How was your experience with Yolanda R. Smith at University of Michigan Center for Reproductive Medicine?
She is direct and experienced. We always were provided tons of information which is what we wanted but sometimes (and this may be because of our clinical situation) not a lot of very pointed feedback - such as this is the best course of treatment for you. We liked having all the info and being able to make an informed decision but some people may not have appreciated this approach.
What's one piece of advice would you give a prospective patient of Yolanda R. Smith at University of Michigan Center for Reproductive Medicine?
Be prepared with questions and make sure to request a detailed game plan at the end of each appointment
During treatment, were you treated like a number or a human with Yolanda R. Smith at University of Michigan Center for Reproductive Medicine?
She was direct and tailored her recommendations not only to my clinical situation but also our emotional state
Describe the protocols Yolanda R. Smith used in your cycles at University of Michigan Center for Reproductive Medicine and their degree of success.
I was on an antagonist protocol with Metformin. I starred on a low dose of Gonal-F, then added Menopur and Ganirelix. I've only have one stim so far and if we do another one, she recommended increasing my dose of Gonal f to see if we can get more eggs. Because I have PCOS, there was high risk of OHSS, so I believe they were more cautious in my stimulation which made sense.
Describe your experience with the nursing staff.
Nursing staff were kind and thorough. At times, inconsiderate to the fact that I had contraindications to OCPs which they repeatedly asked me "oh you're not taking birth contro right?" which I understand was their attempt to tailor but ended up making me feel like there was another thing wrong with me and my body. There was also some conflicting info from some nurses so I repeatedly had double check certain things r/t my protocol.
Describe your experience with University of Michigan Center for Reproductive Medicine.
Communication at this clinic - among the health care team and then how they communicate to the patient needs to be improved. Miscommunications were frequent and in an educational session, it was readily apparent that even for patients on the same protocols, we all had varying degrees of knowledge about our clinical condition, which is a reflection on the communication abilities of the clinic.
Describe the costs associated with your care under Yolanda R. Smith at University of Michigan Center for Reproductive Medicine.
We have coverage of 80% of fertility treatments up to a lifetime benefit of $20,000. So far, out of pocket, for 1 IUI, mock transfer and 1 stim and egg retrieval, we've paid $3000. PGS is costing us an additional $2000.
Describe Yolanda R. Smith's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at University of Michigan Center for Reproductive Medicine.
Yes, she strongly recommended SET due to my age and the fact that we were doing PGS.
What specific things went wrong at University of Michigan Center for Reproductive Medicine?
- Failed to order appropriate test
- Provided conflicting information
- Failed to convey critical information