This patient has provided documentation of treatment at this clinic.
2021 - 2022, Successful
Dr. Chiang listened carefully to our infertility story. She wanted to understand the type of family we wanted to build, and what we were willing to undergo to get there. At every step, she gave patient advice and empathetic responses to our concerns...In the end, of those 16 mature eggs, 14 fertilized, but only 2 made it all the way to the embryo state via successful cell division. Of those 2, only 1 was genetically normal. So we went from worrying we had too much, to being devastated we only had once chance.
At conceptions I had a different nurse for every phase...Strength is that we got pregnant on our very first FET with this clinic...In the end, of those 16 mature eggs, 14 fertilized, but only 2 made it all the way to the embryo state via successful cell division...only 1 was genetically normal. So we went from worrying we had too much, to being devastated we only had once chance. We didn't feel like we were prepared for such a poor outcome
How was your experience with Jasmine Chiang at Conceptions Reproductive Associates?
Dr. Chiang is excellent and I really can't say enough good things about her. She is kind and compassionate. She listens well and makes you feel so personally cared for. She is smart, confident and practices evidence based medicine. I really appreciated how she explained studies and statistics to us.
What's one piece of advice would you give a prospective patient of Jasmine Chiang at Conceptions Reproductive Associates?
Know what questions you want to ask because she will answer all your questions and give you valuable feedback. Know what your family building goals are and what you are willing or not willing to do to get there, because she will often ask you what you want to do/are willing to do next.
During treatment, were you treated like a number or a human with Jasmine Chiang at Conceptions Reproductive Associates?
Dr. Chiang listened carefully to our infertility story. She wanted to understand the type of family we wanted to build, and what we were willing to undergo to get there. At every step, she gave patient advice and empathetic responses to our concerns.
Describe the protocols Jasmine Chiang used in your cycles at Conceptions Reproductive Associates and their degree of success.
For IUI we used clomid, but I had a hyper-response to this resulting in a cancelled IUI cycle when I had too many follicles. We then switched to letrozole. Overall, we did 1 IUI with clomid, 1 cancelled IUI on clomid and 2 IUIs on letrozole. For IVF we did a down-regulation on lupron followed by estrogen pills/suppositories and progesterone IM shots.
Describe your experience with your nurse at Conceptions Reproductive Associates. (Assigned nurse: Cate Kopels )
At conceptions I had a different nurse for every phase: one primary nurse for IUI (Camille Rastrelli), on primary nurse for IVF/egg retrieval (Lindsay Dole) and one primary nurse for FET (Cate Kopels). Camille had wonderful bedside manner and was extremely compassionate, but was disorganized. For example, my medication calendar did not match the directions on the pill bottle when I got them. Lindsay was organized, but not compassionate. I found her to be pushy and impatient. I went through my hardest stage of infertility while under the care of this nurse: finding out I had polyps and having my entire FET cycle cancelled/delayed for surgery. I felt like Lindsay got annoyed when I was calling back and forth between Conceptions and my local OB trying to figure out where I could get in sooner for the surgery, whereas Dr. Chiang literally encouraged me to do my surgery with my local OB if that was more convenient for me. I felt like Dr. Chiang cared more about me than getting the money from my surgery and Lindsay only cared that my indecision/checking into all my options was causing more work for her. Lindsay would often send one sentence emails back to my paragraph long emails, usually only answering one of my maybe 3 questions and completely ignoring the rest. Cate was extremely variable. When I had first trimester bleeding, I felt like she was so compassionate. When I started getting my labs drawn locally so that I would not have to drive the 2 total hours for a 5min blood draw (which was an option offered to me by another nurse at the clinic) she seemed defensive and annoyed saying things to me like, quote "I am not privy to every conversation that you have" when I said another nurse told me I could do this as well as sending me snappy one sentence emails about how much work it was for her to track down my labs results.
Describe your experience with Conceptions Reproductive Associates.
Strength is that we got pregnant on our very first FET with this clinic. Another strength is that they were very responsive when we had to call the emergency RN line for a medication question. Con is that everything seems to take forever at this clinic and I think that's because a good end result is more important to them than time. You have been your own patient advocate here. There are many many appointment where you only see the phlebotomist and the US tech and leave. Maybe you get to talk to a nurse. Maybe not even your nurse or one who knows your case. My doctor was excellent so I felt well prepared here. The two times I didn't feel fully prepared was 1) when we had forms given to us with extremely serious questions like "what do you want to do with frozen embryos if your spouse dies? Can they use them with a new partner?" thrown at us with a demand for a 24hr turn around to getting the form back and 2) going into our egg retrieval. We didn't know that they would be collecting both mature and immature eggs under the chance that some might appear more mature under the microscope. We were told by the other doctor who did our retrieval as I was waking up from anesthesia that we got 24 eggs with no other contextual information. We were shocked and almost upset like "what are we going to do with 13 embryos?!" We felt like morally we wouldn't have wanted to create that many had our values and wishes been further discussed. It wasn't until our first embryology update phone call that we learned we actually only got 16 mature eggs. In the end, of those 16 mature eggs, 14 fertilized, but only 2 made it all the way to the embryo state via successful cell division. Of those 2, only 1 was genetically normal. So we went from worrying we had too much, to being devastated we only had once chance. We didn't feel like we were prepared for such a poor outcome. Now that I follow lots of fertility social media accounts, I can see that having to do more than one egg retrieval is very common in IVF. We didn't really know that going in. We ultimately chose not to cycle again and did get pregnant with our one embryo. I wonder if I had been better prepared that most women have to cycle more than once, if I would've been more willing to do it? At the time, I felt so blindsided by our poor outcome I didn't feel like I could go thru it again.
Describe the costs associated with your care under Jasmine Chiang at Conceptions Reproductive Associates.
What specific things went wrong at Conceptions Reproductive Associates?
- Failed to call in prescriptions to pharmacy
- Provided conflicting information
Describe the specific things that went wrong at Conceptions Reproductive Associates.