Elizabeth Constance
Heartland Center for Reproductive Medicine
Available Lines of Communication
not available by email
not available by email
nurse available by directline
nurse available by directline
not available by personal cell phone
not available by personal cell phone
Medical SchoolU of Kansas
ResidencyU of Kansas Med Center
FellowshipU of Michigan
Omaha
7308 S 142nd St
Omaha, NE 68138
(877) 831-3227
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2 assessments
10
10
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
?
Treatment
2 IUI
Diagnosis
Unexplained
10
10
Dr. Constance sat down and talked to us and was very open with her expectations. She made my husband and myself feel like we were heard, and a part of our treatment in regards to decision making. ... She found scar tissue and we scheduled a hysteroscopy to remove it. ... She was very through and informative the entire time. ... I have never felt anything other than compassion and understanding and a general desire to help us get pregnant as much as we desire it.
We were given a cost sheet at our consult appointment [Heartland Center for Repro Meed] and told of costs our insurance would and would not cover. We were told to be prepared to pay a certain amount at our visits. We were also sent an updated cost sheet at the beginning of the year for IUI totals. ... The nurse's have been great and we've had zero problems. ... We have loved all the nurses we've talked to and encountered.
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
?
Race
European, Other
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
2 IUI
Diagnosis
Unexplained
10
10
How was your experience with Elizabeth Constance at Heartland Center for Reproductive Medicine?
From the very first consultation Dr. Constance made us feel heard and listened to. She started the visit by apologizing for our loss and telling us how terrible it is. Every visit she makes us feel comfortable and explains treatment in detail. She sat with me before a surgery and answered every question I had. She held my hand during surgery until I fell asleep. She was there the entire time after I woke up. I have never felt anything other than compassion and understanding and a general desire to help us get pregnant as much as we desire it.
What's one piece of advice would you give a prospective patient of Elizabeth Constance at Heartland Center for Reproductive Medicine?
She is more than willing to answer questions so come prepared with as many as you want and she will be more than willing to answer them.
During treatment, were you treated like a number or a human with Elizabeth Constance at Heartland Center for Reproductive Medicine?
Dr. Constance sat down and talked to us and was very open with her expectations. She made my husband and myself feel like we were heard, and a part of our treatment in regards to decision making. We have a loss at 22 weeks and she listened and made us feel like she had compassion and was truly sorry for our loss.
Describe the protocols Elizabeth Constance used in your cycles at Heartland Center for Reproductive Medicine and their degree of success.
After the initial consult, I had an ultrasound so Dr. Constance could view the uterus with water inside. She found scar tissue and we scheduled a hysteroscopy to remove it. I was placed on medication to help heal the uterus and we met again after the surgery and she told us she wanted to repeat the ultrasound at the start of my next cycle to make sure the uterus was looking as good as could be after surgery. She was very through and informative the entire time.
Due to my pre-term labor history using injections, Dr. Constance told us from the very beginning she was adamant against the use of injectables due to the high chance I would become pregnant with multiples. We obviously didn't want another pre-term labor, and the chance of multiples goes up dramatically on injections so she opted to have us use an oral medication instead.
Describe your experience with the nursing staff at Heartland Center for Reproductive Medicine.
We have loved all the nurses we've talked to and encountered. They have been very helpful, inviting, compassionate and we've had no problems.
Describe your experience with Heartland Center for Reproductive Medicine.
I am very grateful for the way our doctor has communicated to us so far. She's been patient, understanding and personally called me to talk things over as far as our care is concerned. The nurse's have been great and we've had zero problems.
Describe the costs associated with your care under Elizabeth Constance at Heartland Center for Reproductive Medicine.
We were given a cost sheet at our consult appointment and told of costs our insurance would and would not cover. We were told to be prepared to pay a certain amount at our visits. We were also sent an updated cost sheet at the beginning of the year for IUI totals.
What specific things went wrong at Heartland Center for Reproductive Medicine?
- Lost appointments
Describe the specific things that went wrong at Heartland Center for Reproductive Medicine.
There was a scheduling error made by mistake. Dr. Constance called me herself to verify, and within a half hour called me back to inform me the mistake had been fixed on their end and all was good. I was never affected by the scheduling error on my end because it was caught before the appointment date.
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Verified
This patient has provided documentation of treatment at this clinic.
4
2
Age
—
Treated
—
Success with this Doc
No
Treatment
4 IUI
Diagnosis
Unexplained
4
2
While receiving treatment under the care of Dr. Constance our first meeting was pleasant and I felt she listened to all of my concerns and addressed any questions that I had leaving me feeling very optimistic. Following the first appointment and initial consultation contact with the MD diminished and I started to feel more like a number rather than a human. Throughout the various IUI cycles I had little to no contact with her
Strengths [of Heartland Center for Repro Med]: welcoming environment; on-time appointments/short wait times Weaknesses: Communication between clinical staff and MDs; Communication and face-to-face interaction between MDs and patients; structured treatment guidelines/protocols; Revised treatment protocols after failed cycles; cost of procedures; clinic hours of operation-closed at 3, closed on the weekends unless scheduled treatment; no patient portal or access to lab results;
Age
—
Treated
—
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
4 IUI
Diagnosis
Unexplained
4
2
How was your experience with Elizabeth Constance at Heartland Center for Reproductive Medicine?
Dr. Constance was pleasant and compassionate in my few interactions with her. At the initial consultation she explained the process well and was able and willing to answer the many questions I had. Following the initial consultation, the monitoring and the actual insemination process lacked in communication as we did not communicate unless there was a serious health issue that required action prior to the IUI. Following an incident where concerns were voiced about a lack of communication between the clinical staff and MD that resulted in an IUI being performed that should have been canceled communication improved and protocols were reviewed with the staff in efforts to avoid similar events in the future, though I did not feel satisfied as I had to ultimately bear the physical and financial burden that should have been avoided. After multiple failed IUIs that showed lack of progress and revisions of treatment to improve existing problems contributing to failed cycles I have made the decision to undergo further treatment with another RE at a different clinic.
What's one piece of advice would you give a prospective patient of Elizabeth Constance at Heartland Center for Reproductive Medicine?
Educate yourself concerning the ultrasound and lab results that indicate when a treatment should be performed and when it should be canceled in efforts to advocate for yourself. Speak up and request communication concerning treatment schedules with the MD herself and ask detailed questions ti increase your chance for a successful cycle.
During treatment, were you treated like a number or a human with Elizabeth Constance at Heartland Center for Reproductive Medicine?
While receiving treatment under the care of Dr. Constance our first meeting was pleasant and I felt she listened to all of my concerns and addressed any questions that I had leaving me feeling very optimistic. Following the first appointment and initial consultation contact with the MD diminished and I started to feel more like a number rather than a human. Throughout the various IUI cycles I had little to no contact with her and only received communication in person and by phone with the nurses and ultrasound techs at the clinic. While undergoing the various cycles of IUI there were times that communication lacked between the clinical staff performing the monitoring and the MD that I felt resulted in IUI cycles being performed that should have been canceled based on ultrasound and lab results that indicated high risk for failure. While communication after voiced concerns improved and were supposedly addressed, the events that occurred led to multiple failed IUIs and financial burdens to the patient that could have potentially been avoided.
Describe the protocols Elizabeth Constance used in your cycles at Heartland Center for Reproductive Medicine and their degree of success.
First failed IUI cycle resulted in 1 follicle and involved Femara 5mg cycle days 3-7 with ultrasound and lab monitoring + Ovidrel trigger 72 hours prior to insemination on cycle day 13; Second failed IUI cycle resulted in 1 follicle and involved Femara 5mg cycle days 3-7 with ultrasound and lab monitoring + Ovidrel trigger 72 hours prior to insemination on cycle day 14; Third failed IUI cycle resulted in ovarian hyper-stimulation with 20+ follicles requiring a very traumatizing and painful procedure to reduce the number of follicles and involved Femara 5mg cycle days 3-7, Gonal-F 75 IU cycle days 5-9 with ultrasound and lab monitoring + Ovidrel trigger 72 hours prior to insemination on cycle day 13; Fourth failed IUI cycle resulted in 3 follicles and involved Femara 5mg cycle days 3-7, Gonal-F 37.5 IU cycle days 9-11 with ultrasound and lab monitoring + Ovidrel trigger 72 hours prior to insemination on cycle day 13
Describe your experience with the nursing staff at Heartland Center for Reproductive Medicine.
Throughout treatment I was seen by multiple members of the nursing staff and had different experiences with each. Two members of the staff seemed very educated and competent in their profession and were able to explain ultrasound and lab results well, while others knew how to perform the task but were unable to explain the results in an appropriate manner. The staff lacked the ability to advocate for the patient and often made me feel like a number which I felt ultimately contributed to multiple failed IUI cycles. The lab techs were amazing!
Describe your experience with Heartland Center for Reproductive Medicine.
Strengths: welcoming environment; on-time appointments/short wait times
Weaknesses: Communication between clinical staff and MDs; Communication and face-to-face interaction between MDs and patients; structured treatment guidelines/protocols; Revised treatment protocols after failed cycles; cost of procedures; clinic hours of operation-closed at 3, closed on the weekends unless scheduled treatment; no patient portal or access to lab results; no contact information for MDs i.e. email or phone; nurses line always went to voicemail; no reimbursement for failed cycles due to lack of communication and lack of adherence to proper protocol; lack of protocols/guidelines to providing effective treatment
Describe the costs associated with your care under Elizabeth Constance at Heartland Center for Reproductive Medicine.
Cost Per IUI Cycle: Monitoring - Ultrasounds 3-4 visits + Lab work 2 visits + IUI + procedure/sperm washing = $1500; Pharmaceuticals - Femara: $6.80 + gonal-f shots $150-350 + Ovidrel Trigger $110
Describe Elizabeth Constance's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Heartland Center for Reproductive Medicine.
N/A...There was no embryo transfer only artificial insemination
What specific things went wrong at Heartland Center for Reproductive Medicine?
- Failed to order appropriate test
- Provided conflicting information
- Failed to convey critical information
- Failed to consider drug intolerance
Describe the specific things that went wrong at Heartland Center for Reproductive Medicine.
*Clinical staff failed to communicate monitoring results to MD which resulted in a IUI cycle being performed that should have been canceled and ultimately caused a failed IUI and extravagant cost that should not have been incurred.
*MD failed to prescribe appropriate medications that enabled the greatest potential for successful treatment outcomes.
* Clinic lacked specific guidelines/protocols for performed procedures that enabled the greatest potential for successful treatment outcomes.
* Clinic failed to prescribe treatment individualized to the specific patient and utilize medical history to create and implement a plan of care that provided the greatest potential for successful treatment outcomes.
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Verified
This patient has provided documentation of treatment at this clinic.