How was your experience with Eric Flisser at RMA of New York?
dr flisser was extremely helpful throughout this process. He spent a lot of time with us discussing each of the various procedures and the risks/increasing of odds with each added step. My husband and I appreciated that he was very much an odds guy, he helped us understand what would increase our chances, but without escalating too fast. He was helpful in assisting us on when to escalate (after 3 months of clomid/letrozol w/trigger shot, we added iui).
I was frustrated in this process by not having a clear cut diagnosis and thus in my head a clear path to solving the problem in getting pregnant. For much of the process, I spent time focusing in trying to figure out what was wrong and not working. After all the initial tests came back clear and there was anything that was an obvious problem, dr flisser seemed to easily accept the "unexplained fertility" diagnosis and really focus on how to get us pregnant. For my husband, that was great, for me, who really wanted to understand why my body wasn't functioning, it was frustrating. By the end of the process (9 months later- 3 med cycles, 3 med + IUI cycles, 1 egg retrieval and 1 transfer cycle) and a pregnancy (currently 24weeks), I'm a little more at ease with not having a diagnosis
At roughly 8 out of 10 monitoring apts we saw Dr flisser, with the exception of our egg retrieval cycle. Unfortunately, our first retrieval cycle happened to fall during the Jewish holidays, so we saw him on day one of the cycle, and then he was off on holiday- while not in office, he was monitoring our progress with the staff via email and did adjust a few of my meds as needed. At the beginning it didn't bother me that I wasn't seeing our dr, as the other drs we saw were reassuring, but as we got closer to the retrieval and I began to realize I wouldn't see him before or for the retrieval I started to freak out. It seemed a little unsettling to go through the entire egg retrieval process and only see our actual dr once. After speaking with the nurses about my fears, they got in touch with Flisser and he called me with reassurance that he'd been monitoring my case and that in his opinion everything looked great for a good retrieval. I asked if he could possibly do the retrieval the next day and he said he'd try. He did end up performing our retrieval, which definitely put me at ease.
While Dr Flisser, is good at explaining the medical process and odds, he's not the most warm and fuzzy. He's direct when presenting information and results. You will not be chatting about your weekend plans or laughing at jokes during your apts. while he will take the time to reassure you if you have doubts, he will not be one offering hugs or show much emotion throughout the process. For me and my husband, we were ok with this and the nurses are incredibly helpful with empathy and emotional breakdowns.
Overall we were happy to have Dr Flisser on our team during this incredibly stressful process full of no guarantees and lots of uncertainty.
What's one piece of advice would you give a prospective patient of Eric Flisser at RMA of New York?
I would advise you to ask questions about the process. Fertility doctors go through these procedures 100s of times a day and often forget that we as patients don't know the process and have fears (not to mention that the meds we're on make us an emotional wreck) If you have questions or concerns, speak up and ask. Due to the nature of the practice, there is always a ton of people in office and the actual monitoring is very quick, so it sometimes feels rushed, but if you have questions and concerns and ask, Flisser will stop and take the time to answer them thoughtfully.
During treatment, were you treated like a number or a human with Eric Flisser at RMA of New York?
dr flisser was very direct with the medical information and took the time to explain to us the process, and options, and what he thought was the issue, unfortunately didn't have a clear cut diagnosis, but the catch all "unexplained infertility". However, he's not the most warm and fuzzy- he's not going to tell jokes and give hugs, but if you're someone who needs to be completely in the loop of the medical knowledge and the process, he'll make sure that happens. Also, the nature of the RMA practice, it's a little like a casting call, does add to the feeling of being a "number"
Describe the protocols Eric Flisser used in your cycles at RMA of New York and their degree of success.
As I'm under 30 and was having irregular cycles, with no other medical tests pointing to any other fertility issues, we started with clomid. After the clomid didn't seem to regulate my cycles, we switched to letrozole.
After 3 cycles of letrozole at various dosages with no success, Flisser discussed with us other options and helped us settle on adding IUI. He didn't feel at that point we needed to jump into the invasive process of IVF as due to our age, time was not of an essence.
After 3 failed IUI cycles and a diagnosis of "unexplained infertility," we again discussed our options. While, Flisser said there is no medical reason that the IUI wouldn't probably eventually work and that due to our age, we didn't need to rush, he advised that if we moved to IVF we might have success sooner. In our age group, he's had great success with very few retrieval and transfer cycles (that often there's some unexplained reason why the fertilized egg doesn't mesh correctly, but once embryos are made , the success rate is strong). Using this information, we decided to move onto IVF, with PGD (this would confirm that all implanted embryos would be potentially viable).
We used the antagonist protocol. We had 25 eggs retrieved, 17 were fertilized, 5 made to freezing at day 5, and 4 passed the PGD testing. With those results, we decided to move forward with the transfer.
In good news, I'm currently 24weeks pregnant off of our first transfer.
Describe your experience with your nurse at RMA of New York. (Assigned nurse: Marlene)
We were assigned Marlene as our IVF coordinator. Her job was to help us have a rough schedule, get prescriptions/refills to the pharmacy of our choice, and answer scheduling questions about each part in the procedure. She was easily reachable by email and was prompt with replying to emails with questions about meds, protocol, and scheduling.
Most of the nursing staff was incredibly pleasant and understanding and as always there are some standouts.
Alyssa, was incredibly helpful to me- she's part of the team that you can meet with after monitoring apts for those questions you think of after the dr leaves the room and relaying the instructions after the dr has reviewed the lab work. She was always compassionate when I felt overwhelmed by the process and was always through when answering questions. She was also incredibly prompt when responding to emails.
Another standout nurse was Chanel. She learned my name quickly and always greeted me with a smile and hello and a quick chat. It was also reassuring to see her familiar face not only in the monitoring apts, but also on the surgical floor with the egg retrieval and transfer. She just genuinely cared about her patients and making them feel human in a process that is overwhelming and can often make you feel like a number.
Describe your experience with RMA of New York.
Clinic strengths: it's all inclusive and at one location (monitoring, transfer, retrievals are all at the same location). The clinic can help you with financing and recommending programs to get discounts. Also, by having so many drs, they're open every day but Christmas which is important with a process so time sensitive.
Weaknesses: sometimes you do just feel like a number- there are so many women in and out and you see them all so you realize how many people are being treated by the practice. Because there are so many doctors, you sometimes see one once and never again.
Describe your experience with your monitoring appointments at RMA of New York.
The monitoring hours were first come first serve from 7-8:30am. Depending on the day of the week and the time you arrived, it could be a quick wait or it could be a never ending line. On average I would say wed be seen within 20min of arrival and check in.
Although there were often people waiting, the clinic was efficient with their process of moving people through lab work and ultrasounds as quickly as possible.
Describe the costs associated with your care under Eric Flisser at RMA of New York.
Ultrasound monitoring- $275
Ultrasound and blood- $305
All apt inclusive (not including meds) retrieval cycle- $7500 + $750 for anesthesia
Frozen transfer cycle (not including meds)-$7500
pGD testing- $3000