Got fewer and less quality eggs; 2 transfers, no pregnancy. Trust in the protocols he prescribes. However, She wasnt a good fit for our journey. IVF is costly. I have found no weaknesses. How was your experience with John David Gordon at Dominion Fertility? Dominion does not do multiple embryo transfers. I will be nervous, of course, given that I have lost a son at 32 weeks due to unknown causes. I was put on a daily dose of baby Aspirin to help with the lining of my uterus. Very nice and very responsive over email, which is good for me, especially during the business hours. Pregnant on first try. Murdochs remarks came as a part of Dominion Voting Systems $1.6 billion lawsuit against Fox News. This cycle produced a viable embryo transferred on day 5, but no pregnancy. Dominion has brought defamation lawsuits totaling well over a billion dollars against Trump associates but not Donald Trump himself, or at least not yet. For my personal schedule (I work afternoons and nights), it is a little challenging because I must be in there before 9 AM, but for most people working in jobs during the day, I imagine it's a very convenient process. I called my insurance again in a few days and found that the auth was approved. Very organized, convenient locations and hours, accommodating and competent medical staff. Dominion has alleged in its lawsuit that during the 2020 presidential election the right-wing talk channel recklessly disregarded the truth and pushed various pro Embryo fertilization went perfectly. We experienced one loss and one hysteroscopy under her care, and her bedside manner at surgery was the mix of humane and confident that I want in those stressful situations. He will be very honest and not sell you a procedure or a statistic that won't work. Dr. Gordon is an excellent fit who will show empathy to those who need it. At times, this can take a few hours, but they never make you wait more than a day for a return call, so it's really a minor issue. and Dominion Fertility and Endocrinology Institute; and, Robert E. Cumberland v. O. Riley Boone, M.D., et al. He would tell us the good, the bad, and the ugly. He said I could stop taking it if that was the case; I am not insulin resistant. Ask this reviewer a question about their experience with Kay Waud at Dominion Fertility. After suffering a major loss, I do not want to add more risk to pregnancy -- something that is riskier than I had ever expected. Dr. Kay diagnosed me with PCOS without having my test results based on the fact that my periods were "irregular" (which they really aren't). Baby Aspirin once a day to help the lining of my uterus, and then progesterone and estradiol once my embryo was fertilized prior to egg retrieval. They almost always see you within ten minutes of your arrival time, and I was never there more than 20 minutes or so. 1 PGT normal embryo. The nurses also didn't inform me that I'd have to have a 2 hour glucose test, so when I went to the lab, I wasn't prepared and didn't have enough time. I didn't immediately remember this, but she did and was very kind a compassionate about it. If I wasn't sure about next steps or something I was able to quickly get a response via the portal or after leaving a voicemail with the nurses. The nurses were fantastic. Our costs ended up being all diagnostic or pregnancy related, and therefore we had pretty good insurance coverage. I had to always initiate questions or do research online to figure out information. I had insurance but they required me to leave a large deposit rather than billing through my insurance and then billing me. He was very realistic and honest yet presented things in an optimistic manner. I kept sharing with my friends and family that the entire process from the start of my cycle to the transfer was so straight forward and easy - which I did not expect it to be! It's a small enough clinic that you get personalized attention and people remember your name, but they're very bad at information sharing. I am currently 11 weeks pregnant and remaining hopeful! [Dr. DiMattina] is very kind, calm, and confident. They all really cared for us. Describe Kay Waud's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Dominion Fertility. She wasn't able to fully answer all of our questions and had to refer us back to Dr. Waud. Ask this reviewer a question about their experience with John David Gordon at Dominion Fertility. She will definitely answer your questions, listen to you, and provide you with as much information as you'd like. I had a missed miscarriage which showed itself in a monitoring ultrasound, and in retrospect I could not have been surrounded by nicer peopleWhen we were transferring to the next clinic, we requested our medical records. Dr. Gordon comes out to greet you in the waiting room. Dr. DiMattina will recommend the best treatment for you. During weekdays I would go to the Bethesda office and ask to be seen at 7am and I was seen between 7 and 7:05. This wasn't typical for them. I don't know if my treatment plan was tailored to me or how common my experience was, so I can't speak on that - but I felt heard and cared for during every conversation from my consultation through graduation. Yes we paid for this out of pocket the cost of IVF treatment was $16,000 and medication an additional $7,800. Typically at this clinic, they see you quickly. His manner is brusque, and he said to me many times that he would have expected me to be pregnant by now as most of their patients are within two transfers. Both rounds suffered from poor blastulation. The business side of the clinic is disorganized; they didn't keep. The staff is very friendly here. Dr. Waud is very on top of recent research. For any new patient entering this journey don't move forward until you understand the medical and financial component. I love Dr. Gordon. Just seems like this clinic wants money. My experience was pretty mediocre. She argued that the services were not PCP/GYN, which I dont disagree with. Dr. Gordon always cared about me and answered every question I have with a lot of patience. He would tell us the good and the bad. They felt your highs and lows with you. They had a long time window for monitoring so you can easily pick a time convenient for you. The clinic started early which was very convenient for my work schedule. Not to mention I left multiple VMs with no return calls. During my first cycle, I was told three different numbers at various points regarding how many of my eggs were mature. Accessibility Statement, Washington & Lee University School of Law Scholarly Commons, Virginia Supreme Court Records, Volume 250. She was very nice, but for many years on the job, I would have expected better communication, understanding. While we did conceive again relatively quickly, this too resulted in another karyotypically normal loss. This past March, we had our egg retrieval- 21 eggs retrieved, 8 mature, 5 fertilized, 5 blasts, and 4 PGS normal. WebVirginia Supreme Court Records, Volume 250. Mentally we weren't ready for all that - IVF was a big step and my husband had lots of emotions about his diagnosis. Describe your experience with your nurse at Dominion Fertility. Dr. Gordon explains everything very well so that one can understand. Our process was particularly difficult because my partner and I had experienced a stillbirth following difficulties becoming pregnant. I wait some more, call back, still nothing submitted for reprocessing. We only got 1 PGT-A normal embryo in the first cycle, so we did another one. Wow! We discussed IUI and IVF options; he didn't push either. My monitoring experience was good. Pretty efficiently run. He can be really blunt, he won't hold your hand and cry with you. This wasn't typical for themThey had a long time window for monitoring so you can easily pick a time convenient for you. I also was able conference call my husband into the call and Dr D. answered all of our additional questions. They also offer bilingual services for Spanish speakers, as well as military discounts for active duty members. We really appreciated that he set his expectations for our care. Overall, no one was terrible nor exceptional. One thing I think that is unique to Dominion is that the offer an in-home injection teaching. I feel very well taken care of by all of the staff. Describe your experience with your nurse at Dominion Fertility. Not to mention I left multiple VMs with no return calls. He believed my body did not want to get pregnant while having the drugs in my system so we waited a month and next cycle was a natural cycle frozen transfer which resulted in a baby. Some nurses were more compassionate and informative than others. Dr. D [DiMattina] was always upfront about the treatment. If you have questions, you have to contact the nurses. He diagnose my husband with low morphology (1%) and recommended that we proceed with IVF. May 19, 2021 / 10:06 AM / CBS News. Dr DiMattina is straightforward and respectful. They would not offer us a guarantee package due to my low ovarian reserve even though I was only 34. With the understanding and knowledge that she probably is very busy, I did not follow up until a few weeks later when I didn't hear anything. Dr. Waud is definitely empathetic. They always greeted me with a smile and would greet me by my first name the moment I started my treatment. The clinic itself is clean, updated, and modern. I only met my nurse coordinator [at Dominion Fertility] one time in more than a year. I want to resolve these issues before I have to go back for the transfer but clearly its going to cost me more time and energy. I have the capacity to ask questions myself but it would be nice to not have to elicit information all the time as it should be standard of care. The monitoring is "first come, first served". He [Dr. DiMattina] diagnose my husband with low morphology (1%) and recommended that we proceed with IVF. At Columbia, monitoring was absolutely a cattle call, but at Dominion, it was a well oiled machine. I do not remember the specific protocols used. She strongly recommended we do single transfer. Arlington location - clean, nice relaxing environment, modern, organized. She only wanted to sell us on the IVF Guarantee program, which wouldn't make sense for us with the outcome of our testing. We really appreciated that he set his expectations for our care. Though the initial test seem daunting they help develop the picture of what is the best path to conceive. No complaints. Dr. DiMattina is, as I mentioned before, kind, calm, controlled and clearly an expert in his field. Over multiple years I used up several lifetime limits on different insurance programs. She is only credentialed as a gynecologist. She made this hard process easy for me. I have never had a billing issue. I didn't feel like I would be in good care. He understands that we are seeking answers and options and he is clear about his expectations. Dr. D is the best! She told me to expect a high number of eggs retrieved, then when I responded poorly to stims in my first cycle she just kind of shrugged and repeated the exact same protocol for my second cycle. Most everything that occurs during a Natural Cycle IVF treatment (monitoring, egg retrieval, semen collection, fertilization, embryo transfer, etc.) We did a hysterosonogram (water sonogram), hysterosalpingogram (HSG), couples genetic testing, and semen analysis - which I think is all standard for the clinic. Being poked with needles for blood draws and having sonograms every other day during follicle monitoring can be unpleasant, but the nurses remain positive and calm - and they all seem to know how to draw blood very delicately. While I tried to advocate for myself, I felt she was very hand wavy when I asked about new protocols or diagnostic tests that I had come across in FertStert or other journals. Holli is my primary point of contact with Dr D's office. Dr. Sarajari recommended we do IVF within six months after seeing mine and my husband's diagnostic test resultsrecommended we use ICSI for fertilization, which resulted in 100% of our eggs being fertilizedShe strongly recommended we do single transferalways took the time to answer my questions (and invite questions as well). I agree with this approach. If all of this checks out as it did for me, and you want to proceed with Dr. Kay - DO! I interacted with multiple due to going between both Arlington and Bethesda clinic depending on where I was staying. There is only one nurse who is not very good at drawing blood, and I wince every time it's her turn because she has trouble doing it and it's very painful. Dr. Kay did not perform any of the major procedures in our Natural Cycle IVF treatment (Dr. DiMattina did that), but my experience with her as a patient in consult and diagnostics was very positive. Lupron. I never have to worry that I will not receive a call back when I have to leave the nurse or finance dept a message. I saw Dr. Waud for every step - consultations, diagnostic testing, and, unfortunately, D&C and follow-up hysteroscopy procdures. William T. Newman, Jr., Record No. A few of the nurses I saw for bloodwork were so kind but overall the care felt very impersonal. I also had to personally seek approvals from Kaiser to go straight to IVF when this was my doctor's recommendations due to my age and history. I felt very trusting of her opinions and recommendations. I cried during our testing results appt and he immediately stopped, asked how I was doing, and if we wanted to stop and whether I wanted to come backAfter our testing results appt, Dr D told us to call him with any questions. Under my insurance (so far!) I don't believe this is the case, but you might want to be prepared for that possibility as you consult with her. I like to know and understand all details, so I had a fair amount of questions. When we were transferring to the next clinic, we requested our medical records. He presented the options and let us make the decision. I should've never been under such heavy drugs for such a simple procedure in the beginning. The wait time is relatively insignificant [Nursing Staff] Very nice and very responsive over email, which is good for me, especially during the business hours. 11 fertilized. The staff is very professional and they have a nice large waiting room. At least I was told it wasn't an option. Describe the protocols John David Gordon used in your cycles at Dominion Fertility and their degree of success. I appreciated that he was direct and confident in his approach and very knowledgeable. While waiting for my transfer I was prescribed progesterone and estrogen. Dr. D also does frozen embryos only, because he states frozen embryos are more successful. Describe your experience with your nurse at Dominion Fertility. He got us on a treatment plan and we went for it. As with any doctor/patient relationship, trust your gut. Her simple response to my distress was that she didnt receive calls and that she works until 3:30pm. His approach is one of minimal drugs and truly adhering to nature only transferring the number of embryos naturally conceived without any drugs. Ratings of 1 indicate that a clinic was poorly operated. I understand that he is, but strongly feel given the nature of this science, patients will have questions and its only professional to answer them willingly. Every other doctor called that the "embryo. Describe your experience with your nurse at Dominion Fertility. I didn't particular feel like a number to Dr. Sarajari but I also didn't necessary feel super attended to or well informed. I was lucky that my egg retrievals were during the week so he was able to do them. Scheduling appointments has been easy and hassle-free. The clinic does have fairly rigid rules about only doing frozen transfers and they almost mandate PGS testing. Each visit they asked when we usually come for monitoring, so they can be prepared for staffing at peak hours. The most complex fertility treatment, this course will help you do it right the first time. We first decided to see Dr. Di back in 2016 after years of unexplained infertility. When I contacted my coordinator about this, she said she would help me follow up with Leslie. is covered under a package price of $4900. I was on the antagonist protocol for both IVF cycles. He tells you like it is but is clearly compassionate and invested in the process with you. We were being forced to choose a "plan" without understanding what our options were. My Account | I had weeks of delay due to hormone issues and became increasingly frustrated and felt a little out of the loop. Overall, we did spend a lot, but it wasn't nearly as much as it would have been without insurance. I ultimately sought second opinions after feeling like we were just going to be put through the same wringer with no better results. I'll be starting the injections soon. All great, sweet women. Once our embryo was fertilized, I began taking supplemental progesterone and estradiol to prepare my body further for planned implantation. Our process was particularly difficult because my partner and I had experienced a stillbirth following difficulties becoming pregnant. After our testing results appt, Dr D told us to call him with any questions. This was after my third monitoring cycle which lasted over three months. Ratings of 10 indicate an excellent LGBTQ care. Most monitoring appointments were fairly quick, and I was able to get to work on time afterwards. Appointments run on schedule. It seemed like the most important was to sell us on the IVF Guarantee program which would end up costing us a lot more money. She's my nurse and will be there with us through the whole process. Doe and Mr. Doe are haunted by questions about what became They are very honest and forthcoming with any information about my history and future cycles. He definitely exudes a command over these procedures, but does so in a very reassuring way. He was willing to try when no other doctor would. They were so caring and made us feel so at ease. The nursing staff I saw at monitoring visits were mostly very friendly and competent. She was kind, but never made me feel comfortable in her diagnosis or decisions. His advice was that we should try a different approach after 3 times of trying this, and I agree. > Period. Dominion did not accept our insurance (Kaiser). However, in hindsight I would have done some more homework and selected Dr. Gordon as my primary endochronologist for a variety of reasons, Monitoring is by default a disorganized event. The very first appointment went great, I thought the nurses were friendly and Dr. Kay explained the testing we would need. I contacted Leslie on the patient portal about requesting a refund or for her to figure things out with insurance. Fortunately, I was lucky. He talked to my husband and I throughout the transfers to explain what was going on. Simply based on my experience with the financial department, I wouldnt recommend Dominion. I would prefer that they pick up the calls. She was upset when I kept on asking why she thought I had PCOS. She was extremely difficult to get a hold of outside of an office visit. She has been a superstar from the very beginning. As for a con, I wish I could have more time to ask more questions and talk to him more about my concerns. I always felt like they were all just as invested as we were, hugging us both after our last appointment. Our original doctor at Dominion had since left the practice, and Dr. Kay become our new primary. I fully trust Dr. D's medical expertise - that is why we stayed with him when we had to do a second cycle. This was great because it was the quarter of the cost of one cycle, and there were little use of extra hormones. Monitoring was from 7 to 9 am. Having talked through our options, he thought we were good candidates for both natural and stimulated. Even though we are dealing with the stressful topic of infertility after having a stillborn, Dr. Gordon's hopeful and optimistic attitude combined with his frankness when describing expectations and risks was very much appreciated. He said long cycles and portions of my blood work indicated that PCOS may have been a factor. You can't really ask for anything more. My insurance told me that Dr. Sarajari simply isnt credentialed as a specialist so if she wants to collect the specialist copay, she needs to get credentialed with insurance as one. They were always supportive, always positive, and even sprinkled me with fairy dust. He's blunt and gets right down to business but in the end he actually opened up and grew on us a bit. I had to come back another day, wasting an additional day and taking time from work. They'll help you as you go along. I wouldn't classify myself as a high need patient so I didn't need a lot of attention. I got to know the front desk staff so well on my last day I did say I was going to miss them. As someone nervous with needles, this was HUGE. If you need hand holding, he's [Dr. DiMattina is] not for you. It is a comfortable place to receive treatment. So we went to Dominion and are very happy to have changed. I have said on more than one occasion that I wouldn't be able to go through IVF without Holli! I don't think they do multiple embryo transfers. It has not. It was very frustrating. I came back 5 days later for transfer. Weaknesses: getting a hold of the front desk on the phone (it was easy through the portal). I can't comment on eSET because after genetic testing (PGS/PGT) of my embryos, I was only left with one healthy embryo. Critical when undertaking a large financial commitment like IVF. I used to get nervous that I would miss their calls and then I would have to leave another message and wait for their call again. He said IVF with ICSI was needed to make sure the sperm penetrated the egg. Washington Dominion Voting Systems and Fox News are set to square off in Delaware state court this month when the voting machine company's $1.6 billion Solely based on my experience, I would not recommend Dominion Fertility for patients who are not strictly doing IUIsbilled my insurance incorrectly for a few consults that were charged as office visitsThe nursing staff seemed to have high turnover. At times, this can take a few hours, but they never make you wait more than a day for a return call, so it's really a minor issue. Ratings of 10 indicate an excellent nursing team. The clinic is well organized and everybody is very polite. He's progressive (first to offer PGS and PGD along with natural cycle IVF, which worked for us on our 2nd pregnancy). He always thought that we would be a relatively straightforward case despite our prior failed transfers at another clinic. Anesthesia for the egg retrieval is an additional separate cost of $500, and then there is the cost of medications, which for us was around $300. > I asked each of them independently. But talking was not going to ever change the outcome of our failed fertility cycles. My biggest pain points (though small) were with the billing department (having wrong information about my insurance coverage, etc). I don't like that. During treatment, were you treated like a number or a human with Michael DiMattina at Dominion Fertility? On Jan. 8, Dominion sued Sidney Powell, a lawyer who previously worked for Describe the protocols Susan Sarajari used in your cycles at Dominion Fertility and their degree of success. Typically at this clinic, they see you quickly. 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