How was your experience with Mitch Rosen at UCSF?
Up front, if you want a doctor who will literally hold your hand throughout the process, this isn't going to happen. If you want a candid and honest approach about your fertility chances and the process, then Dr. Rosen will do this. While I personally understood conversations and meetings, I know my spouse would sometimes be confused or have questions later on. Admittedly, it is probably very different being the one who actually goes through all the procedures versus just having to hear it as the spouse. However, Dr. Rosen took the time to go back and walk through everything and the future steps to make sure we were all on the same page.
One frustrating thing, is that Dr. Rosen will not go into a whole of details if something doesn't succeed, as in, will you have to deal with X or Y. He will tell you that oftentimes, or at least in my case, there's too many variables to predict what course of action will be most effective or recommended.
There have been a few bumps in the road here and there, but we've managed to work through them.
Dr. Rosen does understand that ultimately, as the one going through both the physical and mental anxiety of the process, ultimately, you should do what feels best for you.
What's one piece of advice would you give a prospective patient of Mitch Rosen at UCSF?
Don't expect a touchy-feely type doctor. Be ready for a matter of fact approach and demeanor. I think he does get uncomfortable if you cry, so be prepared. But I do think he does feel for his patients and does try his hardest to get you pregnant.
During treatment, were you treated like a number or a human with Mitch Rosen at UCSF?
It was more of a number feeling when we were going through the IUI's. However, since we had an extremely long process to even get to that stage and given post-surgery complications, Dr. Rosen has been very involved in our process. At times, it feels like it takes awhile to get a response to questions, but it's because the staff waits for his answer or because he personally calls us to respond.
Describe the protocols Mitch Rosen used in your cycles at UCSF and their degree of success.
Since I have DOR, we were put onto the estrogen protocol. The first cycle I produced 7 follicles, which was good given my situation. Five eggs were mature and two fertilized but did not make it to blast. The second cycle was a bit random because it came on the heels of a hysteroscopy. I actually produced 11 follicles, but only 2 fertilized among the ones retrieved. He changed the protocol to a clomid flare, which produced the most follicles to date and most eggs retrieved. 15 eggs retrieved, 11 mature, and again, only 2 fertilized. It was very devastating. The last four were frozen at day 3. If we do another retrieval, there will be a change to the protocol to try and address the low fertilization rates.
Describe your experience with your nurse at UCSF. (Assigned nurse: Cathy)
The hardest thing dealing with UCSF is communicating with the care team and your doctor. It's a busy clinic, so, you have to wait for someone to call you back if you wish to speak to a live person. That being said, I feel that my nurse and Dr. Rosen's assistant does always try and make an attempt to get back to you that day, or at the latest, within a business day. But, I almost always get a respond that day (unless we're at the close of business).
Describe your experience with UCSF.
It is a busy clinic, so IUI's are often performed by a NP, unless you specifically request a doctor perform them. You are also not likely to have your doctor perform all your procedures, if at all. If you want a very personalized experience, you're probably best going to a smaller, private clinic.
Describe the costs associated with your care under Mitch Rosen at UCSF.
You get a discount if you self-pay your IVF cycles. Medicines are separate. If your insurance does not cover certain procedures you must pay OOP.
Describe Mitch Rosen's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at UCSF.
No comment since we're not there yet.
What specific things went wrong at UCSF?
- Failed to call with results
Describe the specific things that went wrong at UCSF.
They failed to provide the Day 1 fertilization report and had to chase them down the next day.
They also keep trying to put me with NP's even though my chart says "attending only"