How was your experience with Roohi Jeelani at Vios Fertility Institute?
In general, I thought Dr Jeelani was a great doctor who was well versed in the medical literature and wanted us to know our odds of success with each treatment. I felt like she would work with me to help me understand my care and adjustment my treatment when I was concerned about the planned course. She always seemed rushed in our visits and I often felt like I gained more from talking to the nurses than to her, but I think that's just the reality of a lot of fertility clinics and I never felt like I got competing information from the nurses/doctor, just spent a lot of time being told the same thing by different people.
What's one piece of advice would you give a prospective patient of Roohi Jeelani at Vios Fertility Institute?
Have your questions prepared and don't be afraid to ask if you are looking for something different than the standard course of care.
During treatment, were you treated like a number or a human with Roohi Jeelani at Vios Fertility Institute?
I always felt like my medical care would be tailored to my needs -- it wasn't uncommon for me to ask questions and have them make adjustments based on my goals and medical history. Most of the nurses and techs are really sweet and personable.
Describe the protocols Roohi Jeelani used in your cycles at Vios Fertility Institute and their degree of success.
For IUIs, we used letrozole, 5 mg. For egg retrieval, we did a low dose antagonist protocol without bcp prior. My dose changed midway, but we started at 75 FSH/ 75 Menopur. The goal was to get us enough eggs to be likely to get to transfer, but without putting me at risk for OHSS, as that was my primary concern. Initially, she had wanted to start me higher and do a freeze all cycle, but since I was hoping for a fresh transfer (which was ultimately cancelled), we reduced the dose. I ultimately produced 11 eggs (8 mature) which resulted in 4 frozen embryos, which should be enough for our family building goals.
Describe your experience with the nursing staff.
I loved most of the nursing staff. There was one nurse who I greatly disliked, and a few towards the end who were very young and inexperienced, but by and large the nurses were kind, knowledgeable and attentive. You regularly see nurses at every visit and they'll give you a provisional game plan until your next appointment. I appreciated having that regular opportunity to ask questions and prepare for what was next. When there were changes based on results/doctor's review, they always called to give you an update. They also were very compassionate.
Describe your experience with Vios Fertility Institute.
Strength: the medical team and the personalized level of care.
Weakness: billing. As much as I love my care at Vios, I am concerning moving to a different clinic for additional transfers as I am routinely billed the wrong amount, rebilled for items already paid for, and will have billing codes for procedures I did not undergo. I've always been able to get it sorted out, but not without hours of phone calls and emails spanning several weeks. Their policy is that payment is due before an appointment, so I've been repeatedly asked to make a payment that I know I don't owe. This results in a detailed discussion about my bills in front of a crowded waiting room. I know from my experience there, I'm not the only one who has had this problem, as I've heard several other women refusing to pay a balance because they know they don't owe it.
Additionally, there can be long wait times for appointments. They have set appointment times, but do not follow them and overbook people. It is not uncommon during a week that they are IVF cycling to wait more than hour past your appointment slot. They also have a policy to only allow OB ultrasounds from 10-noon, making it so partners are unable to be there for these appointments, which are some of the most important for couples to both be at. There is no flexibility in this, even when they are not busy.
Describe the costs associated with your care under Roohi Jeelani at Vios Fertility Institute.
My insurance largely covered my care. From looking at bills, they do charge more than the other clinics I had previously received care from. I know they charge $6,000 for PGS testing, which is why we ultimately didn't pursue it.
Describe Roohi Jeelani's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Vios Fertility Institute.
In early consultations, the doctor said that I could transfer 2 if I made a strong push but that they would greatly prefer a single embryo transfer with my medical history. I ultimately agreed with them, and as we moved towards transfer, there was no discussion of transferring more than 1. I was happy with that decision, but if someone was set on multiple transfers, they may have a harder time making that happen.
What specific things went wrong at Vios Fertility Institute?
- Failed to call in prescriptions to pharmacy
- Lost paperwork
Describe the specific things that went wrong at Vios Fertility Institute.
They've lost paperwork I've given them a few times. This was particularly problematic with my carrier screening, as they insisted I do it again at a great cost despite me giving them a copy of my results 3 times.
I've had prescriptions not sent in when they said they would and in one case, the wrong one ultimately sent.
I've also gotten consents for a procedure minutes before a time-sensitive procedure was set to start. That issue was addressed and I believe they resolved the glitch that caused that to happen.
My biggest issue has been with billing who is often unresponsive and cannot tell you how your payments have been applied. Prior to our IVF cycle, it took 2 weeks of asking, daily phone calls and finally a threat to leave the clinic before someone would tell me the cost of my procedure. Since then, I've had many issues with being billed incorrect procedure codes, asked to repay for balances already paid, and a failure to credit my insurance's payments to my account.