How was your experience with Brian Walsh at Brigham & Women's Hospital?
Dr. Walsh has been great. He is compassionate and attentive to my needs and questions. When things don't work out we have tried others and have done a plethora of tests to ensure all bases were covered (testing chromosomes, clotting factors, endometrial biopsy,etc after 2 CPs. Ensuring my miscarriage had pathology done, doing more tests. Creating a new plan for the next egg retrieval with PGS testing). The one negative would be that sometimes this information and appointments can be overwhelming and I felt like I had to decide to move forward quickly when maybe I'd want a cycle off. I also had my first egg retieval when Dr walsh nurse had retired and I was bounced around by nurses.
What's one piece of advice would you give a prospective patient of Brian Walsh at Brigham & Women's Hospital?
Just to ensure you always are on top of meds and instructions. Don't be afraid to ask questions.
During treatment, were you treated like a number or a human with Brian Walsh at Brigham & Women's Hospital?
Dr Walsh always takes time for my husband and I. I write down a lot of questions and he always sits patiently and explains and answers all of them. Additionally, I recent had a miscarriage where Dr. Walsh performed the d and c. I'll never forget him holding my hand as I went under.
Describe the protocols Brian Walsh used in your cycles at Brigham & Women's Hospital and their degree of success.
First we began testing. Hormone levels for me, hsg, and hysteroscopy. My husband had 2 sperm analysis done which showed male factor. My husband was also sent to a specialist. We tried clomid for 2 rounds as we were doing testing which did not work based on my husband's male factor issues. Due to mfi we were told ivf was our only option. Since I am borderline on fsh and amh the protocol was semi aggressive with 2 vials menopur and 150 iu follistim which was increased to 225. I stimmed for 13 days and had a duel trigger lupron and HCG. I had 16 eggs, 13 mature, 8 fertilized with ICSI. We ended w 3 day 5 embryos of great quality. I did one fresh transfer w crinone that ended in a CP. We next did a natural FET without meds except for crinone support after transfer that also ended in a CP. We decided to try the last FET as a medicated cycle with 3 mg of estrace twice daily (6mg total) and once my lining got to 7mm we added progesterone a few days before the transfer and after. I had a positive beta HCG test 3 times and we set up an 8 wk ultrasound. Unfortunately there was no heartbeat and I had an enlarged placenta. Dr Walsh wanted to do a d and c to determine the cause and to check for a molar pregnancy ( I had high hcg). The results came back that it was NOT molar but the miscarriage was due to trisomy 18. We went into see Dr Walsh for a post on and we discussed next steps which was additional tests to determine any other reason for my 3 miscarriages and another hysteroscopy before we started IVF again. We also discussed PGS, genetic counseling, and higher doses to get more eggs for pgs testing. We will also freeze all day 5 embryos for ogs and do a medicated FET as I preferred the shots to crinone and I had the most successful pregnancy when we did the protocol medicated. I am currently waiting for my ultrasound to start stimulation for egg retrieval. My doses are going up to 3 vials of menopur and 225 iu of gonal f ( and we will bump up to 4 and 300 iu)
Describe your experience with your nurse at Brigham & Women's Hospital. (Assigned nurse: Kathy Charbonnier)
Kathy this far has been excellent. However before I was assigned her I did not have a set nurse and that at times was frustrating since I did not have anyone dedicated to me. Once I felt like the nurse who called did not know what was going on and I had to call back to demand more answers. Thankfully someone else called back and addressed it
Describe your experience with Brigham & Women's Hospital.
It's a large clinic but the doctors are amazing!!! Just remember to stay on top of them and the nurses and ask lots of questions until you are satisfied. Don't be intimidated by the size or credentials. Do your own research and come prepared.
Describe your experience with your monitoring appointments at Brigham & Women's Hospital.
Efficient well oiled machine with sign in sheets and call backs
Describe Brian Walsh's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Brigham & Women's Hospital.
Dr Walsh follows SART recommendations and I only have had a single embryo transferred based on quality and age.
What specific things went wrong at Brigham & Women's Hospital?
- Failed to call in prescriptions to pharmacy
- Failed to call with results
Describe the specific things that went wrong at Brigham & Women's Hospital.
On my second CP I requested a second beta after my first was positive. I don't think this was portrayed well and I had to call for results. The nurse I spoke too seemed to not understand and that was when I called back to get answers about my next steps.
The medication issue was a mix up either CVS specialty messed up or someone forgot a med. I noticed that cetrotide wasn't there since I was on my second cycle and knew the protocol and had to request it.