I give Dr. Barad my highest possible recommendation. He is kind, compassionate, supportive and comforting -- I wish all of my doctors could have his bedside manner. He spent a long time getting to know us (me and my spouse) in our initial consultation and I knew within 5 minutes that I definitely wanted to work with Dr. Barad...At each of my monitoring appointments, Dr. Barad spent a long time with me and thoughtfully answered all of my many questions and calmed my anxieties. Dr. Barad performed my egg retrieval and my transfer, which was a success. We are so grateful to Dr. Barad for everything!!!
Everyone at CHR, from Dr. Barad (who has such a lovely, warm bedside manner) to the fabulous nurses to the phlebotomists (who were all able to easily and masterfully draw my blood without causing discomfort, despite being told elsewhere that I have "difficult" veins!) made me feel like I was supported and being cheered on. I always felt like the staff all recognized and "knew" me -- I wasn't just a chart. It also helps that CHR is a smaller center, which made everything feel more personal. At CHR, you will never wait around in a massive waiting room with tons of other patients -- at most, at a super busy time, I might see 4 other patients waiting (but even that many was pretty unusual).
How was your experience with David Barad at Center for Human Reproduction?
I give Dr. Barad my highest possible recommendation. He is kind, compassionate, supportive and comforting -- I wish all of my doctors could have his bedside manner. He spent a long time getting to know us (me and my spouse) in our initial consultation and I knew within 5 minutes that I definitely wanted to work with Dr. Barad (we had previously interviewed a few other top REs in NYC that I wasn't thrilled about after those initial consults). At each of my monitoring appointments, Dr. Barad spent a long time with me and thoughtfully answered all of my many questions and calmed my anxieties. Dr. Barad performed my egg retrieval and my transfer, which was a success. We are so grateful to Dr. Barad for everything!!!
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Don't be shy about asking questions or raising any concerns -- Dr. Barad will be happy to discuss everything with you in great detail.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Everyone at CHR, from Dr. Barad (who has such a lovely, warm bedside manner) to the fabulous nurses to the phlebotomists (who were all able to easily and masterfully draw my blood without causing discomfort, despite being told elsewhere that I have "difficult" veins!) made me feel like I was supported and being cheered on. I always felt like the staff all recognized and "knew" me -- I wasn't just a chart. It also helps that CHR is a smaller center, which made everything feel more personal. At CHR, you will never wait around in a massive waiting room with tons of other patients -- at most, at a super busy time, I might see 4 other patients waiting (but even that many was pretty unusual).
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
It's been a little over a year since my treatment, so I apologize that I don't remember all of the specifics. I do remember that I used Gonal F (hard to forget that drug, since it was so much more expensive than the others!). I also remember that I did not use Menopur.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Huina)
The nurses at CHR are excellent communicators, super responsive, and wonderful people!
Describe your experience with Center for Human Reproduction.
Although I was a more "straightforward" IVF case (we had MFI), I appreciate that CHR is known for taking on very difficult cases, which is reflected in their much-older than average patient population.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
It was efficient and well-run. I tended to get there at the early end of the time window because I wanted to be as quick in and out as possible before work, and it always worked out smoothly for me!
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
I have Aetna insurance (which is accepted by CHR), and under the fertility coverage of my insurance plan there was one part of the process that wasn't covered and I think the cost was ~$2,500.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
CHR is one of the only centers in NYC (that I'm aware of after extensive research!) that is not militantly pro-eSET for all patients. CHR has published papers supporting patient autonomy on this issue, which I was aware of before selecting CHR and I really appreciate. Before my transfer, I expressed my very strong preference to transfer two embryos, and we had a long, thoughtful discussion about it (I was already very well informed on the issue but Dr. Barad also was very thoughtful about fully discussing it with me to make sure I was fully informed about the risks, etc.). We proceeded with a fresh (non-frozen) transfer of two blasts (day 5), which resulted in a healthy singleton pregnancy.
I have no complaints about working with nor the service I've received from Dr. Barad. Is more attentive and intelligent with me and my situation then my previous doctor so I appreciate that. It would be great if we were local to each other however I do not feel like I have missed out on any service being remote...The overall strategy was based on my desires of still trying to conceive with my own eggs and then utilizing donor eggs if needed. I appreciate that he allowed me to do that, as I am aware that some doctors would not given my age
Strengths [of Center for Human Reproduction]- Expertise, Compassionately staff, Pricing is better (even remotely), working with remote clients Weaknesses - Need better response time from finance staff, as this is a major concern for most...My only "complaint"would be after miscarriage that some of the communication could be more compassionate and not as matter-of-fact.
How was your experience with David Barad at Center for Human Reproduction?
I have no complaints about working with nor the service I've received from Dr. Barad. Is more attentive and intelligent with me and my situation then my previous doctor so I appreciate that. It would be great if we were local to each other however I do not feel like I have missed out on any service being remote.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
I suggest that any patients going through this journey to be prepared for be prepared for any consultation with questions but then also be prepared for the honest truth that is inherent in the answers.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr Barad does an awesome job of personalizing his attention and demonstrating that he is vested in the process as well.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
The overall strategy was based on my desires of still trying to conceive with my own eggs and then utilizing donor eggs if needed. I appreciate that he allowed me to do that, as I am aware that some doctors would not given my age. Protocols included several injectables and pills to stimulate my ovaries and egg production as well as it has medications to prepare my lining for transfer; and then after transfer, medications to help maintain the pregnancy.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Huina)
I love how much this clinic communicates as it is much different than my previous experience. My only "complaint"would be after miscarriage that some of the communication could be more compassionate and not as matter-of-fact.
Describe your experience with Center for Human Reproduction.
Strengths- Expertise, Compassionately staff, Pricing is better (even remotely), working with remote clients
Weaknesses - Need better response time from finance staff, as this is a major concern for most.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
Definitely not a cattle call. Very organized with an awareness of time on the patient's behalf.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
The clinic's pricing icing is significantly better than what I have found elsewhere as a fair comparison. They even offer discounts for certain income levels which is certainly appreciated.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
I was offered the opportunity to transfer more than one embryo, however, I did opt to transfer only one given that I only had two. I wanted another opportunity to transfer that one alone if the first was not successful.
My concern with Dr. Barad and the clinic is that you cannot call him. You can email him and the nurse but he may or may not reply and if he does reply, it's not in a timely manner...The protocol has been created before seeing my test results on day 2 at the lab, so I felt it was more of a cookie cutter treatment they do based on one's age.
[Center for Human Reproduction is] a very small clinic. There is little wait time. After women go to the lab, they are brought to the ultrasound rooms and the doctors would go from one to the next. The problem with this is that you don't have the chance to talk and discuss with the doctor afterwards because he is on to the next patient...The Assisted Hatching was overpriced at $2K compared to $600+ in other clinics.
How was your experience with David Barad at Center for Human Reproduction?
My concern with Dr. Barad and the clinic is that you cannot call him. You can email him and the nurse but he may or may not reply and if he does reply, it's not in a timely manner. In addition, the clinic has an unusual set up and it is partially due to the lack of doctors and the size of the clinic. After they do the ultrasound, you won't have a chance to talk with the doctor because then he's off to the next patient waiting on the next room and for the rest of the morning, the doctors are busy doing these rounds and then the surgeries right after. By the time they're done, the clinic would have been closed already for the day and you could only hope that he replies to your email after that. In another IVF clinic where I did the same treatment, I got to talk to the doctor after each ultrasound in the privacy of her room and I could call her on the phone and speak with her.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Communication is key and patients should be able to talk to the doctor after the ultrasound and also be able to call him. The clinic should change their policy on this.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
The protocol has been created before seeing my test results on day 2 at the lab, so I felt it was more of a cookie cutter treatment they do based on one's age.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
The doctors are against antagonist treatment. There is human growth hormone and estrogen priming weeks prior. You will be taking 150 of Gonal F and 225 of Menopur for about 8 days. You will also be asked to take prednisone. What I did not like was the continued use of HGH up until the two-week wait and the staff who emailed me after I told her that it was a negative pregnancy test, asked me to continue with the HGH! Crazy. I told her that the HGH use was excessive and that I'm not sure the doctor was even aware of this. If he is, then I'm totally disappointed. I never talked of doing another treatment and even if I wanted to, shouldn't the doctor discuss the protocol first after the failed IVF, shouldn't there be a rest especially since there are risks involved with HGH use.
Describe your experience with your nurse at Center for Human Reproduction.
The clinic is understaffed not only with doctors but also nurses. Hence, they are always in a hurry. One time, the nurse coordinator failed to add one of the medicines so it's important that patients countercheck and ask questions because in my opinion, the nurse was not thorough and did not countercheck the list of meds.
Describe your experience with Center for Human Reproduction.
It's a very small clinic. There is little wait time. After women go to the lab, they are brought to the ultrasound rooms and the doctors would go from one to the next. The problem with this is that you don't have the chance to talk and discuss with the doctor afterwards because he is on to the next patient. There is little privacy because of the clinic setup. In addition, although your doctor may be Dr. Barad, you will only see him on days he's there. Again, this is because they're understaffed. So he is there TTHS and the other doctor is there MWF. If your retrieval or transfer falls on a weekend, it will be another doctor.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
It's a very small clinic. There is little wait time. After women go to the lab, they are brought to the ultrasound rooms and the doctors would go from one to the next. The problem with this is that you don't have the chance to talk and discuss with the doctor afterwards because he is on to the next patient. There is little privacy because of the clinic setup. I talked to the nurse coordinator while standing in a printer room beside the hallway, where everyone could hear what we would talk about. In addition, although your doctor may be Dr. Barad, you will only see him on days he's there. Again, this is because they're understaffed. So he is there TTHS and the other doctor is there MWF. If your retrieval or transfer falls on a weekend, it will be another doctor.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
The Assisted Hatching was overpriced at $2K compared to $600+ in other clinics.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
It was fresh transfer, day 3 of all embryos that developed or total of 3.
What specific things went wrong at Center for Human Reproduction?
Failed to call in prescriptions to pharmacy
Provided conflicting information
Describe the specific things that went wrong at Center for Human Reproduction.
The nurse coordinator sent the prescription to the other pharmacy instead of the other and this is probably due to the fact they're understaffed.
Dr. Barad is patient in explaining things but I wonder if the protocols they provide are specifically catered to the individual because the list of meds have already been prepared even before I came in...Bear in mind mornings are very busy because that's when all monitoring happen and unfortunately, there's only one doctor...The assistant doctor does call in the afternoon but most likely, he's not the primary doctor you had consultation
For women with DOR or AMA, they are probably the only clinic that would perform fresh transfer with two or more embryos...The IVF fee is $20K including the overpriced assisted hatching ($2K compared to $600+ in other clinics) and ICSI...You may only see Dr. Barad twice because of the way they schedule their doctors MWF, TTH and the doctor that will perform your retrieval or transfer if it falls on a weekend is another doctor.
How was your experience with David Barad at Center for Human Reproduction?
I think Dr. Barad is patient in explaining things but I wonder if the protocols they provide are specifically catered to the individual because the list of meds have already been prepared even before I came in for my bloodwork on day 3.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Again, this feedback is about CHR and not one specific doctor there. I noticed that unlike in other IVF clinics, where patients get to sit down and talk with their doctor in the privacy of the doctor's clinic after an ultrasound, at CHR, patients when they come in for monitoring, undergo ultrasound but are not provided time or privacy to discuss and conduct consultation afterwards. The doctor for the day performs ultrasound on one patient right after another, as they move from one room to the next and there is no opportunity to talk. They are in a hurry to move to the next. Bear in mind mornings are very busy because that's when all monitoring happen and unfortunately, there's only one doctor. Afterwards, the doctors go to the surgery room and then they're off for the afternoon. You cannot even contact them on the phone. They won't connect you. You can only email the doctors, CC the nurse but unlike phone calls, you may or may not receive an email and it may not be in a timely manner. The assistant doctor does call in the afternoon but most likely, he's not the primary doctor you had consultation with (Dr. Gleicher or Dr. Barad). You may only see Dr. Barad twice because of the way they schedule their doctors MWF, TTH and the doctor that will perform your retrieval or transfer if it falls on a weekend is another doctor.
In addition, the nurses provide you a list of meds and I'm not sure the doctors even look at them. For instance, even after the two week wait, I was asked to continue to taking Human Growth Hormone and it was shocking because some clinics do not even prescribe this due to potential risks, and if they do, it's typically during priming (or before start of ovarian stimulation) and during stimulation, but in the case of CHR, they asked you to continue until after retrieval, transfer, two-week wait and shockingly, even after a failed IVF even if there is no talk of another treatment. Clearly even if the patient is interested in undergoing another treatment, the patient should first discuss medications and approach/protocol with the doctor.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
This feedback is about CHR and not one specific doctor there. I noticed that unlike in other IVF clinics, where patients get to sit down and talk with their doctor in the privacy of the doctor's clinic after an ultrasound, at CHR, patients when they come in for monitoring, undergo ultrasound but are not provided time or privacy to discuss and conduct consultation afterwards. The doctor for the day performs ultrasound on one patient right after another, as they move from one room to the next and there is no opportunity to talk. They are in a hurry to move to the next. Bear in mind mornings are very busy because that's when all monitoring happen and unfortunately, there's only one doctor. Afterwards, the doctors go to the surgery room and then they're off for the afternoon. You cannot even contact them on the phone. They won't connect you. You can only email the doctors, CC the nurse but unlike phone calls, you may or may not receive an email and it may not be in a timely manner. The assistant doctor does call in the afternoon but most likely, he's not the primary doctor you had consultation with (Dr. Gleicher or Dr. Barad).
In addition, the nurses provide you a list of meds and I'm not sure the doctors even look at them. For instance, even after the two week wait, I was asked to continue to taking Human Growth Hormone and it was shocking because some clinics do not even prescribe this due to potential risks, and if they do, it's typically during priming (or before start of ovarian stimulation) and during stimulation, but in the case of CHR, they asked you to continue until after retrieval, transfer, two-week wait and shockingly, even after a failed IVF even if there is no talk of another treatment. Clearly even if the patient is interested in undergoing another treatment, the patient should first discuss medications and approach/protocol with the doctor.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
They are aggressive when it comes to prescribing meds. They were against the antagonist protocol but prescribed HGH, estrogen priming.
Describe your experience with Center for Human Reproduction.
It's a small clinic with three doctors. This feedback is about CHR and not one specific doctor there. I noticed that unlike in other IVF clinics, where patients get to sit down and talk with their doctor in the privacy of the doctor's clinic after an ultrasound, at CHR, patients when they come in for monitoring, undergo ultrasound but are not provided time or privacy to discuss and conduct consultation afterwards. The doctor for the day performs ultrasound on one patient right after another, as they move from one room to the next and there is no opportunity to talk. They are in a hurry to move to the next. Bear in mind mornings are very busy because that's when all monitoring happen and unfortunately, there's only one doctor. Afterwards, the doctors go to the surgery room and then they're off for the afternoon. You cannot even contact them on the phone. They won't connect you. You can only email the doctors, CC the nurse but unlike phone calls, you may or may not receive an email and it may not be in a timely manner. The assistant doctor does call in the afternoon but most likely, he's not the primary doctor you had consultation with (Dr. Gleicher or Dr. Barad).
In addition, the nurses provide you a list of meds and I'm not sure the doctors even look at them. For instance, even after the two week wait, I was asked to continue to taking Human Growth Hormone and it was shocking because some clinics do not even prescribe this due to potential risks, and if they do, it's typically during priming (or before start of ovarian stimulation) and during stimulation, but in the case of CHR, they asked you to continue until after retrieval, transfer, two-week wait and shockingly, even after a failed IVF even if there is no talk of another treatment. Clearly even if the patient is interested in undergoing another treatment, the patient should first discuss medications and approach/protocol with the doctor.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
There's privacy because it's a small clinic. When you come in in the morning, you're sent to the room for ultrasound or lab for bloodwork, as are the other patients, so you hardly end up waiting in a room. This is finished within an hour. There's no long line.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
The IVF fee is $20K including the overpriced assisted hatching ($2K compared to $600+ in other clinics) and ICSI.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
For women with DOR or AMA, they are probably the only clinic that would perform fresh transfer with two or more embryos. Most clinics would do PGS and only transfer blastocysts. So if your argument is that the mother's womb is the best place to grow an embryo as opposed to a lab, then this is one of the few clinics for you. The other being IRMS. Their rate for Assisted Hatching is overpriced. It's typically at $600+ and they charge $2K.
What specific things went wrong at Center for Human Reproduction?
I felt like a human because Dr Barad would always have tissues ready for me, he would hold my hand and make me feel like everything was going to be ok and he was the only one who had the genuine nature to help me cope with my poi, while not pressuring me, but guiding me with kindness to my decision of pursuing donor eggs.... I did the clinical trial with prp at chr in which follicles developed, but they were very small so I was put on injections of menopur.
Kindness, they [Center for Human Reproduction] make you feel heard, friendly, and patient. also intelligent, they seem to be the leading clinic with patients with rare cases such as mine- poi. And they are eager to find cures. They are always looking to try what could work in the safest and most thought out ways as possible.... Free clinical trial. $1000 lab fee/ about $500 anesthesia for prp... free monitoring, a first consultation fee but I had already met my out of pocket and deductible from prior clinics.
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad gave me hope, he was kind throughout the whole process, always answered all of my questions and never made me feel rushed or pressured. I trust him with my life. He is not only the best doctor I’ve ever had, but a great person who I feel genuinely cares for my wellbeing. He is not judge mental and only wants the best. I felt as if he was almost a fatherly figure in his approach.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
See him in person, take things day by day.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
I felt like a human because Dr Barad would always have tissues ready for me, he would hold my hand and make me feel like everything was going to be ok and he was the only one who had the genuine nature to help me cope with my poi, while not pressuring me, but guiding me with kindness to my decision of pursuing donor eggs.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
I first started advocating as I always had for children with my own eggs. I did the clinical trial with prp at chr in which follicles developed, but they were very small so I was put on injections of menopur. I also tried chlomid with the menopur and the follicles never grew to appropriate sizes. I can currently on estrace 2 mg with taking progesterone on day 19 to finish the 28 day cycles in my future. I am now exploring donor egg ivf with my husband and Dr Barad on my side.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Dorota)
Very kind, polish, could speak fluently with my polish husband which made for nice rapport
Describe your experience with Center for Human Reproduction.
Kindness, they make you feel heard, friendly, and patient. also intelligent, they seem to be the leading clinic with patients with rare cases such as mine- poi. And they are eager to find cures. They are always looking to try what could work in the safest and most thought out ways as possible.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
Free clinical trial. $1000 lab fee/ about $500 anesthesia for prp... free monitoring, a first consultation fee but I had already met my out of pocket and deductible from prior clinics... close to $200 every round of DHEA and coq10 pills and menopur was never covered... $2,000 about weekly while in preparation for iui cycles that failed. I understand donor egg ivf to be about $25,000 inclusive.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
Dr Barad said single embryo transfers would be safest for me if I pursue donor egg ivf. I trust him. I am small with poi, my fsh is very high and my estrogen is negative 0.0000. I need the hrt to regulate my health and I trust that Dr Barad knows best with what will be safest for me in a pregnancy.
Dr Barad takes a long time to talk to you and explain everything to you. When asked for statistics or chances, he would often say things like [My Name] is a unique person that should not be compared to other people. He never made decisions for me, but rather educated me to make my own decisions...I would highly recommend Dr Barad to anyone who has DOR or is of advanced maternal age.
Usually limited wait time [monitoring appointments at Center for Human Reproduction]. If you go early then you will wait because doctor does not come in until 8:30...I have 100% fertilization rate with this clinic. He [Dr. Barad] does not believe in using antagonists (Ganerlix or Cetrotide) as he believes it causes damage to egg quality. He does an immune protocol for transfer. Firmly believes in fresh 3 day transfers and is opposed to PGS testing
How was your experience with David Barad at Center for Human Reproduction?
Dr Barad is a highly knowledgeable and compassionate doctor. He may at times focus to little on research that contradicts his own, however he is open to trying new things. I would highly recommend Dr Barad to anyone who has DOR or is of advanced maternal age.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Trust him and expect to be there a long time during consults because he talks slow and explains everything. He also may give you a hug or rub your hand of something to comfort you. Some people may be taken aback by this at first but it is purely out of human comfort.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr Barad takes a long time to talk to you and explain everything to you. When asked for statistics or chances, he would often say things like [My Name] is a unique person that should not be compared to other people. He never made decisions for me, but rather educated me to make my own decisions.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
Dr. Barad believes in high dose stims and to retrieve eggs early, depending on when estrogen plateaus even if the follicle are small. The eggs are matured in the lab. I have 100% fertilization rate with this clinic. He does not believe in using antagonists (Ganerlix or Cetrotide) as he believes it causes damage to egg quality. He does an immune protocol for transfer. Firmly believes in fresh 3 day transfers and is opposed to PGS testing
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Maria Vergel)
Very direct and to the point. They do not share information with you unless you ask
Describe your experience with Center for Human Reproduction.
The strength of the clinic is its philosophy in an individualized approach as well as it being "boutique" style with limited crowding and waiting time. They are also very flexible with appointments including monitoring.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
Usually limited wait time. If you go early then you will wait because doctor does not come in until 8:30
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
Very expensive OOP. About 18K per cycle. They take 2 insurances (aetna and oxford)
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
He will do what makes sense and take into account what the patient wants. If you are older or have a history of failed transfers he will transfer 3+
What specific things went wrong at Center for Human Reproduction?
Failed to call in prescriptions to pharmacy
Failed to call with results
Describe the specific things that went wrong at Center for Human Reproduction.
One time they did not call me with test results and I had to inquire about it numerous times. Sometimes they send my meds to the wrong pharmacy
Dr. Barad was confident that, despite my pretty extreme Diminished Ovarian Reserve (worst FSH was 25.5 and worst AMH was 0.5) that I could get pregnant because of my relatively young age (30 at the time of egg retrieval). ... I'm about to start trying for baby #2, and they've changed their protocols a bit. ... I was on 8 weeks of DHEA & CoQ10 supplementation ... They [Center for Human Reproduction] wouldn't have let me transfer more than 2 (if I had more than that) and I wouldn't have wanted to.
They [Center for Human Reproduction] are efficient and focused on results more than on making you have a cozy experience. And that's just fine with me. ... She [nurse] was fine. I'm a long distance patient and I always had to wait until the very end of the day to get my instructions, so that was a bit stressful. ... I don't remember exactly, but I think with the cost of drugs (~$5,000) our cycle ran us $20,000. We did ICSI but not assisted hatching.
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad was confident that, despite my pretty extreme Diminished Ovarian Reserve (worst FSH was 25.5 and worst AMH was 0.5) that I could get pregnant because of my relatively young age (30 at the time of egg retrieval). And even though only two mature eggs were collected, both fertilized and I had a day 3 transfer of both embryos and had a healthy singleton pregnancy. Basically, CHR is best in class when it comes to treating patients with DOR. It's their bread and butter. They have their way of doing things (DHEA and CoQ10 supplementation, early retrieval, day 2/3 transfers, no PGS testing, high stims, etc.) but it's because it works well. They are obsessed with achieving pregnancy in difficult populations (DOR, advanced material age). I appreciated their obsessiveness. It meant they were doing every evidence-based thing they could do get me pregnant. And they did, and it worked. This was after our first clinic cancelled our first round of IVF for poor response and told me to use donor eggs. Young women with DOR--please don't believe doctors when they say this. Age is still the #1 predictor of pregnancy changes. Many clinics just don't have the expertise to treat DOR patients. Find a clinic like CHR that does.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Write down all of your questions in advance of your consultation(s). Don't be afraid to ask anything at all. There are no stupid questions. Ask questions, but trust the process. He knows what he's doing.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr. Barad is very warm and reassuring. He is empathetic with his patients, who he knows are in a stressful situation.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
I was on 8 weeks of DHEA & CoQ10 supplementation. Then estrogen patches for about a week, then baseline ultrasound and the start of a microdose lupron flare protocol with high stims. Lupron 2x per day to suppress ovulation, then Menopor (150) and Gonal F (300 I think) each day. I stimmed for 12 days then egg retrieval and day 3 transfer. After retrieval I started antibiotics for a few days, Lovenox, and prednisone. Also baby aspirin. I'm about to start trying for baby #2, and they've changed their protocols a bit. They are now moving to earlier egg retrieval, so you don't need to do the antagonist (Lupron in my case).
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Maria Vergel)
She was fine. I'm a long distance patient and I always had to wait until the very end of the day to get my instructions, so that was a bit stressful.
Describe your experience with Center for Human Reproduction.
They are efficient and focused on results more than on making you have a cozy experience. And that's just fine with me. My first clinic was trying to be some kind of relaxing spa oasis, but they didn't get my pregnancy. I'll take efficient and effective over ineffective spa vibe every time.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
I don't remember exactly, but I think with the cost of drugs (~$5,000) our cycle ran us $20,000. We did ICSI but not assisted hatching. We also had to travel to NYC and stay in a hotel so that was an extra cost.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
They want you to get pregnant but they don't want you to have triplets. In my case, at age 30, I transferred 2 day 3 embryos, which was reasonable. I had a singleton pregnancy. They wouldn't have let me transfer more than 2 (if I had more than that) and I wouldn't have wanted to. If you are older or have multiple failed transfers, they will let you transfer more.
Dr. Barad is wonderful. He is a little old fashioned, in that he only does fresh transfers, which is the only reason why we went to another clinic. He treats you like a person, not just a number. He always took the time with both me and my husband to answer any questions. The only bad thing is that he tells you to email him and then doesn't return those emails. Other than that, he's great.
The nursing staff [at CHR] is great. They are well organized, and you have a nurse that only deals with you. That cuts down on a lot of explanation time. The phlebotomist is also fantastic. I have very difficult veins (they're really deep), and most phlebotomists can't find them, stick me several times or move the needle - she got it every single time.... It's in a renovated brownstone, small and a little claustrophobic. They're all very compassionate and caring, everyone (except for Dr. Kushnir, who seems miserable all of the time). They get back to you in a reasonable amount of time, the nurses usually email you back in a reasonable amount of time, and everyone knows what's going on.
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad is wonderful. He is a little old fashioned, in that he only does fresh transfers, which is the only reason why we went to another clinic. He treats you like a person, not just a number. He always took the time with both me and my husband to answer any questions. The only bad thing is that he tells you to email him and then doesn't return those emails. Other than that, he's great.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr. Barad always remembered details about me & my husband, and was very kind to both of us. After my egg retrievals, we would go into the lobby, find my husband and give him an update. I had one dedicated nurse, who was familiar with me and I only communicated with her.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
Protocol used for all cycles was the same:
75mg DHEA
1000 mg CoQ10
Synthroid
Plaquinal
450 IU Gonal F
150 IU Menopur
Estrogen Patches
I think they do basically the same protocol for everyone.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Dorota)
The nursing staff is great. They are well organized, and you have a nurse that only deals with you. That cuts down on a lot of explanation time. The phlebotomist is also fantastic. I have very difficult veins (they're really deep), and most phlebotomists can't find them, stick me several times or move the needle - she got it every single time.
Describe your experience with Center for Human Reproduction.
It's in a renovated brownstone, small and a little claustrophobic. They're all very compassionate and caring, everyone (except for Dr. Kushnir, who seems miserable all of the time). They get back to you in a reasonable amount of time, the nurses usually email you back in a reasonable amount of time, and everyone knows what's going on.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
You went up the waiting room, and there never seemed to be more than 4 people waiting. There was only once that there was more, and I had to awkwardly stand in the hall. It's a small, narrow building.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
Every cycle was roughly $15,000 including medication.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
I am an older patient in terms of fertility treatment, which is difficult in and of itself. Dr. Barad and CHR do present themselves as specializing in older women, which of course helped me feel somewhat better and, as a long-distance patient, this was the primary reason I chose CHR. Dr. Barad was noticeably kinder and more reassuring in his manner (despite the abysmal statistics we have faced and still face in this process). He was communicative and receptive to questions or concerns.
He [Dr David Barad] was communicative and receptive to questions or concerns. However, CHR [Center for Human Reproduction] as a whole, including all 3 of its physicians to varying degrees, could do a far better job with patient communication. For example, for our first IVF cycle, we were not told that we would be automatically required to do ICSI and assisted zona hatching. We arrived on the day of scheduled egg retrieval and at this point were asked by front desk staff to pay an additional ~$3500, which seemed very unprofessional. Also, my partner and I currently live outside the U.S., and particularly prior to our first IVF cycle, at times it was very difficult to get clear, prompt and complete answers to our questions from nurses ("Clinical Coordinators") and staff. This greatly hindered our efforts to complete the requested immunological testing for CHR prior to the first IVF cycle. It took an inordinate amount of phone calls, clarifications and excess time to clear up what could have been resolved in a couple hours with clearer and timelier answers and better communication.
How was your experience with David Barad at Center for Human Reproduction?
I am an older patient in terms of fertility treatment, which is difficult in and of itself. Dr. Barad and CHR do present themselves as specializing in older women, which of course helped me feel somewhat better and, as a long-distance patient, this was the primary reason I chose CHR. Dr. Barad was noticeably kinder and more reassuring in his manner (despite the abysmal statistics we have faced and still face in this process). He was communicative and receptive to questions or concerns. However, CHR as a whole, including all 3 of its physicians to varying degrees, could do a far better job with patient communication. For example, for our first IVF cycle, we were not told that we would be automatically required to do ICSI and assisted zona hatching. We arrived on the day of scheduled egg retrieval and at this point were asked by front desk staff to pay an additional ~$3500, which seemed very unprofessional. Also, my partner and I currently live outside the U.S., and particularly prior to our first IVF cycle, at times it was very difficult to get clear, prompt and complete answers to our questions from nurses ("Clinical Coordinators") and staff. This greatly hindered our efforts to complete the requested immunological testing for CHR prior to the first IVF cycle. It took an inordinate amount of phone calls, clarifications and excess time to clear up what could have been resolved in a couple hours with clearer and timelier answers and better communication.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Ask all the questions you have; be very clear about what information you need and have questions prepared ahead of time. You get very little designated face-to-face time with physicians at CHR during a cycle. If you're struggling emotionally and if you're able to, let him know that this process is hard for you.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr. Barad is very kind and is receptive to questions / concerns. He has a warm manner and seemed to understand how terrifying and profoundly disturbing this process can be.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
Initial ultrasound around cycle day 2, then Follistim (or Bravelle or Gonal-F) 450 IU QAM for about 9 days, along with Menopur 150 IU QPM for about 9 days. Daily ultrasounds starting about day 5 of hormonal stimulation process. HCG trigger shot timed so that follicles were not too mature. Egg retrieval 36 hrs. later, about cycle day 13. Important - NOTE: Embryo transfer for me was always on DAY TWO. So all embryos were only 2-day embryos. This is something CHR does often with older women. Also, we were explicitly advised AGAINST pre-implantion genetic diagnosis. Dr. Gleicher (as "lead" CHR physician) felt that PGD offered more risk than benefit for my embryos as an older patient. (This was of course in direct contrast to what other clinics had told us, but I was ok with it.) I had some evidence of an unidentified immune issue, so in addition to hormonal medications, here were the medications prescribed: DHEA 75mg daily before and throughout all cycles (I took less), CoQ10 1000mg daily (I took ubiquinol instead as I believe it's better absorbed), low-dose aspirin, prednisone ranging from 10mg and 60mg at different times during IVF cycle, doxycycline around time of egg retrieval, Lovenox (enoxaparin) 40 mg following egg retrieval, and daily progesterone in oil injections until pregnancy test (or 12 weeks gestation). Prior to IVF treatment, with my second (natural) miscarriage, I learned my thyroid was underactive, so I now take natural dessicated thyroid (a medication called "WP Thyroid"). Dr. Gleicher told me, as I understood it, that he sees any unexplained hypothyroid issue as an autoimmune issue. My initial immunological testing also found that I had an extremely high interleukin-6 level, which is indicative of inflammation, but not useful information in terms of any specific clinical cause or source. I also was prescribed an IV infusion of Immunoglobulin-G (very expensive) before egg retrieval due to likely autoimmune issue, as well as because Dr. Gleicher believed my partner and I had some HLA type I and II matching. (Apparently, Dr. Braverman of Braverman Reproductive Immunology, who we consulted with briefly, disagreed with this assessment.) Before my second IVF attempt I was directed to start Plaquenil (hydroxychloroquine) 400 mg daily to (hopefully) prevent miscarriage prevention. CHR prescribed Plaquenil as an attempt to address my high IL-6 level/suspected autoimmune issue as well as recurrent miscarriage. (I have since chosen on my own to discontinue Plaquenil.)
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Maria)
I had a hard time getting clear, timely and complete answers to questions with my initial coordinator at CHR, Ella. We were communicating from outside the U.S. and needed very clear information about what tests CHR was requesting and how to get blood samples shipped to CHR, and trying to get clear and complete answers from our coordinator and the nursing staff was a complete nightmare. Ultimately I asked to speak with a supervisor, and the nursing supervisor took over. It was an unpleasant experience. We later worked with Maria, who was much more reliable, although not easy to reach directly and not particularly warm or communicative.
Describe your experience with Center for Human Reproduction.
I think I've answered this question already in my previous responses.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
It was not too bad - we did not have a problem with the scheduling. It was however difficult at that time to ask any questions of the doctor, who always seemed quite rushed.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
Because I was not working, and because of the current exchange rate, we qualified for the reduced IVF rate of $8500 per cycle. To this was added the following: $4200 per cycle for anesthesia, ICSI, and assisted zona hatching; $4000 per cycle for IVIg; $3500 on average per cycle for hormonal and other medications; $4500 per cycle for travel (from outside the U.S.) and lodging costs; $3700 (one-time) for all initial immunological testing needed before first cycle.
What specific things went wrong at Center for Human Reproduction?
Failed to call in prescriptions to pharmacy
Lost results
Failed to convey critical information
Describe the specific things that went wrong at Center for Human Reproduction.
After working very hard to get the correct information from CHR on what phlebotomy tubes were needed, I completed a blood draw outside the U.S. for a lupus anticoagulant antibody test (along with 1 or 2 other tests), and shipped the sample overnight to CHR, at high cost to us. We were then told that CHR's lab could not use the sample because either the patient was on anticoagulant medication (I was not), or the wrong tube was used.
We also were not told that we were automatically required to undergo ICSI and assisted zona hatching until the day these procedures needed to be completed - the day we arrived for our first egg retrieval. We were asked on arrival that day to pay an additional ~$3500 for this, which had never been mentioned before. I found this inappropriate and unprofessional.
Dr. Barad was compassionate to me. I was of advanced maternal age when I first started exploring IVF (age 46), and I was 47 when I started, and turned 48 in the last cycle when I got pregnant (and miscarried)...Dr. Barad also showed deep respect and connection to my Jewish path and how spiritual the IVF journey felt to me. He also told us bad news with care, even giving us metaphors for how not to become invested in the early few weeks of the pregnancy. Although it was hard information to hear, it was helpful to have the clarity...Dr. Barad was the most loving, caring, honest and compassionate doctor I've ever encountered, and all the more so because he was dealing with me at such a strenuous and difficult time as doing four IVF cycles back to back when I was at a desperate last attempt to try IVF and experimental treatment at my age.
She [nurse at Center for Reproductive Medicine] was incredible with in-office visits too and seemed to work all hours... She gave me encouragement to keep going and was so excited when I got pregnant, and was equally compassionate when I found out it was a miscarriage...Monitoring was also professional. Everything was explained well, I got printouts of the images, there was a screen up above that I could see as well as the one the doctor was looking at. I did not know how often I would need to be monitored as an out of state person, so that was a little challenging at first and at times to figure out. I never had to wait long and it felt luxurious to wait in the waiting room which had an espresso/coffee and hot chocolate machine and often croissants.
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad was compassionate to me. I was of advanced maternal age when I first started exploring IVF (age 46), and I was 47 when I started, and turned 48 in the last cycle when I got pregnant (and miscarried). Other doctors in other clinics/offices mocked me or said insensitive things throughout the process. Dr. Barad also showed deep respect and connection to my Jewish path and how spiritual the IVF journey felt to me. He also told us bad news with care, even giving us metaphors for how not to become invested in the early few weeks of the pregnancy. Although it was hard information to hear, it was helpful to have the clarity.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Ask a lot of questions, and in particular ask the practice (Dr. Gleicher and Dr. Barad) to do everything possible even if experimental in the first cycle. I wish I had fully understood about HGH and taken HGH earlier (I only did it in the 4th cycle, which happens to be when I got pregnant). Also - do everything else emotionally to prepare and ground during the IVF cycles as well as acupuncture right after transfer.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr. Barad was the most loving, caring, honest and compassionate doctor I've ever encountered, and all the more so because he was dealing with me at such a strenuous and difficult time as doing four IVF cycles back to back when I was at a desperate last attempt to try IVF and experimental treatment at my age. He related to me so calmly and with complete presence at each appointment including each ultrasound monitoring visit, egg retrievals, egg transfers, and then when I got miraculously pregnant (I found out two weeks after I turned 48!) he was equally compassionate yet honest at our first ultrasound appointments (which looked good), and then at the sad appointments when their was not heartbeat on the date it should have appeared. He encouraged us to wait another week to see what would happen, and when we had the follow up, he was equally compassionate but honest about the ways I could choose to miscarry (D&C or natural). He gave excellent advice and I felt he was sad with us and could handle our sadness. He also followed up immediately when he had the results with a phone call to tell me the results of the genetic testing and gender, after the D&C. He was equally compassionate and caring in that call, while being honest and direct. Lastly, I brought a prayer to say on my iPhone in my first egg retrieval, and although I really didn't know him well yet, and had no idea what it would be like, he fully smiled and waited for me to read the prayer before we began. He made the whole experience life-affirming and spiritual, even when medically it was very hard.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
I was advanced age (47) - I took Gonal F (I think 450cc) and Menopur (I think 150cc), micronized DHEA 75mg (beginning 3 months prior to starting cycles, using CHR's brand), CoQ10, early egg retrieval (CHR's specialty research is amazing), 3-weeks of HGH leading up to my 4th/last cycle, and 3 day fresh transfers. First cycle I got 2 eggs (1 embryo); 2nd cycle 3 eggs (2 embryos); 3rd cycle only on follicle looked big so we switched to IUI (I think I was too exhausted and not taking the meds properly so that is why that cycle failed); 4th cycle I got 3 eggs (3 embryos) - resulted in positive pregnancy test, but miscarried at 8 weeks.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Huina Zhou)
My nurse Huina Zhou was so communicative from the first email I ever got from her when she was assigned to me case. I then learned she is one of the nurse coordinators and even more appreciated how much she wrote to me with detail and communicated with me promptly and with great connection no matter what my question was. A lot of my initial questions were based out of inexperience, fear and being overwhelmed by all of the emotional, financial and medical decisions. She was incredible with in-office visits too and seemed to work all hours, and told me when I needed to alter plans or come in based on ultrasounds. She gave me encouragement to keep going and was so excited when I got pregnant, and was equally compassionate when I found out it was a miscarriage. She is an incredible nurse. The rest of the nurses also who worked with me, even the front desk people and the phlebotomists, were equally present and gave great care. My nurse Huina also followed up with all my questions or concerns immediately, even if it meant bringing my question to the doctors in their daily meeting. She always gave my case to another nurse when she was off-duty and I always felt they knew what was going on in my case.
Describe your experience with Center for Human Reproduction.
HCR gives hope and the feeling of accomplishment. Dr. Gleicher was incredible in all our Skype-calls (I was out of state). I felt they truly cared about my case. They took so much time to talk with us and help my case.
They specialized with me in care at my advanced age to try to work with my own embryos. They always were honest about prognosis and percentages. I wish I had started with them 2-3 years earlier and that I had had more money to do another cycle or to start earlier - that is my only regret. I wish there was a program for women like me to get financial aid -- at 48 when I miscarried, I would have actually been crazy enough to try again if there was financial support to do so. I got very involved emotionally wanting to make a medical miracle and be part of their project of helping so many women through IVF and fertility treatments.
This is not a weakness, but I do wish I had been encouraged by CHR to pursue more psychological care or advice to get that throughout or recommendations for mental care to support how emotional it was on all of the medications and the emotional grief of my miscarriage. I don't think I realized when I started how difficult it would be on my or my partnership, and there is not a lot of public awareness/support until I started to seek it out. I think if I wasn't so distraught and in grief after my miscarriage I might have jumped back in to try another cycle with my own eggs, or to pursue egg donor.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
Monitoring was also professional. Everything was explained well, I got printouts of the images, there was a screen up above that I could see as well as the one the doctor was looking at. I did not know how often I would need to be monitored as an out of state person, so that was a little challenging at first and at times to figure out.
I never had to wait long and it felt luxurious to wait in the waiting room which had an espresso/coffee and hot chocolate machine and often croissants.
The office is in the Upper East Side of NYC and I lived 3 hours away. I would come in for appointments sometimes for the day or else stay over at a friend's. Parking was hard, until I discovered a parking garage by NYU a few blocks away.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
Unfortunately we paid fully out of pocket for treatment and medications due to my age (my insurance only covered up to age 43 I think) and so it cost us a huge amount (over $60,000 total). I was able to purchase the fertility meds needed for one cycle while in Costa Rica on a short vacation for half the cost there at a pharmacy, and for the last cycle an IVF friend donated her unused meds to me.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
CHR/Dr. Gleicher had great explanations for transferring all my fresh embryos since I only produced a few each time and since I was advanced age and didn't want to risk losing any of them through testing or freezing.
Dr. Barad is very nice, compassionate and experienced. No doubt. But I also think since he is older he is stuck with his opinions. I also think that they try to push everything that's only proven by their clinic's research. In my opinion one clinic and 3 women is not of statistical significance. For older women with DOR they try whatever they can to retrieve even if it is one follicle. So they don't cancel cycles. I think it's great for those women. But they tried to use the same protocol for me even though I am 44 and retrieved 8 eggs. it didn't work for me and they want to do the same even the next time.
It's [Center for Human Reproduction] a small clinic which I like. Everything is so small but I think they are building a new block just behind. Overall I like the clinic. Wait time is horrible though....They give the same protocol to everyone. They are not flexible in customizing treatment. Lab is a chaos. Nurses are so unorganized. Dr. Barad is nice when you see him. But that doesn't help in the rest of the treatment. They don't explain what is going on during the treatment. They just see you for a minute, give you orders. Nurses are so poor in explaining and communicating.
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad is very nice, compassionate and experienced. No doubt. But I also think since he is older he is stuck with his opinions. I also think that they try to push everything that's only proven by their clinic's research. In my opinion one clinic and 3 women is not of statistical significance. For older women with DOR they try whatever they can to retrieve even if it is one follicle. So they don't cancel cycles. I think it's great for those women. But they tried to use the same protocol for me even though I am 44 and retrieved 8 eggs. it didn't work for me and they want to do the same even the next time.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
If you have no hope and only getting 1-2 follicles they will treat you.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
They give the same protocol to everyone. They are not flexible in customizing treatment. Lab is a chaos. Nurses are so unorganized. Dr. Barad is nice when you see him. But that doesn't help in the rest of the treatment. They don't explain what is going on during the treatment. They just see you for a minute, give you orders. Nurses are so poor in explaining and communicating.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
1st IVF - 300gonal - 150 Menopur. 2 eggs retrieved, 1 fertilized with ICSI and transferred. BFN. 2nd IVF - I asked to increase Meds. 450 Gonal, 150 Menopur. Trigger at 14mm lead. First time triggered at 17 lead and the other two at 11 and 12. He thought we waited too long and lost the lead so this time at 14. 8 retrieved, 4 fertilized, 3 transferred. Pregnancy - D&C in 9th week. Trisomy 15. He doesn't cancel cycles. He doesn't want to freeze or do PGD. Does day 2 transfer. Said the same protocol for the next one. So I switched RE.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Huina)
Their lab is so old school, they don't have my file when I go there for scheduled blood work, always so much confusion. The nurse coordinator doesn't speak English very well not gives instructions well. She made me panic at the last minute regarding HCG as I didn't have it in my hand and couldn't get it on time because of her not thinking forward and giving proper instructions. Same for ordering medications. They don't call back and let you know if there is a problem with insurance not follow up with insurance.
Describe your experience with Center for Human Reproduction.
It's a small clinic which I like. Everything is so small but I think they are building a new block just behind. Overall I like the clinic. Wait time is horrible though.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
It's always in the morning. I didn't see Dr. Barad even once during me second IVF monitoring. Dr. Kushner who did monitoring is so grim and doesn't give you any answers or indications. Extremely Uninformative.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
My insurance covered it.
What specific things went wrong at Center for Human Reproduction?
Dr. Barad was consistently gentle with my body and with my emotions. He always allowed time for my humanity--and his own. He was a great comfort during a miserable time in my life....I could not have been happier with Dr. Barad. My son exists because of his caring nature, as well as because of his expertise.
[Center for Human Reproduction is] a large New York clinic that specializes in egg donors from diverse backgrounds....New York, so most things were covered by insurance--co-pays added up, but was very grateful it was covered! Donor egg cycle was not covered, and I think it ran around $25,000
How was your experience with David Barad at Center for Human Reproduction?
I could not have been happier with Dr. Barad. My son exists because of his caring nature, as well as because of his expertise.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Make the appointment today!
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr. Barad was consistently gentle with my body and with my emotions. He always allowed time for my humanity--and his own. He was a great comfort during a miserable time in my life.
Describe your experience with Center for Human Reproduction.
A large New York clinic that specializes in egg donors from diverse backgrounds.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
New York, so most things were covered by insurance--co-pays added up, but was very grateful it was covered! Donor egg cycle was not covered, and I think it ran around $25,000
He [Dr. Barad] is caring. Good relationships with office staff and nurses. Willing to come in on weekends....He is more nurturing than Gleser. He will work with the best timeline for you family. I had a broken leg and young child and he convinced me to wait.
He [Dr. Barad of Center for Human Reproduction] is caring. Good relationships with office staff and nurses. Willing to come in on weekends....He is more nurturing than Gleser. He will work with the best timeline for you family. I had a broken leg and young child and he convinced me to wait.
How was your experience with David Barad at Center for Human Reproduction?
He is caring. Good relationships with office staff and nurses. Willing to come in on weekends.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Talk it through with him.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
He is more nurturing than Gleser. He will work with the best timeline for you family. I had a broken leg and young child and he convinced me to wait.
Dr. Barad is a skilled, experienced, and honest physician that keeps communication as one of the key elements in their relationship with the patient. Even when things did not go as expected, they made sure to comfort me and maintained a positive attitude without being unrealistic. I will never forget the day Dr. Barad did my embryo transfer and held my hand, I could imagine his smile through his face mask, and his eyes told me “Everything is going to be ok”.
Everyone in CHR is friendly, kind, and considered, from the front desk ladies to the nurses, labs techs, etc., you don’t’ have to talk to answering machines or leave messages that no one ever responds, you don’t feel that you are just a number like in other centers. They all make sure you have a great experience since day one.
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad is a skilled, experienced, and honest physician that keeps communication as one of the key elements in their relationship with the patient. Even when things did not go as expected, they made sure to comfort me and maintained a positive attitude without being unrealistic. I will never forget the day Dr. Barad did my embryo transfer and held my hand, I could imagine his smile through his face mask, and his eyes told me “Everything is going to be ok”.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Do not hesitate for a second, get a consultation with Dr. Barad!
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
Dr. Barad is a phenomenal human being, knowledgeable, professional, caring, honest, approachable, kind, and compassionate.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
I am a poor responder with DOR, the treatment included CoQ10 and DHEA for at least 3 months and then the stimulations were with high doses of Menopur and Follistim. I also did steroids and aspirin as well as Lovenox, estrogen, and progesterone after the transfer.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Maria Daskalakis)
My nurse Maria is someone I will always remember with special affection. Maria was always so caring, she made sure I felt comfortable, and that all the instructions were clear. She was always so easy to reach and always went beyond expectations during my cycles. Even if she had to call with not-so-good news, she found ways to keep my spirit positive.
Describe your experience with Center for Human Reproduction.
Everyone in CHR is friendly, kind, and considered, from the front desk ladies to the nurses, labs techs, etc., you don’t’ have to talk to answering machines or leave messages that no one ever responds, you don’t feel that you are just a number like in other centers. They all make sure you have a great experience since day one.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
Around $12,000-$15,000 per cycle without including medications.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
Based on my age, and we decided not to test the embryos, the recommendation was to transfer multiple embryos at the same time. I am happy we did.
Dr. Barad is kind, compassionate, and warm. He's also scientific and knowledgable. He took time to explain things to me, address concerns, and alter the program when needed. I felt a sense of calm every time I met with him--whether it was for a check on where I was in my cycle or for an actual transfer...We transferred two embryos three times due to advanced maternal age..
They were efficient. I have a very busy work schedule and I could count on them generally running on time every morning I visited...CHR's strengths lie in their mix of science and compassion. They were absolutely wonderful every step of this journey, which is extremely challenging. I didn't visit other clinics, so I don't know how to evaluate weaknesses without comparison...
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad is kind, compassionate, and warm. He's also scientific and knowledgable. He took time to explain things to me, address concerns, and alter the program when needed. I felt a sense of calm every time I met with him--whether it was for a check on where I was in my cycle or for an actual transfer.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
Listen to him. He's an expert, and the guidance and advice he provides is invaluable.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
At 44 years old, I'm sixth months pregnant, and I owe it all to the wonderful doctors, nurses, and staff at CHR. When I first visited them, I was completely green at the world of IVF. I knew I was at an advanced age for conceiving my first child, so I went to them immediately when I made the decision to try. I hadn't looked on blogs or read books or talked to a million friends about the process.
What I found at CHR was a group of people who were willing to hold my hand and be there for me every step of the way. Their townhouse office felt warm and welcoming--not cold and clinical, and everyone I encountered had the exact same effect on me. In addition to that familiar feeling, the doctors are absolute experts approaching each case on an individual level and with the deepest scientific rigor.
As we went through the process, the doctors were constantly monitoring my levels and tweaking the program to achieve the best results. Although it was disappointing to not have the first transfer work, I knew there was hope and that they would do everything to figure out a way to succeed.
When I found out that I was pregnant after my fourth transfer, watching the embryo grow for several weeks with regular visits was magical. I found it difficult to say goodbye when I was released to my OB-GYN, but I felt comfortable and confident because they helped me find the right OB for the next part of my journey.
Describe the protocols David Barad used in your cycles at Center for Human Reproduction and their degree of success.
I don't remember the drugs for the retrieval--Gonal, the trigger shot. That's about it. For the transfers, I used progesterone by mouth and injection as well as estrogen by mouth and injection, and Lovenox as well as baby aspiring. For two cycles, I had an IVIG transfusion to deal with clotting antibodies being very high.
Describe your experience with the nursing staff at Center for Human Reproduction.
Warm and friendly--but they certainly kept the train running on schedule especially when things were busy. They also took time to explain all the medications and how to properly administer them. Which is tricky!
Describe your experience with Center for Human Reproduction.
CHR's strengths lie in their mix of science and compassion. They were absolutely wonderful every step of this journey, which is extremely challenging. I didn't visit other clinics, so I don't know how to evaluate weaknesses without comparison.
Describe your experience with your monitoring appointments at Center for Human Reproduction.
They were efficient. I have a very busy work schedule and I could count on them generally running on time every morning I visited.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
I am very fortunate in that they were covered by insurance.
Describe David Barad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Center for Human Reproduction.
We transferred two embryos three times due to advanced maternal age. On the fourth try, only one of the two thawed.
Dr. Barad is a kind professional who makes you feel like you're family. He listens to your concerns and covers all topics tactfully...He treats you like you're competent and doesn't explain simple concepts to you as if you were a child...He specializes in premature ovarian failure, which is incredibly rare...Him and the other doctor are constantly seeking ways to improve fertility and I am just forever grateful.
They've [Center for Human Reproduction nurses] made themselves available and address any concerns or questions that I may have...The clinic is warm, inviting, and clean. The staff are professional, kind, helpful, and just absolutely wonderful. Dr. Barad deserves a cape because he is a true superhero in my eyes! I knew immediately after our first Zoom consultation that he is the doctor that I need in my life. Someone who actually looks at you, not through you. He is delicate, personable, and makes you feel like you're not a science experiment
How was your experience with David Barad at Center for Human Reproduction?
Dr. Barad is a kind professional who makes you feel like you're family. He listens to your concerns and covers all topics tactfully. I have wanted to visit CHR for many years ever since I became infertile and I feel so blessed that I'm now a patient of Dr. Barad.
What's one piece of advice would you give a prospective patient of David Barad at Center for Human Reproduction?
My only advice is that he is the best and that, if you want to be cared for, you should see Dr. Barad. He specializes in premature ovarian failure, which is incredibly rare. Him and the other doctor are constantly seeking ways to improve fertility and I am just forever grateful.
During treatment, were you treated like a number or a human with David Barad at Center for Human Reproduction?
CHR is the absolute best! I live in Florida and have made Dr. Barad my official RE after going through a clinical study with him. He is the kindest, most knowledgeable RE I have yet to meet. I've pretty much exhausted all options in FL because I visited the top two REs in my area (Orlando) and they were terrible and my experiences were traumatic. I then moved on to another RE in Winter Park but the clinic (and doctor) are nothing like CHR. From the front desk staff to the nurses, all the way upstairs to the Phlebotomist who took my blood. They were ALL soooo amazing. I was just absolutely stunned. But, of course, my favorite person there is Dr. Barad. He treats you like you're family. He looks at you in the eyes like you're a real human being. He treats you like you're competent and doesn't explain simple concepts to you as if you were a child. I had absolutely no negative feelings about my entire experience. I am actually going back next Friday and my husband and I are both excited. Can you imagine being excited to travel to NY during a pandemic to have sharp needles stuck in your arms and to have another procedure? Yes, excited! THAT is how wonderful CHR is. Oh and also I wanted to mention that Lori (Lorenis) has been incredibly communicative and helpful the entire 2+ months that I've been "working" with her. I can't imagine going anywhere else for this. I have found my RE and I couldn't be more grateful.
Describe your experience with your nurse at Center for Human Reproduction. (Assigned nurse: Lorenis Espinosa)
Lori and the others have been so kind, helpful, and thoughtful. Their communication skills are wonderful, which had me worried at first since I am in Florida and they are in New York. But I quickly realized I had nothing to worry about, regardless of the distance! They've made themselves available and address any concerns or questions that I may have. The nursing staff are soooo much better than the ones I've dealt with at other clinics.
Describe your experience with Center for Human Reproduction.
The clinic is warm, inviting, and clean. The staff are professional, kind, helpful, and just absolutely wonderful. Dr. Barad deserves a cape because he is a true superhero in my eyes! I knew immediately after our first Zoom consultation that he is the doctor that I need in my life. Someone who actually looks at you, not through you. He is delicate, personable, and makes you feel like you're not a science experiment. If only I could explain how traumatized I was after going to two different REs, you would understand that CHR is the absolute best in my mind. I would strongly encourage any woman, especially one dealing with POF/POI, to see Dr. Barad or to visit CHR.
Describe the costs associated with your care under David Barad at Center for Human Reproduction.
Well, so far I have only had to pay consult fees and $1,500 for PRP but that was part of a clinical trial. I have not actually gone through IVF yet.