l i k e l y than obstetrician-gynecologists to address concurrent medical issues dur- ing preventive gynecologic visits, Donna Cohen, MD, and Andrew Coco, MD, reported recently in the Journal of the American Board of Family Medicine. Drs. Cohen and Coco analyzed data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey related to gynecological exams and routine cervical Pap tests between 1999 and 2008. In an analysis of 7,882 visits, they found that primary care physicians were 2.41 times more likely than OB/GYNs to include one or more medical diagnoses during a preventa- tive gynecologic visit. The researchers concluded that this high- lights the potential for the patient-centered medical home model — in which primary care physicians play a central role — to enhance the delivery, accessibility and com- prehensiveness of women's health care. ■ — Caitlin Foster A Boost for the Patient-Centered Medical Home 33 percent. In the same period, however, non-IVF procedures resulted in an increasing percentage of those births — rising from 36 percent to 45 percent. ■ — Caitlin Foster + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + THAT'SNEWS M D N E W S . CO M ■ MD NEWS Greater Boston | 1 5