How was your experience with Colleen Casey at Center for Reproductive Medicine of Minnesota?
Dr. Casey has a very matter-of-fact style of interaction. We had some pretty big losses during our treatment, and while she expressed sympathy, she was quite blunt. There isn't anything necessarily wrong with this--it just isn't our style and we would have preferred a little more compassion/empathy. Dr. Casey presented information about our options in an easy-to-understand format and we felt well-informed regarding the process. However, we felt like we were lead to believe that our chances of success were quite a bit higher than they actually were. We don't feel that Dr. Casey was realistic with us about our chances. Additionally, I was triggered on day 7 for two IVF egg retrievals (with egg retrieval on day 9). We were never told that triggering this early is very risky in regards to the chances of getting euploid embryos. Had we known the risks, we would not have decided to move forward with egg retrieval either time. We did really appreciate that Dr. Casey called us personally to report on PGS results, and she gave us her phone number to contact her if needed (without going through the phone triage system). We felt like we had access to her if we had any further questions.
What's one piece of advice would you give a prospective patient of Colleen Casey at Center for Reproductive Medicine of Minnesota?
I would recommend asking for very specific information regarding realistic chances of success, particularly for patients who are going into IVF with a lower chance of success (low ovarian reserve, low AMH, low AFC, history of a short follicular phase).
During treatment, were you treated like a number or a human with Colleen Casey at Center for Reproductive Medicine of Minnesota?
CRM is a very big and busy clinic, with many staff members. I had contact with many nurses during my treatment, and it was rare for any of them to really know the details of my case. There were several times (typically during phone calls) when I could tell that the nurses hadn't adequately reviewed my chart before calling. Having said that, there were a couple nurses who were better than the others, and who clearly tried their best to compassionately treat my husband and I as individuals going through a very difficult process.
Describe the protocols Colleen Casey used in your cycles at Center for Reproductive Medicine of Minnesota and their degree of success.
For IUI, we used Follistim for about 5 days, triggered on day 8, had IUI on day 10, and became pregnant, but miscarried around 9 weeks. Our first IVF protocol was with Follistim (starting dose 225) and Menopur (1 vial per day), with Ganirelix. We triggered with Pregnyl on day 7 and had egg retrieval on day 9. 6 eggs retrieved/6 mature/5 fertilized with ICSI/1 blast (PGS abnormal). Our second IVF protocol was with Follistim (starting dose 275, I think), Menopur (2 vials per day), and microlupron (started 2 days prior to Follistim/Menopur). We triggered with Pregnyl on day 7 and had egg retrieval on day 9. 7 eggs retrieved/5 mature/4 fertilized with ICSI/2 blasts (both PGS abnormal).
Describe your experience with the nursing staff.
The nurses at CRM were such a mixed bag. We had a few nurses who were so kind and compassionate and friendly and helpful. On the other hand, there are a few others who were unnecessarily blunt, unhelpful, and talked down to me (as if I knew nothing about my own body or what I'd already been through). It would have been very, very helpful if I'd had a primary nurse (or two) assigned to my care. It was really difficult to be working with a different nurse every day.
Describe your experience with Center for Reproductive Medicine of Minnesota.
Again, this is a big clinic with a large number of patients. It is very easy to feel like you are just an anonymous number, which we really didn't like. Having said that, it is generally easy to schedule appointments, it is easy to get through to the front desk staff, and the nurses generally call back in a timely manner.
Describe the costs associated with your care under Colleen Casey at Center for Reproductive Medicine of Minnesota.
We paid about $12,000 per IVF cycle (plus the cost of PGS testing, which was about $3000).
Describe Colleen Casey's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Reproductive Medicine of Minnesota.
Dr. Casey's approach was to do eSET with a PGS-tested euploid embryo. We were very much in favor of using this approach. Unfortunately, we never made any PGS normal embryos to transfer.
What specific things went wrong at Center for Reproductive Medicine of Minnesota?
- Provided conflicting information
Describe the specific things that went wrong at Center for Reproductive Medicine of Minnesota.