Describe your experience with Reproductive Gynecology.
The strengths are: the environment is modern and clean. Staff are pretty friendly and you're treated like a human being, not a number. They have an in-house LabCorp tech, so you don't have to go elsewhere for blood work and the lab tech is very good. Weaknesses: there's not much in terms of guarantee programs/refunds. Billing needs more transparency. When I've had money due, it wasn't an issue getting an itemized list of services (in bill form), when I had a positive balance on my account, it was like pulling teeth to get a list of documented services and expenses (in a legible form that wasn't in office codes). The drop off for semen samples is not more than a hallway leading to a window with a couple of chairs to the side and can be awkward if someone's waiting there and another person has to drop off, mainly due to cramped quarters.
During treatment, did you feel like you were treated like a number or a human?
I don't feel like a number because I am addressed by name and not my account information. The nurses and doctor are readily available to answer questions.
Describe your experience with your nurse.
Betheen takes care of the IVF patients and is readily available to answer questions. Email is quicker, but she generally gets back by the end of the day. Some times you need to ask more questions to get more thorough information. I assume she is busy and some times assumes you understand more than you might. She does respond and give more detail when asked for it.
What specific things went wrong at this clinic?
How was your experience with Akas Jain?
He's a thorough doctor, taking into consideration various scenarios and options. He's a little chatty at times, but seems genuinely concerned about patient's circumstances. He did all of my procedures except one appointment when he was sick and a partner, Dr. Nash, helped out and kept the appointment to keep us on schedule.
What one piece of advice would you give a prospective patient of Akas Jain?
My advice is the same for any fertility doctor, have them explain all procedures and outcomes in detail. Some times I feel like I'm missing bits and pieces of info that would help my understanding of the process.
Describe the protocols Akas Jain used in your cycles and their degree of success.
I had two IUI with clomid and follistim injections (and HcG trigger shot) that failed. Based on age and low reserve, donor egg was recommended. We had one full cycle a year ago, but embryos were low quality, transfer was a negative, and extra embryos weren't good enough to freeze. Second donor cycle was cancelled before transfer when donor wasn't responding to the drugs as well as hoped. Donors 3-4 were tested, but didn't meet the requirements. Donor 5 was a good candidate, but had to back out due to an injury. Donor 6 was successful in that we got 12 quality embryos to freeze and are now awaiting a transfer. During the first donor egg cycle I was synced to donor, so I had prenatal vitamins and folbic tablet, birth control pills, then lupron, estrogen, and eventually progesterone shots. There were some meds taken around time of transfer, such as antibiotics as prep. This current cycle I am not syncing to the donor's cycle, so there is no lupron, but the rest of the meds are pretty similar, except this time I have an additional thyroid med due to low TSH.
Describe the costs associated with your care under Akas Jain.
This is an estimate... about $22k total for a cycle: donor drugs, egg retrieval, embryology, and transfer (no freezing). Freezing embryos for my second cycle was $1k extra. Donor drugs are around $3-3500 of that $22k. My drug costs have ranged from $500-750 per cycle and not part of the $22k. IUIs were $500 and extra for the drugs (clomid was ~$25, can't remember how much follistim and HcG chot were).