How was your experience with Lawrence Grunfeld at RMA of New York?
I think Dr. Grunfeld is a good "doctor" and by that, I mean a scientist. I think he "knows his stuff" and is generally a decent person. My chief complaint is that he was way too overly optimistic when I first started and, as a consequence, I was extremely shocked by what happened and where I am now. When I went to see him about IVF, he made it seem like a fait-accompli that I would have a baby. And it all went well -- until it didn't. I had one embryo from my first round that genetically tested normal and implanted. I miscarried it, and it turned out the fetus had Down's Syndrome. Dr. Grunfeld never communicated to me that PGS was not 100% (I am sure I signed something that said I know). I would have appreciated a little more caution from him and a little more sympathy. When I went in for my follow up appointment, he didn't remember that the fetus had Down's and was not prepared. This was upsetting. He also urged me to another round which I did. I got 10 eggs but no PGS-normal embryos. When I went to see him for my next follow-up appointment, he told me to keep going but I could not at that point as my insurance had run out. I then did an IUI where I really felt like an afterthought to him and the clinic. Overall, it was a disappointing experience though I don't really blame Dr. Grunfeld.
What's one piece of advice would you give a prospective patient of Lawrence Grunfeld at RMA of New York?
Be careful if he is overly optimistic. IVF is not a fail-safe. Dr. Grunfeld will make it seem like it is.
During treatment, were you treated like a number or a human with Lawrence Grunfeld at RMA of New York?
I'd say on balance, I felt more like a number. The cycle process itself is very "cattle-cally" with little time spent with the patient. This did not bother me so much because I understand they have to see a lot of patients, and it is very much a "numbers" game.
When I miscarried my genetically-tested embryo, I felt I could have used a little more sympathy and care from Dr. Grunfeld. He said he was "sorry" and knew it was "disappointing" but at my follow up appointment (after the miscarriage and after the second failed cycle) was all about statistics and why I should keep going, with little thought to what I had been through.
Describe the protocols Lawrence Grunfeld used in your cycles at RMA of New York and their degree of success.
I had the same protocol for both cycles. Gonal-F (c. 150), Menopur (between 2-3 vials), then the trigger. Dr. Grunfeld made no adjustments in between cycles which I understand. Both cycles produced a good amount of eggs -- it was just an egg quality issue given my age.
Describe your experience with the nursing staff.
The nursing staff is overall very responsive and very nice. I have no complaints about them.
Describe your experience with RMA of New York.
Strengths are experience, organization, coordination. Weaknesses are that it can feel a bit impersonal.
Describe your experience with your monitoring appointments at RMA of New York.
There were on occasion very long waits but I don't blame the clinic for that. I think they moved people in and out as efficiently as possible.
Describe the costs associated with your care under Lawrence Grunfeld at RMA of New York.
My insurance covered most of it though I had to $1,000 per cycle for shipping of the embryos, $750 per cycle for anastheisa, and $3,000 for genetic testing of up to 10 embryos.