He [Dr. Andrew Harper] managed my care through the nurses. I did not speak to or meet him until I was pregnant and my labs became concerning. Because information way relayed through a nurse, I was not able to get satisfactory answers to my questions or have a good understanding of our plan of care. Due to a significant miscommunication amongst the entire office staff, he also performed a vaginal ultrasound during which he was not supervised by a female staff member.
[Huntsville Reproductive Medicine has] Extremely limited scheduling and clinic capabilities. Abysmal communication at all levels. Communication methods are outdated. Lost paperwork. Doctor is not directly involved in care until there is a problem. They are not good at communicating with insurance companies and suggest you just pay out of pocket instead of doing their job to submit appropriate paperwork.
How was your experience with Andrew Harper at Huntsville Reproductive Medicine?
He managed my care through the nurses. I did not speak to or meet him until I was pregnant and my labs became concerning. Because information way relayed through a nurse, I was not able to get satisfactory answers to my questions or have a good understanding of our plan of care. Due to a significant miscommunication amongst the entire office staff, he also performed a vaginal ultrasound during which he was not supervised by a female staff member.
What's one piece of advice would you give a prospective patient of Andrew Harper at Huntsville Reproductive Medicine?
Go to another clinic.
During treatment, were you treated like a number or a human with Andrew Harper at Huntsville Reproductive Medicine?
I did not even meet Dr. Harper until they believed I was losing the pregnancy. When I did finally meet him, he thought I was someone else. I did not consistently see the same nurse.
Describe the protocols Andrew Harper used in your cycles at Huntsville Reproductive Medicine and their degree of success.
We did 3 medicated cycles with letrozole. The first cycle ended up being timed intercourse because the nurse practitioner and office staff did not submit the request to my insurance for the prior authorization that they knew was necessary for my IUI to be covered. They tried to convince me to pay for it out of pocket when they were the ones who had dropped the ball. The second 2 cycles we did IUI.
Describe your experience with your nurse at Huntsville Reproductive Medicine.
I was assigned a nurse, but I did not consistently see her at my appointments. The nursing staff and physician were not on the same page regarding office policies and had poor communication. My care was negatively impacted by this.
Describe your experience with Huntsville Reproductive Medicine.
This clinic has very limited appointment times. They only have a phlebotomist available from 7am-9:45am. So if you need an appointment that includes bloodwork, that is a very small window of time. Semen samples must be dropped off no later than 12:30pm which again, can be restrictive due to schedules. They are also closed on all holidays and weekends. This made it difficult to schedule the cycle day 3 bloodwork that my insurance required since cycle day 3 kept falling on a weekend. Cycles don’t stop on the weekends so I would find a clinic that can accommodate weekend needs if I need a clinic in the future.
Communication was extremely poor across all levels. The front office staff and clinical providers had to be told multiple times to submit prior authorization for both IUI and trigger shot prescription, which resulted in a delay of care. The nursing staff lost paperwork.
The information that I was provided during the course of my care was very minimal. If I didn’t ask the right questions, I didn’t receive any information. And I didn’t always know what questions I needed to be asking. For example, when I wanted to begin considering IVF, I was told that they only do egg retrievals quarterly. This is something that should have been communicated at my initial consultation as it can result in a potential 3 month delay of beginning IVF when time is often of the essence when it comes to fertility. We discussed the possibility of IVF at my consultation, but the nurse practitioner failed to mention this crucial scheduling limitation. I didn’t know that I needed to ask if they did egg retrievals on a limited basis.
They do not have any electronic communication, such as email or portal. I had to wait by the phone in the afternoon for my lab results and instructions. I was not told any specific lab results unless I asked. Their website had also not been updated with their success rates since 2012. They recently updated their website, but it is now lacking any stats on success rates.
Describe the costs associated with your care under Andrew Harper at Huntsville Reproductive Medicine.
Insurance covered my costs with the exception of copays.
Describe Andrew Harper's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Huntsville Reproductive Medicine.
I never had an communication regarding this topic.
What specific things went wrong at Huntsville Reproductive Medicine?
Failed to call in prescriptions to pharmacy
Lost paperwork
Lost appointments
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information
Canceled a cycle due to clinic error
Describe the specific things that went wrong at Huntsville Reproductive Medicine.
Extremely limited scheduling and clinic capabilities. Abysmal communication at all levels. Communication methods are outdated. Lost paperwork. Doctor is not directly involved in care until there is a problem. They are not good at communicating with insurance companies and suggest you just pay out of pocket instead of doing their job to submit appropriate paperwork.
You rarely see him [Dr. Andrew Harper]. I've only seen him on the initial consultation. The nurses perform all the procedures and talk to him directly and provide you feedback....it was said that we'd try up to 3 IUIs until we met again. We've done 3 IUIs and have the next consult scheduled...Each cycle consists of a baseline bloodwork and ultrasound, then a mid-cycle check of blood work and ultrasound and if required additional bloodwork to confirm ovulation a couple days after the mid-cycle check before scheduling an IUI the same day. Between each visit, Dr. Harper is consulted by the nurse and feedback via phone is given to me on recommended path forward.
The nursing staff is great [at Huntsville Reproductive Medicine]. They make me feel comfortable and the general procedure/process is there same no matter which nurse you get... IUIs cost $295 each and the injection (for ovulation in 24 hours) was $207 at the pharmacy...They are easy to get ahold of and scheduling appointments is so easy (except with Dr. Harper). The voicemail system is not up to date (to call a specific nurse) but the front office will direct you if you aren't sure. One time I left a voicemail for the wrong nurse but I got a call back anyways.
How was your experience with Andrew Harper at Huntsville Reproductive Medicine?
It's still early... Initial consult was with Dr. Harper and it was said that we'd try up to 3 IUIs until we met again. We've done 3 IUIs and have the next consult scheduled. Each cycle consists of a baseline bloodwork and ultrasound, then a mid-cycle check of blood work and ultrasound and if required additional bloodwork to confirm ovulation a couple days after the mid-cycle check before scheduling an IUI the same day. Between each visit, Dr. Harper is consulted by the nurse and feedback via phone is given to me on recommended path forward.
What's one piece of advice would you give a prospective patient of Andrew Harper at Huntsville Reproductive Medicine?
Don't be afraid to ask questions. I feel like they hold back all of the options in order to not confuse you... But I have no idea what will be the next step after my 3 IUIs.
During treatment, were you treated like a number or a human with Andrew Harper at Huntsville Reproductive Medicine?
You rarely see him. I've only seen him on the initial consultation. The nurses perform all the procedures and talk to him directly and provide you feedback.
Describe the protocols Andrew Harper used in your cycles at Huntsville Reproductive Medicine and their degree of success.
My husband's sperm count is always high, the first 2 IUIs I ovulated on my own (confirmed via blood work) but was offered the injection on the first one but declined because I wanted to know if I was ovulating naturally. The third IUI I took the injection but mostly because I had a trip planned that would make me miss that months ovulation. The injection was $207 and each IUI is $295. Also both my husband and I were requested to start taking COQ10 after the initial consultation.
Describe your experience with the nursing staff at Huntsville Reproductive Medicine.
The nursing staff is great. They make me feel comfortable and the general procedure/process is there same no matter which nurse you get. The least favorite nurse is the RN, Chelsea. She tends to leave out key information and the 2 times I've dealt with her I had lots of questions and had to call the office often.
Describe your experience with Huntsville Reproductive Medicine.
They are easy to get ahold of and scheduling appointments is so easy (except with Dr. Harper). The voicemail system is not up to date (to call a specific nurse) but the front office will direct you if you aren't sure. One time I left a voicemail for the wrong nurse but I got a call back anyways.
Describe the costs associated with your care under Andrew Harper at Huntsville Reproductive Medicine.
My insurance doesn't cover anything except blood work... So the blood work costs me my co pay ($40) and the IUIs cost $295 each and the injection (for ovulation in 24 hours) was $207 at the pharmacy (which I was warned about).
[With Dr. Andrew Harper] My husband had Hodgkins Lymphoma and the chemotherapy caused him to have a low sperm count and low motility. Our treatment plan was that we'd have only a 1% chance to get pregnant naturally and a 3% with IUI and 70-80% chance with IVF. We began with 3 IUI treatments using ovadril and one time we used clomid. All of the IUIs failed so we saved up our money to do IVF. We did an Fresh IVF transfer cycle. During retrieval we got 23 eggs, 4 fertilized, one didn't make it to day 5 and initially we transferred 2.
The nursing staff [at Huntsville Reproductive Med] was amazing. Chelsea always made sure I understood the treatment coarse. She emailed and called me with updates. She was compassionate and empathetic. She was with me every step of the way with hugs and encouragement. She was the shoulder I need to cry on when things didn't go well and she always was pulling for us.
How was your experience with Andrew Harper at Huntsville Reproductive Medicine?
Strengths are that he is very knowledgeable about fertility actions and treatments. Weaknesses are that he talks over patients heads. I'm a nurse so I knew most of what he was talking about but my husband isn't medical and didn't understand everything. We did wish that we would have seen Dr. Harper more often but after our miscarriage and failed IVF and transfers he did call us and was more involved with our case.
What's one piece of advice would you give a prospective patient of Andrew Harper at Huntsville Reproductive Medicine?
Be prepared with questions and you may have to ask the nurses to explain things to you to better understand.
During treatment, were you treated like a number or a human with Andrew Harper at Huntsville Reproductive Medicine?
I felt like Dr.Harper knew our case and wanted to do whatever to help us make our plans come true. Even though we weren't successful in our treatments.
Describe the protocols Andrew Harper used in your cycles at Huntsville Reproductive Medicine and their degree of success.
So our fertility issues are male factor. My husband had Hodgkins Lymphoma and the chemotherapy caused him to have a low sperm count and low motility. Our treatment plan was that we'd have only a 1% chance to get pregnant naturally and a 3% with IUI and 70-80% chance with IVF. We began with 3 IUI treatments using ovadril and one time we used clomid. All of the IUIs failed so we saved up our money to do IVF. We did an Fresh IVF transfer cycle. During retrieval we got 23 eggs, 4 fertilized, one didn't make it to day 5 and initially we transferred 2. We miscarried early on with the twins. Then we proceeded with a possible frozen transfer with our one embryo left. I took lupron and estrogen. However the week before I was to do the transfer I started bleeding like a period and we could no longer do the transfer. So we took a break saved up money and did another trial at the frozen transfer. We transferred the embryo and two weeks later we found out that it did not work. Our next choice is to do another round of IVF.
Describe your experience with your nurse at Huntsville Reproductive Medicine. (Assigned nurse: Chelsea Evans)
The nursing staff was amazing. Chelsea always made sure I understood the treatment coarse. She emailed and called me with updates. She was compassionate and empathetic. She was with me every step of the way with hugs and encouragement. She was the shoulder I need to cry on when things didn't go well and she always was pulling for us.
Describe your experience with Huntsville Reproductive Medicine.
The front desk was a weakness they have a high turn over rate and one secretary wasn't very friendly and that's something you need when you are struggling. Strengths are that they were quick at finding appointment times and very informative when asking questions.
Describe the costs associated with your care under Andrew Harper at Huntsville Reproductive Medicine.
Cost of IUI's were between 300-600 each. Then IVF cycle was $9000 and transfer was about $1000
Describe Andrew Harper's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Huntsville Reproductive Medicine.
Our dr told us to only transfer one embryo however we decided to transfer two initially of the three that we had.
What specific things went wrong at Huntsville Reproductive Medicine?
Lost paperwork
Describe the specific things that went wrong at Huntsville Reproductive Medicine.
One of The secretaries lost our permit that we already signed so we had to sign another.
We did a total of 3 cycles and protocol was never adjusted whatsoever. Just kept plugging away and doing the same thing each time with the same negative result.... was very impressed with Dr. Harper at our initial visit. He very thoroughly explained our course of action and for the most part answered our questions. He did however dismiss a particular concern I had and essentially told us there was no way that was a problem for us. I
Nursing staff [at Huntsville Reproductive Medicine] was amazing and honestly why we stayed as long as we did. I didn't love not knowing which of the 3 I would have. Felt the most comfortable with Chelsea and Jennifer....The nurses were great but Dr. Harper is very robotic and does not seem comfortable interacting with people....We did a total of 3 cycles and protocol was never adjusted whatsoever. Just kept plugging away and doing the same thing each time with the same negative result
How was your experience with Andrew Harper at Huntsville Reproductive Medicine?
I was very impressed with Dr. Harper at our initial visit. He very thoroughly explained our course of action and for the most part answered our questions. He did however dismiss a particular concern I had and essentially told us there was no way that was a problem for us. I only saw him 2 other times, once at my first scan appointment and again after a laparoscopy for maybe 30 seconds. He is very awkward and if you are looking for warm and fuzzy from your doctor go elsewhere. We did a total of 3 cycles and protocol was never adjusted whatsoever. Just kept plugging away and doing the same thing each time with the same negative result.
What's one piece of advice would you give a prospective patient of Andrew Harper at Huntsville Reproductive Medicine?
I believe Dr. Harper is a good doctor and if you're interested in IVF then he's your guy.
During treatment, were you treated like a number or a human with Andrew Harper at Huntsville Reproductive Medicine?
The nurses were great but Dr. Harper is very robotic and does not seem comfortable interacting with people.
Describe the protocols Andrew Harper used in your cycles at Huntsville Reproductive Medicine and their degree of success.
3 cycles with Letrazole days 3-7 and an ovidrel trigger 2 days before IUI. monitoring on CD 3 and 10 and then again later if not close on day 10. No other blood work or monitoring after IUI just call with period or positive test.
Describe your experience with the nursing staff at Huntsville Reproductive Medicine.
Nursing staff was amazing and honestly why we stayed as long as we did. I didn't love not knowing which of the 3 I would have. Felt the most comfortable with Chelsea and Jennifer.
Describe your experience with Huntsville Reproductive Medicine.
The front office staff leaves something to be desired. During the course of one of our IUIs we literally had to reschedule my husband's collection 4 times. I finally informed them the last time they called to reschedule it that we would not be changing it again. The billing information is not very well conveyed to the patients so sometimes there are some surprises.
Describe the costs associated with your care under Andrew Harper at Huntsville Reproductive Medicine.
No charge for office visits unless the doctor was present which was never. IUI was $300.
What specific things went wrong at Huntsville Reproductive Medicine?
Lost appointments
Provided conflicting information
Describe the specific things that went wrong at Huntsville Reproductive Medicine.
We had an issue with multiple reschedules of a collection for IUI. Also prior to my laparoscopy I was told we would only have to pay the surgery center fee as outlined in our insurance policy. A month and a half later I got a call from the office staff that we had an outstanding balance of nearly $500 and we're expected to pay immediately. The balance was the remainder of my portion of our yearly deductible which we were not aware was applicable since we were told before hand it would just be the surgery center fee. Thankfully we are in a position to be able to pay it as requested but others may not be. My advice is call your insurance company yourself and find out what your costs will be.
Clomid, clomid, and more clomid [protocol with Dr. Andrew Harper]. Increase the dosage and if that doesn't work, increase it more. Then injectables and when that didn't work, they just kept increasing the dosage. 3 failed IUIs because they would do them at the wrong time. They never saw anyone on the weekend...I felt like a number because I NEVER saw Dr. Harper except for my initial visit which was a meeting with him. He did not examine me. He asked me questions and that was it.
My assigned nurse [at Huntsville Reproductive Medicine] rarely saw me. Some of my appointments were scheduled during times she couldn't be there. So I saw someone different every time...The nurses or Dr. Harper wouldn't see anyone on the weekend. They would give drugs to delay ovulation so that my IUIs could happen during the week. My blood work was always different from the ultrasound information. If my ultrasound indicated ovulation but my blood work did not, they relied on my blood work. Therefore, they did every IUI a day or two early or late. I told them every time that they can't rely just on my blood work (per my past experience and conversations with my first and more caring doctor). The nurses kept telling me I was wrong. Three failed IUIs and they simply kept increasing the dosage of my medicine.
How was your experience with Andrew Harper at Huntsville Reproductive Medicine?
I saw him for my first visit which was simply a meeting. He did not examine me, he only asked questions about my history. I was in his office twice a month for blood work and exams, I NEVER saw him at those visits. I saw him after one year and I had to request to see him. Upon my request, it took a week for me to schedule a time. I was told I am not priority since I'm already a patient and his nurses handle patient concerns and then relay messages to him. When I finally met with him, he did not conduct an examination, we met in his office to discuss my concerns which was 3 failed IUIs and never seeing him. He told me he doesn't have time to go to every patient exam and his nurses update him.
What's one piece of advice would you give a prospective patient of Andrew Harper at Huntsville Reproductive Medicine?
Drive out of Huntsville and see someone who actually cares about you.
During treatment, were you treated like a number or a human with Andrew Harper at Huntsville Reproductive Medicine?
I felt like a number because I NEVER saw Dr. Harper except for my initial visit which was a meeting with him. He did not examine me. He asked me questions and that was it. His office staff never knew who I was, I was assigned a nurse but that nurse changed with each visit.
Describe the protocols Andrew Harper used in your cycles at Huntsville Reproductive Medicine and their degree of success.
Clomid, clomid, and more clomid. Increase the dosage and if that doesn't work, increase it more. Then injectables and when that didn't work, they just kept increasing the dosage. 3 failed IUIs because they would do them at the wrong time. They never saw anyone on the weekend.
Describe your experience with your nurse at Huntsville Reproductive Medicine.
My assigned nurse rarely saw me. Some of my appointments were scheduled during times she couldn't be there. So I saw someone different every time.
Describe your experience with Huntsville Reproductive Medicine.
Office staff never engaged in conversation, they never knew my name unless they were looking at my paperwork, and only interacted with me when I needed to sign the bill.
They cared about their money. They did not care about their patients or what we were going through.
What specific things went wrong at Huntsville Reproductive Medicine?
Failed to call in prescriptions to pharmacy
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Huntsville Reproductive Medicine.
The nurses or Dr. Harper wouldn't see anyone on the weekend. They would give drugs to delay ovulation so that my IUIs could happen during the week. My blood work was always different from the ultrasound information. If my ultrasound indicated ovulation but my blood work did not, they relied on my blood work. Therefore, they did every IUI a day or two early or late. I told them every time that they can't rely just on my blood work (per my past experience and conversations with my first and more caring doctor). The nurses kept telling me I was wrong. Three failed IUIs and they simply kept increasing the dosage of my medicine.
I saw him [Dr. Harper] the very first day I had an appointment. I was more comfortable with the nurse practitioner than I was with him. I actually know more about her than I do him. She did my IUI not him...Ask more questions and know what your options are before going into the appointment because you will never seen him, just the nurses...
The nurses [at Hunt Repro Med] are very kind and helpful but I have only seen the doctor once. So to me I feel like more of a number because he won't tell me what's going on just the nurses...They are wonderful and understanding. They learn your name and make conversation with you so you don't feel uncomfortable
How was your experience with Andrew Harper at Huntsville Reproductive Medicine?
I saw him the very first day I had an appointment. I was more comfortable with the nurse practitioner than I was with him. I actually know more about her than I do him. She did my IUI not him.
What's one piece of advice would you give a prospective patient of Andrew Harper at Huntsville Reproductive Medicine?
Ask more questions and know what your options are before going into the appointment because you will never seen him, just the nurses
During treatment, were you treated like a number or a human with Andrew Harper at Huntsville Reproductive Medicine?
The nurses are very kind and helpful but I have only seen the doctor once. So to me I feel like more of a number because he won't tell me what's going on just the nurses
Describe your experience with the nursing staff at Huntsville Reproductive Medicine.
They are wonderful and understanding. They learn your name and make conversation with you so you don't feel uncomfortable
Describe the costs associated with your care under Andrew Harper at Huntsville Reproductive Medicine.
My blood work and ultrasounds were about 200$ for about 2 of them.