Here are comments from a Drugwatch.com representative, We are currently raising awareness about the prescription drug Accutane, a drug used to treat acne. There is a current Black Box warning on Accutane, cautions consumers about its potential to harm unborn children that include birth defects, premature births and even death in babies when a mother has taken the drug. Additional serious side effects associated with Accutane use include depression, colitis, and liver disease. The drug is causing a significant amount of damage and serious harm to patients.

If you or anyone you know is taking Accutane and desires to have a baby, you need to learn more about the risks of this drug. The Drugwatch.com website is full of interesting information on all types of medications. It might be helpful to do a search on the medications you currently take to see how those medications might impacts your ability to get pregnant, stay pregnant or have a healthy baby.

For more information specifically on Accutane visit the: Accutane Lawsuit: page to find out how the acne drug Accutane causes the spine condition skeletal hyperostosis and other serious side effects like birth defects, ulcerative colitis, and depression.

It is up to us, those who are currently suffering and those who have overcome* infertility, to speak out and share our story. I do so on Facebook all of the time. I frequently tell people my twins are a result of an IVF treatment, when appropriate. I am not ashamed of my infertility journey. My children are beautiful and mean more to me than life itself.

It’s time. Talk about your infertility so that we can make progress on advocacy, insurance coverage, and perception by the general public.

* not everyone will be successful through fertility treatments, so the term “overcome” encompasses those who had success via treatment, adopt or live childfree not by choice.

Join RESOLVE of Arizona and three local infertility experts to explore your medical and health options for building your family. Topics will include the basic infertility workup, low-tech treatments, IVF and third party reproduction. Guest speakers include Dr. Jay Nemiro, Fertility Studies; Robert Koagedal, AcuHealth; and Dr. Daniel Rychlik, Fertility Centers of Arizona.

To register for this event visit RESOLVE.

It would be great if couples who struggle with infertility would speak out and share their stories instead of suffering with the disease in private. Hopefully Keiko’s story (watch the video) will encourage you to do just that.

There are a lot of things I like about being a mom of twins, but there are many things that are not so fun. For some twins they might experience these highs and lows too. In Abigail’s book it seems that she found solace in her twinship, while her sister longed to be her own individual.

Abigail addresses many issues within her book that are often overlooked, such as twins via fertility treatments. In her interview with Twins Magazine she mentions “The hope in the chapter is realizing that Single Embryo Transfer (SET) is really effective and much safer. If that could be the new world and it could be covered by insurance.” AMEN! Thanks Abigail. This is has been one of my arguments for a long time.

Within the book are parenting tips for parents with twins. As a mom of twins I try to promote individuality, but the Abigail believes that encouraging twinship is good too. The book provides insight as to why some twin relationships are close and others are not. We make generalizations that all twins are close, but was with any sibling this is not always the case.

For more information about One and the Same visit Abigail Pogrebin’s blog and purchase the book from the store of your choice (options on the left side of the page).

Her blog post is titled: The 16 things you shouldn’t say to a CNBC (childless not by choice). If you want to learn more about what not to say to your friend or relative experiencing infertility this is a must read. If you are dealing with infertility you might find some solace in knowing you are not alone.

While it is not always easy, we should tell people that comments like these really hurt. If we don’t do this they will never learn. It is okay to tell them that if they continue to make hurtful comments you will stop talking to them or change the way to interact with them. What are you willing to “deal with” and what are the things that are not acceptable? Establish your boundaries and stick to them.

If you take the time to read this blog post you might start to wonder, as many of the commenters did, why didn’t Pamela adopt if she is so heart broken about not being a mother. You might need to read her book to truly understand the reasons why Pamela and her husband chose not to adopt. Not all couples want to adopt, just as many couples do not pursue fertility treatments.

So on this Mother’s Day, I hope that you will have compassion for those who have not been blessed with a child. For those women might be seeking treatment in hopes to have a baby, or they might have just spent their last dollar on another failed IUI or IVF cycle. And for these women, Mother’s Day is a reminder of what they don’t have.

Anyway, on to more relevant topics. In Arizona the Legislators passed the two anti-family bills, with amendments. It is my understanding that SB1306, the Egg Donor bill, imposes additional informed consent requirements for the doctors and egg donors but does little else to harm infertility patients. While some donors may choose to leave the donor program when they see the mound of paperwork they have to read and sign, most of them would have done so anyway. The women who really want to help other women have a baby won’t be putout by the additional paperwork.

SB1307, the ugly research bill that would have made IVF basically illegal in the State of Arizona is now an anti-stem cell and anti-animal/human hybrid bill. Seriously, who is creating an animal/human hybrid? The illegal immigrants? Actually, the animal/human hybrid nonsense was a front to pass Personhood legislation. Thankfully we were able to defeat the Personhood movement this year. The legislators have promised it will be back on the agenda for next year.

So, even though RESOLVE is bummed about the passage of both of these bills, they are much less harmful in final form than they were initially proposed.

A few lessons learned:
1. The legislators do not care who they hurt or why. They have their own agenda and they are out to please the group(s) that can help them get re-elected.

2. Negotiating with the legislators is stressful and frustrating. Sometimes it works and sometimes it doesn’t. In our case, negotiations were the death of our opposition. However, another non-profit was able to successfully negotiate portions out of a bill to their benefit.

3. Your vote really matters. Who you vote for will determine which silly laws get passed. There are a few folks in my district who will not be getting my votes, ever!

To learn how you can spread the word visit RESOLVE.

To find an event in your area or teleconference that will help you with your own infertility journey (or someone you love’s journey) visit RESOLVE’s NIAW events page for more info.

RESOLVE has had a website overhaul. To get the latest updates on the infertility legislation pending in your state visit their Center for Infertility Justice web pages.

My husband and I are blessed with twins thanks to IVF, but I know a few people who did not have success with their fertility treatments. Some of those couples have decided to live childfree. A few others are in the process of navigating adoption (NOTE: this is not to say adoption is always a second choice as a friend of mine adopted and never even considered fertility treatments).

A great article was written about two couples who were left with empty arms after their IVF cycle(s), Failed IVF. Both of these couples agree that at least trying IVF was worth piece of mind, even though it was extremely heart breaking. They are so brave for sharing their story. Read it here: Failed IVF.

The panel will include a medley of experts who can answer your questions about traditional fertility treatments combined with alternative medicine:

• Dr. Craig, MD Reproductive Endocrinologist
• Dr. Denise Grobe, ND (Naturopathic Physician)
• Mary Ann Shostek, PA-C (Physician’s Assistant)
• Traci Fors, LMT (Reflexologist)

Each of these experts will be able to cover the topic of fertility and conception from several different perspectives.

This gathering will be held on Thursday April 29th, 2010 from 6:30pm-8:00pm at The Center for True Harmony Wellness and Medicine in Mesa, AZ.

Sign up and be entered to WIN A FREE INITIAL ACUPUNCTURE SESSION* with Dr. Denise Grobe, ND.
*must be present to win

Call 480-539-6646 to RSVP. There is a limit of guests at this event, so call today!

If you have any specific questions or would like to meet with Dr Grobe, our licensed Naturopath at The Center for True Harmony, about Natural fertility options such as Acupuncture, please call to set up an appointment at 480-539-6646.

WHEN: April 24, 2010
8 to 10 a.m. or 10 a.m. to noon (attend either session)

WHERE: Banner Thunderbird Medical Center
5555 W. Thunderbird Road, Glendale AZ 85306
Lower Level Conference Center, east side of campus

Presentations by Dr. Vladimir Troche and Dr. Diana Heard-Vaughn and their staff. These experts will help you understand why it may be more difficult to conceive than you thought.

Register for either the 8 a.m. or 10 am. session by calling 230-CARE.

Click here to sign the Protect Family Building Rights in Arizona petition.

This bill is anti-family and will severely limit infertility specialists helping Arizonans struggling to build their families. It singles out life-giving, pro-family medical treatments and subjects them to a new regime of Governmental restriction.

Myth: Egg donors are not provided adequate information about the risks of egg donation, including long-term risks of increased ovarian cancer and other types of cancer.

Truth: Physicians are required to provide informed consent to all patients prior to any procedure. The FDA has requirements for tissue donation (egg donation is considered tissue donation), the American Society of Reproductive Medicine (ASRM) has guidelines for informed consent. In addition, every physician must adhere to the informed consent guidelines required by malpractice insurance companies.

Amendments were negotiated that would insert the requirements and guidelines of these regulatory bodies into Arizona’s statutes. That language has been rejected.

Myth: This bill maintains the “status quo” for the infertility community in Arizona. It will merely prohibit the use of eggs for “research” and “cloning.”

Truth: This bill prohibits anyone from “purchasing or offering to purchase” a human egg for anything but the “treatment of infertility.” This includes the use of eggs that fail to fertilize to be used to further new treatments for infertility and for training embryologists. What “treatment for infertility” entails is not defined, yet anything outside of that realm carries a criminal penalty and certain loss of license for the physician.
Can physicians freeze and thaw eggs for preservation? A common practice, yet still classified as “investigative” under ASRM guidelines. Can physicians screen for genetic defects? Can new specialists and embryologists be trained? The physicians in the infertility practices believe these practices will no longer be legal. Physicians will no longer be able to treat patients who need egg donation as a means to build their families in Arizona, driving these couples out of state to seek treatment.

Amendments allowing “clinical investigation for the furthering of the treatment of infertility” were negotiated. That language was subsequently rejected. There is no way to know how a judge, not a medical board, will interpret “the treatment of infertility.” Given the threat of criminal penalty and loss of license to practice, physicians will not provide these treatments to their patients.
Doctors will leave Arizona and so will patients. Arizona will lose millions of dollars in revenues in addition to labeling itself anti-family.

SB1307:
The Reproductive Endocrinology and Infertility Society of Arizona (REISA), an organization of infertility specialists, embryologists and professionals, oppose SB 1307. They are supported in their opposition by RESOLVE: The National Infertility Association.

The bill prohibits cloning and human/animal hybrids, which we have no problem with. However, as stated by Dr. Pomeroy, “the bill says you are liable if you ‘intentionally or knowingly’ engage in activity that causes the demise of embryos. Embryologists ‘know’ that some embryos will not survive freezing and thawing and so we would be culpable, even though it was not intentional. No embryologist would work under a condition of potential liability like this.” In doing this, NO medical procedure could be performed on ANY embryo—viable or non-viable, that results in “injury, death or destruction…” of the embryo.

Under the definition of nontheraputic research, the only permissible activities are Treatment of Infertility, In Vitro Fertilization and accompanying transfer. Any other procedure MUST be done solely to “preserve the life or health of the particular embryo.”

This bill carries a Class 6 Felony penalty. The testimony of Nik Nikas, attorney and proponent of the bill, was very clear that “we have no way of knowing how a federal or state judge would interpret the phrase “treatment of infertility.”

The medical community working in this field strongly believes that the definition of nontheraputic research would prohibit:
• Training of new infertility specialists and embryologists.
• Practices that allow embryologists to screen embryos for genetic disease. Some genetic conditions can actually be removed from an embryo prior to transfer.
• Practices such as Pre-implantation Genetic Diagnosis that select only healthy embryos from genetically challenged couples, avoiding miscarriage and health risks.
• Screening to select only the most viable embryos for transfer allowing doctors to transfer one or two embryos. This reduces the need for multiple embryos that lead to high-order multiples and premature birth.

With a class 6 felony and loss of license to practice, no physician in Arizona would dare take that chance. They would no longer be able to help Arizona couples have families. These unintended consequences will drive businesses out of Arizona, and force couples seeking this treatment to go elsewhere.

If this bill passes, doctors will leave Arizona and so will patients. Arizona will lose millions of dollars in revenues in addition to labeling itself anti-family.

To voice your opposition to these bills visit RESOLVE to send a letter to your Representative.

The only person that can stop SB 1306 and 1307 from passing is YOU! The Arizona House of Representatives is about to take the last steps to pass SB 1306 and 1307.

Please show your opposition to SB 1306 and 1307 by sending a letter right now to your Arizona state Representative!

RESOLVE volunteers have heard it straight from the horse’s mouth that the goal of SB 1306 and 1307 is to interfere with or stop medical treatment for infertility in Arizona. The goal is to make it harder for us to have babies safely. At a March 31 hearing on the bills, a witness for the bills testified that if these bills pass there will be NO cryopreservation of eggs (sorry, cancer patients!) and NO cryopreservation of embryos (hello, future “octomoms”!).

We must stop these bills or it will be difficult or impossible to practice IVF in Arizona. Doctors have examined the bills and determined they would not want to practice medicine under these new Arizona laws. That means YOUR doctor may leave the state with no one to help those diagnosed with infertility.

MYTH: “My representative told me these bills have been fixed.”

FACT: That is false. While a few amendments were made, the bills that the House Committee passed last week — and that the House Rules committee will consider today, April 6 — are still designed to impair the way IVF and egg donation are practiced. Please visit RESOLVE’s website for details and a full analysis.

Please stop what you are doing and register your opposition! It may be your last chance. Tell your lawmakers what they are doing to couples who want to have a family. These bills may take away their only chance to have a child. They don’t understand that many, many people will be harmed by these bills, that many, many people oppose them. No one will act for you — we need you, and we need you NOW!

Please click here NOW to send a letter to your representative! If you can pick up the phone and call too, that is even better. Click here for a list of representatives with their phone number.

Thank you!

Barbara Collura
Executive Director

P.S. The bills actually criminalize the practice of reproductive medicine. Doctors who treat infertility can go to prison for treating a patient to the current standard of medicine! Is this family-friendly? I don’t think so!
We only have a few days left! Please help us get the word out. Ask everyone you know to send an email and fax today by clicking here!

So, first things first. Senator Gray had the nerve to stand up in front of the Health & Human Services Committee and read a letter from Dr. Moffit about how he stated that the amendments that had been made to the bills “protect” the infertile community. Yet she didn’t read the letter signed by 8 of the Reproductive Endocrinologists that informed her they DO NOT support the amendments and fear the bill will adversely impact their standard of care. I watched Dr. Zoneraich hand her this letter in a meeting just last week – weeks after she had received the letter of “approval” from Dr. Moffit. It saddens me that she took this approach in the committee hearings knowing full well that the infertile community is AGAINST these bills.

To Rep. Nancy Barto – while it is true that we have joined you for a few meetings to discuss our concerns with these bills you have done little to incorporate the suggestions by the doctors to protect infertile patients, especially on SB1307 – which is going to halt the treatment of IVF, as we know it, in the State of Arizona. We do not believe it when you say that you will “continue” to work with us to protect infertile patients because you rejected most of the suggestions provided by the doctors. Your idea of compromise is fixing terminology so that it mirrors what is happening in this medical field. Changing from “provider” to “donor” is not compromising! I do not believe you have any intention of protecting those who have been cursed with the disease of infertility as your only goal is to protect human tissue that cannot become life without a womb.

To the Arizona Republican House and Senate members – please stop telling people who are calling you or sending you emails about these bills that you have “fixed” them and that they have nothing to worry about. If anyone in Arizona is going through an IVF cycle today – they may not have access to their frozen embryos if their fresh cycle fails (or want to add a child to their family) because the docs are going to be too worried about a Class 6 FELONY if one of the embryos dies when thawed. Keeping embryos tied up in a frozen state forever is not the preservation of human dignity! And forget about having any decision about destroying your OWN embryos. You and the doctor will be charged with a Class 6 FELONY for doing so. Say goodbye to your LIVING children for a few months while you serve your sentence in prison for treating your disease with safe and effective medicine.

And how about donating your embryos to another family? Well – who is going to take the responsibility for paying for the testing and transfer fees? You! Because you cannot get reimbursed for those fees because that would be considered “compensation.” And hopefully the lucky couple lives outside of Arizona otherwise an AZ RE might not be willing to thaw the embryos for the couple you so selflessly donated your embryos to.

And SB1306 which protects the egg donor – well buried at the end of the bill is a little clause that prevents any research on EGGS. If research was permitted on eggs than the doctors might just be able to develop technology that negates the need to fertilize all of a woman’s eggs after a fresh retrieval – which creates embryos, many of which they don’t need because they only transfer 1-3 embryos per IVF cycle. Yet, this research would one day fix the so called “ethical” issues some “people” have with SB1307.

If you are an infertile couple in Arizona your treatment options will be:
1. IUIs (artificial insemination) because this procedure doesn’t involve embryos the doctors have little risk of going to prison for using this medical treatment. However, you will be at risk for getting pregnant with high order multiples, remember the family in Lake Havasu with sextuplets? That will be you. Also, keep in mind the success rates of IUIs are much lower than IVF. Get ready for month after month of IUIs…

2. If you are dealing with male factor infertility or infertility issues that make IUI an ineffective treatment option, you might be able to undergo an IVF cycle. But it will look much different tomorrow because of SB1307 than it does today. I’m guessing your RE will retrieve all of your eggs, however, they will not fertilize all of them in order to minimize the possibility of any unused embryos. This prevents them from having to freeze and store your embryos in perpetuity and reduces their risk of going to prison if one of the embryos dies upon thawing. Also, this will reduce your chances of a successful IVF cycle, i.e., a pregnancy, because the RE fertilized only a few of your eggs which means he has less embryos to choose from, which means they might have to transfer lower quality embryos which have little hopes of implanting. The success rates in AZ will decrease dramatically and couples will be left with few options but to continue to pay out of pocket for fresh IVF cycles or travel out of AZ to a more fertility friendly state – a state that can actually effectively treat your infertility with the proper medical protocols.

3. If you have frozen embryos in AZ you will be responsible for paying for annual storage fees FOREVER! You will not be able to destroy them and it is unlikely you will spend $1500-2000 to donate them to another couple, although that would be cheaper than paying the annual storage fees. Forget about a compassionate transfer as that will be illegal too as the intent of a compassionate transfer is not to “protect” the embryo. Destroying your own embryos is not an option or you can face prison time. Really! Forget the fact that the legislators have left you little options since they are preventing any research on eggs that could create technologies that would negate the need to freeze embryos, but I’ve already gone there.
This is the reality of Arizona in just a few short weeks. And it is coming to a state near you. Colorado is adding “personhood” to their 2010 ballot – that measure is trying to do in CO what SB1307 is trying to do in AZ.

Want to stop this? Take action now – call your Representative and send them an email. RESOLVE makes that easy. Click here for their form letter and information about how to contact your Representative.

I don’t know enough about the Health reform just passed to say how it is going to impact infertility patients. However, there are 15 states with some form of insurance coverage, Arizona is not one of them. For more information about infertility insurance coverage visit RESOLVE.

P.S. The opinions expressed in this blog are mine; however I have linked to the RESOLVE website to make it easier to you to take immediate action–they have not approved this blog post and I am not representing RESOLVE in this post or on this blog.

SB1306 is an egg donor bill. It mainly deals with informed consent – which the doctors already do because they are required by the American Society of Reproductive Medicine. They also follow FDA standards and are audited by the FDA on a regular basis. SB1306 just regulates the physicians and complicates their ability to care for and treat their patients. SB1306 also throws in fancy language that basically prohibits any research on eggs, which will hamper any potential for advances in the treatment of fertility.

SB1307 is very scary. If this bill passes IVF as we know it will not exist in the State of Arizona. It is possible many doctors will pack up shop and move to another state. Their staff will be forced to move as well because there will not be any jobs for them – especially since local hospitals are making cuts to staff right now. Patients will have to travel out of state for treatment, which makes an already stressful and expensive treatment more stressful and expensive.

Visit RESOLVE and send a letter to your representative TODAY!

Read the articles here: NewsOK and here: Tulsa World.

Join us for this great event that celebrates all family building options. In the State of Arizona we have been vigorously fighting anti-family legislation. Please join us to send a message to the Arizona elected officials that the infertile community matters!

For more information or to register visit RESOLVE.

Please invite your family and friends too!

Copied from a RESOLVE alert:
RESOLVE: The National Infertility Association needs your urgent and immediate action on a bill introduced in the Kansas state Senate.

Please say NO! It is important that your Senators hear from you. Thank you for taking action today!
Sincerely,
Barbara Collura
Executive Director, RESOLVE

We need your help TODAY! Tell your Senator that you, your friends, and family OPPOSE HB 3077. Please click on the link below to send a letter immediately to your Oklahoma state Senator. Our experience has shown that sending opposition letters can slow down a bill and prevent it from being voted on.

Please let lawmakers know that we will not let them interfere with the care of infertility patients in Oklahoma. Egg donor treatment is the standard of care for infertility patients who have survived cancer or who have premature ovarian failure. Don’t take away their hope for a family!

Visit RESOLVE for the links to contact your OK legislators today!

Visit RESOLVE to get the latest updates on Arizona and send in your letters of opposition on these anti-family bills.

P.S. We know from experience that a flood of opposition can turn the tide – please don’t let these bills pass in Arizona; you have the power to make a real difference! Take Action Today!

“The Arizona legislature is quickly pushing two bills — Senate Bill 1306 and House Bill 2651 – which will impose new and unprecedented restrictions on donor egg treatment for infertility. The Senate Public Safety and Human Services Committee will hold a hearing on February 17 with the House hearing any day now.

We need your help TODAY! If you live in Arizona please tell the Committee members that you, your friends, and family OPPOSE SB 1306 and HB 2651. Please click here to send a letter to Members of the House Health and Human Services Committee and click here to send a letter to the Senate Public Safety and Human Services Committee. (Note: you must send one letter to the House Committee and a second letter to the Senate Committee.)

SB 1306/ HB 2651 interferes with egg donor treatment by –
– outlawing the compensation traditionally provided to those who donate eggs for infertile couples;
– imposing burdensome and inaccurate informed consent obligations on doctors who offer donor egg treatment;
– threatening doctors with loss of their medical licenses if they fail to follow the new informed consents to the letter.
An additional set of bills, SB 1307 and HB 2652, may impair a physician’s ability to provide the best standard of care in reproductive medicine. These bills are a hasty attempt to regulate university research but could have a negative impact on the clinical care of patients.

Please let lawmakers know that we will not let them interfere with the care of infertility patients in Arizona. Men and women in Arizona who are trying to have a family deserve to be able to have all treatments available to them as is offered in any state in the U.S. Please urge them to vote NO on SB 1306 and HB / 2651 and NO on SB 1307 / HB 2652!

For complete information on these bills and to link to copies of the bills, visit RESOLVE’s website.

Thank you for Taking Action on this important legislation!”
Barbara Collura
Executive Director
RESOLVE

My husband recently broke his leg in a skiing accident. Romance has not been on the top of our list the past few weeks, but we are planning on spending some time together over the weekend. The one good thing about holidays like Valentine’s Day is that it can force us to spend time with our partner outside of the daily routine of our busy lives. Something we all need to do on ocassion to keep our relationships healthy and happy.

For more information or to register to attend this event, visit the Southwest Region RESOLVE website. Registration begins February 9th.

Great news! A bill has been introduced in the Maryland House of Delegates that would change the current infertility insurance mandate to allow more people to access insurance benefits. Currently the waiting period for insurance coverage is two years for a history of infertility before the insurance mandate kicks in. House Bill 30, introduced by Delegate Jeff Waldstreicher, would change the waiting period to ONE YEAR. This would allow a greater number of women and men in Maryland to access much needed medical care for their infertility, and get started building their family sooner. RESOLVE fully supports this Bill and is asking for you to show your support too.

On January 28 the Health and Government Operations Committee will hear testimony on this Bill. We need the Committee to support this Bill so that it moves to the next step in the legislative process. If your Delegate is a member of this Committee, we need you to contact them TODAY and show your support. Visit the RESOLVE website to learn more details and to take action!

The couple interviewed for the article discuss how they turned to the Internet when their son was diagnosed with autism. The mother states, “By going online, we definitely went to the doctor armed with more information. It helped guide our questions, and we got better answers and a more customized treatment plan for [our son].” Shapin, Alice, The Costco Connection, January 2010.

The Medical Library Association (MLA) found that consumers who search online for information about their medical issues tend to be more satisfied with their overall medical experience. These consumers tend to be very knowledgeable about their issues and therefore, tend to be better health care consumers. Shapin, Alice, The Costco Connection, January 2010.

When we were going through our fertility treatments we used the Internet to learn about our options, different doctors, etc. We were fairly well educated before we had our first appointment with the RE, which made our experience so much more comfortable. The terminology was familiar and we were not intimated. In turn, the doctor appreciated that we understood the procedure and it made his job easier. When our twin girls were born premature we didn’t turn to the Internet, but instead used the nurses and doctors as our source for gathering information about our girls conditions and status. I always say that knowledge is power, and this is especially true in health care matters.

When you are searching online for information be sure to consider the source. Sites that are offering products for sale might be biased toward the product(s) they are selling. Generally, government, non-profit, and educational institutions provide the most unbiased information about health information.

The article offered these three medical sources:
1. MedlinePlus (http://medlineplus.gov)
2. Healthfinder.gov (http://www.healthfinder.gov)
3. Medical Library Association (http://www.mlanet.org/resources/consumr_index.html)
Shapin, Alice, The Costco Connection, January 2010.