Verified
This patient has provided documentation of treatment at this clinic.
2019, Unsuccessful
Review of
I saw Dr. Orris 3 times. The first two felt fine, but the last one was really uncomfortable. I had assumed we were stopping because the previous cycles had not been successful, and I was exhausted and ready to go elsewhere and try a new approach. But he seemed irritated with me, somewhat dismissive, and just told me what to do, even though the logistics of it presented a huge challenge given that I was also in the processing of moving across country, changing jobs and had no local clinic set up...we did an ERA cycle which was almost cancelled because my lining didn't thicken sufficiently, but Dr. Orris continued it anyway and did the ERA (which I had to pay out of pocket for). Only later did I learn from another reproductive endocrinologist at a large teaching hospital that ERA is not an especially useful test in the best of circumstances, and that a result from the end of what would otherwise have been considered a failed cycle cannot be interpreted in any way that would guide treatment during a successful cycle.
I thought they [the nurses at Main Line Fertility] were very friendly, kind, and good communicators. But after my last appointment I struggled on the "priming" estrogen and when I stopped after 2 weeks of high-dose estrogen, it took a combination of at least 6 emails and phone calls over 2 days to get a progesterone prescription called in...Little explanation of what was being done and why; poor documentation; ERA that should not have been done; and at the end a general feeling of paternalism rather than compassion or interest in discussing what I wanted in that situation.
How was your experience with John Orris at Main Line Fertility?
I'm somewhat concerned about the communication, record-keeping/tracking and even the quality of care. I was told during a hysteroscopy that a biopsy was being taken (though not why or what it would inform) and it was noted in the report, but apparently nothing was sent to the lab and it was never reconciled as to why. Also, I keep copies of all of my medical records for times when I change providers, but the hysteroscopy - and all other treatment cycle notes - were scant, hand-written notes that other reproductive endocrinologists who reviewed them found surprisingly limited and difficult to interpret. Every diagnostic or treatment I've undergone elsewhere came with a complete typed report clearly describing what was done, why, and the outcome.
Also, we did an ERA cycle which was almost cancelled because my lining didn't thicken sufficiently, but Dr. Orris continued it anyway and did the ERA (which I had to pay out of pocket for). Only later did I learn from another reproductive endocrinologist at a large teaching hospital that ERA is not an especially useful test in the best of circumstances, and that a result from the end of what would otherwise have been considered a failed cycle cannot be interpreted in any way that would guide treatment during a successful cycle. So if I really wanted a result that had any chance of being a predictive guide, I'd have to do (and pay for) it again.
What's one piece of advice would you give a prospective patient of John Orris at Main Line Fertility?
Walk into every appointment with a list of questions and don't leave without answers. Ask for everything to be explained and documented clearly. And if it just doesn't feel right, speak up.
During treatment, were you treated like a number or a human with John Orris at Main Line Fertility?
I saw Dr. Orris 3 times. The first two felt fine, but the last one was really uncomfortable. I had assumed we were stopping because the previous cycles had not been successful, and I was exhausted and ready to go elsewhere and try a new approach. But he seemed irritated with me, somewhat dismissive, and just told me what to do, even though the logistics of it presented a huge challenge given that I was also in the processing of moving across country, changing jobs and had no local clinic set up.
Describe the protocols John Orris used in your cycles at Main Line Fertility and their degree of success.
FET prep cycles using oral estrogen and patches, progesterone in oil injections and progesterone vaginal suppositories.
Describe your experience with the nursing staff at Main Line Fertility.
I thought they were very friendly, kind, and good communicators. But after my last appointment I struggled on the "priming" estrogen and when I stopped after 2 weeks of high-dose estrogen, it took a combination of at least 6 emails and phone calls over 2 days to get a progesterone prescription called in. I felt fairly abandoned medically at that point.
Describe your experience with Main Line Fertility.
Front office staff were friendly and it was relatively easy to schedule appointments. They have several locations so there's some flexibility in where to go. I probably would not use them for outside monitoring as their notes are all handwritten and not necessarily clear and complete for others to review and make decisions based on. I don't have the impression that they're a referral clinic you would go to for any especially complicated situation. Also, the fees were not explained clearly or in any detail up front, so there were some surprises there later.
Describe the costs associated with your care under John Orris at Main Line Fertility.
I have excellent insurance that covered most of the costs. However, I did have to pay out-of-pocket for the ERA biopsy and for the donor embryo. I was somewhat surprised at the "restocking" fee when the cycle was cancelled as the embryo was not touched and there was no legal paperwork involved (at least none that I was party to, and I would imagine I would have to have been for there to have been a legal transfer).
Describe John Orris's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Main Line Fertility.
N/A
What specific things went wrong at Main Line Fertility?
- Lost results
- Provided conflicting information
Describe the specific things that went wrong at Main Line Fertility.
Little explanation of what was being done and why; poor documentation; ERA that should not have been done; and at the end a general feeling of paternalism rather than compassion or interest in discussing what I wanted in that situation.
Review of