How was your experience with Mickey Coffler at HRC?
Dr. Coffler does not seem like he is open to the newest research or to customizing his protocols for each patient. He is very kind and optimistic (overly so), but he does not want to be questioned about the protocol even when the research did not indicate it as right for me. He has his one protocol that he uses for everyone (microdose lupron) even though that is only indicated for poor responders. I received my protocol and questioned it once I began researching what it was. When I tried to get him on the phone to discuss, the front desk kept saying they might charge me over a hundred dollars for a phone consultation. In the end they did not charge me and I only took 5 minutes of his time. He said this protocol is just what they use to get good results for everyone. I trusted in the CDC statistics and didn’t question it further, but it didn’t work well for us in the end.
What's one piece of advice would you give a prospective patient of Mickey Coffler at HRC?
Don’t see Dr. Coffler. Aside from the problems I had with him as a Dr., the clinic is horrible to deal with in many ways and you can’t see him without dealing with HRC policies.
During treatment, were you treated like a number or a human with Mickey Coffler at HRC?
Dr Coffler and his team did treat me like a human. Angel, the NP IVF coordinator in particular was very helpful and explained how to do all our injections kindly. Dr. Coffler was always kind.
Describe the protocols Mickey Coffler used in your cycles at HRC and their degree of success.
Microdose lupron protocol, with birth control pill priming in order to schedule all the patients for certain retrieval dates per month. They put everyone on birth control for scheduling, but it turns out this can suppress the number of follicles that respond and you can get fewer eggs than you might without birth control pills. We got fewer eggs than my antral follicle count. This protocol wasn’t great for me. We only got 1 PGS normal embryo that was mediocre quality.
Describe your experience with your nurse at HRC. (Assigned nurse: Angel Calfee)
Angel is the IVF coordinator for HRC Oceanside. She is kind and does what she can to help the patients through their questions and requests. She was great training us on all of our injections. However, clinic policies hinder information flow and make it frustrating to ask questions and then not receive information.
Describe your experience with HRC.
HRC has several policies that I only learned about as we were going through IVF that really bothered me: 1) You have to decide whether you will pay some $5500 lump sum for PGS testing of embryos before you even know how many embryos have made it to biopsy. The cost does not change no matter how many embryos you have, so you could be paying that much for 1 embryo. 2) The clinic is not open on weekends. This is a BIG PROBLEM. This prevents you from having sufficient monitoring during egg retrieval cycles and the drug dosage can’t be adjusted as finely. You also can’t get questions answered on the weekend. There is no access to Dr. Coffler for questions. 3) The clinic batches all patients for particular retrieval dates each month so you have to take birth control pills. These can suppress the number of eggs you are able to retrieve and reduce your chances of success. 4) Once your embryos are created, getting information about them is a black box. Other clinics allow you to speak to people in the embryology lab. At HRC, there is NO access to anyone at the embryology lab. You can only receive information from Angel and she is not able to convey the kind of information that an embryologist would have. Also, they do not give Day 3 updates about the progress of the embryos. At the end, I was only able to get all of the information about my embryos be requesting my full medical record and calling the PGS lab. I never received a full PGS report about my embryos besides “complex abnormal”, whereas other PGS labs will give a breakdown of the chromosome errors. I did get this over the phone but it was hard to take down and I don’t know if I got it right. They do it this way because HRC uses its own in-house PGS Lab rather than one of the bigger commercial labs. They pocket all the profits at every stage and provide subpar service which is not up to the standards of other commercial options. It would be fine if they gave you the information and service others provide (since you’re paying just as much), but they don’t.
Describe the costs associated with your care under Mickey Coffler at HRC.
Total cycle cost was just over $17k not including medication, but including $5050 lump sum for PGS testing. I spent just under $2k on medications ordered from overseas.
Describe Mickey Coffler's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at HRC.
Dr. Coffler only transfers 1 embryo except in select circumstance which have to be justified, like older patients with poor quality embryos.
What specific things went wrong at HRC?
- Failed to call in prescriptions to pharmacy
- Failed to convey critical information