Preimplantation Genetic Testing

Gordon B. Kuttner, MD, JD, MBA is a dynamic and forward-thinking healthcare practitioner and executive. He is board-certified in OB/GYN and reproductive endocrinology and infertility. Dr. Kuttner has over 30 years of clinical expertise in women’s health and family building. He empowers patients with evidenced-based medicine when advising them on options so they can make an informed decision about their health and that of the offspring.

According to Dr. Kuttner preimplantation genetic testing (PGT) comprises a group of genetic tests used to evaluate embryos before transfer to the uterus. The goal is to try to identify genetically normal vs abnormal embryos and only transfer the normal embryos to the uterus. Dr. Kuttner warns that PGT is not 100% perfect in diagnosing embryos with or free of all genetic abnormalities. As with any test false-positive and false-negative results are possible and thus patients need to know the results do not guarantee an abnormal or normal genetic embryo.

Consequently, conventional pregnancy screening and diagnostic testing should be offered and performed on pregnant women, even those who underwent PGT.

Preimplantation genetic testing has evolved from its start when only a handful of chromosomes could be studies and only for a few abnormalities. Preimplantation genetic testing-monogenic (known as PGT-M) is targeted to single gene condition. Preimplantation genetic testing-monogenic uses only a few cells from the early embryo, usually at the blastocyst stage, and misdiagnosis is possible but rare. To detect structural chromosomal abnormalities such as chromosome gains and losses related to parental structural chromosomal abnormalities (eg, translocations, inversions, deletions, and insertions), PGT-structural rearrangements (known as PGT-SR) is used. The main purpose of preimplantation genetic testing-aneuploidy (known as PGT-A) is to screen embryos for whole chromosome abnormalities including the 22 pairs of autosomes and the sex chromosomes X and Y. Conventional screening and diagnostic testing for genetic abnormalities should be offered to all pregnant women who have had preimplantation genetic testing accordance with ACOG recommendations.

The Perimenopause and Contraception

Dr. Gordon B. Kuttner is an entrapreneurial healthcare leader with diversified success in medical academia, administration, and healthcare management across startup and multinational corporate environments. He is a double Board-Certified physician leader and innovator in women’s health-- obstetrics & gynecology and reproductive endocrinology & infertility. As an MD, JD and MBA he leverages his unique 360° blend of medical, legal, and business savvy he mobilizes peak-performance teams through ambitious business goals and across complex projects. Dr. Kuttner combines expertise in people, process, systems, and regulations to optimize operations, maximize efficiency, drive quality & compliance, and improve healthcare outcomes through evidence-based medicine. Over the course of his career, Gordon Kuttner, MD, has studied aging and fertility in women, including the results of hormone replacement therapy for treating menopause.

Menopause is the cessation of ovarian activity related to ovulation of eggs. It is the cells
around these eggs that produce estrogen and progesterone needed for menstruation. Depletion of eggs implies a depletion of these estrogen and progesterone producing cells and thus cessation of menstrual periods. This occurs around age 51 years. The perimenopause is where the menstrual cycle starts changing from normal. It has an average onset at age 46 (39-51) with and average duration of 5 years (2-8). Due to the individual variability in each woman, contraception should eb recommended until the postmenopausal state has been established—12 consecutive months without a period or several consecutive months without a period with an FSH level of at least 40IU/L. Other than adolescents, the perimenopause is when women experience the highest rate of unexpected pregnancies. There are many safe contraceptive options for women to select.

As per the Guinness Book of World Records, “On 20 August 1997, Dawn Brooke (UK) became the oldest natural mother when she gave birth to a son by Caesarian section at the age of 59 years. She conceived accidentally, having managed to ovulate past her last period.” https://www.guinnessworldrecords.com/world-records/oldest-mother-to-conceive-naturally-

 

Forcura CONNECT Summit Social Media Media Kit

 Forcura CONNECT Summit Social Media Media Kit 

We are honored to have you participate in our Inaugural Forcura CONNECT Summit. For your convenience, we have created this social media kit to make it easier for you to share the Summit content on your social media channels. 

The following posts are suggested content for the Forcura CONNECT Summit on August 28, 2020. 

Sample Posts: 

I am excited to be participating at the #Forcuraconnect Summit on August 28, 2020. Don’t miss my session on the topic “Holistic Care For The Frail Elderly: Strategic Approaches From Two Health Plans”, and a day full of innovative and educational discussions. 

Register Now: https://www.forcura.com/connectsummit 

Don’t miss my session on August 28, 2020, during the #Forcuraconnect summit. All the proceeds from the registration will go towards United Way Worldwide's COVID-19 Community Response and Recovery Fund. Register now: https://www.forcura.com/connectsummit 

Follow us and share our posts/tweets: 

● Forcura on LinkedIn(@Forcura): https://www.linkedin.com/company/forcura/ ● Forcura on Twitter (@Forcura): https://twitter.com/Forcura/ 

● Forcura on Facebook (@Forcura) : https://www.facebook.com/forcura/

Photos & Web Banners: 

● Social Media Graphics & Web Banners can be found as an attachment. 

Here is our most recent press release for your reference: 

https://www.forcura.com/news/forcura-connect-summit-boasts-rockstar-roster-of-healthcare-lead ers 

Summit Hashtags: 

● #Forcuraconnect #virtualsummit 

For any questions, please contact Caroline Seeman with Rhythm Communication: cseeman@rhythmcommunications.com

Guidewell Innovation Center Fosters Health Care Start-Ups

Dr. Gordon B. Kuttner of Boca Raton, Florida, earned his MD from New York Medical College, and later went on to graduate from George Washington University with a master of business administration in health care. Today, Gordon Kuttner, MD, serves as the senior medical director of Guidewell Care Solutions, a company owned by Guidewell Mutual Holding Corporation. The company operates a health facility called Guidewell Innovation Center located in Orlando, Florida.

The 30,000-square-foot Guidewell Innovation Center first opened in 2016. A part of the Lake Nona technology and innovation community, the facility houses medical and health care startups. Each of these companies is able to rent space from Guidewell and work alongside other local businesses in the medical and health care industry. Events focused on innovation and health care are also held in the building.

Tenants can choose to rent a single desk from the facility, or entire offices. A mentor network is also available to entrepreneurs looking to grow their businesses. There are currently 250 tenants working in the office space.

Introduction to OB-GYN

OB-GYN
Photo by Ani Kolleshi on Unsplash

With skills in teaching and care management as well as clinical operations, Dr. Gordon B. Kuttner served as an assistant professor of obstetrics and gynecology at Albany Medical College in New York for five years. As an undergraduate medical education clerkship director for the department of OB-GYN and reproductive sciences, Gordon B. Kuttner, MD, taught residents and medical students and supervised nurses and lab technicians during the period.

Health care providers skilled in providing pregnancy and childbirth care as well as female reproductive health care, obstetrician-gynecologists, or OB-GYNs, are doctors who have studied obstetrics and gynecology and are skilled in both areas. While the term may refer to the doctor specialized in the area, OB-GYN can also refer to the areas of specialization of “obstetrics and gynecology.”

A branch of medicine that deals with providing care for women during pregnancy, labor, childbirth, and the postpartum period, obstetrics focuses on providing health care and maintaining a woman’s health during pregnancy.

On the other hand, gynecology is a branch of medicine concerned with diagnosing and treating women’s reproductive systems. The reproductive organs of concern include the fallopian tubes, uterus, ovaries, and vagina. Aside from the reproductive organs, gynecology also extends to the screening and treatment of women’s breasts.

Obstetrician gynecologists perform a wide range of preventive care procedures, including STI testing, pap smear, ultrasounds, pelvic exams, and blood work. Although recommendations differ for patients of varying ages and those experiencing the changes that naturally occur in reproductive health over time, many women visit their OB-GYNs at least once in a year.