How was your experience with George Kovalevsky at Harvard Vanguard?
Dr K took the time to explain his recommendations as to how we should proceed and why, which I appreciated. When our 2nd IUI failed, he called us to come in and discussed in person why he felt IVF was a better route for us at this point. I am glad we listened. He was confident that we would get a good number of eggs and he was right. He also explained what we should expect, and I felt prepared about everything going into the IVF cycle.
What's one piece of advice would you give a prospective patient of George Kovalevsky at Harvard Vanguard?
Don't be afraid to ask him lots of questions.
During treatment, were you treated like a number or a human with George Kovalevsky at Harvard Vanguard?
Dr K was always kind, patient, and thorough, answering all of our questions. He even called me himself once or twice, when usually it's just the nurses.
Describe the protocols George Kovalevsky used in your cycles at Harvard Vanguard and their degree of success.
We started with 2 rounds of timed intercourse using clomid, both resulting in negative pregnancy tests. On the third try, we changed to femera and IUI, which resulted in a positive pregnancy test, but unfortunately ended in early miscarriage. On the 4th try, we repeated the same treatment, although Dr. K expressed IVF was a better option. However, we felt since it "worked" with IUI it could work again, so wanted to try that one more time. When that didn't work, Dr. K called us to come in and explained again that IVF would be a better route for us. So we agreed. We had to take a month off, but it was smooth sailing after that. Dr. K monitored how I was reacting to meds and adjusted accordingly. Because I ended up with 29 eggs retrieved and high estrogen levels, Dr K wanted to do a "Freeze all cycle" to improve our chances of implantation/transfer success. Again we had to take a month off, but then I had an easy protocol for the transfer. It was femera, a trigger shot, then a week later did the transfer. I asked Dr K if I could avoid the PIO shots and we did crinone (progesterone) suppositories instead. The transfer procedure went well, but it was not performed by Dr K. (The doctors rotate at our clinic for actual procedures)
Describe your experience with your nurse at Harvard Vanguard. (Assigned nurse: Christine French)
All of the nurses were great. There were 4 and I felt we really got to know each other during all my time there. I was sad to leave my team when it was time to change to OB! Chris is awesome. I also loved the ultrasound tech ladies! I hope they are still there when we go back for baby number 2!
Describe your experience with Harvard Vanguard.
All the communication is done by calling, although they do have the online system, it was always better to call. Sometimes there were long waits before I could speak to someone. On the positive side, I was always able to get in for appointments when I needed to and was able to go to other locations if I needed to be there on the weekend. Someone always called me back pretty quickly.
Describe the costs associated with your care under George Kovalevsky at Harvard Vanguard.
We had a high deductible insurance plan, so we paid for everything out of pocket until we hit that amount. Then everything was covered. We have a lifetime max fertility policy of up to $25k.
Describe George Kovalevsky's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Harvard Vanguard.
Dr K felt we should do a single embryo transfer and gave his reasons for wanting to do so (although I can't recall them all now), but he felt strongly about it so we agreed.
What specific things went wrong at Harvard Vanguard?
- Failed to convey critical information
Describe the specific things that went wrong at Harvard Vanguard.
Early on, they found a cyst on my left ovary. It took a few months before anyone told me it was actually an endometrioma. Had I known that fact, I may have chosen to get surgery to remove it or move straight to IVF as opposed to doing those 2 IUIs. I do not blame Dr K, as he wasn't with the practice yet when that occurred.