Johns Hopkins Medical Institute

[Dr. Christianson] is a very knowledgeable and competent provider. She is responsive to emails and phone calls, however, she never felt like she took the time to explain to us the chance of success for each procedure leading to over utilization of our limited insurance funds for IUI before moving to IVF although our chance of success was very low. This led to some frustration. Once IVF was initiated she led us to believe that we had an excellent chance of success although other providers in the clinic questioned why we were still trying with our own eggs. After 12 retrievals, a miscarriage, and failed transfers, we have independently decided to pursue donor eggs for our next round and although we are confident Mindy will do right by us and our donor, we wish the communication had been clearer throughout the process so we could have come to this conclusion a large amount of time and finances and emotional distress ago. Over time we have had frank discussions about our concerns and Mindy does indeed step up to the plate and do right by her patients in the end, its just frustrating at times that we felt left in the dark about our chance of success and our need to pursue other options.

The financial coordinators at [Johns Hopkins Medical Institute] had quite a bit of difficulty determining insurance coverage for procedures initially and have been difficult to communicate with. More recently there have been improvements in that area which I am glad to see...All sonographic monitoring was completed during early morning hours only and between the volume of patients waiting for labs and providers it ends up being lots of time waiting in a full waiting room with rushed providers by the time you finally get into the rooms. Most of the time this did not impact the care received, just made it feel less personal

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

Mindy is a very knowledgeable and competent provider. She is responsive to emails and phone calls, however, she never felt like she took the time to explain to us the chance of success for each procedure leading to over utilization of our limited insurance funds for IUI before moving to IVF although our chance of success was very low. This led to some frustration. Once IVF was initiated she led us to believe that we had an excellent chance of success although other providers in the clinic questioned why we were still trying with our own eggs. After 12 retrievals, a miscarriage, and failed transfers, we have independently decided to pursue donor eggs for our next round and although we are confident Mindy will do right by us and our donor, we wish the communication had been clearer throughout the process so we could have come to this conclusion a large amount of time and finances and emotional distress ago. Over time we have had frank discussions about our concerns and Mindy does indeed step up to the plate and do right by her patients in the end, its just frustrating at times that we felt left in the dark about our chance of success and our need to pursue other options.

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

Ensure that you ask a lot of questions and that all of them are clearly answered to your satisfaction. Don't expect that you will be told important information, you must ask if you want to know!!!!

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

During direct consultations with Mindy my husband and I felt very confident and treated like a human, however, although we have done many procedures over several years I'm not sure she would be able to pick me out of a crowd. She is professional yet not very personable at times.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Initially the treatment approach was to use high dose injectables to maximize eggs retrieved, however, I was having eggs that looked great, fertilized well and progressed to day 3 with no difficulty at all then none would make it to day 5. Eventually after several retrievals with similar results we began to back day 3 embryos with back to back monthly retrievals for a year resulting in over 20 frozen embryos. Once we thawed them and allowed some to go to day 5 we continued to have the same issues so a day 3 transfer with four great quality embryos was decided upon but ended up in a negative. We then thawed the rest and did PGS on the ones that made it to day 5 but none were viable. Now we have chosen to pursue donor eggs.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

Nursing staff are the primary communicators and teachers of the process and although they are very good at their job it seems they are overwhelmed by the sheer volume of patients in the clinic. For the most part they are very responsive to calls and will follow up if needed

Describe your experience with Johns Hopkins Medical Institute.

The clinic has an excellent group of very skilled providers that are able to utilize the latest evidence based medicine and resources with an on site andrology lab and embryologists. Phlebotomy is also all done on site.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

All sonographic monitoring was completed during early morning hours only and between the volume of patients waiting for labs and providers it ends up being lots of time waiting in a full waiting room with rushed providers by the time you finally get into the rooms. Most of the time this did not impact the care received, just made it feel less personal

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

Fortunately I have been covered by insurance for most of my expenses. However there was a lapse in coverage when I switched from my insurance to my husbands for which I found the communication and costs prohibitive

Describe Mindy Christianson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

Mindy prefers single embryo transfer with a day 5 embryo in most cases but is open and agreeable to transfer more than one if the case has a specific reason to do so

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to call in prescriptions to pharmacy
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

The financial coordinators at the clinic had quite a bit of difficulty determining insurance coverage for procedures initially and have been difficult to communicate with. More recently there have been improvements in that area which I am glad to see

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2023, Unknown Success

Age 30

Donor Eggs

European

Income $50K - $99K

Nurse or HC Services

2nd of 2 Docs

1 IVF With Other Docs

Donor Eggs With Other Docs

Donor Sperm With Other Docs

Neutral

Doesn't Recommend

Success w/ Doc Too early to know

Review of

Vasiliki Moragianni Johns Hopkins Medical Institute

Dr. Moragianni is compassionate and took the time to listen to each of my concerns. She also reviewed various treatment options so that I could make a decision that was best for me moving forward. During my treatment, Dr. Moragianni called me to review test results and discuss how we needed to adjust my treatment plan...very knowledgable in her field. However, she can sometimes present so many treatment options at once that it can become confusing. Don't be afraid to ask questions and review your treatment plan if needed.

The new clinic at John's Hopkins Fertility Center is well designed and spacious. The operating room, blood drawing lab, and exam rooms are all on the same floor. One weakness is that it can be hard to contact the front desk. There have been time when I have needed to leave a message for someone to call me back and schedule an appointment...The nursing staff was respectful, however there is a lack of communication. During appointments, the nurses typically did not introduce themselves. Also, throughout my treatment there was a lack of follow up regarding test results.

How was your experience with Vasiliki Moragianni at Johns Hopkins Medical Institute?

What's one piece of advice would you give a prospective patient of Vasiliki Moragianni at Johns Hopkins Medical Institute?

Dr. Moragianni is very knowledgable in her field. However, she can sometimes present so many treatment options at once that it can become confusing. Don't be afraid to ask questions and review your treatment plan if needed.

During treatment, were you treated like a number or a human with Vasiliki Moragianni at Johns Hopkins Medical Institute?

Dr. Moragianni took time to explain treatment options and even engaged warmly with my 1.5 yr old son during a telemedicine visit.

Describe the protocols Vasiliki Moragianni used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Dr. Moragianni followed the same protocol utilized in a previous IVF cycle. This recurrent implantation failure protocol involved the use of Estrogen, Progesterone, Lovenox, and Prednisone.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nursing staff was respectful, however there is a lack of communication. During appointments, the nurses typically did not introduce themselves. Also, throughout my treatment there was a lack of follow up regarding test results.

Describe your experience with Johns Hopkins Medical Institute.

Describe the costs associated with your care under Vasiliki Moragianni at Johns Hopkins Medical Institute.

The deposit required for an embryo transfer cycle was approximately $6,500.

Describe Vasiliki Moragianni's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

Dr. Moragianni and I did not discuss the transfer of multiple embryos.

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to call with results
Failed to order appropriate test
Failed to convey critical information

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

During my most recent treatment cycle there was a lack of follow-up from the nursing staff regarding test results. For example, an embryo transfer date appeared in MyChart and I did not receive a phone call from the nursing staff with detailed instructions. Similarly, after a negative pregnancy test I did not receive any telephone communication from the staff.

Doctor

Vasiliki Moragianni

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Vasiliki Moragianni Johns Hopkins Medical Institute

2019 - 2021, Successful

Age 26 - 28

1 IVF

Donor Eggs

Donor Sperm

Poor Egg Quality

European

Income $50K - $99K

Nurse or HC Services

1st of 2 Docs

Donor Eggs With Other Docs

Strongly Recommends

Doesn't Recommend

Successful

Review of

Mindy Christianson Johns Hopkins Medical Institute

Dr Christianson is very compassionate and can relate to patients on a personal level. Throughout my fertility treatment she took time to explain my options and offer her personal as well as professional opinion. After an unsuccessful treatment cycle, Dr. Christianson personally called me around 8pm to check on me and discuss next steps moving forward...Dr. Christianson will be straightforward and honest with you

One of this [Johns Hopkins Medical Institute] clinic's strengths was that everything was located in the same building. The lab located on the first floor made it convenient to get everything done and results were typically available within a few hours. One weakness of this clinic is that the facility was small and the waiting room got crowded very quickly...The nursing staff always treated me with respect as a patient. However, at times there did seem to be a lack of communication.

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

One piece of advice I would give a prospective patient is that Dr. Christianson will be straightforward and honest with you, even if it is not something you are hoping to hear. Take time to listen to her and consider what she is saying before making a decision.

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

Dr. Christianson took the time to engage in conversation and explain treatment options. After an unsuccessful embryo transfer, she took the time to personally call me, offered her support, and review my treatment options moving forward.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Several treatment strategies were used during my treatment cycles. These strategies included ERA testing, hysteroscopy, and following a recurrent implantation failure protocol. This latest protocol involved Estrogen, Progesterone, Lovenox, and Prednisone.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nursing staff always treated me with respect as a patient. However, at times there did seem to be a lack of communication.

Describe your experience with Johns Hopkins Medical Institute.

One of this clinic's strengths was that everything was located in the same building. The lab located on the first floor made it convenient to get everything done and results were typically available within a few hours. One weakness of this clinic is that the facility was small and the waiting room got crowded very quickly.

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

Egg retrieval cycle cost approximately $13, 000 and each embryo transfer was approximately $5,000.

Describe Mindy Christianson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

Dr. Christianson followed the current recommendations to perform a single embryo transfer.

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2019 - 2020, Unknown Success

Age 39 - 40

3 IUI

1 IVF

European

Income $50K - $99K

Nurse or HC Services

Only Doc Seen

Donor Sperm

Strongly Recommends

Success w/ Doc Too early to know

Review of

Mindy Christianson Johns Hopkins Medical Institute

We talked about transferring more than 1 embryo, but I elected to transfer 1 since I had the embryos genetically tested prior to transfer. She [Dr. Mindy Christianson] explained that there was a 1% chance of embryos splitting and ending up with multiples and recommended against it since she had accidental triplets twice in the past year. I am also pursuing fertility treatments as a single woman and the thought of multiples is a little terrifying...When I went through my miscarriage she was so supportive. She kept in close contact with me immediately following, and checked on me frequently. She went above and beyond, giving me hope when I was afraid to have any.

It's affiliated with Johns Hopkins, which is a teaching hospital so there are some time med students around and even fellows in training. Sometimes a little awkward when someone is leaning how to do a vaginal ultrasound, things can take a little longer...The nurses are awesome! They patiently answered all of my MANY questions and always responded to messages promptly...I had 3 failed IUIs with progressively increasing the clomid dosing with each cycle. We then moved on to IVF, she started me on higher doses of Menopur and Gonal-F because I only had 1 follicle despite higher clomid dosing with each IUI. I had a great response to the IVF meds and was able to retrieve 34 eggs with 1 cycle, 16 were 5 day blastocysts and of that I had 3 normal PGT-A embryos. I got pregnant with the first frozen transfer, but miscarried at 9 weeks. Hopeful to do another transfer once covid restrictions are lifted Nursing Staff

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

It's a big practice and you aren't always guaranteed to see the doctor in charge of your plan of care. I do however feel like they are good communicators among themselves and she is aware of what is going on, and the things that are important with my care. She is easy to reach via MyChart and gets back to me in a timely manner.

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

I trust her and appreciate the empathy and compassion she shows her patients.

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

When I went through my miscarriage she was so supportive. She kept in close contact with me immediately following, and checked on me frequently. She went above and beyond, giving me hope when I was afraid to have any.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

I had 3 failed IUIs with progressively increasing the clomid dosing with each cycle. We then moved on to IVF, she started me on higher doses of Menopur and Gonal-F because I only had 1 follicle despite higher clomid dosing with each IUI. I had a great response to the IVF meds and was able to retrieve 34 eggs with 1 cycle, 16 were 5 day blastocysts and of that I had 3 normal PGT-A embryos. I got pregnant with the first frozen transfer, but miscarried at 9 weeks. Hopeful to do another transfer once covid restrictions are lifted

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nurses are awesome! They patiently answered all of my MANY questions and always responded to messages promptly.

Describe your experience with Johns Hopkins Medical Institute.

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

My insurance has covered most, I have a 10% co-pay after $1,000 deductible, with a max of $60,000. I am fully financially responsible for donor sperm purchase and shipping as well as genetic testing and some fees with egg freezing.

Describe Mindy Christianson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

We talked about transferring more than 1 embryo, but I elected to transfer 1 since I had the embryos genetically tested prior to transfer. She explained that there was a 1% chance of embryos splitting and ending up with multiples and recommended against it since she had accidental triplets twice in the past year. I am also pursuing fertility treatments as a single woman and the thought of multiples is a little terrifying

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2017 - 2019, Unsuccessful

Age 34 - 36

2 IUI

3 IVF

Diminished Ovarian Reserve

PCOS

Unexplained

European

Latinx

Income $50K - $99K

Operations

1st of 3 Docs

2 IUI With Other Docs

Donor Sperm

Surrogacy With Other Docs

LGBTQ+

Doesn't Recommend

Neutral

Unsuccessful

Review of

Jairo Garcia Johns Hopkins Medical Institute

Dr. Garcia is an intelligent man and skilled, and at times he was quite personable and likeable and even funny. But it was just not the right match for me...my treatment plan appeared to be the exact same plan as everyone else at the clinic. I was also subjected to the standard lecture about weight/BMI...He tends to be more on the blunt side so if that is not something you want also be aware of that...

[at Johns Hopkins Medical Institute] No long waitlist to begin as a patient. On-site lab and specialty pharmacy...I was asked multiple times for paperwork or labs that had already been completed and/or should have already been on file...disorganized without a primary contact for patients to speak to or coordinate their care...Policies changed in the middle of my treatment (on two seperate occasions) and I was not informed until I was in the building ready to begin a new cycle; the change in policies led to significant cost increase for me as well as a lengthy delay in the start of my next treatment cycle....

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

I was expecting Dr. Garcia to be the utmost professional and expert in the field due to his years of experience and he was formerly that clinic's director. However, I feel as though he was not interested in reviewing the unique details of my case and prepare a treatment plan based on those details. I prefer "Health At Every Size" practitioners and this was certainly not the situation here- it was assumed I had PCOS based on my weight alone, which bloodwork later determined was not true. I had also been clear early on that I would not like to hear the recommendation to "lose weight" without any other treatment recommendations to treat the actual deficiencies shown in bloodwork and ultrasounds, but it was brought up several times after that. I do believe that Dr. Garcia is an intelligent man and skilled, and at times he was quite personable and likeable and even funny. But it was just not the right match for me and I was too shy or anxious to request a different physician due to the system of having you see whatever doctor is on duty that day (was afraid I would end up seeing him again and receiving subpar treatment).

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

This is not the physician you should see if you are queer/gender non-conforming and/or are "overweight". He tends to be more on the blunt side so if that is not something you want also be aware of that.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

I did not feel like the time was taken to review my specific case/scenario and to create a treatment plan specifically around it. Instead, my treatment plan appeared to be the exact same plan as everyone else at the clinic. I was also subjected to the standard lecture about weight/BMI even though there is a wide range of research indicating BMI does not have the affect on fertility that many REs believe it does.

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Unfortunately I don't recall, but I definitely remember speaking to other patients in the clinic both in person and online and finding out we all had the same protocol despite our varying reasons for needing ART.

How competent was Jairo Garcia at LGBTQ+ care?

Only one individual that I came across in the practice (and I saw many, because for monitoring you see whichever doctor(s) and nurses are on duty that day) used my correct gender pronouns, and unfortunately I believe she was a resident and was not a permanent doctor there. Additionally, all kept referring to my known donor as my husband despite being corrected many times over about that. They did not understand or accept (or try to understand and accept) my unique situation of having a partner as my known donor, and another partner who was to co-parent with me (polyamorous relationships).

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

There is unfortunately not one specific nursing staff that is consistent in your treatment, which I would have preferred. Therefore, messages weren't always relayed in a timely manner and it was difficult to reach a person on occasion. However, there were some nursing staff that I saw pretty frequently, and I recall that at least one, possibly two, were my "favorites" because they were happy to see me and were compassionate about my circumstances.

Describe your experience with Johns Hopkins Medical Institute.

Strengths: the positive reputation of John Hopkins with their skilled and knowledgable physicicans and clinical teams. No long waitlist to begin as a patient. On-site lab and specialty pharmacy. Weaknesses: disorganized without a primary contact for patients to speak to or coordinate their care. While no one was aggressively discouraging of queer identities, no one was respecting my gender indentity or unique relationships. Policies changed in the middle of my treatment (on two seperate occasions) and I was not informed until I was in the building ready to begin a new cycle; the change in policies led to significant cost increase for me as well as a lengthy delay in the start of my next treatment cycle. They significantly changed their BMI restriction and refused to grandfather me in to their services, despite having successfully gone under anesthesia multiple times with them AND despite having been successfully pregnant on one occasion (resulted in early miscarriage, but demonstrated that I was able to get pregnant at my weight).

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

There were specific hours in the morning you could arrive and then it was on a first-come, first-served basis. There were lengthy wait times on occasion due to that. Once your monitoring was done it was convenient to go downstairs to the lab to get bloodwork completed. However, there was another often times lengthy wait at the lab as well. I will say that it was nice that the lab was ONLY open to ART patients during those hours, and opened to the general public later in the morning.

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

I was fortunate to have very good health care coverage, so I am not sure I can speak knowledgably to this.

Describe Jairo Garcia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

I believe I was sufficiently educated on the benefits and risks of a single embryo transfer vs. a multiple embryo transfer. If I recall correctly, I was encouraged to do a single embryo transfer but was told I would be supported if I chose to go with two embryos. In my recollection I don't believe more than two embryos was even suggested as a possibility.

What specific things went wrong at Johns Hopkins Medical Institute?

Lost paperwork
Failed to order appropriate test
Failed to send your chart to another clinic
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

Please see previous comments. I was asked multiple times for paperwork or labs that had already been completed and/or should have already been on file. There is no one primary point of contact for organizing or coordinating treatment so it can be confusing at times. Additionally, as stated, there were two occasions during which their internal policy and protocol changed significantly and it was not communicated broadly to their patients, nor to at least the patients it specificially affected until I called to notify them my cycle had started. The second policy change affected my ability to continue services at that clinic, and occurred months before I was ready to start a new cycle. Had I been informed prior to calling to schedule an appointment, when the policy change actually went into effect, I could have transferred to a new clinic months earlier which resulted in further delaying my care.

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

LGBTQ+ Care

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

LGBTQ+ Care

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2019, Unsuccessful

Age 37

4 Fertility Medications

Income $100K - $199K

Only Doc Seen

Doesn't Recommend

Unsuccessful

Review of

Mindy Christianson Johns Hopkins Medical Institute

We felt like Dr Christianson is not personable or she was rushing to run away from us...I have been waiting for my initial appointment with Dr Christianson for more than 2 months because I wanted to be seen by her. Unfortunately, we did not get what we wanted... I had to ask her to conduct the procedures like XR HYSTEROSALPINGOGRAPHY and every time i was pushing her to provide more information on the results...Me and my husband were frustrated every time we had to address her our concerns.

[Johns Hopkins Medical Institute] Failed to order lab among other labs, I had to come next cycle again. Failed to send chart to another clinic...Strength are that labs are on time, reminders about upcoming appointment, scheduling is easy and I liked MyChart messaging system. Weaknesses are rushing variety of doctors performing ultrasound, felling that you are another protocol, no compassion and support from anyone...Nurses are professionals but lack of support and compassion. Sometimes I felt like we are numbers. I came with a lot of excitement to conceive and have a baby, unfortunately i was not treated pleasantly.

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

We choose Fertility Center based on the research we made and we were hoping to get professional services from leaders in the field of reproductive endocrinology. I have been waiting for my initial appointment with Dr Christianson for more than 2 months because I wanted to be seen by her. Unfortunately, we did not get what we wanted. Moreover, at certain point we felt no care from our doctor at all and we decided to discontinue our visits. Mindy is professional but seems she has no time to talk to patients although she promptly responses in online messaging system. My husband was insisting to change the doctor to Baker, Valerie Lynn, once I have been seen by her for ultrasound and she was the only one doctor out of all the team who was very kind in explanations. Every time i came for ultrasound I have been seen by different doctors and REI fellows, some of them barely talk to me. I find them rude and impersonal. We are hesitant to pursue the IVF treatment here.

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

ASK A LOT OF QUESTIONS! Be your own advocate! Do thorough research, make a list of questions because Mindy has no time to talk to you.

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

Mindy is great at working with MyChart, however we never felt that she took time to explain us what is going on and what might be the reasons of my infertility. I had to ask her to conduct the procedures like XR HYSTEROSALPINGOGRAPHY and every time i was pushing her to provide more information on the results. Me and my husband were frustrated every time we had to address her our concerns. I felt that I was there just a number and not a person who came to seek for help. We felt like Dr Christianson is not personable or she was rushing to run away from us.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Letrozole 7,5 and Ovidrel - 4 cycles

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

Nurses are professionals but lack of support and compassion. Sometimes I felt like we are numbers. I came with a lot of excitement to conceive and have a baby, unfortunately i was not treated pleasantly.

Describe your experience with Johns Hopkins Medical Institute.

Strength are that labs are on time, reminders about upcoming appointment, scheduling is easy and I liked MyChart messaging system. Weaknesses are rushing variety of doctors performing ultrasound, felling that you are another protocol, no compassion and support from anyone.

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

More than $10.000

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to order appropriate test
Failed to send your chart to another clinic
Lost results

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

Failed to order lab among other labs, I had to come next cycle again. Failed to send chart to another clinic

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2018 - 2019, Unknown Success

Age 33 - 34

Diminished Ovarian Reserve

European

Income $100K - $199K

Nurse or HC Services

1st of 2 Docs

6 IUI With Other Docs

Donor Sperm

LGBTQ+

Neutral

Doesn't Recommend

Success w/ Doc Too early to know

Review of

Chantel Ianthe Cross Johns Hopkins Medical Institute

Dr Cross made me feel like a human by always asking if I was being treated fairly and if people were sensitive to the fact that we were an LGBT couple. I told her about a few instances where people said insensitive things and she said she gave those doctors feedback about it...is very thoughtful and kind and has great bedside manner. She explained everything thoroughly and answers my emails promptly when I have additional questions. There seems to be a "difference of opinion" between many doctors at this clinic so it's hard to know who is "right" at times but perhaps it's more an art than a science?!

They [staff at Johns Hopkins Medical Institute] frequently miscommunicate and seem disorganized overall. I honestly would have switched clinics if it wasn't the only one I could go to for my insurance...not gotten clear answers from the nurses and then need them to contact the doctors again to clarify things (perhaps not the nurses faults though)...Didn't call in prescriptions in a timely manner to the specialty pharmacy once.

How was your experience with Chantel Ianthe Cross at Johns Hopkins Medical Institute?

Dr Cross is very thoughtful and kind and has great bedside manner. She explained everything thoroughly and answers my emails promptly when I have additional questions. There seems to be a "difference of opinion" between many doctors at this clinic so it's hard to know who is "right" at times but perhaps it's more an art than a science?!

What's one piece of advice would you give a prospective patient of Chantel Ianthe Cross at Johns Hopkins Medical Institute?

Have a list of questions ready because she will answer anything you have thought of

During treatment, were you treated like a number or a human with Chantel Ianthe Cross at Johns Hopkins Medical Institute?

Describe the protocols Chantel Ianthe Cross used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Clomid 50mg x 3 for IUI with frozen donor sperm. Clomid 100mg x 1. Trigger shots if I wasn't ovulating on my own (usually wasn't) with a follicle check ultrasound on day ten. Progesterone suppositories on day two after IUI

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

Not always clear in what they were communicating or the reason why. One nurse called to tell me that I couldn't do IUI for that month based on my blood work because it showed I had already ovulated. A doctor called a few hours later and said that I could do IUI the next day because I was in the process of ovulating. That was pretty upsetting. I have also not gotten clear answers from the nurses and then need them to contact the doctors again to clarify things (perhaps not the nurses faults though).

Describe your experience with Johns Hopkins Medical Institute.

The clinic to me seems very disorganized. They don't have any set protocols (some doctors prescribe letrozole and some say "it's not FDA approved") and literally say "well that seems like a difference of opinion or I don't think there's any basis in science to doing that but I guess it's a difference of opinion". They frequently miscommunicate and seem disorganized overall. I honestly would have switched clinics if it wasn't the only one I could go to for my insurance.

Describe the costs associated with your care under Chantel Ianthe Cross at Johns Hopkins Medical Institute.

Unsure of costs because we are still in it.

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to call in prescriptions to pharmacy
Failed to order appropriate test
Provided conflicting information

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

Didn't call in prescriptions in a timely manner to the specialty pharmacy once.

Doctor

Chantel Ianthe Cross

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Chantel Ianthe Cross Johns Hopkins Medical Institute

2018 - 2019, Unknown Success

Age 38 - 39

1 IUI

1 IVF

Unexplained

Income $100K - $199K

Nurse or HC Services

Only Doc Seen

Doesn't Recommend

Success w/ Doc Too early to know

Review of

Mindy Christianson Johns Hopkins Medical Institute

[Dr. Christianson was] a big proponent of eSET. Since our embryos were at blast stage as well as PGS screened as normal, she feels that only transferring one at a time is ideal. She did say that ultimately the decision is ours though...is pleasant and is great at working with their online messaging portal to answer emails promptly. Again I feel like I needed to really push for more information as I am a medical professional and want actual explanations as to what we are doing and why. One of my major concerns that I was originally referred for was not really addressed in a timely manner.

When preparing for our IUI [at Johns Hopkins Medical Institute], I had conversations and very specific instructions from my primary doctor in this clinic. When I called to inform the nursing staff of my cycle, the nurse was rude and basically told me that I was mistaken and that none of what I had been told was actually going to happen. I had to escalate to the doctor as well as the nurse manager of the practice. In the end, I was correct and the cycle was done as I had originally been told but the extreme unprofessionalism and conflicting statements made me lose confidence in this clinic as a whole.

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

Dr. Christianson is pleasant and is great at working with their online messaging portal to answer emails promptly. Again I feel like I needed to really push for more information as I am a medical professional and want actual explanations as to what we are doing and why. One of my major concerns that I was originally referred for was not really addressed in a timely manner. I also did not like that while she is my primary doctor in this practice that she did not perform my egg retrieval or my upcoming frozen embryo transfer. More consistency with seeing your actual doctor is preferred.

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

BE YOUR OWN ADVOCATE. You will not get any hand holding and very little explanations unless you demand them. Most appointments are very short so have a list of your questions ready otherwise you'll be rushed out of the office very quickly and will forget to ask them. Don't be afraid to do your own research. Utilize the patient portal to send emails and questions directly to the doctor. She is very good at responding to these in a timely manner.

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

This is my only point of reference as I have not been to any other clinics but it it quite impersonal. While you have a primary physician that oversees your care, you see many different doctors and even had a completely different doctor perform my egg retrieval. The morning ultrasound appointments, while efficient, make you feel like you are being herded like cattle and there is little to no bedside manner during those visits. I have found that you really need to do your own research and be your own advocate. There is no hand-holding so if you are looking for a doctor to really spend time with you and make you feel that they care about you as a person, this is certainly not the clinic to provide that.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

We started the whole process with hormone testing, HSG, saline ultrasound and semen analysis. We attempted timed intercourse with Letrazole and a trigger injection but it was unsuccessful. We did one IUI using Clomid and a trigger injection which was also unsuccessful. Due to my age we then went on to IVF. Stimulated with Menopur, Gonal-F and cetrotide for the egg retrieval. Only ended up with 2 blast embryos which we did PGS screening on and are frozen awaiting frozen embryo transfer. Currently on Estrogen patches, Progestone in oil injections, antibiotics/steroids in prep for transfer.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nursing staff is professional but they are right in line with the lack of bedside manner or support that I would expect from a specialty clinic. They obviously have a lot of patients and probably deal with the same protocols and questions from hormonal women every day but they are not super pleasant and only provide the bare minimum of information unless you press them. I also had an extremely unpleasant interaction with one of the nurses over the phone that I took it to the nurse manager of the office since she was completely unprofessional, rude and actually WRONG about the information she was giving me. The support staff (medical assistants) are probably the nicest of all of their employees.

Describe your experience with Johns Hopkins Medical Institute.

Strengths: They usually run on time with appointments (not morning ultrasounds because these are first come first served). The patient portal email system is easy to navigate and read in a timely manner. The nursing support staff (medical assistants) are very pleasant and professional. Weaknesses: Feels extremely impersonal and you don't feel like you are treated like an individual but rather just another person to put on their protocols. Extreme variations in practice between all of the physicians. Lack of bedside manner and tend to give bare minimum information without prompting. Things to know: Be your own advocate and do your own research. Get a second opinion if you are able.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

They do monitoring ultrasounds every day (7 days per week) from 7am-8:30am. They are done on a first come, first served basis. There is usually a line forming outside of the clinic before it even opens as early as 6:15am. You see a different doctor almost every time and there is no small talk. They just want your ultrasound done and to get you out of there.

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

IUI x1, IVF retrieval x1, FET x1 - approx. $25k

Describe Mindy Christianson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

Dr. Christianson with a big proponent of eSET. Since our embryos were at blast stage as well as PGS screened as normal, she feels that only transferring one at a time is ideal. She did say that ultimately the decision is ours though.

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to inform you of changes in protocol
Provided conflicting information

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

When preparing for our IUI, I had conversations and very specific instructions from my primary doctor in this clinic. When I called to inform the nursing staff of my cycle, the nurse was rude and basically told me that I was mistaken and that none of what I had been told was actually going to happen. I had to escalate to the doctor as well as the nurse manager of the practice. In the end, I was correct and the cycle was done as I had originally been told but the extreme unprofessionalism and conflicting statements made me lose confidence in this clinic as a whole.

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2018 - 2019, Unknown Success

Age 33 - 34

Male Factor

PCOS

Income $100K - $199K

Nurse or HC Services

1st of 2 Docs

3 IUI With Other Docs

Strongly Recommends

Neutral

Success w/ Doc Too early to know

Review of

Chantel Ianthe Cross Johns Hopkins Medical Institute

Dr Cross spends ample time answering questions and explaining the plan during every appointment. ... Dr Cross was extremely sensitive during my miscarriage after my first IUI. ... She never made us feel rushed or insignificant. ... With my husband also having male factor infertility, she was conscientious of us needing IUI rather than timed intercourse. ... As a medical professional myself, I needed someone who was transparent and honest with my about what to expect as far as treatment and potentional outcomes.

Johns Hopkins Reproductive Endocrinology has been a great place for my husband and I to receive fertility treatment. The office is extremely organized and able to get me into appointments in a timely manner. The nurses line also produces good responses. I always receive a call back by the end of the day, and earlier if it’s more urgent. ... Using insurance for some meds and paying cash for others has required some coordination on their [nurses] part. They have been patient and understanding.

How was your experience with Chantel Ianthe Cross at Johns Hopkins Medical Institute?

Dr Cross was a great doctor to be assigned to when I called for an appointment. As a medical professional myself, I needed someone who was transparent and honest with my about what to expect as far as treatment and potentional outcomes. She is patient, kind and compassionate. Dr Cross was extremely sensitive during my miscarriage after my first IUI. When I had to go in for an ultrasound she was unable to be present but she specifically asked for another doctor to do my exam, knowing the kind of bedside manner I needed at that moment.

What's one piece of advice would you give a prospective patient of Chantel Ianthe Cross at Johns Hopkins Medical Institute?

Come prepared with questions, make a list before your appointment. As with any big doctor appointment, your mind sometimes goes blank when you are in the room. Dr Cross spends ample time answering questions and explaining the plan during every appointment.

During treatment, were you treated like a number or a human with Chantel Ianthe Cross at Johns Hopkins Medical Institute?

Dr Cross spent time explaining things to us in detail, especially my husband. She never made us feel rushed or insignificant. During my first miscarriage she was extremely sensitive to my needs.

Describe the protocols Chantel Ianthe Cross used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Because of my diagnosis of PCOS, we decided to use letrozole over clomid for my IUI cycles. Research has shown the letrozole is more successful in PCOS patients. With my husband also having male factor infertility, she was conscientious of us needing IUI rather than timed intercourse. She carefully looked at his semen analysis and helped us feel comfortable in that decision.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nurses have been great at answering all my questions regarding medications. Using insurance for some meds and paying cash for others has required some coordination on their part. They have been patient and understanding.

Describe your experience with Johns Hopkins Medical Institute.

Describe the costs associated with your care under Chantel Ianthe Cross at Johns Hopkins Medical Institute.

I found the costs pretty spot on. My insurance covers 90% after I reached my deductible.

Doctor

Chantel Ianthe Cross

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Chantel Ianthe Cross Johns Hopkins Medical Institute

2017 - 2019, Unknown Success

Age 34 - 36

6 IUI

Male Factor

European

Income $100K - $199K

Graphic Designer

Only Doc Seen

Donor Sperm

Strongly Recommends

Neutral

Success w/ Doc Too early to know

Review of

Jairo Garcia Johns Hopkins Medical Institute

Dr. Garcia treated me with respect and was not demeaning towards me concerning my weight....Dr. Garcia is knowledgeable but sometimes speaks quickly so I have to check in to make sure I understand along the way. He always listens to me concerns but sometimes what seems concerning to me is more normal to him. I suppose this is probably due to him dealing with many patients older than me or who have already persued IVF.

It is nice that the [Johns Hopkins] Greenspring Station location has the clinic, bloodwork lab, ART lab and pharmacy all on one campus. I felt that this helped to streamline my visits a bit more. I appreciated that the clinic got back to me quickly with bloodwork results as well....The nursing staff were always available to answer questions. My only qualm is that they didn't check in with me after IUIs unless I called them with a positive HCG test results.

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

Dr. Garcia is knowledgeable but sometimes speaks quickly so I have to check in to make sure I understand along the way. He always listens to me concerns but sometimes what seems concerning to me is more normal to him. I suppose this is probably due to him dealing with many patients older than me or who have already persued IVF. As a plus sized woman, I had to visit 3 different clinics before I finally found one that talked to me like a person rather than act immediately dismissive based on my size alone despite the main fertility concern being MFI.

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

I wish I had met with him first before having to deal with rude doctors or doctors that left me crying by the time I left their office. It would have saved so much heartache and I would have been further along in my progress than I am now.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

Unlike other fertility doctors, Dr. Garcia treated me with respect and was not demeaning towards me concerning my weight.

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Prior to my first IUI, Dr. Garcia had me do an HSG test to make sure my tubes were clear. During my first IUI, he had me use Crinone after the procedure but I had an adverse reaction to it, he was open to me using PIO for my other 5 IUIs. He had his staff make sure I had mature follicles before attempting IUI. Before each IUI, I had to take Ovidrel since I was not ovulating without it depite having mature follicles. We later found out I had pelvis adhesions imparing one of my ovaries. Unfortunately it was the ovary that had follicles the first 4 IUIs. None of those IUIs would have ever worked due to that but there was no way of knowing short of exploratory surgery. The 5th IUI had 2 mature follicles that resulted in a pregnancy but ended early. The 6th IUI had 1 mature follicle and did not work for me. Right now I am taking a financial and mental health break from fertility treatment but I plan to return for egg retrieval and IVF this year.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nursing staff were always available to answer questions. My only qualm is that they didn't check in with me after IUIs unless I called them with a positive HCG test results.

Describe your experience with Johns Hopkins Medical Institute.

It is nice that the Greenspring Station location has the clinic, bloodwork lab, ART lab and pharmacy all on one campus. I felt that this helped to streamline my visits a bit more. I appreciated that the clinic got back to me quickly with bloodwork results as well.

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2018, Unsuccessful

Age 31

Male Factor

Income $0 - $49K

2nd of 2 Docs

6 Fertility Medications With Other Docs

Doesn't Recommend

Unsuccessful

Review of

Jairo Garcia Johns Hopkins Medical Institute

It all seemed very clinical, he [Dr. Garcia] did not want to know about what we wanted to do with treatments, he told us what he would and would not try.... He was also very negative about my husbands sperm count and the pregnancy risks because I am overweight.... He pushed for IVF and only IVF and then sent us to the financial people. He would not talk about other options or even ask how we felt about IVF.

The clinic [Johns Hopkins] is clean but a bit crowded. They have an on site financial counselor there to explain how you can borrow money for treatments. THey have ultrasound stuff and a place to draw blood in the building which is convenient, but you have to go somewhere else and make an appointment for sperm analysis ... They didn't call with results,

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

He was soft spoken but firm and very much pushed for IVF without asking our opinion or thoughts on the matter. He was also very negative about my husbands sperm count and the pregnancy risks because I am overweight. His examination was thorough though - the last place the nurses did all of that. I felt like a paycheck rather than a person

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

Do your research before you go, know your options and speak up - I wish I spoke up more.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

It all seemed very clinical, he did not want to know about what we wanted to do with treatments, he told us what he would and would not try. He pushed for IVF and only IVF and then sent us to the financial people. He would not talk about other options or even ask how we felt about IVF.

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

His only recommended treatment was that we start IVF and if we didn't have the money we were told to take out a loan. As a result, I left in tears and am hoping to see a different doctor when we have saved the money for treatments.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nurses seemed nice and efficient - the followed the doctors orders but didn't really talk to me much.

Describe your experience with Johns Hopkins Medical Institute.

The clinic is clean but a bit crowded. They have an on site financial counselor there to explain how you can borrow money for treatments. THey have ultrasound stuff and a place to draw blood in the building which is convenient, but you have to go somewhere else and make an appointment for sperm analysis - if you live far away this can be a pain in the behind.

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

My insurance covered what we did do. IVF normally runs around $20,000 a cycle there but they do offer bundle plans and such.

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to call with results

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

They didn't call with results, but two big things for me were 1) I was on long term use of Mobic for my autoimmune pain - no one, not even the doctor let me know that long term NSAID use can cause infertility and miscarriage and that I should stop it. and 2). after i got my husbands sperm results back, I emailed the clinic asking what the next steps where if we wanted to use donor sperm rather than IUI. I never heard back.

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2018, Unknown Success

Age 34

1 Egg Freezing

1 Embryo Freezing

Recurrent Pregnancy Loss

Unexplained

Ashkenazi Jewish

Middle Eastern

Income $50K - $99K

Business Executive

2nd of 2 Docs

2 IVF With Other Docs

7 Egg Freezing With Other Docs

7 Embryo Freezing With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Chantel Ianthe Cross Johns Hopkins Medical Institute

While it's necessary to be an advocate for yourself and understand your own treatment, I felt secure in trusting Dr. Cross and her advice. ... Her positive energy and commitment to success has helped me keep my spirits up on more than one occasion after loss. ... My doctor is a big advocate for patient safety and we were advised that transferring more than one embryo may put mom and babies at risk. ... Very good at responding to calls and emails, always takes the time to explain procedures or her reasoning for next steps.

Monitoring [at Johns Hopkins] was a sign-in processes during monitoring hours on a first-come first-serve basis. Lab work was done in another office two floors down, which also required signing in. I was usually there at least 45 min between the two sign in sheets. ... The financial office was very good about submitting things to insurance. They were responsive and always responded to emails. ...Costs for fertility treatment are broken down and itemized ... it also helps getting some pieces get covered by insurance even if they wouldn't otherwise. ... They [nurses] follow up, always answer calls, and are reliable. ...

How was your experience with Chantel Ianthe Cross at Johns Hopkins Medical Institute?

Dr. Cross has a professional and warm bedside manner. It truly feels as though she is invested in our success. Very good at responding to calls and emails, always takes the time to explain procedures or her reasoning for next steps. Dr. Cross is open minded, experienced, and well educated - her recommendations come with explanations for why she believes one method would work over another and open to change course or try something new. Her positive energy and commitment to success has helped me keep my spirits up on more than one occasion after loss.

What's one piece of advice would you give a prospective patient of Chantel Ianthe Cross at Johns Hopkins Medical Institute?

While it's necessary to be an advocate for yourself and understand your own treatment, I felt secure in trusting Dr. Cross and her advice.

During treatment, were you treated like a number or a human with Chantel Ianthe Cross at Johns Hopkins Medical Institute?

My experience with Dr. Cross was vastly different than previous experiences at another clinic. Dr. Cross is always available to answer questions, explain treatment, or go through anything I don't understand. There are no hoops to jump through to connect with the staff. Her bedside manner is warm and professional at the same time. It truly feels as though she is invested in our success.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nursing staff at Johns Hopkins Fertility are professionals. They work hard to answer questions at any time and make sure you have all the information you need. They follow up, always answer calls, and are reliable.

Describe your experience with Johns Hopkins Medical Institute.

At first glance the office may seem outdated and slightly dated. Don't let that fool you! The office has excellent doctors, caring staff, and progressive technology. One of the things I didn't like about the IVF protocol is that you had to sign in for ultrasound, then sign in (on a separate floor) in the lab for blood work. It took managing two separate sign up sheets and made monitoring appointments last very long. Once you get the hang of it you understand the juggle but before I did, it was a challenge.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

Monitoring was a sign-in processes during monitoring hours on a first-come first-serve basis. Lab work was done in another office two floors down, which also required signing in. I was usually there at least 45 min between the two sign in sheets. The good thing was that they didn't require daily monitoring until it was absolutely necessary.

Describe the costs associated with your care under Chantel Ianthe Cross at Johns Hopkins Medical Institute.

The financial office was very good about submitting things to insurance. They were responsive and always responded to emails. Costs for fertility treatment are broken down and itemized - this helps see what the cost is for each portion of the treatment but it also helps getting some pieces get covered by insurance even if they wouldn't otherwise.

Describe Chantel Ianthe Cross's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

My doctor is a big advocate for patient safety and we were advised that transferring more than one embryo may put mom and babies at risk. I fully understand and agree that risking a nicu stay or mother safety is not worth the risk. My doctor educated us on both paths and ultimately left the choice to us.

Doctor

Chantel Ianthe Cross

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Chantel Ianthe Cross Johns Hopkins Medical Institute

2018, Unknown Success

Age 42

Diminished Ovarian Reserve

Endometriosis

Black or African-American

Income $200K - $499K

Business Executive

Only Doc Seen

Donor Eggs With Other Docs

Neutral

Strongly Recommends

Success w/ Doc Not sure

Review of

Jairo Garcia Johns Hopkins Medical Institute

Dr Jairo’s education is definitely a strength... Communication across the clinic [Johns Hopkins] is a weakness. You kind of have to be an advocate for yourself regarding your own healthcare...our doctor prefers a single embryo transfer for donor egg transfers....Limited amount of time the doctor is able to see each patient and the amount of women using the clinic services....we tried to perform an egg retrieval using my remaining ovary but the endometriosis returned in the right ovary

This clinic [Johns Hopkins] is highly knowledgeable in areas of infertility. The clinic is clean and the staff is organized and available to patients at all hours. Weakness is lack of time for extremely personalized care due to the number of patients...The clinic operation is the weakness. Which is less to do with doctor and more to do with management. Communication across the clinic is a weakness. You kind of have to be an advocate for yourself regarding your own healthcare

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

Dr Jairo’s education is definitely a strength. The clinic operation is the weakness. Which is less to do with doctor and more to do with management. Communication across the clinic is a weakness. You kind of have to be an advocate for yourself regarding your own healthcare but that is the way the healthcare industry operates as a whole.

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

Be your own advocate. Know what is going on with your body and don’t be afraid to speak up and ask questions as this is a large investment and undertaking.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

Limited amount of time the doctor is able to see each patient and the amount of women using the clinic services.

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Due to the fact that I have endometriosis and my having had surgery in 2015 to remove my left tube and ovary we knew there was a huge chance we would have to use donor eggs. However we tried to perform an egg retrieval using my remaining ovary but the endometriosis returned in the right ovary and in my pelvic cavity due to the stims so I had a subsequent surgery July 25th 2018 to remove my remaining right ovary and tube, and endometriosis from the pelvic cavity. However my uterus is fine and has no endometrisis with in. We meet with our doctor on September 17th 2018 to move forward with the process for donor egg transfer.

Describe your experience with Johns Hopkins Medical Institute.

This clinic is highly knowledgeable in areas of infertility. The clinic is clean and the staff is organized and available to patients at all hours. Weakness is lack of time for extremely personalized care due to the number of patients

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

My insurance paid for much of the services. Donor eggs however cost $15,000.00 and the storage for one year cost $500.00.

Describe Jairo Garcia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

our doctor prefers a single embryo transfer for donor egg transfers.

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2016 - 2018, Successful

Age 29 - 31

European

East Asian

Black or African-American

Income $100K - $199K

Consultant

Only Doc Seen

IVF With Other Docs

Donor Sperm

LGBTQ+

Strongly Recommends

Successful

Review of

Mindy Christianson Johns Hopkins Medical Institute

For IUI, my wife was young (25) and didn't have an fertility issues, so Dr. Christianson only had her do the trigger shots. After the 3rd IUI she was successful. For RIVF, after telling Dr. Christianson that our goal is to have one child from this process, she was quick to note the proper treatment strategies, minimizing medications, to ensure we don't have a bunch of leftover embryos. We plan to retrieve and transfer in the summer.

Strengths [for Johns Hopkins] would be the great doctors and nurses. I also really like that I can see all the visit notes online in my mychart. ... We are a same sex couple so there were a couple mixups between who was retrieving and who was transferring early on, but she was quick to make the changes when we called. She is a great nurse that has been very nice and accommodating.

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

Dr. Christianson is great. She is kind and genuine. We had her as our doctor for IUI two years ago (successful after 3attempts) and are going back to her now for RIVF. She understands our goals and gets us in for appointments on our time rather than forcing us on a certain schedule. She communicates very well through their online database as well.

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

I would say this for any doctor, but know your goals going in so the doctor is able to tailor their plans to your goals. For RIVF, be clear on which partner is doing what, we had a couple mixups, but Dr. Christianson's assigned nurse has been quick to check with Dr. Christianson and make the necessary changes.

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

Dr. Christianson is really nice and makes the process go by as easy as possible.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Describe your experience with your nurse at Johns Hopkins Medical Institute. (Assigned nurse: Jennifer Style)

We are a same sex couple so there were a couple mixups between who was retrieving and who was transferring early on, but she was quick to make the changes when we called. She is a great nurse that has been very nice and accommodating.

Describe your experience with Johns Hopkins Medical Institute.

Strengths would be the great doctors and nurses. I also really like that I can see all the visit notes online in my mychart. Weakness would be the cost associated with IVF is high. I had med students in a few of my appointments and you would think this should drive the cost of care down some since they’re using the clinic as a classroom.

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

Approximately per cycle OOP costs not including medicine: $11,000 for IVF $5400 for frozen embryo transfer $2400 for IUI

Describe Mindy Christianson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

She recommended single embryo transfer because we are relatively young with no fertility issues. We would've went this route either way since we do not want to risk having multiples.

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2017 - 2018, Unknown Success

Age 26 - 27

1 IVF

Anovulation

Male Factor

PCOS

Black or African-American

Income $50K - $99K

Teacher

Only Doc Seen

Neutral

Strongly Recommends

Success w/ Doc Not sure

Review of

Mindy Christianson Johns Hopkins Medical Institute

Dr. Christianson is very responsive on the online portal and responds to all of my questions no matter how many I need to ask. She also makes it a point to call personally when trying to adjust a plan or testing etc....When my first ivf cycle failed we changed the protocol by adding an endometrial scratch....because it is a group practice and you may see a different doctor each time you go in for monitoring....She is very open to the steps that you feel comfortable with taking

As a new patient you should know that this [Johns Hopkins] is a group practice. This means that when you go for monitoring you may meet with whatever doctor is scheduled that morning. I liked that they did monitoring in the morning because I didn't need to miss time from work....They would go in a first come first served fashion....the ivf cycle was about 10K and the FET cycles are about 5600. Freezing of embryos was $600 and thawing was $250 per cycle.

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

As a patient I feel like she is doing everything in her power to help us conceive. When my first ivf cycle failed we changed the protocol by adding an endometrial scratch. She also did further testing. The second cycle also failed and we are in the process of completing a more aggressive protocol and testing before moving forward. I do wish that all of the testing would have been completed at the beginning so that we could have known more of what to expect. I think that at this point it really is a puzzle because all of the tests show that it should have worked by now. I do feel that she is being diligent about trying to troubleshoot where we can.

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

Be your own advocate. She is definitely going to give you the best care but if you have a test or supplement that you would like to know about, she will take the time to tell you the pros and cons of it. She will also thoroughly explain every step so be ready to take notes. *smile* But seriously, if you want to know something, don't be afraid to ask. She is very open to the steps that you feel comfortable with taking. For instance because of my age they would only usually transfer one embryo but she let me decide how many I wanted to transfer. After my first failed cycle she asked if I would be comfortable with two being transferred and ultimately let me make the finally decision.

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

It is easy to feel like a number because it is a group practice and you may see a different doctor each time you go in for monitoring. However, Dr. Christianson is very responsive on the online portal and responds to all of my questions no matter how many I need to ask. She also makes it a point to call personally when trying to adjust a plan or testing etc.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Cycle 1: Stimulation- gonal f and menopur with cetrotide. I ended up being high risk for OHSS so she decided to do a freeze all cycle. I had about 30 follicles and retrieved 15 mature eggs. FET-after my period started I was able to do a frozen embryo transfer. We decided to do 1 embryo because of my age and the likelihood that it would be successful. I used estrogen patches for 14 day, crinone for 5 days (there was a progesterone in oil shortage at the time), medrol and doxycycline (those are standard at the practice before a transfer). That cycle resulted in a negative pregnancy test. FET2- When my period started from the last failed cycle, I took birth control because the clinic was closed for the holidays. When they reopened I went in for a saline ultrasound to check for polyps and an endometrial scratch. I stopped the birth control then started the estrogen 2 days after. I began the progesterone in oil on day 14 of my cycle and had a transfer of 2 embryos 5 days later. That cycle also resulted in a negative test. Now: We are in the process of developing the protocol for my next transfer. I will complete an ERA to make sure that we are transferring at the right time. Then I will wait for my period to come. Once that ends, I will have a hysteroscopy to ensure that nothing was overlooked in the saline ultrasound. I will also be completing an immune protocol for the next cycle which will include a higher steroid dose and lovenox.

Describe your experience with Johns Hopkins Medical Institute.

As a new patient you should know that this is a group practice. This means that when you go for monitoring you may meet with whatever doctor is scheduled that morning. I liked that they did monitoring in the morning because I didn't need to miss time from work. Also the changing of doctors during clinics can be a good thing because you become comfortable with all of the doctors and they may be the one completing your transfer or retrieval so its good to at least be familiar with them. Sometimes I do feel that they may not remember me personally but I dont take it personal since they see so many people in the mornings for monitoring.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

For monitoring the clinic opens at 630, the lab opens at 6 am. Usually your lab tests for the cycle are already in the online portal so I would arrive early, go get blood work done, then go upstairs and sign in to be seen. They would go in a first come first served fashion. If the list was already long when I arrived, I would sign in, then go for my blood work and come back.

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

the ivf cycle was about 10K and the FET cycles are about 5600. Freezing of embryos was $600 and thawing was $250 per cycle.

Describe Mindy Christianson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

I was advised to transfer one embryo initially because of my age. The second cycle she suggested we do 2 and I agreed.

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2016 - 2017, Successful

Age 26 - 27

1 IUI

3 IVF

Anovulation

Male Factor

PCOS

European

Income $50K - $99K

Only Doc Seen

Strongly Recommends

Successful

Review of

Mindy Christianson Johns Hopkins Medical Institute

She is so incredibly compassionate. Dr Christianson also remembered personal conversations we had, made me feel my emotions and feeling were valid and listened to and answered every single question I had...Dr Christianson was everything we needed in a doctor. So kind and compssionate, explained everything, answered all questions, joked when appropriate, listened to my cry, comforted me, checked up on me personally through phone call and email.

This clinic [Johns Hopkins] is so well run. Nurses, receptionists, doctors all very welcoming. They have a variety of hours and open clinic for ultrasounds in the AM. They make themselves very available. Scheduling is easy and they also use an oneline portal which is awesome...The nurses are AMAZING. So kind, so gentle so fun....Waiting area is nice and coffee is downstairs whixh is awesome for early morning appointments.

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

Dr Christianson was everything we needed in a doctor. So kind and compssionate, explained everything, answered all questions, joked when appropriate, listened to my cry, comforted me, checked up on me personally through phone call and email. She adjusted our course of treatment as necessary, explained risks, and gave me great medically sound advise. I have recommended her to every single person I know going through fertility treatments. We wouls not have out miracle baby without her help

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

Listen to her, trust her, you are in amazing hands

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

We tried letrozole to help me ovulate until we learnwd we had male factor infertility as well. We then did 1 round of IUI with letrozole which did not result in pregnancy. Because I am annovatory and my husband had low count she agreed to move forward with IVF. We used follistim and menupur first round and got three eggs but non were mature enough due to a weird hormone dip I had. Second round we did follistim and ganarelix. We froze one embryo. Last roubd we dis the same protocol and got 14 eggs, 9 of which fertilized. We transferred 2 frozen embryos while I used progesterone and estrogen and both emplanted. I miscarried 1 baby at 9 weeks and now have a healthy baby boy

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nurses are AMAZING. So kind, so gentle so fun. They celebrated my pregnancy

Describe your experience with Johns Hopkins Medical Institute.

This clinic is so well run. Nurses, receptionists, doctors all very welcoming. They have a variety of hours and open clinic for ultrasounds in the AM. They make themselves very available. Scheduling is easy and they also use an oneline portal which is awesome

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

You sign in in the morning. They fall your name and bring uou bwck. Waiting area is nice and coffee is downstairs whixh is awesome for early morning appointments. Everyone is so friendly and the wait isnt long if you get there early. The lab is downstairs too which is so easy

Describe Mindy Christianson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

She made sure we knew the risks of transferring two embryos but allowed us to make the choice of imppanting two

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

2014 - 2017, Unknown Success

Age 35 - 38

11 IUI

1 IVF

Endometriosis

Tubal Blockage

Recurrent Pregnancy Loss

European

Income $100K - $199K

Nurse or HC Services

Only Doc Seen

Fertility Medications With Other Docs

Strongly Recommends

Success w/ Doc Not sure

Review of

Jairo Garcia Johns Hopkins Medical Institute

I know that Dr Garcia does truly care about me, but at times I have felt like he was rushing. This was moreso in the beginning. Now that we've been through an awful lot together, I feel that our questions are answered with more patience. He has always been excellent about responding to emails, although I have kept those to a minimum out of respect for his very busy schedule....Dr Garcia has been very open to listening to what our preferences have been all along. He offers suggestions about treatment or procedures and then let's the patient decide. He doesn't push us one way or another. I believe he doesn't push donor eggs as a first option, which I have heard from other clinics. I never get the feeling that he is concerned with his clinic's annual statistics. They take patients that have failed elsewhere. He has taken my thoughts and suggestions into account. I had 4 IUI (the most he will do before IVF). The last one was positive but ended in a miscarriage. Dr Garcia performed my d&c. We did another five IUI hoping for a positive. After those we moved to IVF but I had some false starts and my meds needed to be tweaked. Unfortunately that took some time and in the end the IVF failed. He had offered a laproscopy after IUI and prior to ivf but at that time I wasn't interested. After our failed IVF I was almost out of insurance money for treatments. So we did the laproscopy and Dr Garcia found. Oth Fallopian tubes blocked. He opened one up and got rid of lots of adhesions as well. We went back to IUI- and had success the second month. Unfortunately that also ended in a miscarriage and again Dr Garcia performed my d&c. I am currently waiting for the genetic analysis of the conception tissue in order to determine our next step.

The morning scan system [at Johns Hopkins Medical Institute] is painful. I usually arrive there at 6am in order to be first in line. By 645 there are usually at least 15 people in line. The clinic opens at 7. If you are one of the first 2-3 people, you can be in and out quickly. If not, it can take well over an hour to be seen- then you have to go for labs downstairs. If I arrive at 6 am and am first in line, I am usually only one hour late to work (supposed to be there at 7am). It's exhausting though. The insurance/financial folks have been truly excellent. Dr Garcia's office coordinator (Melony) has been helpful- she fbelped me with my FMLA forms and was able to schedule procedures quickly when I needed them. I would have liked for someone to speak with me about counseling. When I asked about it, I was first given the contact of someone no longer practicing. Then it was suggested I go to a free support group- but the doctor running it wasn't offering them any longer. I found some resources in my own instead.

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

Dr Garcia has been very open to listening to what our preferences have been all along. He offers suggestions about treatment or procedures and then let's the patient decide. He doesn't push us one way or another. I believe he doesn't push donor eggs as a first option, which I have heard from other clinics. I never get the feeling that he is concerned with his clinic's annual statistics. They take patients that have failed elsewhere. He has taken my thoughts and suggestions into account. I had 4 IUI (the most he will do before IVF). The last one was positive but ended in a miscarriage. Dr Garcia performed my d&c. We did another five IUI hoping for a positive. After those we moved to IVF but I had some false starts and my meds needed to be tweaked. Unfortunately that took some time and in the end the IVF failed. He had offered a laproscopy after IUI and prior to ivf but at that time I wasn't interested. After our failed IVF I was almost out of insurance money for treatments. So we did the laproscopy and Dr Garcia found. Oth Fallopian tubes blocked. He opened one up and got rid of lots of adhesions as well. We went back to IUI- and had success the second month. Unfortunately that also ended in a miscarriage and again Dr Garcia performed my d&c. I am currently waiting for the genetic analysis of the conception tissue in order to determine our next step.

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

Understand the he does truly care, he has a HUGE amount of expertise and experience. Sometimes he is not he best communicator, go in with questions written so you can ask them all.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

First we started stims (gonal f and menopur) immediately after a failed IUI. I didn't make many follicles which we were all surprised by (I respond well to Clomid). He stopped the cycle and I was to use ganerelix prior to my next period. Unfortunately it came early and I only got a few doses in, and that wasn't enough suppression. Next time we got enough doses of the ganerelix prior to my period starting and were able to make it to retrieval. I didn't produce many eggs. Next time we will add Clomid three times a day on cd2-5. It's frustrating to think that cheap old Clomid could have helped us in the last ivf cycle. It's so inexpensive and with two previous false starts I wish that we had done it in our full IVf cycle last year.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

Good about returning phone calls same day. Would have been good to learn some tips about how to maximize insurance benefit. I used $12k of my $30k lifetime benefit on meds that would have cost me less than $6k out of pocket (it would have been smarter for me to pay oop for the meds and save the $12k of insurance coverage). The nurses were aware of this but no one warned me. They do a 2 hour mandatory IVF class which was informative. I am a nurse so some of it was redundant to me but I was glad my husband could go and learn about it. The nurses on a whole are excellent. On a few occasions I have felt like they were very rushed but usually they are great.

Describe your experience with Johns Hopkins Medical Institute.

The morning scan system is painful. I usually arrive there at 6am in order to be first in line. By 645 there are usually at least 15 people in line. The clinic opens at 7. If you are one of the first 2-3 people, you can be in and out quickly. If not, it can take well over an hour to be seen- then you have to go for labs downstairs. If I arrive at 6 am and am first in line, I am usually only one hour late to work (supposed to be there at 7am). It's exhausting though. The insurance/financial folks have been truly excellent. Dr Garcia's office coordinator (Melony) has been helpful- she fbelped me with my FMLA forms and was able to schedule procedures quickly when I needed them. I would have liked for someone to speak with me about counseling. When I asked about it, I was first given the contact of someone no longer practicing. Then it was suggested I go to a free support group- but the doctor running it wasn't offering them any longer. I found some resources in my own instead.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

See previous comments. This is not an ideal system.

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

Using insurance through my employer. I have received 11 IUI, one full ivf, and two false start ivf for about $30k. We paid about $3k or so for some IVF meds due to the false starts.

Describe Jairo Garcia's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

We were comfortable with multiple embryo transfer. No real comment here.

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2016 - 2017, Successful

Age 33 - 34

1 IVF

Male Factor

PCOS

European

Native American

Income $100K - $199K

Nurse or HC Services

Only Doc Seen

Strongly Recommends

Successful

Review of

Howard Zacur Johns Hopkins Medical Institute

Dr. Zacur clearly cares about his patients and goes out of his way to be available to his patients instead of letting the on-call/covering doctor in the practice handle things whenever possible. I suffered a miscarriage while under his care and the level of compassion he showed was amazing...Even though he is an older doctor with many years of experience, he is knowledgeable about most current research and standards of practice.

The nursing staff [at Johns Hopkins] are extremely efficient and reliable. I've had every question or request attended to promptly. The IVF classes taught by the nurses are so helpful...An IVF cycle not including medication costs about $11,000. A frozen embryo transfer is about half the cost of a full cycle. ..Ultrasounds and labs are done every day on a first come, first serve basis from 6:30-8:30 am...The clinic moves through a large group of patients very efficiently yet you still feel like you are getting the individual attention you need.

How was your experience with Howard Zacur at Johns Hopkins Medical Institute?

Dr. Zacur is outstanding. I completely trust him with my care and have complete confidence in his abilities. He is kind and compassionate but also very honest when necessary. He takes the time to make sure I understand and am comfortable with the treatment plan. Even though he is an older doctor with many years of experience, he is knowledgeable about most current research and standards of practice.

During treatment, were you treated like a number or a human with Howard Zacur at Johns Hopkins Medical Institute?

Describe the protocols Howard Zacur used in your cycles at Johns Hopkins Medical Institute and their degree of success.

I was diagnosed with a unicornuate uterus which limited my treatment options to only IVF. Dr. Zacur stressed the importance of reducing the risk of multiples and strongly recommended transferring only one embryo. I was on follistim, cetrotide and ovidrel. We did a retrieval and froze all embryos and did a frozen transfer later. Dr. Zacur recommends frozen over fresh transfers to his patients because he feels there is a better chance of success especially when your body has a chance to recover from stims and retrieval. I became pregnant after my first and only transfer but miscarried at 7 weeks. I am currently doing stims for another retrieval, we are planning to freeze all again and transfer an embryo in a later cycle.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nursing staff are extremely efficient and reliable. I've had every question or request attended to promptly. The IVF classes taught by the nurses are so helpful.

Describe your experience with Johns Hopkins Medical Institute.

The clinic is run very efficiently. All of the staff have been fantastic.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

Ultrasounds and labs are done every day on a first come, first serve basis from 6:30-8:30 am. This has worked great for my schedule. The clinic moves through a large group of patients very efficiently yet you still feel like you are getting the individual attention you need. The nurses call you a few hours later after your lab results are in to update you on the plan/medication doses/next step.

Describe the costs associated with your care under Howard Zacur at Johns Hopkins Medical Institute.

An IVF cycle not including medication costs about $11,000. A frozen embryo transfer is about half the cost of a full cycle. I am fortunate enough to have insurance coverage for fertility so I'm only paying co pays at this point.

Doctor

Howard Zacur

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Howard Zacur Johns Hopkins Medical Institute

2015 - 2016, Unknown Success

Age 34 - 35

3 IUI

Tubal Blockage

European

Income $100K - $199K

Only Doc Seen

Strongly Recommends

Success w/ Doc Too early to know

Review of

Jairo Garcia Johns Hopkins Medical Institute

Dr. Garcia is very knowledgeable and I trust his experience and treatment. We've already established what is wrong with me and we are now working to increase my chances. I've been very happy with my experience so far even though I am not pregnant yet. His accent makes it difficult to understand but he takes the time to make sure I understand him...Probably the hardest advice any fertility patient could hear but to have patience and understanding that English is not his first language. Despite the language barrier, he is very knowledgeable and experienced...

The nursing staff [at Johns Hopkins] has been absolutely incredible. Each one of them has been understanding, sweet, showed compassion, were patient, answered any questions I had and were very reassuring. They always called me back to make sure I knew what the next step was and made sure I was on track... If you work or do not live nearby, the appointments could be tricky to keep. The waiting room is always packed with patients waiting to get ultrasounds. If you're not there early enough, be prepared to wait over an hour...

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

It's easy to get frustrated with a doctor due to fertility. He can only assist you in increasing your chances. He can't cure every fertility issue. Every body works differently and each doctor has to use their expertise to help you conceive. With that in mind, I can't blame my doctor for how my body works. Dr. Garcia is very knowledgeable and I trust his experience and treatment. We've already established what is wrong with me and we are now working to increase my chances. I've been very happy with my experience so far even though I am not pregnant yet. His accent makes it difficult to understand but he takes the time to make sure I understand him.

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

Probably the hardest advice any fertility patient could hear but to have patience and understanding that English is not his first language. Despite the language barrier, he is very knowledgeable and experienced.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

Dr. Garcia always answered my questions and was always attentive. He has a thick accent but still explained things well and repeated himself if I asked for clarification. He was very apologetic when I would get a negative pregnancy test.

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

I started seeing Dr. Garcia because my husband and I were having trouble trying to conceive after 6 months of trying on our own. I had a feeling it was because I had spotting for a week before my menses began. The first test I received was a biopsy to confirm that I had low progesterone. We tried a few cycles of Femara and timed intercourse. I took 2 Femara tablets from day 2-6 of my cycle. When that did not work, we moved on to three cycles of IUI with Femara. A couple of times I needed a booster shot to force ovulation. The IUIs were not successful and I decided to have an HSG test done. It showed that one tube had some resistance (probably due to a mucous plug) but was now open. The left tube had no dye going through. I then decided to get a laparoscopy done. They found a rare congenital defect hanging over my tube which was pinching it closed. The defect was removed and my tube was open after that. My tubes are now both open but I still have low progesterone. I am now on my 4th IUI. I just finished my Femara medication and will be going in for an ultrasound next week and then will try another IUI. If that does not work, we will try one more IUI before moving on to IVF.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

The nursing staff has been absolutely incredible. Each one of them has been understanding, sweet, showed compassion, were patient, answered any questions I had and were very reassuring. They always called me back to make sure I knew what the next step was and made sure I was on track.

Describe your experience with Johns Hopkins Medical Institute.

Probably the only weakness this clinic has is that they get super busy. If you work or do not live nearby, the appointments could be tricky to keep. The waiting room is always packed with patients waiting to get ultrasounds. If you're not there early enough, be prepared to wait over an hour.

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

My insurance pretty much covered everything. The only thing insurance did not cover was going in to receive my diagnosis. All the medications and procedures were covered and I paid $30 copays for most of it. My most expensive procedure so far was my laparoscopy that cost $1400 but I only was responsible for paying $30.

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2010 - 2016, Successful

Age 33 - 39

3 IUI

9 IVF

Diminished Ovarian Reserve

Endometriosis

European

South Asian

Income $100K - $199K

Accountant

Only Doc Seen

Neutral

Strongly Recommends

Successful

Review of

Jairo Garcia Johns Hopkins Medical Institute

Dr. Garcia has a very kind bedside manner. He listens to concerns, and considers them even if he ultimately disagrees with a change. He also was willing to try different protocols and adjust the protocol when not working well. In addition, he never discouraged us from trying with my own eggs.

Dr. Garcia has a very kind bedside manner. He listens to concerns, and considers them even if he ultimately disagrees with a change...The financial staff [at Johns Hopkins Fertility] is awesome and helps you navigate the horrible expense and insurance hoops. The nurses are great, but will not generally be flexible with your treatment and or blood draw dates. The morning clinic times work well for working ladies and the earlier you can get there the better. (There's usually a line before they open).

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

Dr. Garcia is very experienced and willing to try out of the box protocols. He is willing to take on older patients and still allows them to try IVF with their own eggs (multiple times) without refusing to cycle. His bed manner is kind. He can be a little distant when dealing with very emotional times (for instance he seems interested in looking forward rather than backward at losses or failure), but in general is very kind and patient with his patients.

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

He comes with tons of knowledge and hands on experience. He generally wants you to succeed and will be flexible if something isn't working.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

We tried once cycle with birth control suppression and then antagonist cycle- this resulted in no growth and canceled cycle. We then did antagonist cycles without prior literal phase suppression and also with antagonist literal phase suppression- both of these yielded eggs that were viable- the ones without suppression had more variability.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

Most nursing staff were great and very compassionate. There was some miscommunication of information with one of my cycles (for my 2nd). The nurses are not in charge of cycles or changes, however, and if you want something changed, you need to talk to your doctor!

Describe your experience with Johns Hopkins Medical Institute.

The financial staff is awesome and helps you navigate the horrible expense and insurance hoops. The nurses are great, but will not generally be flexible with your treatment and or blood draw dates. The morning clinic times work well for working ladies and the earlier you can get there the better. (There's usually a line before they open).

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

Clinics started at 7:00. There was usually a line waiting for the nurse to open the door by that time. Blood draws opened at 6:30a, but were a mix of patients so wait was sometimes long.

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

Primarily Covered under insurance - 20% copay and standard prescription drug coverage applied to meds (except PGS testing and biopsy- which was OOP).

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to call in prescriptions to pharmacy
Provided conflicting information

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

One time a nurse called me with result and gave me conflicting information from the protocol that my doc and I had talked about. One time items were not called in to the correct pharmacy

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2009 - 2016, Successful

Age 24 - 31

1 Egg Freezing

Surrogacy

East Asian

Income $100K - $199K

2nd of 2 Docs

IVF With Other Docs

Strongly Recommends

Successful

Review of

Lisa Kolp (deceased)Johns Hopkins Medical Institute

She [Dr. Lisa Kolp] is pretty blunt and honest but also laid back and willing to listen to what you want. I didn't feel like we had a specific office wide protocol or process to follow like other major clinics have. And no board to really answer to. She was willing to try things maybe other doctors wouldn't want to risk.

[The staff at Johns Hopkins Fertility was] more flexible on protocols and who they accept as patients. not as much organization or policies/procedures as larger clinics. since part of hospital billing insurance seemed to cover more than might at stand alone clinic. lab is in building and has early morning hours as does clinic. [The nursing staff was] not extremely organized or the best at communicating. You have to be organized for yourself. They rarely answer the phone but can be paged for emergencies or leave a message and they'll get back to you by the end of the day. I went to this clinic more for dr kolp than the nurses.

How was your experience with Lisa Kolp (deceased) at Johns Hopkins Medical Institute?

She is pretty blunt and honest but also laid back and willing to listen to what you want. I didn't feel like we had a specific office wide protocol or process to follow like other major clinics have. And no board to really answer to. She was willing to try things maybe other doctors wouldn't want to risk.

What's one piece of advice would you give a prospective patient of Lisa Kolp (deceased) at Johns Hopkins Medical Institute?

She takes MONTHS to get an appointment, but we instantly started our cycle with her after our initial consult, so things moved relatively fast after that.

During treatment, were you treated like a number or a human with Lisa Kolp (deceased) at Johns Hopkins Medical Institute?

During gyn surgery with her, she rubbed my hair as I fell asleep. She was interested in my success personally. And we still communicate by email a year after successful treatment

Describe the protocols Lisa Kolp (deceased) used in your cycles at Johns Hopkins Medical Institute and their degree of success.

She couldn't locate my ovaries via vaginal ultrasound, so she wasn't sure about my AFC or if a retrieval would be possible. She did a test cycle of clomid to see how my body would respond and sure enough my ovaries plumped up and were easily accessible. With that knowledge and blood work she automatically put me on the max doses of stims (age was 28). With that I still only produced 6 follicles. 5 eggs were retrieved. all 5 fertilized and made it to 5 day blasts. She was skeptical about methods to increase egg health (acupuncture, diet, etc) but wasn't against it and allowed me to do whatever made me happy.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

not extremely organized or the best at communicating. You have to be organized for yourself. They rarely answer the phone but can be paged for emergencies or leave a message and they'll get back to you by the end of the day. I went to this clinic more for dr kolp than the nurses.

Describe your experience with Johns Hopkins Medical Institute.

more flexible on protocols and who they accept as patients. not as much organization or policies/procedures as larger clinics. since part of hospital billing insurance seemed to cover more than might at stand alone clinic. lab is in building and has early morning hours as does clinic.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

Early morning (I believe 6-7:30am in 2014) if you get in immediately it went quick. the later you got there the longer it took. lab opened a bit earlier so I would go there first (sometimes the wait was longer there since other patients not just infertility patients were there) then go to the clinic for monitoring.

Describe the costs associated with your care under Lisa Kolp (deceased) at Johns Hopkins Medical Institute.

With no health insurance coverage for infertility treatments, our IVF retrieval, freeze and then transfer to gestational surrogate including all medications (I bought most from Israel) was about 12-13k. My insurance actually did cover a substantial amount, anything that was explicitly for infertility (like all of the monitoring and bloodwork) was covered.

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to call with results
Provided conflicting information

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

each day during my IVF cycle the nurses called with any changes to medications after reviewing my blood work results. Im not sure if I heard wrong or she said it wrong, but I ended up switching the doses of 2 medications for 2 days before they realized. It would have been great if they followed up with an email or added it to my online chart after our phone calls so I could go back and reference. Phone calls can easily be misheard or taken at times you cant take notes and your memory isn't perfect.

Doctor

Lisa Kolp (deceased)

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Lisa Kolp (deceased)Johns Hopkins Medical Institute

2015, Unsuccessful

Age 40

4 Fertility Medications

Diminished Ovarian Reserve

Recurrent Pregnancy Loss

European

Income $100K - $199K

2nd of 3 Docs

IVF With Other Docs

Donor Eggs With Other Docs

Doesn't Recommend

Unsuccessful

Review of

Jairo Garcia Johns Hopkins Medical Institute

I never felt like anybody at the clinic knew who I was and after 4 cycles, I only saw the same doc [Dr Jairo Garcia] once...Dr. Garcia has a fairly thick accent, so that was an initial struggle...My gut was telling me that I could not take the 2+ hours of travel time and disorganization of the clinic [Johns Hopkins Fertility] any more. It was a PT job and often I was given misinformation (like, you are ovulating 2 days into your period, when in fact, I had the very common condition of having left over cysts from previous eggs. That necessitated multiple visits in a week and should not have been that confusing). So, go with your gut and don't push yourself to the bitter edge.

Disorganized. No phone support [at Johns Hopkins Fertility] at that time. Given very high expectations. Always left confused, or became confused about treatment cycle after the fact....I left utterly confused almost all the time...I never felt like anybody at the clinic knew who I was and after 4 cycles, I only saw the same doc once.

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

Dr. Garcia has a fairly thick accent, so that was an initial struggle. He told me that 85% of the women who could get pregnant on their own, with DOR, with his treatment, had success with getting pregnant. I asked him why the other docs had me jump straight to DE and he told me that they over-medicalize, which is pretty much what I wanted to hear. During the time I was waiting to see him (about 4 months, and we specifically avoided getting pregnant during that time period) and the subsequent 4 months of treatment, my AMH went from super low to negligible and my FSH went high (so pretty much full into peri-menopause--yes, it can happen that fast). He still thought the next step was IVF with my OE and genetic testing. However, bc my experience there had been so confusing and the travel time so intense, I went back to SG with the intent of doing OE IVF (which they wouldn't do with my #s). By that time, I was emotionally exhausted and we decided it was in the best interest of our family to cough up the money, and let go of the idea of me having my own genetic child.

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

Like any fertility story, some things work for some people. Who knows if I had kept on. My gut was telling me that I could not take the 2+ hours of travel time and disorganization of the clinic any more. It was a PT job and often I was given misinformation (like, you are ovulating 2 days into your period, when in fact, I had the very common condition of having left over cysts from previous eggs. That necessitated multiple visits in a week and should not have been that confusing). So, go with your gut and don't push yourself to the bitter edge.

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

I never felt like anybody at the clinic knew who I was and after 4 cycles, I only saw the same doc once.

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

They had me come in for an U/S on Day 2 of my cycle, if it looked good, they had me take Femara for 5 days, then check me again on Day 8 (I ovulated early), and then do the trigger shot, then sex within 24 hours. Only 2 of my 4 cycles even worked and they wouldn't let me do the trigger shot on that first cycle bc I had 4/5 eggs and they didn't want me to get pregnant with high order multiples. I didn't know any better and they didn't know me, but that was best I got during my time there and I feel it was a wasted cycle when I could have had a lucky outcome, esp considering my MC history.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

I left utterly confused almost all the time. Like a doc or nurse would say "uh oh" and then that would scare me and make me feel uncomfortable, but I couldn't get any answers about why they said that. Impossible to get anybody on phone.

Describe your experience with Johns Hopkins Medical Institute.

Disorganized. No phone support at that time. Given very high expectations. Always left confused, or became confused about treatment cycle after the fact.

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

Insurance paid their part of it. I had co-pays for blood draws, meds, appointments.

What specific things went wrong at Johns Hopkins Medical Institute?

Lost paperwork
Failed to call with results
Failed to order appropriate test
Failed to inform you of changes in protocol
Lost results
Provided conflicting information
Failed to convey critical information

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2012 - 2014, Successful

Age 40 - 42

4 IVF

Unexplained

European

Income $100K - $199K

Operations

2nd of 2 Docs

4 IUI With Other Docs

2 IVF With Other Docs

Strongly Recommends

Successful

Review of

Jairo Garcia Johns Hopkins Medical Institute

Even when we faced difficulties, he [Dr. Jairo Garcia] remained informative, but positive. What was also great about choosing Dr. Garcia was that I got to meet and receive care from other highly trained physicians as well; from sought after Hopkins doctors like Dr. Lisa Kolp. I attribute my successful cycle in large part to her, because she was willing to LISTEN and made a slight modification to my meds (added some thyroid medication to my borderline hypothyroid-ish results).

The best. Great doctors, caring staff, all the research and knowledge in one place [Johns Hopkins Fertility]. With the exception of one Fellow (doctor in training), I was always treated with the greatest care. The office was not the prettiest/newest, but is that really important?...Dr. Garcia cared about how many shots needed to be taken, so he prescribed a protocol that allowed various medications to be combined into one shot. It was a much easier protocol than what I had with Dr. Timmreck. I took 2xMenopurs, 4xBravelles for four days, then reduced the Menopur, then added the Ganirelix, then used Ovidrel. After transfer, I used Endometrin. I have a beautiful two year old.

How was your experience with Jairo Garcia at Johns Hopkins Medical Institute?

He was great! Extremely smart, knowledgable, caring and reassuring. Even when we faced difficulties, he remained informative, but positive. What was also great about choosing Dr. Garcia was that I got to meet and receive care from other highly trained physicians as well; from sought after Hopkins doctors like Dr. Lisa Kolp. I attribute my successful cycle in large part to her, because she was willing to LISTEN and made a slight modification to my meds (added some thyroid medication to my borderline hypothyroid-ish results). She told us right before transfer during our last (6th) ivf cycle that our embrio was "perfect". That, is still the codename for our baby!!

What's one piece of advice would you give a prospective patient of Jairo Garcia at Johns Hopkins Medical Institute?

Be patient!

During treatment, were you treated like a number or a human with Jairo Garcia at Johns Hopkins Medical Institute?

From the moment we met Dr. Garcia, he treated us with the kindest, most caring, most professional care.

Describe the protocols Jairo Garcia used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Dr. Garcia cared about how many shots needed to be taken, so he prescribed a protocol that allowed various medications to be combined into one shot. It was a much easier protocol than what I had with Dr. Timmreck. I took 2xMenopurs, 4xBravelles for four days, then reduced the Menopur, then added the Ganirelix, then used Ovidrel. After transfer, I used Endometrin. I have a beautiful two year old.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

At Hopkins, every appointment is handled by a doctor. It is amazing and is very reassuring.

Describe your experience with Johns Hopkins Medical Institute.

The best. Great doctors, caring staff, all the reasearch and knowledge in one place. With the exception of one Fellow (doctor in training), I was always treated with the greatest care. The office was not the prettiest/newest, but is that really important??

Describe the costs associated with your care under Jairo Garcia at Johns Hopkins Medical Institute.

Insurance covered everything, but the copays and the medications.

Doctor

Jairo Garcia

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Jairo Garcia Johns Hopkins Medical Institute

2010 - 2012, 48 Eggs Frozen

Age 34 - 36

3 Egg Freezing

European

Ashkenazi Jewish

Income $200K - $499K

Professor

1st of 10 Docs

3 IUI With Other Docs

1 IVF With Other Docs

Strongly Recommends

Successful

Review of

Lisa Kolp (deceased)Johns Hopkins Medical Institute

She was in touch with me by email when I was inquiring about egg freezing, and she answered all the emails herself, which was impressive given how busy her schedule must have been...Dr Kolp did not make many decisions for me personally....I was paying out of pocket for drugs + retrieval, and she did make sure that each cycle, I got free Follistim or equivalent so that I did not have to buy all drugs out of pocket...Follistim/Gonal + Menopur/Bravelle + agonist like Cetrotide/Ganirelix. I had good result

Clinic [Johns Hopkins] was really easy to navigate. The clinic made it easy for patients to do morning monitoring, and the nurses gave helpful tips, so I got into a routine with morning monitoring...nurses gave useful tips for injection...its procedures were easy to follow for morning monitoring to go smoothly. I liked seeing different doctors each time, and I thought that they worked well together. It felt less authority-driven that the doctors cooperated.

How was your experience with Lisa Kolp (deceased) at Johns Hopkins Medical Institute?

She was in touch with me by email when I was inquiring about egg freezing, and she answered all the emails herself, which was impressive given how busy her schedule must have been. The clinic operates as group model, with each doctor making decisions on the day they were on duty, and that model worked fine, so Dr Kolp did not make many decisions for me personally. I was happy with clinic and my treatment, however. I was paying out of pocket for drugs + retrieval, and she did make sure that each cycle, I got free Follistim or equivalent so that I did not have to buy all drugs out of pocket.

During treatment, were you treated like a number or a human with Lisa Kolp (deceased) at Johns Hopkins Medical Institute?

Clinic was really easy to navigate. The clinic made it easy for patients to do morning monitoring, and the nurses gave helpful tips, so I got into a routine with morning monitoring, and it was easy to do, even on days that might have been stressful like after a snow storm when I had moved away to DC. Likewise, nurses gave useful tips for injection.

Describe the protocols Lisa Kolp (deceased) used in your cycles at Johns Hopkins Medical Institute and their degree of success.

Follistim/Gonal + Menopur/Bravelle + agonist like Cetrotide/Ganirelix. I had good results. She was okay with substituting, and I could be flexible and order the cheaper alternative when ordering from abroad. I ordered the drugs from Israel and paid out of pocket.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

Nurses were really the best. I was intimidated by the whole situation b/c I was single and not trying to conceive yet. The nurses made the whole procedure very doable, and I learned how to do the injections very well with tips that they gave, like to transfer Ganirelix from a pre-filled syringe to a regular syringe with small gauge needle because the Ganirelix needle is so dull. And indeed once I tried the Ganirelix needle, and it was terrible.

Describe your experience with Johns Hopkins Medical Institute.

Clinic when I used it (2010-11) was very easy to use, and its procedures were easy to follow for morning monitoring to go smoothly. I liked seeing different doctors each time, and I thought that they worked well together. It felt less authority-driven that the doctors cooperated.

Describe your experience with your monitoring appointments at Johns Hopkins Medical Institute.

Very easy to do morning monitoring --- they gave tips like sign in upstairs for u/s and then go downstairs for blood work, and by the time blood work finishes, it's your time for the u/s. And so it went smoothly with little waiting.

Describe the costs associated with your care under Lisa Kolp (deceased) at Johns Hopkins Medical Institute.

My health insurance ended up covering all the imaging, blood work, and anaesthesia. I paid for egg retrievals and drugs, but under Maryland's laws, I was billed the same out of pocket as an insurance company would be billed. I do not remember exact costs, and it was years ago, but it was much less than they had quoted for me because insurance covered so much unexpectedly.

Describe Lisa Kolp (deceased)'s approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Johns Hopkins Medical Institute.

NA. Did not transfer embryos, just egg freezing.

What specific things went wrong at Johns Hopkins Medical Institute?

Failed to send your chart to another clinic

Describe the specific things that went wrong at Johns Hopkins Medical Institute.

I think it took a little bit of time and a few calls to get my records from Johns Hopkins sent to Columbia when I started there. It's not a big deal, and it is the type of thing that happens in many health care settings, so almost expected.

Doctor

Lisa Kolp (deceased)

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Lisa Kolp (deceased)Johns Hopkins Medical Institute

2022, Unknown Success

Age 34

Diminished Ovarian Reserve

Poor Egg Quality

Black or African-American

Income $100K - $199K

6th of 6 Docs

Fertility Medications With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Mindy Christianson Johns Hopkins Medical Institute

very impressed with Dr. Christianson so far. As a patient with Primary Ovarian Insufficiency, previous providers refused to discuss anything other than DE IVF with us. Dr. Christianson has informed us of our options, and allowed me to atleast try different protocols with my own eggs first. She is compassionate and Takes her time to explain every aspect... recommended HRT (estrogen patch, with progesterone every 3 months). I had been on a estrogen pill previously. The patch has since brought my hormones closer to normal range. She also allowed me to do a protocol with menopur & gonal f, 150 IUs each for 9 days. No doctor has even “allowed” me to try this in the past, it was nice to give it a shot. However, I did not respond.

[at Johns Hopkins Medical Institute] Monitoring appointments are restricted to early mornings, only. It's nice that the lab is located right downstairs. Results are uploaded very quickly in the portal. There is parking and you can get in and other for appointments smoothly...[nursing staff is] Very responsive in the patient portal...Total Donor Egg IVF (using outside agency) - $15, 556 Assisted Embryo Hatching -$800 Semen Freezing - $225 Annual Embryo/Semen Freezing - $500...

How was your experience with Mindy Christianson at Johns Hopkins Medical Institute?

I’m been very impressed with Dr. Christianson so far. As a patient with Primary Ovarian Insufficiency, previous providers refused to discuss anything other than DE IVF with us. Dr. Christianson has informed us of our options, and allowed me to atleast try different protocols with my own eggs first. She is compassionate and Takes her time to explain every aspect .

What's one piece of advice would you give a prospective patient of Mindy Christianson at Johns Hopkins Medical Institute?

Dr. Christianson is great, it’s been the best experience I’ve had with a fertility provider, and I’ve consulted with many!

During treatment, were you treated like a number or a human with Mindy Christianson at Johns Hopkins Medical Institute?

Dr. Christianson is extremely warm. Even through her mask I am able to see in her eyes how sincere she is about my care.

Describe the protocols Mindy Christianson used in your cycles at Johns Hopkins Medical Institute and their degree of success.

So far Dr. Christianson has recommended HRT (estrogen patch, with progesterone every 3 months). I had been on a estrogen pill previously. The patch has since brought my hormones closer to normal range. She also allowed me to do a protocol with menopur & gonal f, 150 IUs each for 9 days. No doctor has even “allowed” me to try this in the past, it was nice to give it a shot. However, I did not respond.

Describe your experience with the nursing staff at Johns Hopkins Medical Institute.

Very responsive in the patient portal

Describe your experience with Johns Hopkins Medical Institute.

Monitoring appointments are restricted to early mornings, only. It's nice that the lab is located right downstairs. Results are uploaded very quickly in the portal. There is parking and you can get in and other for appointments smoothly.

Describe the costs associated with your care under Mindy Christianson at Johns Hopkins Medical Institute.

Total Donor Egg IVF (using outside agency) - $15, 556 Assisted Embryo Hatching -$800 Semen Freezing - $225 Annual Embryo/Semen Freezing - $500

What specific things went wrong at Johns Hopkins Medical Institute?

Provided conflicting information

Doctor

Mindy Christianson

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

Clinic

Johns Hopkins Medical Institute

Baltimore

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Mindy Christianson Johns Hopkins Medical Institute

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Johns Hopkins Medical Institute

6 doctors work here

CDC Success Rates

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This clinic has 1 office
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39 patient reviews

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Learn from top medical experts

Johns Hopkins Medical Institute

6 doctors work here

CDC Success Rates

Available Resources

This clinic has 1 officeVisit clinic website

39 patient reviews

Learn from top medical experts

This clinic has 1 office
Visit clinic website