How was your experience with Eli Rybak at RMA of New Jersey?
Dr Eli Ryback is was very informative in detail, and was patient with explaining certain details to me. He welcomed questions and concerns. He sympathized when things didn't go as planned, he was joyous when there was good news. Dr Ryback was very positive and optimistic.
What's one piece of advice would you give a prospective patient of Eli Rybak at RMA of New Jersey?
If you have questions, make sure that you ask them and that you are satisfied with your answers. A lot of the back and forth conversation is on the phone (usually with a nurse.) You have the right to ask to meet with your doctor in person. As there are many important things to discuss in your treatment.
During treatment, were you treated like a number or a human with Eli Rybak at RMA of New Jersey?
I felt like I was treated more as a human than a number. I was treated with compassion. At first I was told what my treatment would be without enough explanation. Once I pushed and showed that I wanted to be directly involved with my plan of care, Dr Ryback took the time to sit down with me and explain all of the pros, cons, and statistics regarding my treatment. I felt a lot more confident about my plan of care after that. Dr Eli Ryback is very compassionate and acknowledged that I was, in fact, human.
Describe the protocols Eli Rybak used in your cycles at RMA of New Jersey and their degree of success.
I don't remember specific dosages.. one thing that I remember was discussing whether or not I would have to use progesterone injections 2 weeks prior to transfer, up until 8 weeks of pregnancy. I would have liked not to use injections since they were painful. We were discussing the use of progesterone suppositories, but in the end, Dr Ryback wanted me to use the injections since we had not determined my ovulation cycle or if I was ovulating at all. He felt that the progesterone injections would be my best bet after transfer.
Describe your experience with your nurse at RMA of New Jersey. (Assigned nurse: Bridget)
I was assigned a "personal nurse" but this was really not the case. She was my primary nurse, however, my nurse was really whoever was on call for that day. She was very clear with instructions for injections and such, but there were times when I felt that she "dropped the ball" on me when she would catch me by surprise with the plan of care - and I had not realized it would be so. It was hard to process that things weren't exactly clear. But she did remedy these "surprises" well and would explain the reasoning to me. There were times though that I felt she was rushed and I had considered asking for a different nurse, but I didn't know if that would really change anything.
Describe your experience with RMA of New Jersey.
The clinic was clean and comfortable. In terms of Morning Monitoring, a staff member gave me a helpful tip to arrive 10 min before opening in order to beat the morning rush. I would arrive at 5:45am and wait for the doors to open at 6 so that I would be one of the first 5 patients of the day. I was in and out between blood work and ultrasounds in under 30 min (sometimes even 20 min.) If you show up at 7:30, you can expect to wait around for a while due to the volume of patients coming in at that time.
The Englewood location was only for my initial consultation, morning monitoring, and meetings that I requested with my Doctor.
All other procedures were done at Basking Ridge, NJ, as well as Saturday and Sunday monitoring.
Describe your experience with your monitoring appointments at RMA of New Jersey.
There was comfortable seating, it was a first come first served basis. So the earlier you arrived, the sooner you'd be seen. A nurse would come into the waiting room and call your first name. This did not bother me. It was run efficiently, which is what you want at 6 in the morning.
Describe the costs associated with your care under Eli Rybak at RMA of New Jersey.
About 95-99% of my bills were covered through insurance, (roughly $15,000+ for the injections, monitoring, and egg retreival.) I don't remember how much the transfer was (maybe $5,000-$10,000 but I honestly don't remember.)
There is a $1200/year embryo storage fee which was also not covered by insurance.
My insurance did not cover the PGD testing. I paid out of pocket for testing the chromosomes of the embryos, which costed $4500 for up to 12 embryos. (I had 5 embryos, still the same $4500)
Describe Eli Rybak's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of New Jersey.
Dr Ryback strongly believes in eSET. His motto is "One healthy mother; One healthy baby." He explained that multiple embryo transfer does not guarantee multiple live births. Additionally, multiple embryo's can cause more complications and risks later on. Even twins pose more risks to each other and to the mother. He felt that the healthiest option was a single embryo transferred and I completely agreed with him.