ACRM

Labs were ran on me (vitamin D, and blood type) that I specifically requested not be run as I had recently had both and provided the results. The labs were still ran and I was still charged, which I disputed and it was handled, but it was frustrating to not felt heard or someone wasn't paying attention. And had I not caught this it would have cost me an additional $300+ which adds up when you are going through all of these fertility treatments with no help from your insurance company.

I was expecting to be notified about initial labs drawn last year. These were complete work up labs. I had emailed my nurse coordinator about them, and she told me they were all normal. When I went back to the consult after these had been drawn, I was notified that something was NOT normal, my DHEA, specifically something regarding my adrenal glands. If I had known sooner, I felt that I could have had labs redrawn sooner and had an MRI sooner, but my husband and I also decided to take a break around this time. When I had my HSG, I had to call the after hours number because my prescription for antibiotics had not been called in. The NP was very quick to call me back and tell me she would take care of it right way, and the next day I got a phone call that my meds were ready!

We were specifically told by Dr. Fogle and Dr. Hasty that the genetic test post D&C would give us answers about what went wrong with the pregnancy. We were never told that the results could be inconclusive. We first found out about this option, when the nurse notified us that there had been maternal contamination and Natera would run again the sample. Needless to say, we didn't get any answers from the genetic testing post D&C. We were told by a nurse that a level of 8 is OK for progesterone although everything seems to indicate that lower than 15 is a problem. Not entirely sure if this is contradicting or inaccurate information. My TSH wasn't checked again to adjust my synthroid dose, until I asked during a second ultrasound while I was pregnant when the baby was already measuring behind. We were later told that although the number hadn't dropped enough, this wasn't the cause of the miscarriage or that the level didn't matter much. Finally, post-miscarriage the level has gotten under control. I would've prefer if they stressed the importance of the thyroid level being a certain number a little more. I wish they were more proactive in their recommendations. We were told that my husband's sperm was perfect with "slightly lower motility than needed" but that it wasn't an issue and we shouldn't concern with it, only to find out after our 2nd miscarriage, that he has a DNA fragmentation issue. I wish that they told us in advance after the 1st miscarriage and during the initial testing that there was another test for the sperm, even if not recommended at the time, but for months we relied on their advice focusing only in my fertility with lifestyle changes, acupuncture, etc. without knowing that he could've been making improvements as well. I believe it is important for doctors to qualify their statements. Saying there is no male factor knowing that there are further tests out there (SCSA) to determine something as important as the quality/DNA fragmentation is to me failing to disclose key information.

I am allergic to iodine and I always put it on all of my forms. But, when I went to an appt to the wrong office because I wasn't notified about going to the other location. When I went to this location they almost used iodine instead of a substitute. Until I asked them about it again. This is the reason why I wasn't comfortable with the different Dr's and nurses.

It was mostly with our Primary Nurse, instead of calling with the results of our pregnancy test blood work like she said she would at a certain time she emailed them and we didn't know the result for hours because we waited for the call instead of checking emails

Michelle, patient coordinator, called to schedule me for a D&C instead of a cyst aspiration procedure. Previously, she had also called to schedule an IVF cycle when I was only scheduled for an IUI. I made mention to Dr. Toner of this, but remained her patient. Fortunately as I began IVF my nurse Mikesha scheduled most of my appointments and procedures and my interactions with Michelle were limited. I think ACRM really does prioritize their nursing staff care (which is good), but their administrative staff leaves a lot to be desired and when you mention that, the doctors listen but do not make an effort to make changes.

I was told that we would do ICSI on half of the embryos in case fertilization was the problem. It wasn't done and fertilization was the problem. I was told eventually that the group of doctors had reviewed our case and didn't see ICSI as warranted but that was never conveyed to me prior to the call that only 2/14 embryos had fertilized.

We scheduled a visit and when we showed up they said we weren’t on their appointment list for the day. The quickly fit us in. Also, we had conflicting information about when certain results would be available to us.

There were several times for my prescription order was incorrect or not called in.