How was your experience with Laxmi Kondapalli at CCRM Colorado?
Dr. K spent a lot of time outlining the basics of IUI and IVF which I understand because you can't assume your patients would have done their own research ahead of time. She was good about providing visual drawings and notes to reiterate what she was verbally describing. We, admittedly, didn't take as much advantage the first couple of appointments with her to ask her questions. During our 3rd regroup, we made it a point to collect questions we had through out the process so we could get her feedback. She provided sufficient responses to our of our questions. We even had some feedback about the process and our nurse and she addressed them fairly and compassionately.
What's one piece of advice would you give a prospective patient of Laxmi Kondapalli at CCRM Colorado?
This goes for any appointment with your doctor. Collect questions you might have through out your own personally research and reading. Feel free to ask all the questions you might have even if you feel comfortable about what you've already read about the topic. At CCRM, you don't have frequent interaction with your doctor so make sure to take advantage of every regroup meeting. I have not personally taken advantage of this yet but I recommend reaching out to your doctor outside of the normal regroup meetings if you have something specific you want them to address. In terms of care, I believe even if I did not interact directly with Dr. K, that she was privy to my progress, labs, and check ups.
During treatment, were you treated like a number or a human with Laxmi Kondapalli at CCRM Colorado?
The business process of CCRM doesn't allow you to connect with your doctor on a regular basis. You deal mostly with your nurse. However, when I did touch base with Dr. K for regroup meetings, she was warm and genuine.
Describe the protocols Laxmi Kondapalli used in your cycles at CCRM Colorado and their degree of success.
3 IUIs all with 100mg clomid on days 5-10. Estradiol suppositories 3x day for the first round and 2x a day for the 2nd and 3rd. It wasn't until our IVF stimulation regroup that I saw my lining never got thick enough to be a viable IUI attempt for the 2nd and 3rd. The IUI itself felt like a procedural process rather than a viable attempt at pregnancy. At the time of the IUIs, I did not want to be as involved in my numbers and just blindly followed directions. I wish I would have been more engaged. During my IVF cycle (still in the middle of it), Dr. K's 21 day estrogen priming protocol with 300 iu menopur seemed to have done the trick with 29 follicles (19 of which were bigger). She allowed me to skip a couple of follicle check ultrasounds and labs which I really appreciated. My E2 levels did sky rocket so we dropped down to 75 ui of menopur on day 12 of stims. She also adjusted my trigger protocol to lupron only due to my high E2 levels. My retrieval date was adjusted based on follicle size. Unfortunately, we had purchased additional menopur and Novarel at the start of the stim cycle not knowing that the protocols could change. I wish we had known to order meds incrementally so we wouldn't have extras. The nurse did say she would trade me any medication that hasn't been opened with others I may need for the transfer.
Describe your experience with your nurse at CCRM Colorado. (Assigned nurse: Tracy)
My nurse, Tracy, was very compassionate and easy going. I'm not sure if it as a communication issue with the Dr. or what but there was some confusion along the way. I also never got my labs or ultrasound report unless I spoke with a nurse after my follicle checks or specifically asked for my lab numbers. Requests for copies of my reports in the portal were largely unanswered. A couple of times, I touched base with a different nurse after my follicle checks or over the phone only to learn there were other appointments that I did not know i needed to make. Could this be a business process issue with CCRM by having the nurses act as the care coordinator? I recommend making it a point to ask for results specifically and meet with a nurse after each appointment to make sure multiple nurses have looked at your file and can speak to your progress.
Describe your experience with CCRM Colorado.
I've read other reviews here that they felt like a cattle in a cattle call at CCRM. Yes, CCRM has a much larger volume of patients than any other Colorado reproductive endocrinologist. Their business processes are going to reflect that. Some people feel more at ease with regular frequent contact with their doctor rather than regroup appointments at certain points in their care however, I don't believe frequent interaction with your doctor necessarily results in the best care. I do believe there are some downfalls of their business and finance departments. They might benefit from having a patient care coordinator rather than relying on the nurses to take care of that too.
Overall, I was able to get time sensitive appointments scheduled and get the care I needed. The appointments themselves were efficient and straight forward. CCRM's lab and research is supposed to be what gives them the highest success rates. So far, I've observed this to be true. You do need to be responsible for your own care so make sure you ask all the questions you need rather than assume they will tell you what you need to know.
Describe the costs associated with your care under Laxmi Kondapalli at CCRM Colorado.
Fertility first (first time IVF) package allowed 10% off. 21K upfront covered ultrasounds, lab work, regroup appointments with doctor, transfer, ICSI, retrieval and transfers, genetic counseling, 4 PGS embryos. Did not cover diagnostics like doppler test (40 copay but insurance might have covered this), communicable testing ($400 per person), and specialty meds (approximately $5K with about $400 worth left over). The IUIs were probably 2,000 or so each.
Describe Laxmi Kondapalli's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at CCRM Colorado.
Have not transferred yet so don't know for sure. I do recall her saying she recommends single embryo transfers after CCS (PGS) testing due to the high success rates.
What specific things went wrong at CCRM Colorado?
- Provided conflicting information