How was your experience with Randall Hines at Mississippi Reproductive Medicine?
Dr. Hines is a very thorough doctor. He is well-versed in the latest medical research, and he references that research when we ask questions. I like knowing that his medical practice is based on research--facts and numbers. He has provided sound knowledge about my endometriosis diagnosis, and he has been extremely patient with my husband and me as we began IVF. No matter how busy the clinic is, he always takes time to visit with us and answer any questions we may have. He never acts like he is in a hurry to get to the next patient. He has spent ample time with us on the weekends for my egg retrieval and follow-up appointments.
Dr. Hines is a very matter-of-fact person. I respond well to that type of personality because infertility can be so emotional, and I don't need someone too sentimental to give me any false hope. There are times for sentiment, though, and I think Dr. Hines has done a great job of staffing his clinic with people who can be sentimental for him.
What's one piece of advice would you give a prospective patient of Randall Hines at Mississippi Reproductive Medicine?
Take charge of your fertility/infertility. Ask questions and do (reputable) research. Dr. Hines is always open to questions, but you need to know what you want to ask!
During treatment, were you treated like a number or a human with Randall Hines at Mississippi Reproductive Medicine?
At first I felt more like a number, but I think that is because we did not have very many appointments at the beginning. As time progressed and my treatment became more involved, Dr. Hines knew my case well and would connect to my previous visits.
Describe the protocols Randall Hines used in your cycles at Mississippi Reproductive Medicine and their degree of success.
1. Laparoscopy to diagnose endometriosis -- diagnosed stage 3
2. Letrozole only - 3 cycles
3. Letrozole + HCG trigger shot + IUI - 2 cycles
4. SHG to diagnose uterine issues -- potential uterine polyp/septum
5. Second laparoscopy to resect septum and polyp + check for additional endo -- found no uterine issues but did diagnose stage 4 endometriosis
6. Recommendation for IVF - protocol listed below
IVF stimulation normal dose protocol:
(OCP for a week or two)
AM Menopur 150 units (12 days)
PM Follistim 150 units (11 days)
PM Ganirelix .25 mg (7 days)
HCG trigger (10,000 units)
Peak Estradiol: 3105
Egg retrieval on day 14 - 10 eggs
2 matured to day 5
PGS testing - one normal and one abnormal embryo
Estrace 2mg PO TID
Progesterone - 50mg IM QD AM
Doxycycline BID, 5 days
Peak Estradiol: 248
1st beta HCG: 40
2nd beta HCG: 19
Period came 4 days after 2nd beta.
Describe your experience with your nurse at Mississippi Reproductive Medicine. (Assigned nurse: Melissa)
Melissa at MRM is great to work with -- very down to earth, reasonable, and patient. She enjoys getting to know her patients.
Describe your experience with Mississippi Reproductive Medicine.
MRM uses an online patient portal for communication. At first it seemed like a slower process, but the longer I've been a patient, the more I appreciate the digital record of my treatments. I have talked to Dr. Hines on the phone several times, though, after various treatments and appointments.
I really can't think of a weakness! The clinic does get busy, so sometimes they run behind schedule. They do their best to accommodate everyone, though.
Describe the costs associated with your care under Randall Hines at Mississippi Reproductive Medicine.
Approximately $10,000 in clinic costs excluding PGS, SHG, trial transfer, and FET. Can receive a 10% discount on clinic costs if paid up front. Otherwise, $3,000 is due at beginning of monitoring, and the rest is due 90 days after egg retrieval.
Medications cost approximately $5,000.
PGS costs approximately $2,200.
FET costs approximately $1,800.
Describe Randall Hines's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Mississippi Reproductive Medicine.
Dr. Hines strongly encourages PGS, so he is an advocate for eSET.
What specific things went wrong at Mississippi Reproductive Medicine?
- Provided conflicting information
Describe the specific things that went wrong at Mississippi Reproductive Medicine.
We were confused after our egg retrieval about the development of the embryos. We were confused by some of the information we received from the embryologist. However, it was mostly our fault for not doing our research/asking questions about the language that was used.