Ratings of 1 indicate that a clinic was poorly operated.
Ratings of 10 indicate that a clinic operated very well.
Scheduling
7.5
7.5
Scheduling
Ratings of 1 mean it was difficult to schedule appointments with this clinic.
Ratings of 10 mean it was easy to schedule appointments.
Billing Department
7.4
7.4
Billing Department
Ratings of 1 indicate an unsatisfactory billing department.
Ratings of 10 indicate an excellent billing department.
Nursing Team
8.6
8.6
Nursing Team
Ratings of 1 indicate an unsatisfactory nursing team.
Ratings of 10 indicate an excellent nursing team.
Attention to Detail
7.4
7.4
Attention to Detail
Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.
For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.
CDC Success Rates
This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
I felt Dr. Seli works hard to be personable, caring and to answer all questions thoroughly. My husband very much liked him and felt comfortable with his care and he tends to hate all doctors! However there have been times he has forgotten important details during my treatment - like medications I was taking/not taking, which I believe adversely affected one of my IVF cycles. I also found him to be focused on the treatment part of things to the point of being dismissive of the human repercussions of undergoing years of fertility treatment, both physical and emotional.
Do not expect [monitoring at Yale University] to be a time when you'll ask a lot of questions or consult with anybody - they are trying to get everyone in and out in time for work!...Weaknesses: NOT holistic - overly medicalized and seem to scoff at supportive measures like fertility, emotional support like groups or psychotherapy, nutritional support, yoga, etc. You will likely see a different doctor/fellow at every visit, except for your scheduled cycle planning visits with your main doctor. Not all the fellows are as skilled with that vaginal wand...
How was your experience with Emre Seli at Yale University?
I covered most of this in the "number vs human" questions. Dr. Seli is extremely knowledgeable, but he does not always explain things in a way I understand clearly so I rely on the nurses to take the time to clarify. He is also dismissive of the emotional/physical costs of fertility treatment - I do not expect him to hold my hand, or even to listen to emotional concerns, but any concern I have brought up about struggles with the process has usually felt like he just brushes it off. He is also dismissive of any supportive or holistic modalities to improve fertility - he told me acupuncture would have no benefit unless "I was just feeling really stressed out" maybe it would help me relax - again always this response that made me feel an implication I was weaker than other women or struggling more than I should! I finally consulted a nutritionist and acupuncturist on my own, without telling my doctor, and that was the cycle when I finally conceived!
During treatment, were you treated like a number or a human with Emre Seli at Yale University?
I felt Dr. Seli works hard to be personable, caring and to answer all questions thoroughly. My husband very much liked him and felt comfortable with his care and he tends to hate all doctors! However there have been times he has forgotten important details during my treatment - like medications I was taking/not taking, which I believe adversely affected one of my IVF cycles. I also found him to be focused on the treatment part of things to the point of being dismissive of the human repercussions of undergoing years of fertility treatment, both physical and emotional. For example, when I asked if they had recommendations for local support groups, he seemed taken aback and made me feel very uncomfortable, stating, "well if YOU'RE having a really hard time with this..." as if I was particularly weak or overemotional in some way. Every time I have mentioned struggling with some painful or invasive aspect of the protocol (such as doing multiple SHGs which have been painful for me) he has brushed it off - literally just chuckling when I mentioned how much I was struggling with the daily progesterone injections for weeks on end. So I have had multiple negative experiences over the years, but thank god for the nurses who take the time to explain everything in depth, provide a listening ear, acknowledge the emotional strain of the process, and have given me practical and helpful ways to manage the physical symptoms and side effects (e.g. prescribing smaller gauge needles which have helped with the bruising, etc).
Describe the protocols Emre Seli used in your cycles at Yale University and their degree of success.
I did 4 cycles of IUI - the first was canceled due to hyperstimulation with Clomid. I used Letrozole all of the other cycles, and used Ovidrel for the trigger shot. All were negative.
I did one IVF cycle during which, due to elevated progesterone levels, we could not do a fresh transfer after so froze all embryos. I used Follistim, Menopur, Cetrotide, Crinone, and hcg for the trigger shot. I used birth control to time my cycle. During my frozen cycles, I have used progesterone in oil injections, Crinone vaginal progesterone inserts, and Estrace pills. Typically a few weeks of estrogen supplementation prior to starting injections and vaginal progesterone supplementation for 6 nights prior to the transfer, then continuing all meds until the pregnancy test. My first FET was negative, the second was chemical pregnancy, and I am now 6 weeks pregnant after completing my third transfer. All were single embryo transfers.
Describe your experience with the nursing staff at Yale University.
The nurses have kept me going during my years of treatment here! They are so compassionate, kind, knowledgeable and if there is something they don't know, they get answers for you right away. They are very response to the online portal for messaging (MOST of the time...) My only complaint would be that none of the morning nurses that do bloodwork seem to be very skilled - anytime I go to an actual lab, the phlebotomists have NO trouble finding a vein, and it is usually quick and painless. I have NEVER been told I have "bad" veins before coming to this clinic, where I am regularly stuck several times, left badly bruised, and the nurses often move the needle around or go in at a weird angle that makes it very painful. This wouldn't be so bad if I wasn't sometimes going every 1-2 days during a cycle! Once I learned that I can ask to have my blood draw done at the actual lab downstairs outside the clinic, it dramatically improved my experience as they do it in seconds, though I always fee bad/uncomfortable asking!
Describe your experience with Yale University.
Strengths: morning monitoring visits are fast and efficient. Do not expect this to be a time when you'll ask a lot of questions or consult with anybody - they are trying to get everyone in and out in time for work! Show up by 6:30-6:45 am if you want to be toward the front of the line if you need to get out quickly.
Weaknesses: NOT holistic - overly medicalized and seem to scoff at supportive measures like fertility, emotional support like groups or psychotherapy, nutritional support, yoga, etc. You will likely see a different doctor/fellow at every visit, except for your scheduled cycle planning visits with your main doctor. Not all the fellows are as skilled with that vaginal wand...
Describe your experience with your monitoring appointments at Yale University.
Morning monitoring is done between 7 am and 8 am on weekdays, and 7:15 to 8:15 on weekends. Some days there are only a few of us, on others there are over 20. It's on a first come, first served basis, so many are waiting by 6:30 am so they can get in and out and to work on time. I always found the actual process quick and efficient once they started and I was typically out within 10-15 min of signing in. I have heard others in line complain about delays but after 7 different cycles here, I always found it incredibly efficient!
Describe the costs associated with your care under Emre Seli at Yale University.
Not sure, as I was lucky to have insurance cover most of my costs. I had a high deductible plan when I started and I hit our $6000 deductible just from the testing procedures they required! I changed jobs/insurance and since then have paid nothing out of pocket but I have used up all my benefits now so if we have to continue, we'll find out how much everything will really cost....
Describe Emre Seli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr. Seli supported my decision to transfer single embryos each time. I was on the fence after two failed cycles, but he told me the chances of conceiving with multiple embryos is only marginally higher, but for those who do conceive, the chance of have multiples (which I REALLY do not want) was at least 30%. I initially opted to transfer two embryos for my final cycle, but after considering the risks of a multiple pregnancy, I changed my mind and went back to SET. Dr. Seli allowed me to make the choice of what I felt most comfortable doing.
What specific things went wrong at Yale University?
Failed to call in prescriptions to pharmacy
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Yale University.
On three occasions, incorrect medication instructions were sent to me via the online portal. I had to call (more than once) and explain my whole history (why couldn't they review my chart??) before it was corrected.
On two occasions, medications were not called in and I had to rush to get them in time.
On one occasion, nobody sent me results of my hcg test by 6 pm via the online portal and I had to call the on call doctor to receive my results which I had been anxiously waiting for all day!
Dr Seifer is clearly an expert in his field. He was very thorough in explaining all of the details and has a great way of using analogies to make complex topics more understandable. There were times when it seemed like some simple questions I asked gave him pause, as if he didn’t empathize with how I didn’t quite get a concept he explained. He was able to adjust quickly and break things down very well. He also has a great balance of factual when needed and also adjusting to show more compassion at some tougher times in the process
Monitoring [at Yale U] was done during a window and it felt like a mad rush to get there early for the front of the long line otherwise you would be late for work...$4,500 frozen transfer cycle. Appx 17,500 retrieval and free. $600 year to maintain frozen embryos. $2400 sono-histogram...Clean, welcoming clinic. Can feel like the dmv at times when coming in for morning monitoring. The front desk staff checking you in can sometimes make it feel like a drive thru window where you hear the same questions asked over and over as the line moves
How was your experience with David Seifer at Yale University?
Dr Seifer is clearly an expert in his field. He was very thorough in explaining all of the details and has a great way of using analogies to make complex topics more understandable. There were times when it seemed like some simple questions I asked gave him pause, as if he didn’t empathize with how I didn’t quite get a concept he explained. He was able to adjust quickly and break things down very well. He also has a great balance of factual when needed and also adjusting to show more compassion at some tougher times in the process
What's one piece of advice would you give a prospective patient of David Seifer at Yale University?
Keep asking questions until you get it. Sometimes his explanations are very scientific and need to be broken down
During treatment, were you treated like a number or a human with David Seifer at Yale University?
At times when waiting for daily testing it felt like waiting in line at the DMV. Once with the nurses or Dr Seifer, they were all personable, visits were not rushed and everyone felt genuinely interested in our journey
Describe the protocols David Seifer used in your cycles at Yale University and their degree of success.
We did two egg retrievals with ICSI, had PGS/PGD testing done to check for a single gene mutation both partners were carriers for. We froze embryos after the first retrieval, did a 2nd retrieval and sent all day 5 embryos for testing. We had 4 embryos for transfer. First frozen transfer resulted in a pregnancy to full term
Describe your experience with the nursing staff at Yale University.
The nurses are what make the clinic what it is!! True compassionate individuals who hold your hand through it all and act as liaison between patient and doctor
Describe your experience with Yale University.
Clean, welcoming clinic. Can feel like the dmv at times when coming in for morning monitoring. The front desk staff checking you in can sometimes make it feel like a drive thru window where you hear the same questions asked over and over as the line moves
Describe your experience with your monitoring appointments at Yale University.
Monitoring was done during a window and it felt like a mad rush to get there early for the front of the long line otherwise you would be late for work! You would get a number when checked in then go wait in another waiting area. No one spoke to eachother and it all felt very somber not an uplifting place for patients going through some tough processes
Describe the costs associated with your care under David Seifer at Yale University.
$4,500 frozen transfer cycle. Appx 17,500 retrieval and free. $600 year to maintain frozen embryos. $2400 sono-histogram. Plus genetic testing costs, don’t remember what those were
Describe David Seifer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Given my age, his recommendation was for a single embryo transfer. When I asked about the risk of carrying twins at 39 (age of retrieval) versus being pregnant potentially again at 42+ he advised that since embryos were frozen at age of 39, the risk of carrying at 42+ was less than multiples at 39
Dr. Kallen always treated me with respect and compassion. I always felt like she remembered me and my personal details, I never had to remind her of my choices or concerns once I expressed them...she has listened to all my concerns and carefully and thoroughly explained all her recommendations. She never makes me feel like she is ordering me to do anything - she gives me all the options, tells me what she feels is best and why, and lets me make my own decisions...
Every single nurse I came into contact with [at Yale University] was helpful, friendly, and communicative. Online messages and phone messages were always answered quickly...Communication and compassion were always present and strong with all staff I came in contact with...The IUI procedures I did were all self-pay. I don't remember exact costs, but they were around $2500 for all the necessary monitoring and procedures. Both of my IVF cycles were 100% covered by insurance, so I don't know what the out of pocket costs for those would be...
How was your experience with Amanda Nicole Kallen at Yale University?
I feel so lucky to have been assigned to Dr. Kallen's calendar for my initial consult. She has always treated me with dignity and deep compassion, and I trust her completely. Although I have not gotten the results I hoped for (yet), she has listened to all my concerns and carefully and thoroughly explained all her recommendations. She never makes me feel like she is ordering me to do anything - she gives me all the options, tells me what she feels is best and why, and lets me make my own decisions. My fertility journey could not be in better hands.
What's one piece of advice would you give a prospective patient of Amanda Nicole Kallen at Yale University?
Don't be afraid to ask all your questions and express all your concerns - Dr. Kallen will never make you feel silly or small, and always takes the time to talk through everything with you.
During treatment, were you treated like a number or a human with Amanda Nicole Kallen at Yale University?
Dr. Kallen always treated me with respect and compassion. I always felt like she remembered me and my personal details, I never had to remind her of my choices or concerns once I expressed them.
Describe the protocols Amanda Nicole Kallen used in your cycles at Yale University and their degree of success.
I did four IUI cycles, two unmedicated and two medicated. The IUIs were all self-pay, and Dr. Kallen was very conscious of helping me cut extra monitoring to help save money. I then moved to IVF, which were both covered cycles. After my first failed transfer (that left me with no frozen embryos), Dr. Kallen adjusted my stims and recommended ICSI, both of which improved my results in my second cycle. Although my second cycle just failed, I do have frozen embryos that I will be able to move forward with.
Describe your experience with the nursing staff at Yale University.
Every single nurse I came into contact with was helpful, friendly, and communicative. Online messages and phone messages were always answered quickly.
Describe your experience with Yale University.
I think there were no issues or problems I have had throughout my experience at Yale Fertility. Communication and compassion were always present and strong with all staff I came in contact with. The only doctor who was ever short with me (who performed one of my IUIs) has left the practice. I would have no hesitation in sending friends or family to this clinic.
Describe the costs associated with your care under Amanda Nicole Kallen at Yale University.
The IUI procedures I did were all self-pay. I don't remember exact costs, but they were around $2500 for all the necessary monitoring and procedures. Both of my IVF cycles were 100% covered by insurance, so I don't know what the out of pocket costs for those would be.
Describe Amanda Nicole Kallen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr. Kallen was very thorough in talking about the risks and benefits of eSET and multiple embryo transfer, and helped me make the decision that was best for my family and desires. She never pressured me, just gave me all the available information and answered all my questions so that I could make the best decision for myself.
Dr. Kodaman is unreachable. You cannot call her. You cannot message her. At my initial consult I was told that Dr. Kodaman would be performing my procedures but that fellows would perform monitoring. I had 2 IUIs (a 3rd that was canceled), and 2 IVF egg retrievals and subsequent embryo transfers and she wasn’t at a single one. At our initial consult she was positive and Very informative...she shuffles you out of her office, doesn’t return her own emails (a nurse does), and doesn’t have a direct number to reach her at...
At this office [Yale University] you are assigned a time and expected to show up. That time is between 7am and 8:30am. When you arrive you are literally assigned a number that they call out - like cattle. You’re shuffled through the office as a number. Most nurses and doctors don’t care to learn your name...schedule appointments even when you don’t know if you’ll need them because otherwise you’re out right back into the waiting list (3 months long) with everyone else - new and returning patients...
How was your experience with Pinar Hatice Kodaman at Yale University?
Dr. Kodaman is unreachable. You cannot call her. You cannot message her. At my initial consult I was told that Dr. Kodaman would be performing my procedures but that fellows would perform monitoring. I had 2 IUIs (a 3rd that was canceled), and 2 IVF egg retrievals and subsequent embryo transfers and she wasn’t at a single one. At our initial consult she was positive and Very informative and I was very hopeful. Beyond that visit, she had been a completely different person - she shuffles you out of her office, doesn’t return her own emails (a nurse does), and doesn’t have a direct number to reach her at.
What's one piece of advice would you give a prospective patient of Pinar Hatice Kodaman at Yale University?
Be aggressive in scheduling appointments - schedule appointments even when you don’t know if you’ll need them because otherwise you’re out right back into the waiting list (3 months long) with everyone else - new and returning patients. Also, if you can, switch doctors.
During treatment, were you treated like a number or a human with Pinar Hatice Kodaman at Yale University?
At this office you are assigned a time and expected to show up. That time is between 7am and 8:30am. When you arrive you are literally assigned a number that they call out - like cattle. You’re shuffled through the office as a number. Most nurses and doctors don’t care to learn your name.
Describe the protocols Pinar Hatice Kodaman used in your cycles at Yale University and their degree of success.
For each of our IUI cycles we stimmed with Letrozole and then trigger shot of Ovidrel when ready. IUI number one I produced 3-4 large follicles and we were told (by a fellow- not Dr. K) that we were in jeopardy of having to cancel our cycle because of too many. In the end we agreed to do selective- fetus reduction if we were to get pregnant with anything more than twins. First IUI was unsuccessful. We were required to wait a month and then started a second IUI cycle with the same exact process. This cycle seemed to be better timed and again was unsuccessful. Our third cycle was canceled because of poor follicle development. I never had any reach 18mm. It’s important to note that Dr. Kodaman did not perform any of my IUIs. One was performed by a fellow & one performed by an APRN.
After the third failed IUI cycle, we switched to IVF. Our IVF cycles (2) were both identical in the strategies used. We stimmed with Menopur and Follistim with Ganirelix as an antagonist. My first egg retrieval produced 11 eggs and 3 embryos. We transferred one and only one made it to freeze on day 6. My transfer for our first was HORRENDOUS. Dr. Kodaman didn’t order a mock transfer be done during retrieval. She also wasn’t at the transfer. My transfer was performed by Dr. Carson. I had an anxiety attack after 15 minutes of her poking my cervix and not being able to get the catheter through. I said “I think I’m going to pass out” and she rolled her eyes and was so inconvenienced. Our transfer failed. Our 2nd round was similar - we produced 15 eggs and 4 embryos. Dr. Kodaman did order Lorazepam for our send transfer to help with anxiety and it was smoother. It was performed by Dr. Kallen, who was awesome.
Dr. Kodaman will prescribe Endomentrin for progesterone and not a PIO shot.
Describe your experience with the nursing staff at Yale University.
The first faces you see when you check in are generally unfriendly.
After that when you’re shuffled back to blood draw, Joyce and Kree are amazing!! Joyce was at my first retrieval and Kree was at my second and they were both amazing. They are the nurses you see most frequently.
Marie was another awesome nurse. She works at the Guilford office, so you likely won’t see her often - but she is a joy.
There are several other nurses that are present for ultrasounds that are pretty cold.
The nurses that respond to emails (Erica and Jamie) are cold, rude, and unhelpful.
Describe your experience with Yale University.
Some nurses are good and the fellows (Dr. Haan and Dr. Glenn) are amazing. I honestly love Dr. Glenn. She is incredibly compassionate.
However, the clinic doesn’t give a rats behind if you get pregnant. They’re unorganized, cold, unprofessional. If you have Yale Health Insurance, unfortunately you won’t have a choice.
Describe the costs associated with your care under Pinar Hatice Kodaman at Yale University.
We have Yale Health Insurance so our coverage was 100%. All we paid for was cryopreservation- $1,500.
The cost if we didn’t have insurance was $36,000
Describe Pinar Hatice Kodaman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
We asked for her to transfer multiple embryos for our second transfer and she denied our request - blaming it on insurance, which is not true.
What specific things went wrong at Yale University?
Dr Collins takes the time needed with his patients. He has a gentle bedside manner. He always explains everything in easy to understand language. He’s professional, but can make you laugh. He is willing to tailor the treatment to the specific person. He’s willing to try things that are new if they will benefit the outcome...Make that consult! He’s awesome!
I do feel like you have to be on top of all of your medications, appointments and supplements. You have to advocate cod yourself. The communication through MyChart is the fastest way to get in touch with a member of your team [at Yale University]...[nurses] Patrick, Jitha, Maureen, Kree and Danielle have all been amazing. Kree and Danielle have remembered me through the years and know my struggles.
How was your experience with Stephen Collins at Yale University?
Dr Collins takes the time needed with his patients. He has a gentle bedside manner. He always explains everything in easy to understand language. He’s professional, but can make you laugh. He is willing to tailor the treatment to the specific person. He’s willing to try things that are new if they will benefit the outcome.
What's one piece of advice would you give a prospective patient of Stephen Collins at Yale University?
Make that consult! He’s awesome!
During treatment, were you treated like a number or a human with Stephen Collins at Yale University?
Dr Collins was a resident during our first 3 cycles. When our original doctor left the practice we were stuck in limbo and saw a different provider for our FET. When that failed, I decided to switch to Dr Collins after learning that he was now taking on patients of his own. He was familiar with our case and walked into our appointment with notes about us. He put a treatment plan into place and we are now just waiting for covid restrictions to be lifted to proceed with our 4th cycle.
Describe the protocols Stephen Collins used in your cycles at Yale University and their degree of success.
In my past 2 fresh cycles, we found that I have poor embryo quality. Dr Collins had found a study that suggests taking DHEA can improve embryo outcomes. We tested my levels and they were deficient, so I have been on a DHEA supplement for 4 months now. Once Covid restrictions are lifted we will proceed with stims and retrieval.
Describe your experience with your nurse at Yale University. (Assigned nurse: Patrick)
Patrick, Jitha, Maureen, Kree and Danielle have all been amazing. Kree and Danielle have remembered me through the years and know my struggles.
Describe your experience with Yale University.
I do feel like you have to be on top of all of your medications, appointments and supplements. You have to advocate cod yourself. The communication through MyChart is the fastest way to get in touch with a member of your team.
Describe the costs associated with your care under Stephen Collins at Yale University.
Thankfully my insurance has covered a lot of my cycles. Out of pocket costs included the copays, copays for prescriptions, and deductible. Other out of pocket costs are ICSI, embryo cryopreservation and embryo storage.
Describe Stephen Collins's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
This will depend on embryo quality. In total, we have transferred 5 embryos through the past 3 cycles and still do not have a baby.
What specific things went wrong at Yale University?
Failed to call in prescriptions to pharmacy
Failed to inform you of changes in protocol
Provided conflicting information
Describe the specific things that went wrong at Yale University.
I’ve had to be on top of my medications especially working with Freedom Pharmacy.
He [Dr. Patrizio] spoke to you on a level for you to understand, not just medical terms which can be very confusing when you are so stressed to begin with. I felt that he made sure I fully understood and agreed with the plans of treatment before moving forward and was very open to answer any questions that my husband and I presented him with.
I have to say that during my experience with this clinic [Yale University] I have not come across one staff member that was not extremely helpful, comforting, supportive, friendly. ... There was a long wait sometimes but it moved fast and the nursing staff did an excellent job of getting everyone in in a reasonable time. If it was super busy they would have 3 people jump in to do blood draws.
How was your experience with Pasquale Patrizio at Yale University?
He spoke to you on a level for you to understand, not just medical terms which can be very confusing when you are so stressed to begin with. I felt that he made sure I fully understood and agreed with the plans of treatment before moving forward and was very open to answer any questions that my husband and I presented him with.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
It is hard to see him all of the time, but in my past experience that is the way it usually is with the visits in between getting to your retrieval and transfer.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
I felt like a human because he actually takes the time to sit with you one on one and talk to you about your medical treatment. Also you can communicate directly with him and his staff through MYchart with immediate responses.
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
I am not 100% sure on the details of the treatment strategies... so here is the best I can do. I was able to produce my own eggs and a descent # of them. My husband also had a pretty good sperm count/motility and mobility. We had done 3 IUI's when trying to conceive with our first child (who was conceived through fresh IVF transfer) when we told him all three of those failed and we were successful with IVF he said that we would not waste time in doing the IUI's that we would go right to doing IVF since that worked for us best and that is what we did. I had my retrieval and then my transfer that resulted in a pregnancy with a little girl which I miscarried at about 10 weeks. We went on to do a transfer with 2 of the 4 embryos that I had left and that did not result in a pregnancy. We are now determining if we are going to move forward with a 3rd transfer of the last 2 remaining frozen embryos.
Describe your experience with your nurse at Yale University. (Assigned nurse: Jenna)
I have to say that during my experience with this clinic I have not come across one staff member that was not extremely helpful, comforting, supportive, friendly.
Describe your experience with Yale University.
There are a lot of patients so there is usually a wait in the am's when you go for blood work and ultra sound. Which again, is a pretty normal procedure for the way its done. Kinda first come first serve. But not when you have a scheduled appointment and I would say they were usually close to on time
Describe your experience with your monitoring appointments at Yale University.
There was a long wait sometimes but it moved fast and the nursing staff did an excellent job of getting everyone in in a reasonable time. If it was super busy they would have 3 people jump in to do blood draws.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
My insurance covered most of the first transfer (egg retrieval/transfer) I had to pay I believe around $2k oop. But that was all they covered, for lifetime! My second transfer cost $4,700 OOP to the clinic.
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr Kallen is extremely knowledgable in her field. She ensures that you are armed with all of the necessary information and maintains full disclosure and honesty during each interaction. Her dedication to her chosen career path resonates in every patient care experience...my second course of IVF which included the same medications at increased dosages as well as the addition of a progesterone oil resulted in a postive pregnancy test and ultimately the birth of my daughter.
The only aspect of improvement that I would explore [at Yale University] is communication via telephone with the staff. It is sometimes difficult to reach a staff member via phone. I utilized Yale's My Chart communication app and there was always a nurse readily available to respond to any questions or concerns, as well a provid specific and detailed instructions...The nursing staff at Dr Kallen's office met all of my expectations as a patient. Whenever I had questions or concerns that were within their scope of practice, it was handled in a timely and efficient manner. Every team member maintained a sense of professionalism in their approach to patient care and it showed their dedication to their patients.
How was your experience with Amanda Nicole Kallen at Yale University?
My experience with Dr Kallen as a patient allowed me to feel comfortable with all aspects of my care. From our initial consultation I was educated and enlighted to an aspect of fertility of which I had alot of questions and concerns. During every appointment the goals of my care were reevaluated and modified as needed. Though at times I experienced unwanted occurrences, Dr Kallen's professional expertise and support allowed a better understanding of all realstic expectaions. Her ability to modify my care and expereince as needed fostered my ability to ultimately deliver a healthy baby girl.
What's one piece of advice would you give a prospective patient of Amanda Nicole Kallen at Yale University?
Dr Kallen is extremely knowledgable in her field. She ensures that you are armed with all of the necessary information and maintains full disclosure and honesty during each interaction. Her dedication to her chosen career path resonates in every patient care experience. I would most definitely recommend Dr Kallen. I would encourage a prospective patient to always have an open mind while still understanding that Dr Kallen will explore all options that are available, as well as safe for the health of you and your successful pregnancy.
During treatment, were you treated like a number or a human with Amanda Nicole Kallen at Yale University?
During every interactiin with Dr Kallen, I always felt that her primary focus was on my well being as well as the goal of a successful pregnancy and birth. Dr Kallen explained everything in full and complete detail and answered all questions appropriately. She was always supportive in my objectives, while still communicating realistic expectations.
Describe the protocols Amanda Nicole Kallen used in your cycles at Yale University and their degree of success.
My 1st treatment protocol which included the use of clomid assisted in increased ovulation which was successful. This led to my 1st and 2nd IUI which unfortunately did not lead to a positive pregnancy. This was followed by my initial IVF which included the use of daily progesterone, menopur, ganarelix and gonal-F injections as well as inserts which aided in stimulating my follicles and maintaining mature egg production and led to a successful pregnancy that unfortunately resulted in a miscarriage due to chromosomal issues. However, my second course of IVF which included the same medications at increased dosages as well as the addition of a progesterone oil resulted in a postive pregnancy test and ultimately the birth of my daughter.
Describe your experience with your nurse at Yale University. (Assigned nurse: LaKreshia)
The nursing staff at Dr Kallen's office met all of my expectations as a patient. Whenever I had questions or concerns that were within their scope of practice, it was handled in a timely and efficient manner. Every team member maintained a sense of professionalism in their approach to patient care and it showed their dedication to their patients.
Describe your experience with Yale University.
The only aspect of improvement that I would explore is communication via telephone with the staff. It is sometimes difficult to reach a staff member via phone. I utilized Yale's My Chart communication app and there was always a nurse readily available to respond to any questions or concerns, as well a provid specific and detailed instructions.
Describe your experience with your monitoring appointments at Yale University.
My experience with monitoring appointments worked very well from my perspective. I was able to coordinate my appointments around my work schedule and the experience was timely and efficient like a well oiled machine.
Describe the costs associated with your care under Amanda Nicole Kallen at Yale University.
My total cost associated with my care under Dr Kallen was ~$3,800 not covered by insurance.
Describe Amanda Nicole Kallen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
At no point in my treatment course did Dr Kallen sway me one way or the other in regards to single vs multiple embryo transfer. As a team we both looked at what my options were and individualized my plan of care to suit while incorporating my preferences and life goals.
I feel that when we meet with Dr. Kallen in person she answers all of our questions in a kind and professional manner. However, we rarely speak with her directly ... Dr. Kallen is patient and warm. Her explanations of procedures are rather general and sometimes leave us with questions or her answers vary from appt to appt. Overall I genuinely like her very much but don't always feel that she has a direct say or oversight in the direction of our care which is worrisome.
The frustrating part of this clinic [Yale U] is not being able to speak to anyone directly. ... Lakresha is the only person I've spoken to multiple times who gives me answers quickly and concisely. ... I have had countless appts when information told to me by the dr. doing the ultrasound has differed from the instructions I've received later ... I do not like that every time I go to the clinic I see a different doctor. Sometimes an RE sometimes a fellow.
How was your experience with Amanda Nicole Kallen at Yale University?
Dr. Kallen is patient and warm. Her explanations of procedures are rather general and sometimes leave us with questions or her answers vary from appt to appt. Overall I genuinely like her very much but don't always feel that she has a direct say or oversight in the direction of our care which is worrisome.
What's one piece of advice would you give a prospective patient of Amanda Nicole Kallen at Yale University?
To understand ahead of time that you will have limited face to face time with her and to be sure to write down all questions/concerns to share with her during those times.
During treatment, were you treated like a number or a human with Amanda Nicole Kallen at Yale University?
I feel that when we meet with Dr. Kallen in person she answers all of our questions in a kind and professional manner. However, we rarely speak with her directly (unless it is a specific requested appt) and the rest of the clinic treats me like a number.
Describe the protocols Amanda Nicole Kallen used in your cycles at Yale University and their degree of success.
After completing and HSG and SHG (which were not explained in nearly enough detail in my opinion as they were seriously painful and I did not expect this). We began our first IUI cycle in November (our initial appt with her was in September.
We did a round of IUI with monitoring and Clomid. The clomid supposedly caused my lining to be too thin but the clinic allowed us to try to the IUI anyway. It resulted in a negative pregnancy test. The next cycle we attempted in December was canceled due to a cyst and then the clinic was going on vacation for the holidays. Our second attempt at IUI with monitoring was in January and we used Letrezole. This resulted in slightly thicker lining, but again ended in a negative pregnancy test. Our final attempt at IUI was in February again using Letrezole which again resulted in thin lining. This cycle resulted in a negative pregnancy test and we are currently in the beginning steps of IVF. For the second and third cycles, I used vaginal Estradiol daily and used Ovidrel for the trigger shots each time. I requested further assessments to evaluate if I have endometriosis or to assess the quality/thickness of my lining without these additional medications, but Dr. Kallen recommended we attempt an IVF cycle before we investigate this further.
Describe your experience with your nurse at Yale University. (Assigned nurse: Lakresha)
The frustrating part of this clinic is not being able to speak to anyone directly. You can call the general IVF line and request to speak to someone but it is never a consistent person who calls you back. When instructions are provided for the next steps they are always from a different nurse. Lakresha is the only person I've spoken to multiple times who gives me answers quickly and concisely. I typically try to reach out to her directly through the online patient portal but you can not do that directly so you have to wait until someone else sees it and sends it to her.
Describe your experience with Yale University.
When I had my first monitoring appt for our first IUI cycle I was not given ANY instructions. I arrived and immediately was approached by a research coordinator asking me if I would participate in a study. I didn't even know where I was going in the building. To say I was overwhelmed is an understatement. While I don't expect to have my hand held, some guidance would have been nice. The fellow that performed my ultrasound did it quickly, without explaining anything and initially told me "oh you have a cyst we might cancel this cycle" and left the room. I sat there getting dressed nearly in tears as we had finally gotten to this point and was so disheartened. Later in the day I received instructions to return days later for another scan to see if we would proceed. While I like Dr. Kallen very much, I do not like that every time I go to the clinic I see a different doctor. Sometimes an RE sometimes a fellow. I have had multiple times when I have not received instructions for the next day and have had to call the "on call doctor" who has not relayed information to the rest of the team and when I showed up the next day was questioned as to why I was there. Two of the fellows I've worked with have been kind and compassionate. One (the on call dr.) acts as though he can not be bothered with questions or feelings (when doing our last IUI he did not check in or ask if I needed a break when I was clearly in pain and crying. )
Describe the costs associated with your care under Amanda Nicole Kallen at Yale University.
I do not know specifics of costs. I know we reached our 4000 dollar deductible within the first 2-3 appointments.
Describe Amanda Nicole Kallen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr. Kallen told us she only transfers one embryo for someone my age. While I appreciate the attempt to prevent multiples, I do not feel that the reasoning behind this approach was explained enough and if our cycles result in multiple losses, I will request to transfer more than 1 embryo or access a dr. who will do so.
What specific things went wrong at Yale University?
Failed to call in prescriptions to pharmacy
Lost paperwork
Lost appointments
Failed to call with results
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Yale University.
For our second IUI cycle, I had to call the on call dr. to report cycle day 1. That information was never communicated with my care team so when I arrived for day 3 monitoring there was no note I would be coming in and no orders placed. It caused a delay in time for my appt and for their other appts. I have had countless appts when information told to me by the dr. doing the ultrasound has differed from the instructions I've received later in the day via the online patient portal. I've also had to deal with being told I needed prior authorization from insurance and playing ridiculous phone tag with their insurance coordinator, only to be told after multiple phone calls and stress that I didn't actually need prior authorization. I also had one experience when someone else's results/instructions were accidentally sent to me by the nurse via their patient portal. The error was thankfully caught quickly and a phone call was made to ensure I understood which directions to follow but still this was concerning. I've had medications not called in, appointments not put into the system.
I did one IVF transfer cycle. Dr. Kallen had me take estrodial, monitored my lining, had me administer progesterone shots, and then transferred the embryo. Dr. Kallen transferred one embryo to avoid multiples...After having a prior pregnancy that resulted in a high risk labor and delivery, Dr. Kallen counseled me on the risks of similar complications occurring in a second pregnancy. I felt that Dr. Kallen always took the time to meet with me, explain my treatment, and answer any questions. Dr. Kallen is compassionate and empathetic of her patients and their infertility challenges.
I was able to conceive two children as a result of this practice [Yale University]. While the treatment process was stressful and emotional, I always had someone to talk to at Yale. Whether it was Dr. Kallen, Kree or Dorothy, I always felt well supported...Kree [nurse] was the main person who I spoke to throughout both of my pregnancies. She arranged medications and appointments; came into the room with me during procedures and; called me to tell me I was pregnant. I am not sure I could have made it through the navigation of multiple cycles without Kree.
Clinic Nps
How was your experience with Amanda Nicole Kallen at Yale University?
Again, after some serious complications in my first pregnancy, Dr. Kallen walked me through risk factors in a second pregnancy. She referred me to a doctor at Yale Maternal Fetal Medicine to further discuss my medical history and risk factors. I felt that Dr. Kallen was thoughtful in identifying to right MFM doctor for me to talk with.
During this process I felt that Dr. Kallen understood that I had experienced birth trauma but wanted to have another child. She took the time to walk me through the process, which resulted in a successful pregnancy!
What's one piece of advice would you give a prospective patient of Amanda Nicole Kallen at Yale University?
Don’t be afraid to ask questions! Dr. Kallen, and all of the doctors in the practice, are there to help and guide you through the process of fertility treatment. You need to be engaged in your treatment - ask lots of questions!
During treatment, were you treated like a number or a human with Amanda Nicole Kallen at Yale University?
After having a prior pregnancy that resulted in a high risk labor and delivery, Dr. Kallen counseled me on the risks of similar complications occurring in a second pregnancy. I felt that Dr. Kallen always took the time to meet with me, explain my treatment, and answer any questions. Dr. Kallen is compassionate and empathetic of her patients and their infertility challenges.
Describe the protocols Amanda Nicole Kallen used in your cycles at Yale University and their degree of success.
I did one IVF transfer cycle. Dr. Kallen had me take estrodial, monitored my lining, had me administer progesterone shots, and then transferred the embryo. Dr. Kallen transferred one embryo to avoid multiples.
Describe your experience with your nurse at Yale University. (Assigned nurse: Lakresha )
Kree was the main person who I spoke to throughout both of my pregnancies. She arranged medications and appointments; came into the room with me during procedures and; called me to tell me I was pregnant. I am not sure I could have made it through the navigation of multiple cycles without Kree.
Describe your experience with Yale University.
I was able to conceive two children as a result of this practice. While the treatment process was stressful and emotional, I always had someone to talk to at Yale. Whether it was Dr. Kallen, Kree or Dorothy, I always felt well supported.
Describe Amanda Nicole Kallen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr. Kallen transferred one embryo to avoid multiples. As someone with a prior high risk pregnancy and who was not actively looking to have twins, transferring one embryo at a time made sense.
Dr Seli is honest, real and empathetic. He takes the time to listen and accepts feedback. He will spend as much time as needed to talk to us and thoroughly answer all of our questions and concerns and tells us the truth about our ability to conceive with the various treatments.... Dr Seli was very clear with his expectations (or lack thereof) in that we were only doing this as it was cheap and so that the insurance company would allow us to move onto IVF.
The clinicv[Yale - New Haven] is clean, coordinated and caring. Privacy is taken seriously and all of the staff we have encountered are knowledgeable and kind. Morning monitoring is on a first-come, first-served basis and is done early and quickly enough to get to work on time. By early afternoon, you typically have heard from your nurse and can check the online portal for your results and a detailed report of what the next steps are (return in X days, increase/decrease/start/stop Z medicine). Everything is very clear and there’s no way to misunderstand anything about how your treatment is going to proceed.
How was your experience with Emre Seli at Yale University?
Dr Seli is honest, real and empathetic. He takes the time to listen and accepts feedback. He will spend as much time as needed to talk to us and thoroughly answer all of our questions and concerns and tells us the truth about our ability to conceive with the various treatments.
What's one piece of advice would you give a prospective patient of Emre Seli at Yale University?
Feel free to ask Dr Seli ALL the questions you want. Come to appointments prepared and don’t leave until you are satisfied with the answers. He will listen and answer all questions and concerns you may have.
During treatment, were you treated like a number or a human with Emre Seli at Yale University?
Dr Seli really spends the time to thoroughly discuss the process, concerns and results. He is honest and forthcoming and laughs at all of our infertility jokes. We always go in with many questions and he takes the time to patiently answer them all.
Describe the protocols Emre Seli used in your cycles at Yale University and their degree of success.
So far, we have completed three cycles of clomid, using a trigger shot with the third. Dr Seli was very clear with his expectations (or lack thereof) in that we were only doing this as it was cheap and so that the insurance company would allow us to move onto IVF. (We have an $11k lifetime maximum of fertility benefits) We then moved onto an IVF cycle, which only produced two decent sized follicles, so we turned that into an (unsuccessful) IUI. It should be noted that Dr Seli was out of the country when we had the two follicles result and Dr Mak called me and spent nearly a half hour on the phone empathizing with our situation and helping me work through the decision as to how to proceed (we literally had just two hours to decide) with the cycle. She even provided me with her mobile phone number and invited me to share it with my fiancé so that he could call her with questions/concerns. We chose to not “waste” those two follicles and turn the cycle into an IUI. Again, Dr Mak was extremely honest in that our chances of conceiving with the IUI were not that great, especially because I had done an additional three days of stims to even get those follicles large enough. We still wanted to try. When we returned to the office to discuss next steps/cost of IVF with Dr Seli (completely out-of-pocket) he was honest that at my age and with our unexplained infertility in addition to the limited success with our previous cycle in getting follicles to grow, our expectation should be to only get one healthy embryo (max). We then brought up the possibility of using known donor eggs (from someone in her early twenties, married, with two beautiful children) for the next cycle. Well, Dr Seli’s eyes lit up! We then very bluntly asked him what our chances were with my eggs vs a very healthy donor’s eggs and he honestly told us less than 10% vs greater than 60%. Well all my fiancé and I did was look at each other, look back at Dr Seli and say, okay, what do we have to do to use our donor? We have just started the donor testing and hope to get this party started in the next month or two. To be continued...
Describe your experience with your nurse at Yale University. (Assigned nurse: Joanne)
Our nurse is so kind, empathetic and responds right away to questions or concerns. Joanne is the best!
Describe your experience with Yale University.
The clinic is clean, coordinated and caring. Privacy is taken seriously and all of the staff we have encountered are knowledgeable and kind. Morning monitoring is on a first-come, first-served basis and is done early and quickly enough to get to work on time. By early afternoon, you typically have heard from your nurse and can check the online portal for your results and a detailed report of what the next steps are (return in X days, increase/decrease/start/stop Z medicine). Everything is very clear and there’s no way to misunderstand anything about how your treatment is going to proceed.
Describe the costs associated with your care under Emre Seli at Yale University.
So far, we have only used our insurance benefits. To be continued...
Dr. Patrizio recognized us and made small talk with us at our visits and didn't just dive into the treatment, though that was the focus of our visits. He is to the point, but friendly...he clearly laid out why we should only transfer one embryo, but let us make the final decision. He did not perform my IUIs, but he was adamant that he would be the one to perform the egg transfer as he says that is the most important part. The one thing I did not like was that I felt like he gave us false confidence with the IUIs. Because I have unexplained infertility, he was very sure that an IUI would work and when it didn't, I was even more devastated. In the end, we achieved a live birth with only one round of IVF, which was still pretty good.
The clinic [Yale] is clean and the front desk staff is helpful and friendly. I haven't had problems making appointments if they aren't last minute. I am often late and they were graciously accommodating of me multiple times...The nursing staff was very nice and would answer my questions, but I got the impression that they were very busy. There was one occasion I specifically remember that I did not like. On one of my early visits I told the nurse that I had been tracking my temperature to see when I ovulate and she said, "Aw, that's cute. You don't have to do that anymore." It made me feel very stupid.
How was your experience with Pasquale Patrizio at Yale University?
Dr. Patrizio is friendly and easy to talk to and will be straight forward. He tells you what he thinks the best course of action is, but will let you make your own decisions. For instance, he clearly laid out why we should only transfer one embryo, but let us make the final decision. He did not perform my IUIs, but he was adamant that he would be the one to perform the egg transfer as he says that is the most important part. The one thing I did not like was that I felt like he gave us false confidence with the IUIs. Because I have unexplained infertility, he was very sure that an IUI would work and when it didn't, I was even more devastated. In the end, we achieved a live birth with only one round of IVF, which was still pretty good.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
Don't expect someone meek and sympathetic - though he is friendly, he's not there to be a therapist, he's there to get you a baby.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
Dr. Patrizio recognized us and made small talk with us at our visits and didn't just dive into the treatment, though that was the focus of our visits. He is to the point, but friendly.
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
Because we had unexplained infertility, Dr. Patrizio suggested we began with 3 IUIs because they were cheaper and I am young, so the likelihood of them working was good. Coincidentally, we also needed to do 3 IUIs for our insurance to cover IVF. After I failed to conceive following each of these, we did a fresh IVF cycle that produced my son.
Describe your experience with your nurse at Yale University. (Assigned nurse: Marie)
The nursing staff was very nice and would answer my questions, but I got the impression that they were very busy. There was one occasion I specifically remember that I did not like. On one of my early visits I told the nurse that I had been tracking my temperature to see when I ovulate and she said, "Aw, that's cute. You don't have to do that anymore." It made me feel very stupid.
Describe your experience with Yale University.
The clinic is clean and the front desk staff is helpful and friendly. I haven't had problems making appointments if they aren't last minute. I am often late and they were graciously accommodating of me multiple times.
Describe your experience with your monitoring appointments at Yale University.
There was a monitoring window every morning from 7 -8:15 or so. When you arrived, you were given a number and taken on a first come, first served basis. Sometimes I was taken right away, other times I waited over an hour. It was luck of the draw. I did arrive after the window a few times and they still monitored me, which was much appreciated.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
My insurance fully covered the care, so I'm not sure.
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr. Patrizio is all for single embryo transfer when possible, but will do what you ask. He personally looks at all the embryo grades and picks the order best for transfer.
Dr Patrizio made me feel like I was important and that I mattered. He worked so hard to make all of the processes happen. He worked with us every step of the way. I always felt important.... He worked with my husbands military schedule to get us in as soon as possible.... I’ve been seeming doctors for years with my endometriosis and he was the first person to acknowledge that it is painful and not belittle how I described it. I will always recommend him to anyone I know needing a doctor.
The strengths of this clinic [Yale U] are the staff. Warm, welcoming, friendly, helpful, informative and knowledgeable. They have a website where you have your own log in to review test results and message with the staff at all times. It makes it so helpful for the days you have a question and it’s after hours. I haven’t found a weakness at this clinic in the last years.... IVF treatment was $9k-$10k, the meds for ivf were a little over $3k. And each fet cycle was $3,700. The meds for fet were covered and only needed copays of $10 for the estrace and $11 for progesterone in oil.
How was your experience with Pasquale Patrizio at Yale University?
I have nothing but positive things to say about Dr Patrizio. He was a complete blessing to me. I never felt alone or like I wasn’t being heard. He worked with my husbands military schedule to get us in as soon as possible. He’s very knowledgeable, smart, kind, warm and friendly. He is sensitive to your feelings and listens to you. I’ve been seeming doctors for years with my endometriosis and he was the first person to acknowledge that it is painful and not belittle how I described it. I will always recommend him to anyone I know needing a doctor.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
Never think your route has ended. He is the hardest working doctor I have ever seen to help someone achieve their goal of being a parent. He will work with you every step of the way and give you options to succeed.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
Dr Patrizio made me feel like I was important and that I mattered. He worked so hard to make all of the processes happen. He worked with us every step of the way. I always felt important.
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
The process began after discovering I had contracted chlamydia after a rape. He told me he was so sorry and comforted me. He wanted to see if it had done any damage to my tubes. We had attempted a tubal cannulation but it wasn’t able to work. We went forward to go for an ivf process. We had to do this out of pocket and he did have some military packages available for us to choose from. We told him the dates my husband would be gone and he worked with us to schedule a proper date for ivf so my husband would be there for the birth. Unfortunately at the end of my ivf he discovered my left tube was swollen and needed to be removed. He talked to me about doing survey and then a frozen embryo transfer. He gave me a step by step details of what was going to be done so we moved forward. He retrieved my eggs and happily there was 9 embryos. Then he preformed my surgery later to remove my left tube and to look at the right one. He also cleaned up some endometriosis. After healing I went back in and he discussed how the fet cycle would work and we made a plan. I started estrace then progesterone in oil and went on August 14th 2018 for my transfer. He made that such a happy experience I felt no discomfort or pain. My husband and I were so thrilled to watch as the embryo was shot into me. On a August 24th we went back for blood work to check for a pregnancy. There was no baby. My nurse team and dr Patrizio expressed how sorry they were and that none of them were giving up on me. We found out later that my thyroid levels had been elevated and I was put on a medication to help even it out. It was then discovered I had antithyroid antibodies as well. As of right now we are waiting for my period to start to start another fet cycle. My husband will be gone during this time but my doctor made sure all the papers were signed so I was able to do the transfer. This cycle he is also going to be putting in two embryos for a better chance at a pregnancy. He expressed over and over again how sorry he was this all was happening to me and the strain it must be causing our family to be taking out loans to pay for everything and that he was determined to help me before we got relocated with the military.
Describe your experience with the nursing staff at Yale University.
The nursing staff felt like sisters to me. They called and messaged me and always kept me in the loop with what was going on. They answered any question I had and even would contact me on weekends or after hours to answer them for me. The nursing staff is truly above and beyond there and the perfect fit with Dr Patrizio.
Describe your experience with Yale University.
The strengths of this clinic are the staff. Warm, welcoming, friendly, helpful, informative and knowledgeable. They have a website where you have your own log in to review test results and message with the staff at all times. It makes it so helpful for the days you have a question and it’s after hours. I haven’t found a weakness at this clinic in the last years.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
IVF treatment was $9k-$10k, the meds for ivf were a little over $3k. And each fet cycle was $3,700. The meds for fet were covered and only needed copays of $10 for the estrace and $11 for progesterone in oil.
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
He always left the number of embryos up to my husband and I and have his advice as well. He explained every aspect and side it could go. We always felt very lucky to be so informed and to be able to choose how many embryos we wanted.
I felt confident in my care with Dr. Mak...She was always clear and compassionate. After my third failed IUI, I wanted to do another one and she recommended we go forward with an IVF cycle... My only complaint really, is that when I was prescribed Misoprostal for a miscarriage, she did not adequately explain the level of pain I was in store for. I really should have been provided a stronger pain medication...When she was giving me negative news, she did so with compassion.
Overall the clinic [Yale] is run very well, however dealing with the billing department/insurance department was always difficult, they often passed the buck to different departments resulting in conflicting information. It took months before I could get my final bill straightened out after they initially tried to incorrectly charge us 12,000 more than what we owed...Contacting the front desk for scheduling, questions, etc was always difficult. Their front desk team was not always patient/friendly.
How was your experience with Winifred Mak at Yale University?
I felt confident in my care with Dr. Mak, she took me over as a patient when my Dr, Ryan Martin left the practice. She was always clear and compassionate. After my third failed IUI, I wanted to do another one and she recommended we go forward with an IVF cycle, and I'm glad that she did as I am now 6 and a half months pregnant. My only complaint really, is that when I was prescribed Misoprostal for a miscarriage, she did not adequately explain the level of pain I was in store for. I really should have been provided a stronger pain medication.
What's one piece of advice would you give a prospective patient of Winifred Mak at Yale University?
Be sure to ask a lot of questions, she will spend the time to answer them, but may not always offer up all the details at first. Also, it's good to know that Dr. Mak and Yale Fertility in general, tend to lean on the conservative side so she had recommended we only transfer one embryo with our first cycle. Ultimately my husband and I decided to transfer 2 embryos to better our chances and Dr. Mak was understanding of our decision.
During treatment, were you treated like a number or a human with Winifred Mak at Yale University?
Dr. Mak always came into the room having reviewed my information which I appreciated. She took her time with me to explain things, I never felt rushed.
When she was giving me negative news, she did so with compassion.
Describe the protocols Winifred Mak used in your cycles at Yale University and their degree of success.
I did 3 IUI cycles, each time with Letrizole by mouth taken on days 3–7 of my period, followed by an Ovidrel trigger injection the night before IUI. After the first cycle failed, by Letrizole dose was increased. The second IUI cycle resulted in a miscarriage (growth stopped around 5.5 weeks, and misoprostal was taken to pass the embryo around week 11). After the 3rd failed IUI, plans were made to do an IVF cycle. I started with taking Norethindrone, and Metformin to prevent hyperstimulation (this was a suggestion from my MD husband who had done some research). I then did a combination of low dose Gonal-F, Menopur and Follistim. My follicle growth was monitored every other day along with bloodwork. Once ready, I did an intramuscular HCG trigger shot. I was also taking doxycycln at some point during the injection period. I then did a retrieval procedure (performed by a different Dr.) and had my transfer 5 days later, tranferring 2 embryos. The transfer was in May of this year (2017) and I am currently 6.5 months pregnant with a singleton. It should also be noted that I sought weekly accupuncture treatment for the 6 months prior to my IVF treatment. I also had acupuncture before my retrieval, before and after my transfer.
Describe your experience with the nursing staff at Yale University.
The nursing staff was always warm, patient and informative.
Describe your experience with Yale University.
Yale's strengths: strong team of qualified Dr's and Nurses, an organized system to manage the frequent morning bloodwork/ultrasounds, convenient location, great use of the online MyChart portal to comprehensively post and notify you of test results, upcoming appointments, and a convenient way to communicate with your care team.
Contacting the front desk for scheduling, questions, etc was always difficult.
Their front desk team was not always patient/friendly.
They didn't adequately prepare me for the pain of passing a miscarriage with misoprostal
Describe your experience with your monitoring appointments at Yale University.
It was a bit of a cattle call, but I understood why it needed to be that way, it seemed to be the most efficient way to handle the volume and frequency of the monitoring.
Describe the costs associated with your care under Winifred Mak at Yale University.
Our insurance covered up to $8,000 lifetime toward fertility treatments.
We roughly paid around $12,000 out of pocket after 3 IUIs, testing, and 1 IVF cycle.
Describe Winifred Mak's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Yale tends to recommend only transferring 1 embryo on your first transfer attempt, more conservative than what I've heard about other practices.
What specific things went wrong at Yale University?
Failed to call with results
Describe the specific things that went wrong at Yale University.
Overall the clinic is run very well, however dealing with the billing department/insurance department was always difficult, they often passed the buck to different departments resulting in conflicting information. It took months before I could get my final bill straightened out after they initially tried to incorrectly charge us 12,000 more than what we owed.
Dr. Patrizio is very warm and welcoming with a great bed side manner and great sense of humor. I feel like he could have been more involved with my care...Be aware that you won't see him at every visit. There are times where you have to let him know what you want because he is very laid back in his approach...I remember for my 2nd round of ivf - I told him that I wanted to keep it similar to my first round because my body reacted well to the meds and I did get pregnant, although I did miscarry. He was ok with that and was open to my feedback.
Marie, Dr. Patrizio's nurse [at Yale University] has failed to give me specific instructions in a timely manner, resulting in my having to call the office directly. And another nurse forgot to call in a script to the pharmacy...I find Marie to be very lax in giving exact details. I would always have to call the office for clarification. I also found that she waited to the evening hours to provide details or blood results which was very upsetting when you are waiting for these bits of information... I have had great experience dealing with Kree from the moment I walked into Yale Fertility... She was detailed, would call personally to let me know what needed to be done and made sure I understood everything before she hung up the phone. She provided results in a great, timely manner and she always and still does, greet me by first name and hugs when I go to the office. She actually does care.
How was your experience with Pasquale Patrizio at Yale University?
Dr. Patrizio is very warm and welcoming with a great bed side manner and great sense of humor. I feel like he could have been more involved with my care but then again, I know he is busy and has lots of patients. I was however very happy with the staff at yale and was ok with them tending to my care.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
Be aware that you won't see him at every visit. There are times where you have to let him know what you want because he is very laid back in his approach.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
I was definitely treated like a human and a lot of that is thanks to the staff. Dr. Patrizio is a great doctor, but I am not his only patient. However, when it was us, he was great and is very down to earth and welcoming.
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
I remember for my 2nd round of ivf - I told him that I wanted to keep it similar to my first round because my body reacted well to the meds and I did get pregnant, although I did miscarry. He was ok with that and was open to my feedback. We followed the same protocol with injectables but my body took longer to react the 2nd time. I think that was a good thing because it gave my body the time to grow and nurture my eggs!
Describe your experience with your nurse at Yale University. (Assigned nurse: Kree)
Let me start by saying that Dr. Patrizio's main nurse is Marie. I told him from day 1 of my 2nd round that I did not want her involved in my care. She is very nice but she just wasn't on top of things in regards to my care as I would like. As we know, this whole trying to conceive process is very delicate and can be very emotional. I find Marie to be very lax in giving exact details. I would always have to call the office for clarification. I also found that she waited to the evening hours to provide details or blood results which was very upsetting when you are waiting for these bits of information.
I have had great experience dealing with Kree from the moment I walked into Yale Fertility. She was the nurse of my previous RE and she was just on top of things. She was detailed, would call personally to let me know what needed to be done and made sure I understood everything before she hung up the phone. She provided results in a great, timely manner and she always and still does, greet me by first name and hugs when I go to the office. She actually does care. There are other nurses that are just like her - they really do have a great team at Yale but Kree is just top notch.
Describe your experience with Yale University.
The clinic is great with scheduling appointments and fitting you in as your schedule allows. They have made some improvements to the front end area to help with appearance but they've added this frosted tint to the windows by the receptionist which block them from seeing you when you are waiting in line. There are times where I've waited over 10 mins for the receptionist to call me but she didn't know I was there because of the frosted glass.
Also, they've hired new receptionists that need to be trained a little more but that is fixable.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
IVF is covered under my insurance, thankfully. I just paid for the office visits or fees not covered by insurance such as freezing of the embryos.
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
no comment
What specific things went wrong at Yale University?
Failed to call in prescriptions to pharmacy
Failed to convey critical information
Describe the specific things that went wrong at Yale University.
Marie, Dr. Patrizio's nurse has failed to give me specific instructions in a timely manner, resulting in my having to call the office directly. And another nurse forgot to call in a script to the pharmacy but that has remedied the same day.
Dr. Patricio cared about getting me pregnant. He moved a little slower than I would have hoped, but maybe that’s just the nature of the industry. He called me personally with results, joked when needed, and was serious when needed. I felt loved and embraced by him and his team.... I did IVF with PGD, using Gonal-F, Follistim, and other I can’t remember. We had one failed cycle where one embryo was transferred, and one successful live birth after a transfer of two embryos.
The strengths [Yale University] are the doctors, nurses, and communication once you’re mid-cycle. The communication leading up to a cycle and the insurance coordinators are both lacking.... Marie [nurse] was so kind and loving. Sometimes I wondered though if she forgot details regarding our care, which i was compelled to remind her of periodically.... [Cost Of Treatment] 21k for retrieval, pgd testing, and transfer. 700 a year for frozen embryos.
How was your experience with Pasquale Patrizio at Yale University?
Dr. Patricio cared about getting me pregnant. He moved a little slower than I would have hoped, but maybe that’s just the nature of the industry. He called me personally with results, joked when needed, and was serious when needed. I felt loved and embraced by him and his team.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
To come prepared with as much of an education about fertility treatments as possible. He respects intelligence and will give you more information if he feels it will benefit you.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
When under Dr. Patrizios care of the other docs at the clinic, face to face, I felt personally cared about. When speaking with Kree, who ran the morning monitoring program, it was made clear that I was a number in line, and that no exceptions could be made. She didn’t want to hear any explanations or reasoning behind needing to speak with anyone. She was rude and unwavering.
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
I did IVF with PGD, using Gonal-F, Follistim, and other I can’t remember. We had one failed cycle where one embryo was transferred, and one successful live birth after a transfer of two embryos.
Describe your experience with your nurse at Yale University. (Assigned nurse: Marie Longo)
Marie was so kind and loving. Sometimes I wondered though if she forgot details regarding our care, which i was compelled to remind her of periodically.
Describe your experience with Yale University.
The strengths are the doctors, nurses, and communication once you’re mid-cycle. The communication leading up to a cycle and the insurance coordinators are both lacking. Insurance would often times call me to say I wasn’t covered for a certain medication, provide no alternatives, and disregard the fact that I needed that med either that day or the next. This was infuriating.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
21k for retrieval, pgd testing, and transfer. 700 a year for frozen embryos.
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr. Patrizio was supportive of our choice. He gave us all the information and let us choose.
I found him [Dr. Patrizio] to be very rigid in his protocols. Anything I suggested he would say I didn't need it or it wouldn't work for me. Yet we had setbacks and cancelled cycles and he wasn't willing to try different things.... I would often see different people who did not know me or my situation. Sometimes my procedures were not even done by my doctor.... My protocol was a very basic one using stim drugs for retreival. For my frozen transfers only estrogen was used in preparation, even when it didn't seem to be working, nothing was added to help. He didn't believe anything else would help or make a difference.
It' a busy clinic, which is good because you can always get ahold of someone 7 days a week but bad because it can be a lot of waiting. The morning monitoring can be a zoo some days. Being a yale clinic they are part of a teaching hospital so you often see residents or fellows as well. I found that they often did not know what they were doing or did not have the answers that I asked for.... The nurses were the best resources there.
How was your experience with Pasquale Patrizio at Yale University?
I found him to be very rigid in his protocols. Anything I suggested he would say I didn't need it or it wouldn't work for me. Yet we had setbacks and cancelled cycles and he wasn't willing to try different things.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
I think he's a good doctor to start treatment with, for many that don't have such a difficult case as mine he has great success.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
It is a very large clinic with many people working there. I would often see different people who did not know me or my situation. Sometimes my procedures were not even done by my doctor.
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
My protocol was a very basic one using stim drugs for retreival. For my frozen transfers only estrogen was used in preparation, even when it didn't seem to be working, nothing was added to help. He didn't believe anything else would help or make a difference.
Describe your experience with the nursing staff at Yale University.
The nurses were the best resources there. Pretty timely in getting back to you and the few nurses I dealt with were the only people there that really knew me and my treatment.
Describe your experience with Yale University.
It' a busy clinic, which is good because you can always get ahold of someone 7 days a week but bad because it can be a lot of waiting. The morning monitoring can be a zoo some days. Being a yale clinic they are part of a teaching hospital so you often see residents or fellows as well. I found that they often did not know what they were doing or did not have the answers that I asked for.
Describe your experience with your monitoring appointments at Yale University.
The monitoring was first come first served in a time frame in the morning. There was often quite a long line and a long wait to be seen. Also, you almost never saw a doctor in the morning so it was hard to get any questions answered.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
I was under insurance when I saw Dr Patrizio so I am unaware of what the costs were.
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
He did not example the reasoning for using one versus two. He simply asked if we were good doing 2 and did that.
We had a 2 unsuccessful rounds prior to conceiving our son - Dr. Martin always had a follow up plan for when we were ready to try again as well as words of encouragement...He was easy to talk to. He has an easy going personality that instantly made me feel comfortable.
The blood work appointments in the morning were the 1 thing I did not like [at Yale]. It was first come first served and you were a number then. The wait was never too long but having to wait with women going through this process is not pleasant. There was a lot of nervous chit chat that could turn competitive. I would wear headphones and tune it out.
How was your experience with Ryan Martin at Yale University?
He was easy to talk to. He has an easy going personality that instantly made me feel comfortable. We had a 2 unsuccessful rounds prior to conceiving our son- Dr. Martin always had a follow up plan for when we were ready to try again as well as words of encouragement.
What's one piece of advice would you give a prospective patient of Ryan Martin at Yale University?
It's difficult to offer advice having gone through this process. Every single situation is different, every reason for seeking fertility treatment is different and everyone seeking fertility has a different personality and emotional threshold. I could say relax and trust him! But relaxing is easier said than done.
During treatment, were you treated like a number or a human with Ryan Martin at Yale University?
Dr. Martin and his nurse Kree made both myself and my husband feel like we were not just their patients but their friend/family. They were always concerned with our emotional well being through the fertility process. I still keep in touch with them even after our son was born. They both allowed me to cry, ask as many questions as I needed to, and contact them after hours with questions.
Describe your experience with your nurse at Yale University. (Assigned nurse: Lakresha)
When, after my third round of IVF I finally had a positive pregnancy test, I came in for an appointment Kree brought me into an exam room and gave me a huge hug and we jumped up and down together! It was enthusiastic as well as discreet(I would never want to flaunt my success in front of other women who may have not had good news that day). She made me feel special every time I went in.
Describe your experience with your monitoring appointments at Yale University.
The blood work appointments in the morning were the 1 thing I did not like. It was first come first served and you were a number then. The wait was never too long but having to wait with women going through this process is not pleasant. There was a lot of nervous chit chat that could turn competitive. I would wear headphones and tune it out.
Dr. Pal is organized and knows her numbers. She will be upfront and honest about the likelihood of things working or not. She gives her opinions in a professional way but also makes you feel like you as a patient are being heard and values your thoughts. She guided me through my first ectopic pregnancy - an awful experience and is the only doctor thus far to succeed. I owe everything to this woman - I am a mother to the best little 4 year old boy.
The only issue I ever had was at times longer wait times [Yale University]. This was rare and somewhat to be expected. If you have to work and are doing IVF - try to be first in line for morning monitoring because it can get a little hectic (but all clinics can)....Some days were worse than others - everyone waits to go in on the weekend but then it can get really busy. Not unusual in my experience with three different clinics but something to be aware of.
How was your experience with Lubna Pal at Yale University?
Dr. Pal is organized and knows her numbers. She will be upfront and honest about the likelihood of things working or not. She gives her opinions in a professional way but also makes you feel like you as a patient are being heard and values your thoughts. She guided me through my first ectopic pregnancy - an awful experience and is the only doctor thus far to succeed. I owe everything to this woman - I am a mother to the best little 4 year old boy. She was so elated with us when it worked. I just felt like her heart was in the right place all along.
What's one piece of advice would you give a prospective patient of Lubna Pal at Yale University?
Go in for the consult - give her a chance. She is an amazing physician - she is brilliant but down to earth. She has an excellent bedside manner and truly cares about her patients.
During treatment, were you treated like a number or a human with Lubna Pal at Yale University?
Dr. Pal had a wonderful bedside manner. She came into each meeting together (whether it was a meeting to chat or an ultrasound), remembering me, my case and being empathetic and kind. She was very positive from the beginning that I would be successful which in truth helped my overall mindset. She was wonderful to work with.
Describe the protocols Lubna Pal used in your cycles at Yale University and their degree of success.
Antagonist- mini stim
Menopur 150 iu
Ganerelix 75 iu
Trigger (prenyl? I can’t remember what brand name now)
Vaginal suppositories of Progesterone 3x per day
I did 8 nights of stims, added in 2 nights of stims plus ganerlix and then 1 night where I triggered. Retrieval was 36.5 hours after trigger. It was the quickest and easiest cycle and gave me my best result.
Describe your experience with the nursing staff at Yale University.
The overall demeanor of the nurses was kind and compassionate.
Describe your experience with Yale University.
The only issue I ever had was at times longer wait times. This was rare and somewhat to be expected. If you have to work and are doing IVF - try to be first in line for morning monitoring because it can get a little hectic (but all clinics can).
Describe your experience with your monitoring appointments at Yale University.
Just be prepared and go early. Some days were worse than others - everyone waits to go in on the weekend but then it can get really busy. Not unusual in my experience with three different clinics but something to be aware of.
Describe the costs associated with your care under Lubna Pal at Yale University.
In 2013, I believe one round of IVF was roughly 11k. My insurance covered this and some of my meds. Our out of pocket cost was roughly $1,200 and it was the best money we’ve ever spent.
Describe Lubna Pal's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
Dr. Pal encouraged us to do an ESET due to my age at the time (28). We elected to put two embryos in and got pregnant with a singleton.
Dr Seli was thorough in his process. He would review my chat every time with me, ask if there were changes at all too...He was fairly prompt and always completed what I needed done in a timely manner...We transferred two the first time and they both took. The second time we only transferred one and it took. He made sure to put in the best embryos each time and their process in doing so is well done.
It’s a very small clinic [at Yale University]. The staff is kind, the facility is ok looking. But don’t be intimidated by the appearance. Sometimes getting ahold of someone can take some time but they started using an online app that helps make communication quicker...They were very friendly. They would always talk kindly to me during blood draws or procedures. They explained things thoroughly and got back to me fairly quickly with my questions
How was your experience with Emre Seli at Yale University?
Dr Seli was thorough in his process. He would review my chat every time with me, ask if there were changes at all too. He talked about his own personal things and ask about my own. He was fairly prompt and always completed what I needed done in a timely manner.
What's one piece of advice would you give a prospective patient of Emre Seli at Yale University?
Ask questions no matter what!
During treatment, were you treated like a number or a human with Emre Seli at Yale University?
Dr Seli was level with me about everything. He would ask about my children and seemed genuine with his approach to helping me build my family. He would talk of his own child that was a preemie after my twins were born prematurely.
Describe the protocols Emre Seli used in your cycles at Yale University and their degree of success.
We used just estrogen and progesterone for our cycle. It gradually increased each week until transfer date. Then we continued with progesterone until 12 weeks where I weaned off.
Describe your experience with the nursing staff at Yale University.
They were very friendly. They would always talk kindly to me during blood draws or procedures. They explained things thoroughly and got back to me fairly quickly with my questions
Describe your experience with Yale University.
It’s a very small clinic. The staff is kind, the facility is ok looking. But don’t be intimidated by the appearance. Sometimes getting ahold of someone can take some time but they started using an online app that helps make communication quicker.
Describe the costs associated with your care under Emre Seli at Yale University.
Initial donor egg cycle cost us around 29k. Frozen cycle was mostly covered and cost around 2k for meds and procedure.
Describe Emre Seli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
We transferred two the first time and they both took. The second time we only transferred one and it took. He made sure to put in the best embryos each time and their process in doing so is well done.
He [Dr. Ryan Martin] didn't want to hear my thoughts or concerns. And also didn't explain the process the first time with femara. And I also had to go to my regular obgyn to get checked out because of a infection. I got from a procedure and no one at the clinic would respond in a timely manner...He knows his field and has great knowledge. But he comes on in a harsh manner. He could definitely be a little bit more compassionate. And under standing. Considering many women have emotional issues that come with infertility
Just remember having a issue with one nurse [at Yale University]. She was always rude. And short. I work in the pharmacy and one of the scripts had wrong directions. I messaged her. So it could get fixed so I could have it filled. She was rude and took forever to get back to me forcing me to having to miss a cycle...Definitely great with financial help. And getting things covered. They are also good at working out payment plans. The clinical staff were always great with bloodwork and my husband's fertility check.
How was your experience with Ryan Martin at Yale University?
He knows his field and has great knowledge. But he comes on in a harsh manner. He could definitely be a little bit more compassionate. And under standing. Considering many women have emotional issues that come with infertility
What's one piece of advice would you give a prospective patient of Ryan Martin at Yale University?
Be prepared for a little bit of blunt and straight forward doctor
During treatment, were you treated like a number or a human with Ryan Martin at Yale University?
He didn't want to hear my thoughts or concerns. And also didn't explain the process the first time with femara. And I also had to go to my regular obgyn to get checked out because of a infection. I got from a procedure and no one at the clinic would respond in a timely manner.
Describe your experience with the nursing staff at Yale University.
Just remember having a issue with one nurse. She was always rude. And short. I work in the pharmacy and one of the scripts had wrong directions. I messaged her. So it could get fixed so I could have it filled. She was rude and took forever to get back to me forcing me to having to miss a cycle
Describe your experience with Yale University.
Definitely great with financial help. And getting things covered. They are also good at working out payment plans. The clinical staff were always great with bloodwork and my husband's fertility check.
Describe the costs associated with your care under Ryan Martin at Yale University.
I played pretty much out of pocket due to having a high deductible plan. After I hit the 3000 deductible my insurance kicked in and paid 80% things that were not covered by the plan I had payment plans worked out. Which I'm still currently paying off
[Dr. Patrizio] was a good doctor overall...He is a very intelligent doctor. He was good. He might be better than the [Yale - New Haven] practice...When using the Westport office, I was a "part of the family" treated very well with the nurse and staff. When at New Haven office, for retrievals and transfers, it was very clinical.
[Yale - New Haven Fertility's] Westport [office] was fantastic, kind, prompt, organized. All staff members knew every patient that walked in the door and what they were there for. New Haven, made me feel like cattle. If I arrived first, I had to push my way to stay first in line. Generally, the staff didn't know if you were on IVF or IUI or another procedure.
How was your experience with Pasquale Patrizio at Yale University?
He is a very intelligent doctor. He was good. He might be better than the YNH practice.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
Ask a lot of questions...
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
When using the Westport office, I was a "part of the family" treated very well with the nurse and staff. When at New Haven office, for retrievals and transfers, it was very clinical. The nurses were kind, but I did feel more stress when at New Haven for monitoring and major procedures. Dr P. was a good doctor overall.
Describe your experience with your nurse at Yale University. (Assigned nurse: Patricia O'Neill)
She worked very hard to help me through the process. If I ran low on meds on a Friday, she would loan me meds to get through the weekend. She took my calls, texts and emails promptly. She was very detailed. I don't think YNH could have worked as well, if she wasn't in the mix.
Describe your experience with your monitoring appointments at Yale University.
Monitoring appointments at Westport were completely different than those at New Haven.
Westport was fantastic, kind, prompt, organized. All staff members knew every patient that walked in the door and what they were there for.
New Haven, made me feel like cattle. If I arrived first, I had to push my way to stay first in line. Generally, the staff didn't know if you were on IVF or IUI or another procedure. It was supposed to start at 7:15 on the weekends, but the ultra-sound doctors didn't show up until 7:30 or 7:45. It took a long time.
He [Dr. Pasquale Patrizio] is very kind, explains things well, likeable and obviously cares. I wish that he had communicated better about the actual egg retrieval and that another doctor would be performing the procedure. It was also a difficult call to decide whether to freeze only eggs or a combo of eggs and embryos.
When I was a patient, the clinic [Yale] was very small so it felt very personable and not at all like a factory (as compared to other clinic in my experience)--this was a huge strength. I felt like 1 of a few patients vs. 1 of hundreds.... Lupron was used back then...this was a long time ago. Also, the old style of egg freezing (slow freeze) was used, which isn't used anymore typically. I'm guessing it would be a different experience at this point given that this was so long ago. I would still go to Dr. Patrizio though, although would want more information about the lab, techniques, etc.
How was your experience with Pasquale Patrizio at Yale University?
He is very kind, explains things well, likeable and obviously cares. I wish that he had communicated better about the actual egg retrieval and that another doctor would be performing the procedure. It was also a difficult call to decide whether to freeze only eggs or a combo of eggs and embryos.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
Ask for clarity about who performs what procedures.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
Dr. Patrizio was kind, sensitive, and approachable and explained everything well. However, I was frustrated that I did not know he would not be doing the egg retrieval procedure himself (found out last minute and was quite upset by that).
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
Lupron was used back then...this was a long time ago. Also, the old style of egg freezing (slow freeze) was used, which isn't used anymore typically. I'm guessing it would be a different experience at this point given that this was so long ago. I would still go to Dr. Patrizio though, although would want more information about the lab, techniques, etc.
Describe your experience with Yale University.
When I was a patient, the clinic was very small so it felt very personable and not at all like a factory (as compared to other clinic in my experience)--this was a huge strength. I felt like 1 of a few patients vs. 1 of hundreds.
Describe your experience with your monitoring appointments at Yale University.
I did most of my monitoring at a different clinic so cannot comment on this.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
$10k
What specific things went wrong at Yale University?
Failed to inform you of changes in protocol
Provided conflicting information
Describe the specific things that went wrong at Yale University.
The doctor performing the egg retrieval was changed at the last minute. Dr. Patrizio did personally call to discuss, however.
Interactions with Dr. Patrizio all great. However, once I started IUI process I felt like part of a herd walking into a barn for cookie cutter evaluation and treatment. Only when seeing Dr. Patrizio a few months later did it feel like I was a human or true patient again...is wonderful, and I trust him and his decisions. Very matter of fact and honest throughout our journey...Clomid 50mg (days 3-7 one cycle, 4-8 other) + ovidrel trigger and IUI less than 24 hours later.
[Yale University has] a lot of patients. Morning ultrasounds and blood work start to feel like a cattle call. Do not spend time talking about supportive therapies or alternative strategies to complement infertility treatment...One nurse told me I would be starting medication on a certain day, and another time me something different. I had to follow up by phone to confirm...the nurses manage all of the care in between the key consultation visits.
How was your experience with Pasquale Patrizio at Yale University?
Dr. Patrizio is wonderful, and I trust him and his decisions. Very matter of fact and honest throughout our journey. Just send very busy, and that I'm not necessarily special... I'm one of what seems like many women in the same situation, all going through the same steps.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
All for details about treatment regimens before communicating with nurses;the nurses manage all of the care in between the key consultation visits.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
Interactions with Dr. Patrizio all great. However, once I started IUI process I felt like part of a herd walking into a barn for cookie cutter evaluation and treatment. Only when seeing Dr. Patrizio a few months later did it feel like I was a human or true patient again.
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
Clomid 50mg (days 3-7 one cycle, 4-8 other) + ovidrel trigger and IUI less than 24 hours later.
Describe your experience with Yale University.
Very organized and expediency, but have a lot of patients. Morning ultrasounds and blood work start to feel like a cattle call. Do not spend time talking about supportive therapies or alternative strategies to complement infertility treatment.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
So far covered by insurance, so copays
What specific things went wrong at Yale University?
Provided conflicting information
Describe the specific things that went wrong at Yale University.
One nurse told me I would be starting medication on a certain day, and another time me something different. I had to follow up by phone to confirm.
He [Dr. Patrizio] was positive and informative. Knowledgeable, easy to communicate with, good treatment even if I did not get all the results I wanted like a baby through this process. Through with pre-testing and also explained procedures well. ... We did egg ovulation stimulation, egg retrieval, ICSIS, 5 day transfer, egg freezing, blood monitoring and ultra sounds, also pregnancy test.
I liked the clinic [Yale University], staff and doctor [Patrizio]. It is a large group so a lot of people in and out. Wish an testing was quicker. Everything else was great. Easy to get to and to have interactions with real people. Helpful and kind. ... [nursing staff] Kind, helpful, through, organized and easy to respond to questions ... For my age only 2 embryos were transferred to increase chance of pregnancy.
How was your experience with Pasquale Patrizio at Yale University?
He was positive and informative. Knowledgeable, easy to communicate with, good treatment even if I did not get all the results I wanted like a baby through this process. Through with pre-testing and also explained procedures well.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
To ask questions if you are unsure if process and to share your feelings. Very honest.
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
Very kind and thoughtful... easy to communicate with, easy to get quick responses from team and doctors
Describe the protocols Pasquale Patrizio used in your cycles at Yale University and their degree of success.
We did egg ovulation stimulation, egg retrieval, ICSIS, 5 day transfer, egg freezing, blood monitoring and ultra sounds, also pregnancy test.
Describe your experience with the nursing staff at Yale University.
Kind, helpful, through, organized and easy to respond to questions
Describe your experience with Yale University.
I liked the clinic, staff and doctor. It is a large group so a lot of people in and out. Wish an testing was quicker. Everything else was great. Easy to get to and to have interactions with real people. Helpful and kind.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
Parts were covered by insurance some weren’t. After 40 most insurance won’t cover treatment. We have paid quite a bit out of pocket.
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
For my age only 2 embryos were transferred to increase chance of pregnancy.
He [Dr. Pasquale Patrizio] is always kind and answers all my questions (no matter how crazy) and will always let me be my own advocate and take into account any thoughts or ideas I might have. Unfortunately neither of my IVF rounds worked and I only get 2 rounds with my insurance so we have to wait until I have new insurance to do another round...
Everything always runs smoothly [at Yale University], I really like everyone that works there and they are always on time...My first round I loved everyone and the retrieval went very well. The 2nd time I had a different nurse who was so nice but a little more frantic so I had a bit more anxiety. I didn't feel like the drugs were administered properly and I was a bit more uncomfortable during the surgery...There was definitely a long line [for monitoring appointments] but I would say the longest time I ever needed to wait was probably 35 minutes.
How was your experience with Pasquale Patrizio at Yale University?
He is always kind and answers all my questions (no matter how crazy) and will always let me be my own advocate and take into account any thoughts or ideas I might have. Unfortunately neither of my IVF rounds worked and I only get 2 rounds with my insurance so we have to wait until I have new insurance to do another round.
What's one piece of advice would you give a prospective patient of Pasquale Patrizio at Yale University?
Ask lots of questions and write down the answers! I often forgot to ask certain things and forgot the responses to many others
During treatment, were you treated like a number or a human with Pasquale Patrizio at Yale University?
Everyone at the clinic is very nice and always remembers me
Describe your experience with your nurse at Yale University. (Assigned nurse: Marie)
My first round I loved everyone and the retrieval went very well. The 2nd time I had a different nurse who was so nice but a little more frantic so I had a bit more anxiety. I didn't feel like the drugs were administered properly and I was a bit more uncomfortable during the surgery.
Describe your experience with Yale University.
Everything always runs smoothly, I really like everyone that works there and they are always on time.
Describe your experience with your monitoring appointments at Yale University.
There was definitely a long line but I would say the longest time I ever needed to wait was probably 35 minutes.
Describe the costs associated with your care under Pasquale Patrizio at Yale University.
Most covered by insurance, I have a $5000 deductible
Describe Pasquale Patrizio's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Yale University.
The Dr. wanted me to chose to do one or 2 embryos. I chose one but I know wish I had been pushed to do 2 depending on odds