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"content": "\u003cp>When Scott Gatz and his husband decided to become fathers several years ago, pursuing parenthood meant finding both an egg donor and a surrogate to help them conceive a baby. Their first round of in vitro fertilization produced seven healthy embryos. One of those embryos was successfully transferred to their surrogate's womb, resulting in their son Matthew, who is now 6-years-old.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Every time we read the 'destroy' option on the form, my stomach does a somersault. It feels as if our future children are showing up once a year to confront us.\"\u003c/aside>\n\u003cp>While the San Francisco couple feels their family is now complete, they are still in a quandary over what to do with their six remaining embryos — what they call their \"maybe babies.\"\u003c/p>\n\u003cp>Every year they're forced to weigh their options again, Gatz tells Shots, when a letter arrives from the fertility clinic. It asks whether they want to destroy the embryos, donate them for medical research, give them to another infertile couple or continue paying $800 annually to keep the embryos frozen.\u003c/p>\n\u003cp>\"Every time we read the 'destroy' option on the form, my stomach does a somersault,\" Gatz says. \"It feels as if our future children are showing up once a year to confront us.\"\u003c/p>\n\u003cp>The men are not alone in their ambivalence. It's estimated that, in the United States, there are almost \u003ca href=\"http://www.hhs.gov/opa/about-opa-and-initiatives/embryo-adoption/\">one million\u003c/a> frozen embryos now in storage, a number that includes embryos reserved for research, as well as those reserved to expand families.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Indecision Reigns\u003c/strong>\u003c/p>\n\u003cp>In a 2005 \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/16084886\">study\u003c/a> that interviewed 58 couples who conceived through IVF and had at least one frozen embryo in storage, more than 70 percent had not yet decided — even several years after the procedure — how they would dispose of a surplus embryo. Some said they considered the embryos to be biologic tissue or a genetic or psychological \"insurance policy.\" Others told the researchers they thought of the embryos as living entities — \"virtual children\" that have interests that needed to be considered and protected.\u003c/p>\n\u003cp>\"With the astonishing advancements in reproductive science, IVF now produces far more embryos than it did in the past,\" says Dr. Anna Glezer, a psychiatrist at the University of California, San Francisco. The choices that abundance poses are very difficult for some couples, she says, \"which raises the need for psychological resources, such as peer support groups for these families.'\u003c/p>\n\u003cp>After conceiving their daughter via IVF, Megan and Jay Khmelev had eight remaining embryos. For two years, says Megan, she was overcome by guilt, anxiety, and sadness as she struggled with what to do with them. At the beginning of her fertility journey, she had imagined one day donating the embryos to science or to another infertile couple.\u003c/p>\n\u003cp>But after her daughter arrived, she says, she couldn't imagine parting with the surplus embryos in this way. The Khmelevs didn't want eight more children, but discarding the embryos didn't feel like the right choice, either.\u003c/p>\n\u003cp>\"I wish someone had told me that I'd be haunted by the grief of my infertility struggle all over again as I wrestled with my decision,\" Megan says.\u003c/p>\n\u003cp>\u003ca href=\"http://eggwhisperer.com/\">Dr. Aimee Eyvazzadeh\u003c/a>, a reproductive endocrinologist in the San Francisco Bay area, says many families she counsels struggle with these choices.\u003c/p>\n\u003cp>\"It's a complicated process,\" Eyvazzadeh says. \"At the beginning of IVF, patients hope for many embryos, because they long to have a baby. They don't realize how their feelings might change once their children are born.\"\u003c/p>\n\u003cp>In the 1980s, when fertility clinics began freezing embryos, there wasn't any available research about how patients would feel regarding their frozen embryos after they became parents. More than 30 years later, though the number of IVF babies has \u003ca href=\"http://www.npr.org/sections/health-shots/2014/02/18/279035110/ivf-baby-boom-births-from-fertility-procedure-hit-new-high\">steadily climbed\u003c/a>, many fertility doctors are still unsure how to handle some patients' ambivalence.\u003c/p>\n\u003cp>\"Our clinic told us that we could freeze our embryos and explained the cost associated with yearly storage fees,\" Gatz says, \"but they didn't mention the feelings that might arise as we faced these choices.\"\u003c/p>\n\u003cp>A study \u003ca href=\"http://www.fertstert.org/article/S0015-0282(15)02109-3/abstract\">published\u003c/a> in the March issue of the journal \u003cem>Fertility and Sterility\u003c/em> found that that after successful IVF treatment, most of the 131 couples responding to a survey were dissatisfied with the education they obtained from their health care providers about disposal decisions. And less than 50 percent were satisfied with the emotional guidance they got.\u003c/p>\n\u003cp>Yet other research suggests that \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0015028215022232\">peer support\u003c/a> \u003cem>can \u003c/em>help people make these complicated choices, by giving them a place to disclose their struggles in the company of others who have been through the process.\u003c/p>\n\u003cp>\u003ca href=\"http://latalktherapy.com/dr-lederer/\">Francine Lederer,\u003c/a> a clinical psychologist in private practice in Los Angeles, offers a \"disposition support group,\" specifically aimed at couples and individuals who are deciding what to do with their embryos.\u003c/p>\n\u003cp>\"After successful IVF treatments, many couples come to view their embryos as human life, which makes it even harder for them to find closure,\" Lederer says. Some even have funeral ceremonies for the embryos.\u003c/p>\n\u003cp>For other couples, making these decisions ignites emotional conflict between the spouses, or even beyond — to include the extended family, Lederer finds, because religious beliefs and personal preferences play a role in how each person views the stored embryos. One couple she counseled who had decided to destroy the embryos mentioned that to their parents and discovered the in-laws were aghast.\u003c/p>\n\u003cp>\"Too often, these families have never shared their stories aloud,\" says Lederer. \"Support groups can make a difference by allowing them to talk about their personal experiences with others who understand, which can help them to feel less isolated.\"\u003c/p>\n\u003cp>Megan and Jay Khmelev finally decided to do additional rounds of IVF, and use the remaining embryos themselves, but none resulted in a viable pregnancy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm glad I did the transfers anyway,\" Megan says. \"It gave me and my husband closure, knowing that we had given them a chance to become life.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+IVF%2C+Some+Struggle+With+What+To+Do+With+Leftover+Embryos&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Scott Gatz and his husband decided to become fathers several years ago, pursuing parenthood meant finding both an egg donor and a surrogate to help them conceive a baby. Their first round of in vitro fertilization produced seven healthy embryos. One of those embryos was successfully transferred to their surrogate's womb, resulting in their son Matthew, who is now 6-years-old.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Every time we read the 'destroy' option on the form, my stomach does a somersault. It feels as if our future children are showing up once a year to confront us.\"\u003c/aside>\n\u003cp>While the San Francisco couple feels their family is now complete, they are still in a quandary over what to do with their six remaining embryos — what they call their \"maybe babies.\"\u003c/p>\n\u003cp>Every year they're forced to weigh their options again, Gatz tells Shots, when a letter arrives from the fertility clinic. It asks whether they want to destroy the embryos, donate them for medical research, give them to another infertile couple or continue paying $800 annually to keep the embryos frozen.\u003c/p>\n\u003cp>\"Every time we read the 'destroy' option on the form, my stomach does a somersault,\" Gatz says. \"It feels as if our future children are showing up once a year to confront us.\"\u003c/p>\n\u003cp>The men are not alone in their ambivalence. It's estimated that, in the United States, there are almost \u003ca href=\"http://www.hhs.gov/opa/about-opa-and-initiatives/embryo-adoption/\">one million\u003c/a> frozen embryos now in storage, a number that includes embryos reserved for research, as well as those reserved to expand families.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Indecision Reigns\u003c/strong>\u003c/p>\n\u003cp>In a 2005 \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/16084886\">study\u003c/a> that interviewed 58 couples who conceived through IVF and had at least one frozen embryo in storage, more than 70 percent had not yet decided — even several years after the procedure — how they would dispose of a surplus embryo. Some said they considered the embryos to be biologic tissue or a genetic or psychological \"insurance policy.\" Others told the researchers they thought of the embryos as living entities — \"virtual children\" that have interests that needed to be considered and protected.\u003c/p>\n\u003cp>\"With the astonishing advancements in reproductive science, IVF now produces far more embryos than it did in the past,\" says Dr. Anna Glezer, a psychiatrist at the University of California, San Francisco. The choices that abundance poses are very difficult for some couples, she says, \"which raises the need for psychological resources, such as peer support groups for these families.'\u003c/p>\n\u003cp>After conceiving their daughter via IVF, Megan and Jay Khmelev had eight remaining embryos. For two years, says Megan, she was overcome by guilt, anxiety, and sadness as she struggled with what to do with them. At the beginning of her fertility journey, she had imagined one day donating the embryos to science or to another infertile couple.\u003c/p>\n\u003cp>But after her daughter arrived, she says, she couldn't imagine parting with the surplus embryos in this way. The Khmelevs didn't want eight more children, but discarding the embryos didn't feel like the right choice, either.\u003c/p>\n\u003cp>\"I wish someone had told me that I'd be haunted by the grief of my infertility struggle all over again as I wrestled with my decision,\" Megan says.\u003c/p>\n\u003cp>\u003ca href=\"http://eggwhisperer.com/\">Dr. Aimee Eyvazzadeh\u003c/a>, a reproductive endocrinologist in the San Francisco Bay area, says many families she counsels struggle with these choices.\u003c/p>\n\u003cp>\"It's a complicated process,\" Eyvazzadeh says. \"At the beginning of IVF, patients hope for many embryos, because they long to have a baby. They don't realize how their feelings might change once their children are born.\"\u003c/p>\n\u003cp>In the 1980s, when fertility clinics began freezing embryos, there wasn't any available research about how patients would feel regarding their frozen embryos after they became parents. More than 30 years later, though the number of IVF babies has \u003ca href=\"http://www.npr.org/sections/health-shots/2014/02/18/279035110/ivf-baby-boom-births-from-fertility-procedure-hit-new-high\">steadily climbed\u003c/a>, many fertility doctors are still unsure how to handle some patients' ambivalence.\u003c/p>\n\u003cp>\"Our clinic told us that we could freeze our embryos and explained the cost associated with yearly storage fees,\" Gatz says, \"but they didn't mention the feelings that might arise as we faced these choices.\"\u003c/p>\n\u003cp>A study \u003ca href=\"http://www.fertstert.org/article/S0015-0282(15)02109-3/abstract\">published\u003c/a> in the March issue of the journal \u003cem>Fertility and Sterility\u003c/em> found that that after successful IVF treatment, most of the 131 couples responding to a survey were dissatisfied with the education they obtained from their health care providers about disposal decisions. And less than 50 percent were satisfied with the emotional guidance they got.\u003c/p>\n\u003cp>Yet other research suggests that \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0015028215022232\">peer support\u003c/a> \u003cem>can \u003c/em>help people make these complicated choices, by giving them a place to disclose their struggles in the company of others who have been through the process.\u003c/p>\n\u003cp>\u003ca href=\"http://latalktherapy.com/dr-lederer/\">Francine Lederer,\u003c/a> a clinical psychologist in private practice in Los Angeles, offers a \"disposition support group,\" specifically aimed at couples and individuals who are deciding what to do with their embryos.\u003c/p>\n\u003cp>\"After successful IVF treatments, many couples come to view their embryos as human life, which makes it even harder for them to find closure,\" Lederer says. Some even have funeral ceremonies for the embryos.\u003c/p>\n\u003cp>For other couples, making these decisions ignites emotional conflict between the spouses, or even beyond — to include the extended family, Lederer finds, because religious beliefs and personal preferences play a role in how each person views the stored embryos. One couple she counseled who had decided to destroy the embryos mentioned that to their parents and discovered the in-laws were aghast.\u003c/p>\n\u003cp>\"Too often, these families have never shared their stories aloud,\" says Lederer. \"Support groups can make a difference by allowing them to talk about their personal experiences with others who understand, which can help them to feel less isolated.\"\u003c/p>\n\u003cp>Megan and Jay Khmelev finally decided to do additional rounds of IVF, and use the remaining embryos themselves, but none resulted in a viable pregnancy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm glad I did the transfers anyway,\" Megan says. \"It gave me and my husband closure, knowing that we had given them a chance to become life.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+IVF%2C+Some+Struggle+With+What+To+Do+With+Leftover+Embryos&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"radiolab": {
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"reveal": {
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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