How was your experience with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice is an amazing physician. She is incredibly knowledgeable in her field and is always listing facts/data/statistics. I truly believe she has our best interest at heart. She is however, extremely busy and allows her IVF coordinator to order meds/ make decisions, which I don't always agree with. In my experience with Dr. Justice, she is one to go with the odds and treat a patient as protocol calls for, however, in my case things happened that typically wouldn't (I.E: later receptivity window - 7.5 days, miscarriage after genetic testing) - I wish she had prepped us and allowed us to decide if we wanted to test for things before we started (I.E.- receptivity window, miscarriage blood panel testing). We may have proceeded with treatment prior to this testing but would have liked to have been advised of what could be done so we could weigh the pros and cons.
What's one piece of advice would you give a prospective patient of Tiffany D. Justice at Kentucky Fertility Institute?
Do research, ask lots of questions. Ask whether your physician is one who treats the visible problem (2 failed IVF's so now test for receptivity window) or allows you to discuss what could happen (most women have receptive window of day 6, but some may differ up to day 8), whether you wish to test for it (weigh options/discuss with doctor), then treat per your discussion. Keep track of your meds, what insurance covers, and who to contact in certain situations.
During treatment, were you treated like a number or a human with Tiffany D. Justice at Kentucky Fertility Institute?
Dr. Justice has been with us through out this entire process. She has cried, been frustrated, and has never strung us along with incorrect data or her assumptions. She is always providing us stats and facts and is straight with us on how to proceed. Her assistants/ co-workers/ facility (some nurses, financial coordinator) are a bit different, I feel sometimes as just a number.
Describe the protocols Tiffany D. Justice used in your cycles at Kentucky Fertility Institute and their degree of success.
IUI 1- (8/20/16) / Letrozole 5mg, CD 3-7, OPK
IUI 2- (9/14/16) / Letrozole 5 mg, CD 3-7, OPK, prometrium
IUI 3- (10/25/16) / Letrozole 5 mg, CD 3-7, Ovidrel Trigger
IUI 4- (12/15/16) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium
IUI 5- (1/25/17) / Letrozole 7.5 mg, CD 3-7, Ovidrel Trigger, prometrium
IVF 1- (3/6/17) / Days 1-6 estradiol 2mg/ 3 daily; STIM - Day 1-4: Gonal-F (300 units/daily) Menopur (75 units); Day 5-6 Gonal-F (375 units/daily) Menopur (75 units)/ Cetrotide (0.25 mg) / day 7-8 Menopur (75 units)/ Cetrotide (0.25 mg) / Trigger shot day 9; retreival day 11, doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days
IVF #1/Transfer #1 - (4/10)17) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (5 days -evening between hrs 6-9), crinone twice daily (morning/ night)
IVF #1/ Transfer #2 (6/16/17) - same protocol as prior FET
IVF #2 - Days 1-6 estradiol 2mg/ 3 daily STIM: Day 1: Gonal F (225 units in evening), Menopur (75 units in evening) / day 2-5: Gonal F (225 units in evening & morning), Menopur (75 units in evening) / Day 6-11: Gonal F (225 units in evening & morning), Menopur (75 units in evening), Cetrotide (syringe in evening), trigger shot day 9, retrieval day 11 - doxycycline starting day of trigger shot/ 100 mg twice daily for 5 days
IVF#2 transfer (1 embryo) - Estrace (2 mg/ 3 daily), Aspirin (baby), Progesterone in oil (morning @ 9 AM sharp) for 7.5 (based on hours), crinone twice daily (morning/ night)
Describe your experience with your nurse at Kentucky Fertility Institute. (Assigned nurse: Carol Powers)
Carol Powers- IVF coordinator - she is sweet, extremely responsive (on off days via phone) HOWEVER, somewhat disorganized and has forgot to order important meds, called for wrong amounts of meds, and sometimes seems annoyed (I don't believe she is, more so overwhelmed)
Stacey Nalley- no longer there, was my go to for EVERYTHING. She was amazing and extremely compassionate.
Sasha Bjork- do not enjoy speaking with her, has little bedside manner, and is slow in getting things done or responding to emails/ phone calls
Describe your experience with Kentucky Fertility Institute.
Great/ knowledgeable physicians, understaffed or disorganized staff (EXCEPT for front desk coordinator Angie, I really don't know how she manages to keep up with everything when everyone else seems a bit disorganized/ overwhelmed and in house LabCorp employee, Cathy - she is another that is amazing and extremely helpful in other areas).
Describe the costs associated with your care under Tiffany D. Justice at Kentucky Fertility Institute.
IUI - $500/ each+ meds + donor sperm
IVF #1- $12500 + $4250 embryo genetic testing- (outside vendor) + meds, + donor sperm, anesthesia $525 (outside vendor)
(Each transfer after 1 cost $4,000 (one more was needed)
IVF# 2 - $13,500 (we had $5000 financial assistance) so cost us $8500, plus meds, plus donor sperm, anesthesia $625
Describe Tiffany D. Justice's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kentucky Fertility Institute.
Dr. Justice has made it very clear that she will allow us to transfer 1 more than the recommended amount she suggests. She's always suggested 1.
What specific things went wrong at Kentucky Fertility Institute?
- Failed to call in prescriptions to pharmacy
- Failed to call with results
- Provided conflicting information
Describe the specific things that went wrong at Kentucky Fertility Institute.
IVF#1 retrieval - IVF coordinator forgot to order Cetrotide
Receptivity window RD #2 - IVF coordinator called for same treatment plan as Rd # 1, when another day of oil should have been added
Miscarriage blood results - had to follow up with office regarding the last result (all but 1 had come back when we met with Dr. Justice to go over future plan)