Baylor / Texas Childrens
Available Resources
Genetic counseling
Acupuncture
Mental health counseling
Nutrition counseling
Administration of shots
Coordinating at-home nursing
is not offered
is not offered
Selling medication
is not offered
is not offered
Providing backup medication
Houston - Main Street
6651 Main Street
Houston, TX 77030
832-826-7500
14 assessments
10
10
Age
36 - 38
Treated
2017 - 2019
Success with this Doc
?
Treatment
3 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve
10
10
She [Dr. Schutt] is a good listener and has good bedside manner. She will answer every question and tell you the truth. I feel like she’s very knowledgeable and will listen if you have and idea or a suggestion. On the down side, it’s hard to sometimes get her to do the procedures or even make an appointment...she did say a multiple pregnancy was high risk, and that she couldn’t put mother and babies at risk “on purpose”. That her goal was 1 healthy baby.
The clinic [Baylor - Texas Childrens] is very good. The staff is nice and tries to do their best always. Their equipment is very modern and the consultation rooms are cozy...She is flexible, knowledgeable and approachable. She will repeat the information a thousand times if necessary. The team as a whole is very good....Each iui was $600 out of pocket
Age
36 - 38
Treated
2017 - 2019
Success with this Doc
?
Race
European, Latino
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve
10
10
How was your experience with Amy Schutt at Baylor / Texas Childrens?
She is a good listener and has good bedside manner. She will answer every question and tell you the truth. I feel like she’s very knowledgeable and will listen if you have and idea or a suggestion. On the down side, it’s hard to sometimes get her to do the procedures or even make an appointment.
What's one piece of advice would you give a prospective patient of Amy Schutt at Baylor / Texas Childrens?
She’s very sweet. Ask everything you need, she will answer and listen to you.
During treatment, were you treated like a number or a human with Amy Schutt at Baylor / Texas Childrens?
She has a warm bedside manner, but will tell you the truth. She is a good listener and answers all the quiestions.
Describe the protocols Amy Schutt used in your cycles at Baylor / Texas Childrens and their degree of success.
She used 100mg of clomid for the IUIs and the timed intercourse. Then she used 450 of gonal f, 2 vials of menopur, cetrotide and the trigger. She also used HGH to prime. Her rationale (even when I asked her about mini ivf) was that with DOR women, this was the protocol research confirmed worked best. She also mentioned that if it didn’t work out, she would be happy to try something different.
Describe your experience with your nurse at Baylor / Texas Childrens. (Assigned nurse: Bobby )
She is flexible, knowledgeable and approachable. She will repeat the information a thousand times if necessary. The team as a whole is very good.
Describe your experience with Baylor / Texas Childrens.
The clinic is very good. The staff is nice and tries to do their best always. Their equipment is very modern and the consultation rooms are cozy. They even have a tea cart that goes some days I have nothing bad to say about them.
Describe the costs associated with your care under Amy Schutt at Baylor / Texas Childrens.
Each iui was $600 out of pocket, and the clomid as well. Then my husband changed jobs and had a better insurance that covered 10k in fertility meds and 10k in procedures. I still had to pay over 5k out of pocket for medications and I’m still waiting for the procedure bills. The insurance won’t cover a 2nd ivf cycle, and out of pocket costs are around 13k
Describe Amy Schutt's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Baylor / Texas Childrens.
I only have 1 embryo, but she did say a multiple pregnancy was high risk, and that she couldn’t put mother and babies at risk “on purpose”. That her goal was 1 healthy baby.
- Read less
10
10
Age
33
Treated
2019
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Unexplained
10
10
She [Dr. Schutt] was very thorough and very compassionate towards me! She is an IVF Mom herself and understands the struggle that we go through. Throughout the treatment, she teaches residents or fellows, sometimes both. It made me feel good to have more than one person monitoring my care. The only draw back to her is the long wait for our initial consultation. After that, appointments were easy to schedule.
The clinic staff seem very compassionate and competent. The only drawback is the long wait for an appointment. They are very accommodating once you make an initial appointment.... Just know that TCH/BCM is an academic institution. You will have residents/fellows observing your treatment.... I was impressed with every nurse that I met. I had a death in my family during treatment and I was afraid that it would impact my treatment.
Age
33
Treated
2019
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
Unexplained
10
10
How was your experience with Amy Schutt at Baylor / Texas Childrens?
She was very thorough and very compassionate towards me! She is an IVF Mom herself and understands the struggle that we go through. Throughout the treatment, she teaches residents or fellows, sometimes both. It made me feel good to have more than one person monitoring my care. The only draw back to her is the long wait for our initial consultation. After that, appointments were easy to schedule.
What's one piece of advice would you give a prospective patient of Amy Schutt at Baylor / Texas Childrens?
I would tell prospective patients that the level of care and compassion that she provides is worth the long wait for an appointment.
During treatment, were you treated like a number or a human with Amy Schutt at Baylor / Texas Childrens?
She really took the time to explain my course of treatment to me. She really seems to care about the outcome of my case.
Describe the protocols Amy Schutt used in your cycles at Baylor / Texas Childrens and their degree of success.
Initially, I had cysts on both ovaries due to previous treatment. I was put on birth control to make the cysts go away for one cycle. During this time, I never felt that she "forgot" about me. Now that the cysts are gone, we are proceeding with an IUI with Letrozole and Ovidrel.
Describe your experience with the nursing staff.
I was impressed with every nurse that I met. I had a death in my family during treatment and I was afraid that it would impact my treatment. The Nurse called me immediately and we were able to adjust my meds and go forward with the IUI.
Describe your experience with Baylor / Texas Childrens.
The clinic staff seem very compassionate and competent. The only drawback is the long wait for an appointment. They are very accommodating once you make an initial appointment. They always had ultrasound appointments available, and some people have trouble scheduling these appointments with their work schedule. Just know that TCH/BCM is an academic institution. You will have residents/fellows observing your treatment.
Describe the costs associated with your care under Amy Schutt at Baylor / Texas Childrens.
I don't have anything to compare it to, but it seems on-par with the cost of other clinics.
- Read less
10
10
Age
32 - 33
Treated
2018 - 2019
Success with this Doc
?
Treatment
1 IVF
Diagnosis
Recurrent Pregnancy Loss
10
10
[Dr. Paul Zarutskie is] Very knowledgeable and experienced doctor. He is willing to consider the parts of this process that have a lot of science behind it as well as some of the supportive therapies that may not be proven but have anecdotal support if you are interested. He is very thorough and considerate. He has a great bedside manner and listens to patient concerns.... Dr Z goes above and beyond to make things make sense and answer any questions we have. He has called me personally to update me at each step of the egg retrieval/fertilization so far. His nurses are always responsive to questions and have always felt comfortable running things by him.
Clinic staff [at Baylor/ Texas Children's] are friendly and helpful. They are almost always running on time. Since they are in the medical center, it was easy for me to access them since I work there. Financial counseling is available every day and gave us an idea of what to expect when we started.... Brandy has been very responsive to questions and concerns. She is knowledgeable, but also always talks to Dr Z when necessary.
Age
32 - 33
Treated
2018 - 2019
Success with this Doc
?
Race
European, Latino
Income
$100K - $199K
Occupation
Doctor
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Recurrent Pregnancy Loss
10
10
How was your experience with Paul Zarutskie at Baylor / Texas Childrens?
Very knowledgeable and experienced doctor. He is willing to consider the parts of this process that have a lot of science behind it as well as some of the supportive therapies that may not be proven but have anecdotal support if you are interested. He is very thorough and considerate. He has a great bedside manner and listens to patient concerns.
During treatment, were you treated like a number or a human with Paul Zarutskie at Baylor / Texas Childrens?
Dr Z goes above and beyond to make things make sense and answer any questions we have. He has called me personally to update me at each step of the egg retrieval/fertilization so far. His nurses are always responsive to questions and have always felt comfortable running things by him.
Describe the protocols Paul Zarutskie used in your cycles at Baylor / Texas Childrens and their degree of success.
We are still in treatment right now for recurrent pregnancy loss. He was extremely thorough in his work up. He has been patient and supportive as we navigate the IVF journey. We have had one successful egg retrieval and are waiting to here embryo numbers in the next few days. We will hopefully have a frozen transfer with Dr Z as well.
Describe your experience with your nurse at Baylor / Texas Childrens. (Assigned nurse: Brandy)
Brandy has been very responsive to questions and concerns. She is knowledgeable, but also always talks to Dr Z when necessary.
Describe your experience with Baylor / Texas Childrens.
Clinic staff are friendly and helpful. They are almost always running on time. Since they are in the medical center, it was easy for me to access them since I work there. Financial counseling is available every day and gave us an idea of what to expect when we started.
Describe the costs associated with your care under Paul Zarutskie at Baylor / Texas Childrens.
Our insurance covers some of the therapy with Dr Z.
Office visits:$25 copay
Ultrasounds: $35 copay
Retrieval: $650 copay and $750 for anesthesia
Each office visit, the financial counselor runs your cost and sends you an email prior to the visit with estimated patient cost. This includes every ultrasound monitoring visit.
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
39
Treated
2019
Success with this Doc
Yes
Treatment
Egg Freezing
Diagnosis
Diminished Ovarian Reserve, Endometriosis
10
10
He [Dr. Paul Zarutskie] has the perfect combination of compassion, empathy, realism and deep medical expertise that you want in a doctor in this field. He is a terrific communicator in a field where a lot of the decisions for patients are not black and white; he always answered any and all questions I had in great detail and was honest when the "right" decision was a bit ambiguous. He always did his best to put himself if my shoes and consider all implications of any decisions I made -- emotionally, physically and financially.
I was absolutely treated like a human and not a number [at Baylor/Texas Childrens]. They understand this is not an easy process for the patients and do their best to communicate in an effective, empathetic manner...entire staff was professional and great at communication. My primary nurse was Brandy, who was fantastic. Everything is through the patient portal, and she was always prompt to respond to any questions I sent through that.
Age
39
Treated
2019
Success with this Doc
Yes
Race
European
Income
—
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
Egg Freezing
Diagnosis
Diminished Ovarian Reserve, Endometriosis
10
10
How was your experience with Paul Zarutskie at Baylor / Texas Childrens?
Dr. Zarutskie was recommended by a friend I trust a great deal. He has the perfect combination of compassion, empathy, realism and deep medical expertise that you want in a doctor in this field. He is a terrific communicator in a field where a lot of the decisions for patients are not black and white; he always answered any and all questions I had in great detail and was honest when the "right" decision was a bit ambiguous. He always did his best to put himself if my shoes and consider all implications of any decisions I made -- emotionally, physically and financially. This does not happen with all doctors, which is why I fully trusted him throughout this journey. It felt like he was a true partner along the whole journey with me, rather than just an advisor. Given my endometriosis diagnosis, he always explained all the risk factors in a straightforward and clear manner. He also made sure he was the one to do my retrievals and call me with the results himself; I appreciated his hands-on approach as it was clear he was putting his patients first.
What's one piece of advice would you give a prospective patient of Paul Zarutskie at Baylor / Texas Childrens?
He is willing and wanting to answers any and all questions you may have at any stage of the process. He has decades of experience in this field, so come prepared with all your questions and write things down if it helps; he will spend as much time as you need to feel comfortable and fully informed before making any decisions.
During treatment, were you treated like a number or a human with Paul Zarutskie at Baylor / Texas Childrens?
I was absolutely treated like a human and not a number by Dr. Zarutskie and his staff. They understand this is not an easy process for the patients and do their best to communicate in an effective, empathetic manner.
Describe the protocols Paul Zarutskie used in your cycles at Baylor / Texas Childrens and their degree of success.
Egg retrieval for egg preservation. Lupron, menopur, gonal F, HCG trigger.
Describe your experience with your nurse at Baylor / Texas Childrens. (Assigned nurse: Brandy)
Dr. Zarutskie's entire staff was professional and great at communication. My primary nurse was Brandy, who was fantastic. Everything is through the patient portal, and she was always prompt to respond to any questions I sent through that. She also was very empathetic and compassionate about how she communicated with patients, which always helps as it's already a stressful process to begin with. The front desk staff and ultrasound techs were also very professional and kind; I only had positive experiences with all of them.
Describe your experience with Baylor / Texas Childrens.
Ultrasound appts and lab appts both started at 7am every day, which is very convenient for patients who work full time. The only downside to this clinic is that it's part of TCH so there was always a wait to get your labs done given the high number of patients being treated in the same lab.
Describe the costs associated with your care under Paul Zarutskie at Baylor / Texas Childrens.
I had great insurance coverage, but if you do have to pay out of pocket, the clinic offers a very competitive self-pay discount for those patients.
- Read less
10
10
Age
30 - 31
Treated
2017 - 2018
Success with this Doc
Yes
Treatment
1 IVF, Donor Eggs, Donor Sperm
Diagnosis
Other
10
10
He is trustworthy and honest, blunt, yet compassionate. Some may think he has a dry sense of humor, but I understand that and it didn’t bother me. ... He will not just do what you want, but will direct you to the best course of action and what is medically healthy for mom/baby. ... He 99.9% only prefers to do SET due to risk of an embryo naturally splitting and higher risk to mom/baby with multiples. He flat out will tell you that he is not going to do MET just to increase his clinic success rate. Only in extremely rare cases will be even consider transferring 2 embryos and never any more than that.
Very busy clinic [Baylor / Texas Childrens] within Texas Children’s Hospital so parking gets busy . It is separate from the hospital and is actually in the medical pavilion for women. Clinic is always clean and procedure rooms are as sterile as possible. ... For IVF cycle with my own egg retreival it was $13,500 up front. This covered all office visits, labs, ultrasounds and embryo transfer. If anything wasn’t completed, you got refunded whatever amount was left at the end.
Age
30 - 31
Treated
2017 - 2018
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, Donor Eggs, Donor Sperm
Diagnosis
Other
10
10
How was your experience with William Gibbons at Baylor / Texas Childrens?
He is extremely smart and helped pioneer certain IVF technology/procedures. He is trustworthy and honest, blunt, yet compassionate. Some may think he has a dry sense of humor, but I understand that and it didn’t bother me.
What's one piece of advice would you give a prospective patient of William Gibbons at Baylor / Texas Childrens?
He will not just do what you want, but will direct you to the best course of action and what is medically healthy for mom/baby.
During treatment, were you treated like a number or a human with William Gibbons at Baylor / Texas Childrens?
Very personable and every honest effort was put in to make us be successful, even though it wouldn’t be with our own genetic children.
Describe your experience with your nurse at Baylor / Texas Childrens. (Assigned nurse: Polly Haley)
Polly is extremely compassionate in her approach to care. She goes out of her way to involve patients in their care plan/regimen and keep them informed of changes.
Describe your experience with Baylor / Texas Childrens.
Very busy clinic within Texas Children’s Hospital so parking gets busy . It is separate from the hospital and is actually in the medical pavilion for women. Clinic is always clean and procedure rooms are as sterile as possible.
Describe your experience with your monitoring appointments at Baylor / Texas Childrens.
Monitoring was scheduled at certain intervals, depending on the type of cycle. They’re always done in the morning, normally before 1030 in order for the provider to review results and give you an update by mid-day for any changes you might need to evening protocols.
Describe the costs associated with your care under William Gibbons at Baylor / Texas Childrens.
For IVF cycle with my own egg retreival it was $13,500 up front. This covered all office visits, labs, ultrasounds and embryo transfer. If anything wasn’t completed, you got refunded whatever amount was left at the end. This did not include any medications, they were purchased separately for roughly $3000-4000.
For a donor embryo transfer it was $3000 up front which again included office visits, labs, monitoring and procedure. Medications again were not covered and purchased separately for about $1000.
Describe William Gibbons's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Baylor / Texas Childrens.
He 99.9% only prefers to do SET due to risk of an embryo naturally splitting and higher risk to mom/baby with multiples. He flat out will tell you that he is not going to do MET just to increase his clinic success rate. Only in extremely rare cases will be even consider transferring 2 embryos and never any more than that.
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
31
Treated
2018
Success with this Doc
Yes
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Male Factor
10
10
He [Dr. Gibbons] is so knowledgeable that he may be hard to follow. If this is the case, ask him to repeat or say it in a different way. He also gets off on a tangent frequently; just redirect. He is very honest so if you’re looking for someone to give you answers you want rather than those you need, he is not your guy. He will tell you the truth no matter what. He does work with students, residents and fellows so you will have other sets of hands on you.
Clean facility [Baylor], parking is a little bit of a hassle due to the hospital’s garage. This is a teaching facility so you will have residents and fellows practice on you—it is often unpleasant as they are not as skilled but the doctor will step in when needed. The doctor does all the important parts like transfer and retrieval. It’s an all inclusive center so labs, u/s, OR are really in one spot. Lab is just down the hall....$13,500 for 1 IVF cycle including 5 U/S and 5 lab draws. If additional U/S or labs needed, will be additional cost but at discounted rate.
Age
31
Treated
2018
Success with this Doc
Yes
Race
Prefer not to answer
Income
—
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Male Factor
10
10
How was your experience with William Gibbons at Baylor / Texas Childrens?
From the beginning, we knew we wanted him to be our doctor. His experience, research work, and the data behind his work is excellent. He is a recognized name in his field. He is kind, funny, and compassionate but we also knew he was going to provide us honest answers, even when we didn’t want them. His skills are not like others; he is quick and knows what he’s doing when he’s doing it. I have never been in fear when in his hands.
What's one piece of advice would you give a prospective patient of William Gibbons at Baylor / Texas Childrens?
He is so knowledgeable that he may be hard to follow. If this is the case, ask him to repeat or say it in a different way. He also gets off on a tangent frequently; just redirect. He is very honest so if you’re looking for someone to give you answers you want rather than those you need, he is not your guy. He will tell you the truth no matter what. He does work with students, residents and fellows so you will have other sets of hands on you.
During treatment, were you treated like a number or a human with William Gibbons at Baylor / Texas Childrens?
Both he and his staff are very caring, responsive, and truthful. I knew we weren’t going to have to deal with nonsense there or being treated any less than we deserved to be.
Describe the protocols William Gibbons used in your cycles at Baylor / Texas Childrens and their degree of success.
(IVF with normal AMH, male factor infertility)
IVF with birth control day 2 of full flow
-daily gonal F, menopur, and
Cetrotide
-egg retrieval
1.5 month break—for PGS results, ERA procedure and to give body a break
FET with frozen 5 day transfer
-estrogen patches x 3 every 48 hours
-blood draw and u/s day 12
-start Crinone vaginal gel x 2 daily
-substitute PIO for PM Crinone every 72 hours
-blood draw day 14
-transfer day 18
-change estrogen patches to 2 every 48 hours, continue Crinone Gel
And PIO for total of 10 weeks
-HCG levels day 10, 12 and 17 after transfer
Describe your experience with your nurse at Baylor / Texas Childrens. (Assigned nurse: Polly Haley)
I sent numerous questions, requests, and medication refills via email and Polly and her covering nurse Bobbie always answered my question the same day. I got results quickly and was notified of any changes immediately. I never felt ignored. They are a very organized group!
Describe your experience with Baylor / Texas Childrens.
Clean facility, parking is a little bit of a hassle due to the hospital’s garage. This is a teaching facility so you will have residents and fellows practice on you—it is often unpleasant as they are not as skilled but the doctor will step in when needed. The doctor does all the important parts like transfer and retrieval. It’s an all inclusive center so labs, u/s, OR are really in one spot. Lab is just down the hall.
Describe the costs associated with your care under William Gibbons at Baylor / Texas Childrens.
$13,500 for 1 IVF cycle including 5 U/S and 5 lab draws. If additional U/S or labs needed, will be additional cost but at discounted rate. With all the Co-pays, medication costs, and other fees (labs or other testing like imaging that were not part of IVF package and were not covered by insurance) we had to incur with anesthesia, storage, etc. I would estimate easily 3k-5k extra on top of the initial IVF cost. Plan for around $18k-$20k total for 1 cycle.
Describe William Gibbons's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Baylor / Texas Childrens.
He is only for 1 embryo transfer at a time. That is the clinic’s policy for the safety and welfare of mom and baby. If you are looking for multiple embryo transferred in a single setting, he will not do this.
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
28
Treated
2018
Success with this Doc
?
Treatment
12 Fertility Medications
Diagnosis
Male Factor, PCOS
10
10
She [Dr. Schutt] did some more testing on both my husband and I and found things that were unnoticed by previous doctors. She took the time to not only go over what each item meant, she gave us a solution but more than anything she gave us hope back. Every time we go into see her she reminds me that she had IVF done as well. She always makes sure that I leave with all my questions answered and leave my worries with her. I truly believe I can give her my worries of this journey and she gives me hope.
They [Baylor/ Texas Childrens] are welcoming and very understanding of your situation. From the moment you walk in the office till you walk out to the hospital I feel surrounded by love and hope. They are never in a rush to talk about money, they understand that we are not made of money and they look for ways to help...I cant say enough great things about the staff. They always tried to make me laugh (with out being weird) they were helpful and they always knew my name.
Age
28
Treated
2018
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
12 Fertility Medications
Diagnosis
Male Factor, PCOS
10
10
How was your experience with Amy Schutt at Baylor / Texas Childrens?
As stated before, My husband and I had seen fertility doctors before who told us we were not meant to be parents. Each and every time that doctors words come to my mind Dr. Schutt goes out of her way to explain what great parents we will be. She always asks "what do you think about this" which gives me a moment to pause and say the fear or questions I have. She is never rushing us to the next person, I don't think I have seen her wear a watch or have a clock in her office. I often cry at appointments and when I say " I am sorry for crying" she always tells me that She cried a lot to and it is normal to cry. I know that doctors in fertility know the desperation everyone has when they visit. With the other doctors I always felt like a walking dollar sign but with Dr. Schutt, I feel like she is on my team. I feel as though while we are fighting this battle she has picked up the sword and is running full force in to the mess with us. No strings attached. Just wants to help us.
What's one piece of advice would you give a prospective patient of Amy Schutt at Baylor / Texas Childrens?
Skip everyone else. See her first
During treatment, were you treated like a number or a human with Amy Schutt at Baylor / Texas Childrens?
My husband and I have now seen four fertility doctors. Dr. Amy Schutt is by far the best doctor. When my husband and I started on this journey we were told by someone at another clinic that I was not fit to be a mother because of the my views on a topic. Nautically that was hard to process. Like every doctor, our first visit with Dr. Amy Schutt she asked us what our experience was on this journey. After sharing what happens she stopped the appointment to tell me what a great mother I would be and that she would help me get there. She did some more testing on both my husband and I and found things that were unnoticed by previous doctors. She took the time to not only go over what each item meant, she gave us a solution but more than anything she gave us hope back. Every time we go into see her she reminds me that she had IVF done as well. She always makes sure that I leave with all my questions answered and leave my worries with her. I truly believe I can give her my worries of this journey and she gives me hope.
Describe the protocols Amy Schutt used in your cycles at Baylor / Texas Childrens and their degree of success.
We started seeing her a few months ago, I did an ultra sound and some labs. I took some medication to start my period because I had not ovulated in over 3 months. Since then we have been playing the waiting game to see what is the best option. At first we planned on doing IUI this month however my husbands labs came back lower than we planned, so she took them time to explain IVF to us. A few of my friends have tried and lost children in IVF so I felt like I lost all of my hope. She sat with us for 30-45 minutes to calm me down and even changed my mind on IVF. I know we are in the begging stages of all of this, but I feel so much hope with her.
Describe your experience with your nurse at Baylor / Texas Childrens.
I cant say enough great things about the staff. They always tried to make me laugh (with out being weird) they were helpful and they always knew my name.
Describe your experience with Baylor / Texas Childrens.
They are welcoming and very understanding of your situation. From the moment you walk in the office till you walk out to the hospital I feel surrounded by love and hope. They are never in a rush to talk about money, they understand that we are not made of money and they look for ways to help.
Describe the costs associated with your care under Amy Schutt at Baylor / Texas Childrens.
That really depends on insurance. Our visits are $80 each time. Blood work depends on what they are looking at but when I went it was $120. We looked at IUI and for everything it was $625 and now we are saving for IVF which for meds and everything around $25K (at most)
- Read less
3
1
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
No
Treatment
6 IUI, IVF, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Unexplained
3
1
He [Dr. Gibbons] seems to have difficulty speaking in complete thoughts and presenting those thoughts to patients. He starts a sentence and then rethinks it and then starts again over and over. He seems very nice but he seems too that he spends much of his time in a rush. For my egg retrieval, it seemed an inconvenience that it was on a Sunday and it was clear he wanted to hurry so he could attend services elsewhere.
never sent to speak with financial conuselor [at Baylor/Texas Childrens]...Hard to get trough to them. Old prerecorded message that goes on for a long time before you can talk to someone. Very limited doctors appointments and most of not all are midday with no sympathy to working women.... I have to call and ask for results instead of having them readily available. They allow other medical staff to practice on you, regardless of the pain it may cause you and do so without warning. It is very difficult to get appointments.
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
6 IUI, IVF, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Unexplained
3
1
How was your experience with William Gibbons at Baylor / Texas Childrens?
He seems to have difficulty speaking in complete thoughts and presenting those thoughts to patients. He starts a sentence and then rethinks it and then starts again over and over. He seems very nice but he seems too that he spends much of his time in a rush. For my egg retrieval, it seemed an inconvenience that it was on a Sunday and it was clear he wanted to hurry so he could attend services elsewhere.
What's one piece of advice would you give a prospective patient of William Gibbons at Baylor / Texas Childrens?
He’s very nice but you need to remind him and his staff regularly about what your care plan is supposed to be.
During treatment, were you treated like a number or a human with William Gibbons at Baylor / Texas Childrens?
Frequently the clinic has to be reminded of things such as an increase in medication dose that needed to be called to my pharmacy. I was talked down to until they realized that I was indeed correct, and the doctor did want to increase meds with the next round. I have to call and ask for results instead of having them readily available. They allow other medical staff to practice on you, regardless of the pain it may cause you and do so without warning. It is very difficult to get appointments.
Describe the protocols William Gibbons used in your cycles at Baylor / Texas Childrens and their degree of success.
Clomid 25 with Ovidrel shot
Clomid 50 with Ovidrel shot
IVF
Gonal F, Cetrotide, Menopur, Omnitrope. 7 eggs retrieved, 4 mature, 1 euploid. Did not create pregnancy.
Describe your experience with your nurse at Baylor / Texas Childrens. (Assigned nurse: Polly )
No call the day of my beta HCG. I had to call them. I also had to stay on top of them for medication dosing. The medication calendar they send is a little confusing and should be more clear on what you take at day and what at night
Describe your experience with Baylor / Texas Childrens.
Hard to get trough to them. Old prerecorded message that goes on for a long time before you can talk to someone. Very limited doctors appointments and most of not all are midday with no sympathy to working women.
Describe the costs associated with your care under William Gibbons at Baylor / Texas Childrens.
Very expensive and never sent to speak with financial conuselor
What specific things went wrong at Baylor / Texas Childrens?
- Failed to call in prescriptions to pharmacy
- Failed to call with results
- Failed to order appropriate test
- Provided conflicting information
- Failed to convey critical information
- Scheduled the wrong procedure
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
7
8
Age
31
Treated
2018
Success with this Doc
?
Treatment
2 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Unexplained
7
8
I was impressed with the amount of time that Dr. Gibbons and his fellow spent with me. It's easy to see that he cares about his patients and wants them to have a ssuccessful pregnancy.... He is incredibly intelligent and is an accomplished RE. He is what I call a "fast talker" and uses mostly medical jargon so it is tough to keep up with his train of thought sometimes...All in all, we find that he is personable and a good option as far as RE's go...
I have been impressed with the clinic. The office [Baylor/Texas Childrens] is located in the new section of the hospital so it is modern and clean. The hospital is so large that it's tough to navigate, but they kindly provide a map and other helpful information for you on your first visit to help. One weakness is that the blood lab is inconveniently located and seems to always have a long wait.... The nursing staff has been wonderful! They are friendly, supportive, and extremely knowledgeable.
Age
31
Treated
2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
2 Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Unexplained
7
8
How was your experience with William Gibbons at Baylor / Texas Childrens?
I have only had limited experience with Dr. Gibbons because we just started working with him. However, my experience has been mostly positive so far. He is incredibly intelligent and is an accomplished RE. He is what I call a "fast talker" and uses mostly medical jargon so it is tough to keep up with his train of thought sometimes. Thankfully, through my infertility journey I have read enough books where I could follow along okay, but I could see where someone could leave a bit confused. All in all, we find that he is personable and a good option as far as RE's go.
What's one piece of advice would you give a prospective patient of William Gibbons at Baylor / Texas Childrens?
My advice would to be to always bring a notebook so that you can jot quick notes while he's talking.
During treatment, were you treated like a number or a human with William Gibbons at Baylor / Texas Childrens?
I was impressed with the amount of time that Dr. Gibbons and his fellow spent with me. It's easy to see that he cares about his patients and wants them to have a ssuccessful pregnancy.
Describe the protocols William Gibbons used in your cycles at Baylor / Texas Childrens and their degree of success.
So far we are still in the stage of doing a lot of testing. After our initial 3 hour consult, he ordered a large panel of bloodwork to be done. He was checking for clotting disorders, lupus markers, thyroid issues, prediabetic markers, and did a karotype. He also is having me do a certain HSG that tests my uterine cavity. For my husband who has a normal sperm count, he is having a lab perform a test call a Sperm Fish to determine if the dna in his sperm is aligned properly.
Describe your experience with the nursing staff.
The nursing staff has been wonderful! They are friendly, supportive, and extremely knowledgeable.
Describe your experience with Baylor / Texas Childrens.
I have been impressed with the clinic. The office is located in the new section of the hospital so it is modern and clean. The hospital is so large that it's tough to navigate, but they kindly provide a map and other helpful information for you on your first visit to help. One weakness is that the blood lab is inconveniently located and seems to always have a long wait.
Describe the costs associated with your care under William Gibbons at Baylor / Texas Childrens.
So far we have only had a consult amd we have great health insurance so we just had to pay our $40 copay. The only other expense so far is for my husbands Sperm Fish procedure. Because it is not covered by insurance, we have to pay $1,050.00 out of pocket.
Describe William Gibbons's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Baylor / Texas Childrens.
N/a
- Read less
3
8
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
No
Treatment
7 Fertility Medications
Diagnosis
Anovulation, PCOS
3
8
He [Dr. Williams Gibbons] was very warm during initial apppintment and ultrasound. During second appointment, he delivered news that I was infertile in a very matter of fact way without allowing me time to process. I didn't even know what PCOS was and was just placed on 500mg dose of Metformin. He asked a nurse to come in and discuss my IUI instructions and scheduled and I started crying. They did not even ask me if I wanted to do IUI or test my progesterone to see if I was ovulating.
[Baylor Texas Childrens] May not be best for someone trying to figure out their fertility issues and not yet diagnosed with an issue. Is better for someone who is ready to do IVF right away... Dr. Gibbons was very nice at initial appointment and gentle with transvaginal ultrasound. He was an hour late, very pushy towards IVF and IUI without much explanation and easily frustrated at the next appointment. However, he will run any tests for you and if you don't want to try other options or get tested for anything and jump straight to IVF or IUI then he may be a good fit for you
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
No
Race
South Asian
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
1st of 2 Docs
Treatment
7 Fertility Medications
Diagnosis
Anovulation, PCOS
3
8
How was your experience with William Gibbons at Baylor / Texas Childrens?
Dr. Gibbons was very nice at initial appointment and gentle with transvaginal ultrasound. He was an hour late, very pushy towards IVF and IUI without much explanation and easily frustrated at the next appointment. However, he will run any tests for you and if you don't want to try other options or get tested for anything and jump straight to IVF or IUI then he may be a good fit for you
What's one piece of advice would you give a prospective patient of William Gibbons at Baylor / Texas Childrens?
May not be best for someone trying to figure out their fertility issues and not yet diagnosed with an issue. Is better for someone who is ready to do IVF right away
During treatment, were you treated like a number or a human with William Gibbons at Baylor / Texas Childrens?
He was very warm during initial apppintment and ultrasound. During second appointment, he delivered news that I was infertile in a very matter of fact way without allowing me time to process. I didn't even know what PCOS was and was just placed on 500mg dose of Metformin. He asked a nurse to come in and discuss my IUI instructions and scheduled and I started crying. They did not even ask me if I wanted to do IUI or test my progesterone to see if I was ovulating. When I asked if IUI was around $3k, the cheerful nurse said that it could be higher with his weird smile that made me question what exactly made her so happy. I wanted to discuss my infertility more and what could be tested and treated since only my A1c and AMH was tested in initial appointment. They kept on pushing for IVF saying that due to my high AMH levels, I'm an excellent candidate. The doctor got upset that I was crying because the nurse had scolded him for not being thorough with me before calling her in. He asked if I wanted a hug after I explained that the push for IUI/IVF without further testing, clomid, or increased Metformin made no sense. He said he answered all of my questions (I had questions about my thyroid afffecting my fertility) and what more did I want. I was very shocked because he was so much nicer at the initial appointment. I am now searching for another RE.
Describe the costs associated with your care under William Gibbons at Baylor / Texas Childrens.
My insurance didn't cover any fertility treatment so I had to pay $700 for a couple of appointments and tv ultrasound
What specific things went wrong at Baylor / Texas Childrens?
- Failed to convey critical information
- Read less
10
10
Age
37 - 39
Treated
2015 - 2017
Success with this Doc
Yes
Treatment
IUI, 2 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
I...wouldn't hesitate to refer him [Dr. Gibson] to others...His communication style and bedside manner are probably not for everyone. He has an "odd" sense of humor...The only time I questioned him was after our failed transfer. I was devastated... Dr. Gibbons came off as brusque and defensive at that particular appointment, which was exactly what we did not need at that time...He is a brilliant man, and tremendously passionate about his work and his patients. If you can get past his quirky sense of humor he is an amazing doctor.
Dr. Gibbons and his nurses made me feel like the most important patient they were treating. They responded to every single one of my questions in a timely manner. They always knew the details of my case....I can see how the TMC is not ideal for everyone. As far as scheduling goes, the clinic is amazing. They were rarely running behind, and monitoring appointments were amazingly efficient. The not so great...it was impossible for anyone to tell me how much anything would or could cost. Every bill was a complete surprise. I got into a huge fight with Greater Houston Anesthesiology over a double bill situation, and more than a year after my first retrieval I'm still not SURE that I am done paying for everything!
Age
37 - 39
Treated
2015 - 2017
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Marketer or PR
Order & Number of Docs Seen
1 Doc Seen
Treatment
IUI, 2 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
How was your experience with William Gibbons at Baylor / Texas Childrens?
I have already referred Dr. Gibbons to two friends, and wouldn't hesitate to refer him to others as well. I am forever grateful to him and his office for his knowledge and expertise. His communication style and bedside manner are probably not for everyone. He has an "odd" sense of humor. But it worked for my husband and me, and he is a giant in his field.
The only time I questioned him was after our failed transfer. I was devastated. We had a PGS tested embryo; we had done a day 6 transfer based on my ERA results; we did everything right. And it took us six full months just to get to that failed transfer. And we couldn't REALLY understand why the transfer had failed. I doubted the ERA test; I wondered if we needed to repeat; I wondered if some of my PGS non normal embryos should have been transferred; and I wondered if I was with the right clinic altogether based on SART data. Dr. Gibbons came off as brusque and defensive at that particular appointment, which was exactly what we did not need at that time. We did end up scheduling a consult with a different clinic, but ultimately decided to stick with Gibbons. I am glad I did. Our second cycle was a success.
What's one piece of advice would you give a prospective patient of William Gibbons at Baylor / Texas Childrens?
He is a brilliant man, and tremendously passionate about his work and his patients. If you can get past his quirky sense of humor he is an amazing doctor. But his style is probably not for everyone.
During treatment, were you treated like a number or a human with William Gibbons at Baylor / Texas Childrens?
Dr. Gibbons and his nurses made me feel like the most important patient they were treating. They responded to every single one of my questions in a timely manner. They always knew the details of my case. And they made me feel like they were part of my team through this process.
Describe the protocols William Gibbons used in your cycles at Baylor / Texas Childrens and their degree of success.
My first cycle was 300 follistim and 2 vials of menopur each night, and cetrotide toward the end of stimming. Six eggs were retrieved. Five were mature. Four fertilized and they all made it to day 5 blasts. We biopsies them all for PGS. Only one came back as normal. The next step was an endometrial receptivity assay (ERA). The day five results came back as pre receptive. We scheduled a day 6 transfer for my lone blast. It came back negative. We started up again with the addition of HGH to my stim cycle plus increased follistim to 450. The second retrieval netted 8 eggs. Only 3 made it to blast from that round, and again only one genetically normal embryo. We transferred on day 6 again and I am currently 18 weeks pregnant with that blast.
Describe your experience with the nursing staff.
De. Gibbons' nurses are absolute angels. They are knowledgeable and compassionate and respond to every single question and MyChart message with a thoughtful and complete answer. They are amazing.
Describe your experience with Baylor / Texas Childrens.
For me th location was great -- walking distance from work -- but I can see how the TMC is not ideal for everyone. As far as scheduling goes, the clinic is amazing. They were rarely running behind, and monitoring appointments were amazingly efficient.
The not so great -- we had insurance coverage for our first cycle, and it was impossible for anyone to tell me how much anything would or could cost. Every bill was a complete surprise. I got into a huge fight with Greater Houston Anesthesiology over a double bill situation, and more than a year after my first retrieval I'm still not SURE that I am done paying for everything!
Describe the costs associated with your care under William Gibbons at Baylor / Texas Childrens.
We had insurance coverage for 75% of treatment costs up to $15,000, and a $3,500 prescription drug cap. I total we spent more than $18,000 out of pocket on medical expenses last year, which included two egg retrievals, two rounds of PGS testing, an ERA test, and two transfers, plus all my meds.
Describe William Gibbons's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Baylor / Texas Childrens.
Dr. Gibbons strongly prefers to transfer single embryos. He also recommended PGS given my poor egg quality, and really only transfers singles for PGS tested embryos. Aside from that, we only had one embryo to transfer each cycle.
- Read less
10
8
Age
34 - 36
Treated
2016 - 2018
Success with this Doc
?
Treatment
1 IVF, Donor Sperm
Diagnosis
Endometriosis, PCOS
10
8
Dr. Woodard will hold your hand, give you a hug, laugh with you and I genuinely feel that she knows my pain. (That which I have had both emotionally and physically.) Treatment isn't for the weak, I learned how strong I could be and I feel she plays a big part in that...As things continue to not go as planned per se we are starting to get more aggressive...Dr. Woodard as well as her fellows always knew what was going on with me. They made my wife and I feel comfortable from day one!
There has never been a long wait to see the doctor [at Baylor/Texas Childrens] . They are very organized, Anna is great on the finance end. She has been a great help when trying to get a referral from my PCP. Scheduling and ivf, well you kinda have to work around your body, so when they call and say I have an appointment I take it. There isn't much wiggle room in appointments but that's understandable!
Age
34 - 36
Treated
2016 - 2018
Success with this Doc
?
Race
European, Latino
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, Donor Sperm
Diagnosis
Endometriosis, PCOS
10
8
How was your experience with Terri Lynn Woodard at Baylor / Texas Childrens?
I might not be the best patient... lol. Dr. Woodard will hold your hand, give you a hug, laugh with you and I genuinely feel that she knows my pain. (That which I have had both emotionally and physically.) Treatment isn't for the weak, I learned how strong I could be and I feel she plays a big part in that.
What's one piece of advice would you give a prospective patient of Terri Lynn Woodard at Baylor / Texas Childrens?
I feel that the clinic as a whole has a "conservative" approach. I would give this information in talking with others at the same clinic as well as others. As things continue to not go as planned per se we are starting to get more aggressive.
During treatment, were you treated like a number or a human with Terri Lynn Woodard at Baylor / Texas Childrens?
Dr. Woodard as well as her fellows always knew what was going on with me. They made my wife and I feel comfortable from day one!
Describe the protocols Terri Lynn Woodard used in your cycles at Baylor / Texas Childrens and their degree of success.
I had a fairly standard ivf cycle, gonal-Menopur-centrotide.
Describe your experience with your nurse at Baylor / Texas Childrens. (Assigned nurse: Ashton)
Ashton is great, we have been seeing her as well as Dr. Woodard for about two years. She's quick to respond to emails and phone calls! I never feel bad having to ask something more than once or get more clarification if we do not understand.
Describe your experience with Baylor / Texas Childrens.
There has never been a long wait to see the doctor. They are very organized, Anna is great on the finance end. She has been a great help when trying to get a referral from my PCP. Scheduling and ivf, well you kinda have to work around your body, so when they call and say I have an appointment I take it. There isn't much wiggle room in appointments but that's understandable!
Describe the costs associated with your care under Terri Lynn Woodard at Baylor / Texas Childrens.
Ivf cycle was 13,500$... but of course all the other "things" add up, and quick!
Describe Terri Lynn Woodard's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Baylor / Texas Childrens.
After two failed transfers and just completing an ERA, we are going to transfer two.
- Read less
5
6
Age
34
Treated
2018
Success with this Doc
No
Treatment
3 IVF
Diagnosis
—
5
6
He [Dr. William Gibbons] is very nice but make sure you ask questions...Everything is online which is helpful as a reminder but it is still needed to talk to the doctor. He seemed to confuse himself the few times we did talk and had to remind him of what we were trying to do. The nurses pretty much ran everything and then he would just oversee. Which is why he probably let me go further in the treatment that I should've because I wasn't producing enough eggs. He ended up canceling the cycle and the nurse had just made me pay $900 to rush more medicine to try to continue when latter that same day Dr. Gibbons canceled. I was left with medicine I paid for and never used!
The facilities [at Baylor/Texas Childrens] are excellent, modern, and easy to find. Parking is an issue sometimes because it is in the hospital and it's $12. Besides parking really there no other complaints. The facilities hold everything you need for example you could go downstairs and get blood work...ended up canceling the cycle and the nurse had just made me pay $900 to rush more medicine to try to continue when latter that same day Dr. Gibbons canceled. I was left with medicine I paid for and never used!
Age
34
Treated
2018
Success with this Doc
No
Race
Latino
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
3 IVF
Diagnosis
—
5
6
How was your experience with William Gibbons at Baylor / Texas Childrens?
I only saw Dr. Gibbons twice. Not very involved specifically in the cycle. Even though I was traveling over 500 miles to see him. Everything is online which is helpful as a reminder but it is still needed to talk to the doctor. He seemed to confuse himself the few times we did talk and had to remind him of what we were trying to do. The nurses pretty much ran everything and then he would just oversee. Which is why he probably let me go further in the treatment that I should've because I wasn't producing enough eggs. He ended up canceling the cycle and the nurse had just made me pay $900 to rush more medicine to try to continue when latter that same day Dr. Gibbons canceled. I was left with medicine I paid for and never used!
What's one piece of advice would you give a prospective patient of William Gibbons at Baylor / Texas Childrens?
He is very nice but make sure you ask questions.
During treatment, were you treated like a number or a human with William Gibbons at Baylor / Texas Childrens?
Very personable
Describe the protocols William Gibbons used in your cycles at Baylor / Texas Childrens and their degree of success.
I can't recall specific dosages but I took menopur, gonal f, cetrotide
Describe your experience with the nursing staff.
Very nice. But it did take a while to get answers online
Describe your experience with Baylor / Texas Childrens.
The facilities are excellent, modern, and easy to find. Parking is an issue sometimes because it is in the hospital and it's $12. Besides parking really there no other complaints. The facilities hold everything you need for example you could go downstairs and get blood work.
Describe the costs associated with your care under William Gibbons at Baylor / Texas Childrens.
The office provided us with options using out of the country medication, which was a bit scary, but of course cheaper. I believe we spent around $4000 in medication. But since I had to travel to Houston from El Paso travel expenses added a huge amount to the treatment.
What specific things went wrong at Baylor / Texas Childrens?
- Provided conflicting information
- Read less
10
10
Age
35 - 37
Treated
2016 - 2018
Success with this Doc
?
Treatment
IVF
Diagnosis
Anovulation, Male Factor, PCOS, Unexplained
10
10
Dr. Zarutskie approaches each visit like we're old friends. He takes his time explaining every detail of the process and answering questions. He doesn't feel like a treating physician but like a partner on this journey. And as busy as he is, he's always respectful of our time....Dr. Zarutskie is friendly and thoughtful. He is patient in explaining the processes and how/why each factor comes into play. We feel assured and informed and appreciate the time that he takes with us.
They [Baylor / TX Childrens] are always responsive, organized and friendly....I always prefer working with specialist that are affiliated with teaching hospitals like Baylor. I feel like because they aren't an independent clinic there isn't as much push to get higher numbers and there is a more personal approach. I also appreciate that it's on the rail line and convenient to get to from downtown....Dr. Zarutskie is friendly and thoughtful. He is patient in explaining the processes and how/why each factor comes into play.
Age
35 - 37
Treated
2016 - 2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Lawyer
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF
Diagnosis
Anovulation, Male Factor, PCOS, Unexplained
10
10
How was your experience with Paul Zarutskie at Baylor / Texas Childrens?
Dr. Zarutskie is friendly and thoughtful. He is patient in explaining the processes and how/why each factor comes into play. We feel assured and informed and appreciate the time that he takes with us.
What's one piece of advice would you give a prospective patient of Paul Zarutskie at Baylor / Texas Childrens?
Trust him!
During treatment, were you treated like a number or a human with Paul Zarutskie at Baylor / Texas Childrens?
Dr. Zarutskie approaches each visit like we're old friends. He takes his time explaining every detail of the process and answering questions. He doesn't feel like a treating physician but like a partner on this journey. And as busy as he is, he's always respectful of our time.
Describe your experience with the nursing staff.
They are always responsive, organized and friendly.
Describe your experience with Baylor / Texas Childrens.
I always prefer working with specialist that are affiliated with teaching hospitals like Baylor. I feel like because they aren't an independent clinic there isn't as much push to get higher numbers and there is a more personal approach. I also appreciate that it's on the rail line and convenient to get to from downtown.
- Read less
Verified
This patient has provided documentation of treatment at this clinic.