NaProTECHNOLOGY and IVF, An initial visit with a board-certified physician, This introductory session will teach you to chart your fertility signs and youll attend appointments with our Certified FertilityCare Practitioner, Our Liaison will meet with you to guide you through your treatment plan costs, payment options, and insurance coverage and will be available to answer all your questions, A series of lab tests will be requested by your physician in order to diagnose any underlying causes, Your individualized treatment plan will be developed based on the results of the ultrasound and lab results, A series of 4-6 ultrasounds will be scheduled throughout your treatment plan, 6 physician visits will be scheduled to monitor your progress throughout your treatment plan, Any minimally invasive procedures and treatment that your physician finds necessary, A pregnancy confirmation visit and ultrasound with your physician. Dr. Teresa Asam Jensen, MD, NaProTechnology Medical ConsultantInternal Medicine & Pediatrics, NaProTechnologyTele-medicine onlyLicensed in Illinois, Connecticut, Floridahttps://mycatholicdoctor.com/resources/doctors/teresa-asam-jensen-m-d/Dr. Maryland Mary Ann Sorra, MD, OB/GYN, NFPMC 1001 Pine Heights Ave. #203 Baltimore, MD 21239 410.644.1908 in Omaha, NE 68106. Somalilands government has blamed the unrest on fighters with anti-peace groups and terrorism and alleged that the al-Shabab extremist group, affiliated with al-Qaida, has supported some attacks. Studies of tens of thousands of woman using this method led to the discoveries of abnormal patterns and disease states. The success rate with NaProTechnology as the initial treatment of infertility is up to 80%. A NaProTechnology Practitioner then provides natural proven effective treatments instead of masking the problem like general gynecologists are trained to do. June 7, 2022; douglas county ga jail inmates mugshots . This study shows the success of NaProTECHNOLOGY treatment for women with Polycystic Ovarian Disease, compared with surgery only to treat this condition: [Figure 51-13, p. 683 from the NaProTECHNOLOGY textbook. About Payment: Most insurances and healthshares are accepted. They work to understand what hormones you may be deficient in, lifestyle factors you can change, exploratory surgeries, blood work, etc. . The Creighton Model is a standardized method by which a woman can observe and record daily changes in certain objective biomarkers of her cycle (such as external cervical mucus observations). The Creighton charting method may reveal an underlying cause of infertility. Physicians who practice NaProTechnology have been trained and certified by the Saint Paul VI Institute in Omaha, Nebraska. Most civilians have fled, he said. Read how Dr. Damian Olsen helped one local couple achieve their dream of starting a family. Per Woman Pregnancy and Family Building Rates NaProTECHNOLOGY relies on the CREIGHTON MODEL FertilityCare System (CrMS) biomarkers to monitor easily and objectively the occurrence of various hormonal events during the menstrual cycle. . Thus, she obtained her teaching certificate and went on to teach special education for six years. Therefore, we do not provide oral or other artificial contraceptives, provide or refer for abortions or use methods of achieving pregnancy that contradict these directives. It is for the purpose of healing a patient who may have an abnormal hormonal cycle. 10228 Dupont Circle Drive East. We are able to serve the needs of women through NaProTECHNOLOGY and natural family planning, the method that was developed through extensive research at the National Center for Womens Health. Through a system called NaProTRACKING, a woman can chart her fertility signs to create a medical record. NPT targets specific reproductive health needs, including: Unlike common approaches, NPT works cooperatively with a woman's procreative and gynecologic systems. AUSTRALIA . NaProTechnology is an innovative reproductive science that cooperates with a woman's body to treat the underlying cause of the health issue instead of the current standard "bandaid" approach. We are grateful to the donors that have allowed us to continue our mission. Doctor in Embattled Somaliland City Says at Least 145 Dead. This approach is more oriented around family planning than simply . naprotechnology doctors in california. NaProTechnology is used for these patients. Medical Treatment with NaPro. Do you have a difficult time discussing fertility management with your provider without feeling pressured to use artificial contraception? Appointments can be in the office or via telehealth for California and Nevada patients. This is health care that truly puts a womans best interest first. For patients who want to avoid getting pregnant and do not want to use artificial methods for the many risks they impose including cancer of the cervix, breast & liver, the Creighton model is proven to be 98.7-99.9% effective. It utilizes the Creighton Model FertilityCare System as the basis for monitoring a womans menstrual and fertility cycles. Treatment can include surgical, medical, nutritional, supplemental, medication, and lifestyle changes. All rights reserved. NaProTECHNOLOGY uses the Creighton Model FertilityCare System biomarkers to monitor easily and objectively the occurrence of various hormonal events during the menstrual cycle. Sink, and Dr. Connolly, who specialize in medical & surgical NaProTECHNOLOGY,works with women and couples to determine the underlying cause of the issue in order to restore the normal physiologic function of the menstrualand fertility cycles. NaProTECHNOLOGY has been proven to be highly effective in the treatment of infertility due to Endometriosis and Polycystic Ovarian Disease as well as other hormonal disorders and premature birth. Developed by Thomas Hilgers, MD, of Pope Paul VI Institute, and based on over 30 years of scientific research, NaProTECHNOLOGY is a medical system that monitors and maintains a woman's gynecologic and reproductive health in a way that cooperates with her normal reproductive cycle. The conflict in Las-Anod began when an unidentified gunman killed a popular young politician in Somalilands opposition party as he left a mosque. My patient Sara, age 38, came to my family practice to get established as she and her family were new to the area. The process of diagnosis and treatment involves an ongoing dialogue between the woman and her physician, so that the cause of the difficulty can be identified and treated. NaProTECHNOLOGY is a comprehensive system developed through extensive research at the National Center for Womens Health since 1985. NaProTECHNOLOGY (Natural Procreative Technology) is an alternative women's health science that closely monitors and treats a women's gynecological and reproductive health. NaProTECHNOLOGY provides the best in current medical care, applying diagnostic and therapeutic techniques in a way that is cooperative with the natural functions of a womans body. You may call the billing department (800)-906-7828 to see if your insurance is now accepted. Yes! Southern California: Dr. Mary Kotob, FACOG, NaProTechnology Medical Consultant 1441 Avocado Avenue, Suite 608 Newport Beach, CA 92660 ph: (949) 644-7433 fx: (949) 644-4608 http://drkotob.com Dr. Theresa Stigen, OBGYN, NaProTechnology Fellow 577 E. Elder Street, Suite K Fallbrook, CA 92028 ph: (760) 983-4024 fx: (760) 723-9010 Tags: Associated Press, violence, politics. By utilizing the unique sciences of the FertilityCareTM System and NaProTECHNOLOGY, we seek to maintain or restore optimal functioning of the reproductive system. She treats a variety of womens health conditions and provides both routine and high-risk obstetrical care. NaPro provides the best in current medical care, applying diagnostic and therapeutic techniques in a way that is cooperative with the natural functions of a womans body. This breakthrough technology has helped women with: It is a method that can be used both to achieve and avoid pregnancy, This model was developed through extensive research at Creighton University School of Medicine. WholeLife Authentic Care 1000 Bonnie Brae Ave Fort Worth, TX 76111 Phone 817-838-5433 Fax 855-552-6041 Hours Monday - Friday 8am -5pm Contraception | Reproductive Health | CDC. Fertil Steril 35:131-137, 1981).]. When these systems function abnormally, NaProTECHNOLOGY identifies the problems and cooperates with the menstrual and fertility cycles that correct the condition, maintain the human ecology, and sustain the procreative potential. MOGADISHU, Somalia (AP) The director of a hospital in a disputed city in the Somaliland region says at least 145 people have been killed in more than two months of . A NaProTechnology trained physician is able to make a proper diagnosis based on the Creighton model data the patient collected. She felt called to become a FertilityCare Practitioner! The Creighton Model Fertility Care System (CrMS) is a standardized modification of the Billings Ovulation Method. The U.N. has called for respect for medical workers and unhindered humanitarian access. At the Womens Wellness & Fertility Center, we understand that effective, comprehensive womens health can be practiced in line with ones religious beliefs. Dr. Christopher Stroud. This fertility care-based approach bridges family planning with reproductive health monitoring and maintenance, and is based on 30 years of scientific research. A physician trained in the use of NaProTECHNOLOGY can use the information provided by the womans tracking of her cycle in conjunction with diagnostic labs and surgical procedures to diagnose and provide medical and surgical treatment for a wide variety of gynecologic and reproductive conditions. CMCs Womens Wellness & Fertility Center offersexpanded access to care via telehealth (also called telemedicine), a remote delivery of health care services or information. Neil Sink, OBGYN, NaProTechnology FellowSaint Joseph OB/GYN Specialists & Midwifery611 E. Douglas Rd., Ste. With this we can begin to describe and understand what is normal and what is not normal or what is diseased. We invite you to contact our office by phone at (402) 390-6600 or by email at naproquestions@popepaulvi.com. [Figure 51-5, p. 682 from the textbook, The Medical & Surgical Practice of NaProTECHNOLOGY. What is NaProTechnology? Sign up to receive the latest updates from U.S News & World Report and our trusted partners and sponsors. These providers use the Creighton Model Fertility Method to understand and diagnose the womans fertility cycle. IE 11 is not supported. The doctors and healthcare professionals at the Saint Peter's Gianna Center provide general gynecological care, prenatal care, natural family planning education, and infertility services - all with a deep commitment to honoring a woman's dignity and the sanctity of human life. She also has personally walked the path of quitting hormonal contraceptives and knows how overwhelming and intimidating the process can feel. She became a FertilityCare Practitioner in 2011 and has been honored to help so many women and couples with their own fertility and health journeys. From gynecological services and obstetrics, to family planning and infertility, we have always been committed to providing a higher standard of comprehensive care in a sensitive, considerate and confidential environment. Medical NaProTechnology is provided by the following specially-trained Medical Consultants. Medical doctors must go through a six-month education program at the Pope Paul VI Institute. Women of all ages can receive personalized education on the CrMS. She is excited to share her passion for women's health care and she loves being able to help women and families advocate for their health. Their introduction to the FertiltyCare System taught them even more than they already knew and Kate realized shed found the perfect blend of her interests and talents. Learn how Dr. Olsen and his colleagues at WWFC provide high-quality, compassionate and innovative gynecological care that also respects Catholic teachings. These Medical Consultants work in association with FertilityCare Practitioners (FCPs), who teach the FertilityCare Creighton Model system of Fertility Appreciation. Treatment can include surgical, medical, nutritional, supplemental, medication, and lifestyle changes. Saint Paul VI Institute. You can email your completed form(s) via our FollowMyHealth patient portal; or fax to: 603.665.2420;or mail to: Women's Wellness & Fertility Center, 88 McGregor Street, Suite 201, Manchester NH 03102, For the safety of our patients & staff some practices are closed, Medical Office Building/Catholic Medical Center, Authorization for Release or Request of Protected Health Information, You can email your completed form(s) via our, ; or fax to: 603.665.2420;or mail to: Women's Wellness & Fertility Center, 88 McGregor Street, Suite 201, Manchester NH 03102, Understanding the Surgical Techniques Used to Address PCOS. Dr. Hilgers is currently a senior medical consultant in obstetrics, gynecology, and reproductive medicine and surgery at the Saint Paul VI Institute. Women who observe and chart (or NaProTrack the CrMFCS), know and understand the mystery and power of their menstrual and fertility cycles. . Unlike common suppressive or destructive approaches, NaProTECHNOLOGY works cooperatively with the procreative and gynecologic systems. It is a fertility-care based medical approach rather than a fertility-control approach to family planning and gynecological health. Thomas W. Hilgers, MD, is the director of the Saint Paul VI Institute for the Study of Human Reproduction and the National Center for Womens Health in Omaha, Nebraska. NaProTracking provides valid information that can be interpreted by a woman and by physicians who are specifically trained in this system. Why dont you go there and see what they can do for you.. Somalilands defense ministry has denied shelling the hospital, and the government has asserted it has a continuous commitment to a cease-fire it declared on Feb. 10. Often, improvements in semen quality can be made by healthy lifestyle changes. Doctors or nurse practitioners who are trained in NaProTECHNOLOGY treatment protocols are referred to as Medical Consultants. Physicians and medical consultants trained in NaProTechnology utilize technology, blood tests, hormone panels, exploratory surgeries, and strong diagnostic tests to, the womens body by understanding what is not working to treat the underlying issues. Our care team providescomprehensiveobstetrical and gynecological care to women of all ages. The Womens Wellness & Fertility Center at CMC was barely open a month when Kelly and Jim Lockwood had their first appointment with Dr. Sarah Bascle. Here is a link to a successful research study done on NaProTechnology. Taxpayer ID: 68-0301357, Please check below if you want your donation to be invested, Church, Diocesan and Institutional CANFP Members/Supporters, Seminarians Comment on their CANFP Week Gods Design for Married Love, The Pill / Hormonal Suppression / Post-Fertilization, Inadequate Luteal Phase / Progesterone Deficiency, California Association of Natural Family Planning. If the primary diagnosis is a male factor, couples can have successful pregnancies. This study shows that a NaProTechnology approach for women who have anovulatory infertility, polycystic ovarian disease, endometriosis, or tubal occlusion, all have statistically significantly higher pregnancy rates than patients with similar conditions treated with in vitro fertilization. NaProTECHNOLOGY stands for Natural Procreative Technology (NPT). NaPro treatments contrast with practices that frustrate womens natural ability to conceive and bear children such as artificial contraception, sterilization and abortion, or which ignore abnormalities in a womans reproductive function, as is often the case with Assisted Reproductive Technologies such as In Vitro Fertilization. The Saint Joseph FertilityCare Center at SJHSprovides our community with education and consultation on holistic and highly effective options for family planning. Our providers all follow the Ethical and Religious Directives for Catholic Health Care Services while providing excellent, comprehensive womens health services. Treatments are aimed at restoring the normal functioning of a womans cycle, which leads to better gynecologic health and improved reproductive potential. The director accused Somaliland forces of destroying the hospitals laboratory, blood bank and patient ward in mortar attacks. The CrMS is also the basis for the new women's health science, NaProTECHNOLOGY (natural procreative technology). To learn more about long distance teaching, call or email the FertilityCare Center of Omaha at: Fertility Care Center of Omaha 6901 Mercy Rd. IVF) is 31-33%, The success rate with NaProTechnology after failed artificial treatments is 52.8%. If the primary diagnosis is a male factor, couples can have successful pregnancies. Pills, patches and rings are 91% effective. This state-of-the-art science has empowered thousands of women throughout the U.S. and around the globe to learn more about their bodies and reproductive health. Log inThe California Association Of Natural Family Planning is registered with the IRS and the state of California as a not-for-profit organization. This approach seeks to find the cause for the disease and treat it, rather than suppress the womans natural cycle. These may be medical and sometimes surgical to treat the condition. This can cause conditions from PMS to Endometriosis to Infertility. Please prayerfully consider a donation to the MyCatholicDoctor foundation. It is for the purpose of healing a patient who may have an abnormal hormonal cycle. Many approaches such as IUI and IVF bypass the problem completely, using technology and medicine to make a baby not treating the underlying diagnosis and disregarding the health of the woman. The former vice president has become the Democratic front-runner with primary victories across the country. We embrace fertility as a natural part of health and wellness. That's whySaintJoseph Health System (SJHS)isnow offering NaProTECHNOLOGY, a new breakthrough in women's reproductive & gynecologic health science. The high level of accuracy in monitoring reproductive health allowsNaProTECHNOLOGY to providereal solutionsto real health problems. With restorative reproductive approaches such as NaProTechnology, underlying diseases are targeted and then corrected to restore optimal health. For more information on the research and services of Saint Paul VI Institute, please visit us at the Saint Paul VI Institute website. NaProTECHNOLOGY can also be used to perform targeted hormone evaluation and treatment,identifying potential risk for infertility and miscarriage. Call CMC Womens Wellness & Fertility Center to make your introductory appointment. One of Dr. Hilgers pivotal discoveries is the standardized observation of menstrual and fertility cycles. It provides medical and surgical treatments that cooperate completely with the reproductive system. NaProTECHNOLOGY (Natural Procreative Technology) is a women's health science that monitors and maintains a woman's reproductive and gynecological health. In 2004, Dr. Hilgers published the definitive textbook on natural procreative technology, The Medical and Surgical Practice of NaProTECHNOLOGY. Since its creation in 1976, NaProTECHNOLOGY has helped thousands of women and couples. Medical consultants trained in NaProTECHNOLOGY surgical techniques and serve DC area clients are listed below. As a mother of three, Kate has personal experience using the system to achieve and avoid pregnancy. 260-222-7401. March 4, 2023, at 5:57 a.m. Escondido, CA 92025. Naprotechnology is a new women's health science dedicated to monitoring and maintaining a woman's gynecologic and reproductive health. NaPro-trained physicians are licensed M.D.s and D.O.s, often board certified in Obstetrics and Gynecology (OB/GYN) or Family Medicine which means that they have a unique skillset and expertise on top of all their years of rigorous medical schooling and training. Natural Procreative Technology (NaProTECHNOLOGY, or NPT) provides women a highly reliable, precise alternative to traditional medical approaches. NaProTechnology is pro-woman, life affirming womens healthcare. In this way, a woman using the Creighton Model is empowered to better understand the normal or abnormal functioning of her menstrual and fertility cycles. You may also choose to pay directly without billing insurance. In addition, NaProTECHNOLOGY is accepted by the Catholic Church as a way of managing fertility and was developed on the foundational principals of Pope Paul the VIs Encyclical Letter, Humanae Vitae (Of Human Life). Fertil Steril 36:320-325, 1981).]. Through this active participation in her healthcare, a woman becomes empowered to actively collaborate in her treatment. She learned so much and received so much help through the method, that she had to share it. For more information or to register for the next Fertility CareTM Introductory Session, call 574.335.6474 or email sjfertilitycare@sjrmc.com . These providers use the Creighton Model Fertility Method to understand and diagnose the womans fertility cycle. Following the birth of their first child, they found navigating postpartum cycles to be quite challenging and sought out professional help. With her engineering background, the solid science behind FertilityCare and NaProTechnology was a great fit. Stephanie Grosvenor, OBGYN, NaProTechnology FellowFertility & Midwifery Care Center, LLC10228 Dupont Circle Drive EastFort Wayne, IN 46825Tele-medicine available!ph: (260) 222-7401fx: (260) 209-5956https://fertilityandmidwifery.com, Dr. Mary Kotob, FACOG, NaProTechnology Medical Consultant1441 Avocado Avenue, Suite 608Newport Beach, CA 92660ph: (949) 644-7433fx: (949) 644-4608http://drkotob.com, Dr. Theresa Stigen, OBGYN, NaProTechnology Fellow577 E. Elder Street, Suite KFallbrook, CA 92028ph: (760) 983-4024fx: (760) 723-9010http://mysticalroseobgyn.com, Dr. Paul Grey, OBGYN, NaProTechnology Medical Consultant244 Coatsland DrJackson, TN 38301ph: (731) 422-4642fx: (731) 422-2277http://www.wc-nfp.com/. NaProTECHNOLOGY uses the Creighton Model FertilityCare System,allowing a womanbotheasily and objectively to monitorseveral different biological markersessential inunderstanding her ownhealth and fertility. Find a Medical Consultant. Terms of Use, Copyright 2006, Pope Paul VI Institute for the Study of Human Reproduction. Dr. Thomas Hilgers, MD founder of NaProTECHNOLOGY will consult after 2 cycles or 60 days charted from his National Center for Women's Health in Omaha, NE BALTIMORE, MARYLAND: Natural FertilityCare GYN outside Baltimore Dr. Mary Ann Sorra GYN NaPro Medical Consultant w/ St. Agnes Hospital VIRGINIA He is a clinical professor in the Department of Obstetrics and Gynecology at Creighton University School of Medicine, Omaha, Nebraska. The viability of this science is supported by thirty years of researchfocused onbothnormal and abnormal states of menstrual and fertility cycles. Developed by Thomas Hilgers, MD, of Pope Paul VI Institute, and based on over 30 years of scientific research, NaProTECHNOLOGY is a medical system that monitors and maintains a womans gynecologic and reproductive health in a way that cooperates with her normal reproductive cycle. (From: Pope Paul VI Institute research, 2004 and Adashi EY, Rock JA, Guzick D, et al: Fertility Following Bilateral Ovarian Wedge Resection: A Critical Analysis of 90 Consecutive Cases of the Polycystic Ovary Syndrome. This can cause conditions from PMS to Endometriosis to Infertility. By Gods grace, MyCatholicDoctor continues to provide pro-life Catholic healthcare to all of Gods people. By clicking submit, you are agreeing to our Terms and Conditions & Privacy Policy. Learning FertilityCare is an investment in your health and your family.Have more questions? Even more remarkable was that only one doctor had ever investigated as to why. Fort Wayne, Indiana 46825. However, you do not have to be charting using the Creighton Method to receive NaProTechnology care. A collection of moments during and after Barack Obama's presidency. Women chart with the Creighton Model FertilityCare System for gynecologic health maintenance, and couples use it to achieve or avoid pregnancy. By combining the Creighton Model FertilityCare System with medical or surgical NaProTECHNOLOGY, a woman has access to cutting-edge evaluation and treatment. NaProTechnology. Somaliland and the Somali state of Puntland have disputed Las-Anod for years, but the eastern city has been under Somalilands control. Through the monitoring and charting of the woman's biomarkers, a couple is able to identify when they are naturally fertile or infertile, and receive support from the Center in practicing natural family planning. NaProTECHNOLOGY refers to Natural Procreative Technology, an approach to understanding women's reproductive health and regulating fertility by identifying and treating the underlying causes of problemsnot simply placing a Band-Aid on them. Using the patient's Creighton Model FertilityCare System charting, NPT is able to identify the underlying problems, then work to correct the conditions. Many approaches such as IUI and IVF bypass the problem completely, using technology and medicine to make a baby . This is the first womens health science to network family planning with reproductive health monitoring and maintenance. About Us | Gynecology | Obstetric Care | Infertility | Patients | Contact Us, 1600 W. 38th Street, Suite 115, Austin, TX 78731 | Phone (512) 458-6060 | Fax (512) 458-6070 | appointments@vitaeaustin.com, Assess the underlying causes of the reproductive dysfunction, Allow for treatment of these underlying causes, Assist couples in achieving pregnancy while maintaining the natural acts of procreation, Explore and research unknown causes if the medical treatment program is unsuccessful, Assist with successful family building by providing adoption support resources if infertility treatment is medically unsuccessful, Medically safe and highly effective Infertility treatment, More effective and often less costly than IVF, Empowers the woman to understand the science of her body, Telemedicine visits and flexible scheduling available. Check out our own Dr. Damian Olsen from CMCs Womens Wellness & Fertility Center on CatholicTVs This is the Day. As a user of the FertilityCare system for almost 10 years, she has been helped with infertility, postpartum depression/anxiety, secondary infertility, PCOS, irregular cycles, continuous mucus, hormone imbalances, and PMS. Please see Stephanie Gavin to work with a practitioner directly in our office. Physicians and medical consultants trained in NaProTechnology utilize technology, blood tests, hormone panels, exploratory surgeries, and strong diagnostic tests to identify and treat underlying reproductive disorders and hormonal imbalances. At right, a life table comparison is shown of the effectiveness of NaProTECHNOLOGY (in blue) with a similar non-NaProTECHNOLOGY approach taken at Johns Hopkins University. Though she originally considered training as a doula or midwife, she eventually realized she truly enjoyed teaching. Many seek the use of NaPro as an alternative to treatment using the birth control pill and others simply want to learn about their fertility. [Figure 51-5, p. 682 from the textbook, "The Medical & Surgical Practice of NaProTECHNOLOGY ". Fertility and Midwifery Center. But if not used properly with human error is 95-97% effective. Functional Medicine & Restorative Reproductive Medicine at her telemedicine wholistic fertility clin Location & Hours 530 Showers Dr Ste 7-212 Mountain View, CA 94040 Get directions Edit business info Amenities and More Accepts Credit Cards Women-owned Accepts Insurance Ask the Community Ask a question Women now have an opportunity to know and understand the causes of the symptoms from which they suffer. This method uses the Creighton Model Fertility Care System biomarkers to model and monitors various hormonal changes during a woman's menstrual cycle. This graph shows a comparison of the per woman pregnancy rates between the NaProTechnology approach and in vitro fertilization. NaProTECHNOLOGY (Natural Procreative Technology) is a womens health science that monitors and maintains a womans reproductive and gynecological health. Somaliland separated from Somalia three decades ago and seeks international recognition as an independent country. You can view the entire webinar here. A Fertility Care App is also now available through your practitioner. naprotechnology doctors in california. Men with very low sperm counts or anti-sperm antibodies can be treated. TheSaint Paul VI Institute for the Study of Human Reproductionwas founded by Thomas W. Hilgers, MD in 1985 to answer the call for reproductive health care that fully respects life. The program goes into more detail than traditional medical training in the area of natural family . CrMS provides valid information that can be interpreted by a woman and by physicians who are specifically trained in this system. MOGADISHU, Somalia (AP) The director of a hospital in a disputed city in the Somaliland region says at least 145 people have been killed in more than two months of fighting between anti-government fighters and Somaliland security forces after local elders declared their intention to reunite with Somalia.