How was your experience with Briana Rudick at Columbia University?
Dr. Rudick is kind, compassionate, and very smart. On our initial consultation, she took the time to listen carefully to my history, and developed a treatment plan based on my desires as a patient. I was interested in lowest intervention first, and she completely supported that. She did a great job of explaining everything to my husband and I, and helping us to feel informed.
I did not see her much during monitoring, but she was responsive via email and typically answered (or had a nurse call me) within 24 hours of any emails.
She was always positive when we interacted and always had a good plan for us. When I did become pregnant, her happiness and excitement for us was genuine. She helped me through my first few weeks of pregnancy, and was able to guide me before I switched over to an OB.
What's one piece of advice would you give a prospective patient of Briana Rudick at Columbia University?
Do not expect to see a lot of Dr. Rudick after initial consultation, since monitoring appointments are with any available provider during the time slot you were allotted. This is simply the model of the clinic, which was not something I was aware of in advance. I got used to it after a few visits, but wish I knew to expect different providers all the time.
During treatment, were you treated like a number or a human with Briana Rudick at Columbia University?
Columbia is a large, busy practice, so each provider has a lot of patients that they see. As such, many of the monitoring appointments were with providers who did not know me and did not have the full details of my treatment. However, I I did feel that my care was personalized to my needs with Dr. Rudick specifically, and felt that my nurse and doctor paid attention to my needs as a person and worked with me to gain the results I needed.
Describe the protocols Briana Rudick used in your cycles at Columbia University and their degree of success.
I underwent two treatment cycles with Dr. Rudick.
Cycle 1: 5 days of Clomid starting on CD3, 50mg (lowest dose). Monitoring via vaginal ultrasound starting around CD10 to monitor follicle growth. Trigger shot injection given to myself at home once one follicle was large enough (largest that cycle was 18mm). Provided with directions for timed intercourse after trigger shot. This cycle did not result in pregnancy.
Cycle 2: 5 days of Clomid starting on CD3, 50mg (lowest dose). Monitoring via vaginal ultrasound starting around CD10 to monitor follicle growth. Follicles failed to grow by CD14, so I had several additional monitoring ultrasounds through CD17 when the follicle finally grew to 21mm on right side. Trigger shot injection given to myself at home once one follicle was large enough. Provided with directions for timed intercourse after trigger shot. This cycle resulted in pregnancy.
Describe your experience with your nurse at Columbia University. (Assigned nurse: Julissa Moto)
My nurse was great about communication via email and on behalf of Dr. Rudick. She always followed up with me within a few hours of my monitoring appointments to let me know next steps. She called when topics were more complex or if I had questions. I never actually made Julissa in person but didn't really mind.
Describe your experience with Columbia University.
Columbia Fertility is a very busy practice, but they did a great job of keeping appointments close to on time, especially monitoring appointments. They would typically take me within a few minutes, regardless of if I showed up early or later than my timeslot. The front desk staff is probably the nicest I have ever experienced at an NYC doctor's office.
Appointments with providers with more prone to delays, but even with those, the most I ever waited was 30 minutes on a particularly bad day.
Location is fairly central for most people in Manhattan. I lived in Brooklyn, so it was a hike for me, but very accessible to Columbus Circle subway luckily.
Office is very nice, clean, modern.
The biggest drawback for me was seeing a variety of providers that I didn't know for ultrasounds, and one of the venipuncture staff members was not always the best at hitting the target vein which sometimes results in bruising (most were excellent though!).
Describe the costs associated with your care under Briana Rudick at Columbia University.
I have a high deductible HSA health insurance plan, and I was seeing Dr. Rudick during the deductible phase of care, so unfortunately for me, all expenses were out of pocket until I hit the deductible. A typical blood draw/ultrasound appointment ranged between $700-$1000 per visit, and sometimes I had these visits 2-3 per week. This added up quickly and was a financial burden for us. We had money saved for this purpose and had planned for the expense, so we were lucky enough to make this work for us. Overall during the deductible phase I spent $2700 out of pocket for 2 cycles of clomid/trigger shot/timed intercourse.
Once I hit my deductible, I was only responsible for 20% coinsurance, so each visit was between $70-$100. I became pregnant shortly after hitting the deductible. For me the price was worth it and I knew my insurance was not great going into the process.
Describe Briana Rudick's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Columbia University.