Peter Brzechffa

When I had questions I was told to google it. He tried talking me into unnecessary procedures and medications. I saw 4 clinics afterwards and none of those doctors agreed with any of that. For example - I was told I had to do a laparoscopy although all other tests were completely normal - especially the sonohysterography. I was prescribed viagra to improve my lining while my lining was perfect according to all other clinics I saw afterwards. At the end of the conversation he always added that it may never work and he kept pointing out my age. Dr B doesn’t do any of the checkups nor any of the procedures. I o my saw him for conversational appointments.

If you want to see a dr that cares at this facility, see dr Sullivan-. She was the only doctor there that seemed to actually care about the patients.

No one from the clinic ever followed up on anything by themselves. Not for blood results nor fertilization rates. The only time they actually called me was to tell me I’m not pregnant. They sell meds there. Cash only. Compared to my cycle at a different clinic that actually did work, they over-medicated me. Also ran way more tests than necessary.

575iu Gonal then 575 Menopur 5 days of 100mg For the transfer lupron, progesterone suppositories and injections, 20mg prednisone, estrogen pills 3 times a day Viagra suppositories 3 times a day prior to transfer to build up lining

Nurses were seen at a counter in the hallway which is where they also sold you the meds. There was no privacy whatsoever and at times long wait times to get the meds and instructions. They did not have a dedicated nurse for their patients. Just as the doctors for checkups - everything was at random

The clinic wasn’t organized at all. Wait times were always long and you will never see the same doctor. No one knows your history and most doctors are just negative about everything. I felt like they only cared to make more money. It’s important to know that only Dr Kofinas himself does retrievals and transfers.

Always saw a different doctor. None of which were familiar with my chart or history. They would look up the meds from before while they see you and tell the nurse what to give me. It took up to 1.5-2 hours at times to get out of there. They scheduled test. Ore no i toting appointments then necessary - especially I. The beginning of the cycle which just added more stress.

About $20,000 overall (retrieval, PGS testing, transfer). Charged copays even for visits and procedures that weren’t covered by insurance.

Dr. B hit it off with me right from the start. When I first started my journey with Kofinas Institute I originally had another doctor. She had gotten pregnant and was having complications so majority of the time she'd be on leave. They tried to fit me in with another doctor but she was very cold. Like ice. So I requested another doctor. That's when I met Dr.B. From the start he was kind and talkative. I was just about to do my 2nd IUI (of a back to back IUI process) and was completely shaken up as my first IUI had gone terribly just 2 days prior. He made me so relaxed that I barely even felt the catheter go through. He even let me know about my tilted uterus which no other doctor had ever informed me. Dr.B took the time to care about my situation if even just for that moment. I appreciated that.

He likes to talk so be prepared to listen.

Dr. B was the first doctor to ever make me feel comfortable throughout my entire 8 years of ttc. The moment I met him he was funny, talkative and made me feel like my journey was in the right hands. No matter how scared I was during our visits he reassured me that he wouldn't cause me any unnecessary pain. I appreciated that because other doctors would just poke and prod me like cattle. He wasn't my regular doctor at first, but after my doctor quit the facility I made it my business to request him for each of my visits thereafter.

Prior to being under the care of Dr.B I had a laparoscopy, hysteroscopy and d&c because an HSG exam did not work for me. While inside they found a large mass weighing down my left Fallopian tube which they removed. They also found endometriosis stage 1 which they too removed. My tubes were reportedly open and I was give. The green light to begin ttc again. 2 weeks after surgery I started my first round of Clomid 50mgs. It failed. After that I did 3 more cycles of Clomid 50mgs. Ovulation didn't occur and pregnancy wasn't achieved. I was told I would need to go the route of injections. While under the care of Dr.B I was on a 75iu then 125iu of Gonal-F switching everyday for about 2 weeks. I'd go in every other day for an ultrasound and blood draws. When my eggs matured I was given the OK to do my trigger shot of Novarel. 2 days after triggering I went in for my IUI. I did this routine for 4 months. Each cycle was a failed attempt and none achieved pregnancy. After my final IUI I was told by Dr.B during a consult visit that IVF would be my last hope at achieving a pregnancy. Since then we've been trying but struggling to save up our pennies to make that happen.

My nurse for a good portion of my visits was Jessica. She was the best. Every day that I was there she'd be happy and cheerful. No matter how nerve wrecking the appointment she'd manage to calm me. The day I found out I'd need surgery she was there and managed to ease all the fear within me. There are a few really great nurses there but she's definitely one of the best.

One of their strengths would be they don't have a set appointment schedule between the hours of 7-9am. So you can just walk right in and be seen by a doctor or a nurse for blood draws. They are also very welcoming. When it comes to weaknesses I would say one is that it does take a while to hear back from them if you leave a message for a nurse or doctor. Calling in for results usually ends up an all day game of phone tag. Other than that I love this facility and would recommend it to anyone ttc.

My copay was $50 per visit. I had to visit every other day for 3 weeks per month. My injections out of pocket were $80 per injection. I used about 21 injections per cycle. Those were the only costs I had to endure during my past treatments.

He always took the time to answer all questions thoroughly and with compassion. He never left us with any doubts. He was very kind but didn't sugarcoat, so we still trusted his opinion. An excellent and straightforward doctor.

What you see is what you get.

He is thorough, kind, and patient. One of the best bedside manners of any doctor we've ever dealt with.

Dr. B never came up with our treatment strategies himself. He was a facilitator but not a planner.

They are overworked and unorganized. A lot of the time, they are trying hard but the staff seems stretched thin.

Excellent doctors, overworked staff, and very unorganized administration. They do excellent work, but be prepared for long waits on return emails with their financial dept and be on top of your bills, because they are known to accidentally double bill.

They are usually relatively quick and painless

Everything is a la carte and adds up quickly. Prices are on the low end, but they increase often.

He is not a proponent of multiple embryo transfer. Anytime we brought it up, he always expressed a negative opinion about it.

He was amenable to trying IUI when I wanted to do that, and was happy to switch to IVF when we were ready (which really made more sense to begin with anyway).

the doctor was very personable. during embryo implantation (retreival and implantation always done by kofinas, i believe) we discussed the pelopenisan wars. i always felt treated like a person there.

They were lovely. I only ever had one negative interaction with someone at the front desk, otherwise, everyone I dealt with was very very pleasant.