Dr. Bush did a great job of explaining all of our options up front. He told us what he recommended but that we didn’t have to do what he recommended in the order he recommended it. He let us choose which route would be best for ourselves emotionally and financially. He answered all of my questions during our consultation appointment. We felt like he genuinely wanted us to get our baby.
[Conceptions Reproductive Associates] Strengths: easy to contact, easy to get an appointment, very accommodating for working schedules, super friendly and compassionate nursing staff, very knowledgeable embryologists, really helpful IVF class that got us ready to dive into IVF. Weaknesses: honestly the only weakness I can come up with would be Dr. Bush’s blunt and clinical nature-I can see how that would be off putting to some people. We were successful on our first round of IVF, which I know isn’t always the case, so we were overly thrilled with our experience.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush was prompt and efficient. When we first met with Dr. Bush we had already gone through 3.5 years of trying on our own and a year of Clomid and other measures with my OBGYN. Dr. Bush reviewed all of our screenings and tests before our initial consultation so we felt like our time wasn’t wasted. He was very clinical and frankly quite blunt but we actually appreciated that approach. We weren’t looking for someone to beat around the bush at this point. Dr. Bush was very confident that despite a diagnosis of unexplained infertility he would get us a baby of our own. He was very proud of his clinic. The initial impression definitely came off a touch cocky, honestly. But we were glad to know we were with a doctor who was very confident in his practice. In our consultation appointment, I came with a full list of questions and he actually took the page from me and went down and specifically answered every single question. We felt very confident in his ability to treat our case. We felt like he genuinely wanted us to be successful.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Don’t be turned off by his clinical nature. Despite a blunt delivery, he truly cares about his patients’ success.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush did a great job of explaining all of our options up front. He told us what he recommended but that we didn’t have to do what he recommended in the order he recommended it. He let us choose which route would be best for ourselves emotionally and financially. He answered all of my questions during our consultation appointment. We felt like he genuinely wanted us to get our baby.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Dr. Bush recommended going straight to IVF. Due to insurance and financial matters, we opted to try IUI first. We did three rounds of IUI. I honestly don’t remember our IUI procedure other than doing a trigger shot 24 hours before the IUI.
We moved on to IVF after 3 unsuccessful IUIs. IVF protocol started with birth control. Due to my chronic hypertension, I can’t birth control pills so I requested an alternative option. I was able to use NuvaRing instead of the pill prior to egg retrieval and transfer. I did 9 days of stimulation prior to egg retrieval. I took Menopur, Omnitrope, and Gonal-F every day. I was also taking synthroid and vitamin because some test results showed I had low thyroid and vitamin d levels. I took a trigger shot before egg retrieval. They retrieved 18 eggs, 10 were mature, and 5 were successfully fertilized using ICSI. By day 5 only 3 were ready for freezing. We did PGT-A testing and 2 came back normal.
After retrieval I had a trial embryo transfer and hysteroscopy. The TET went very well but the hysteroscopy showed that I had several uterine polyps that would have to be removed before transfer. I chose to have this done with my OBGYN because of insurance/financial reasons. After polyps were removed we were cleared for transfer. Then COVID-19 happened and our clinic was forced to shut down which canceled our transfer. We were able to get rescheduled 2 months later when the clinic reopened. I did a normal transfer protocol plus omnitrope. I asked about intralipid infusions but Dr. Bush said he didn’t think it was necessary. I heeded his recommendation here and we did not do the infusions. I did do acupuncture for three weeks leading up to transfer, immediately before and after transfer and for three weeks following transfer. Our embryo went through thawing and assisted hatching before transfer. Our transfer was successful and I gave birth to our healthy baby boy in February 2021!
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Veronica (IVF) and Jessica (Transfer))
I can’t sing enough praises for Veronica and Jessica and the other nursing staff at Conceptions. Veronica and Jessica both were exceptional communicators. They answered my millions of emails promptly and with compassion. Veronica and explained all of the medications and when to take them very well. Jessica even showed us exactly where to do the PIO shots. The phlebotomist at the Lone Tree location was so sweet and I felt like she was as invested in this journey as I was. The phlebotomist at the Littleton location could be a little chatty and sometimes shared too much.
Veronica and Jessica are on our favorite people list.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Strengths: easy to contact, easy to get an appointment, very accommodating for working schedules, super friendly and compassionate nursing staff, very knowledgeable embryologists, really helpful IVF class that got us ready to dive into IVF.
Weaknesses: honestly the only weakness I can come up with would be Dr. Bush’s blunt and clinical nature-I can see how that would be off putting to some people.
We were successful on our first round of IVF, which I know isn’t always the case, so we were overly thrilled with our experience.
Describe your experience with your monitoring appointments at RMA of Colorado - Conceptions Reproductive Associates.
I was able to make all of my monitoring appointments at the beginning of our egg retrieval calendar. All of the monitoring appointments had to be in the morning and I was able to get them scheduled before work which was helpful. I was in and out within 15 minutes and the ultrasound tech and phlebotomist were the sweetest!
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Initial consultation: $450
Three IUI procedures: $3,600
One round of IVF cash pay: $17,388.50
This included monitoring, egg retrieval, ICSI fertilization, freezing, thawing, assisted hatching, and first transfer.
IVF coordination of care: $986.50
Anesthesia for egg retrieval: $400
IVF meds: $4,122
PHT-A testing: $1,500
Transfer meds: $1,353.54
Polyp removal surgery: $200
I don’t remember costs of acupuncture but I think it was around $2,000 for all sessions.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
We agreed with Dr. Bush’s recommendation of transferring one embryo because he and his team showed pretty convincingly how their high rate of pregnancy could lead to a high rate of multiples. And we definitely were not trying for multiples.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Failed to consider drug intolerance
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
Because of my chronic hypertension, I cannot take birth control pills. I had to ask for another birth control option.
Dr. Bush was very straight forward with explanations of our diagnosis...showed his concern with our two failed IVFs and you could tell he was researching everything he could to help us succeed for the next. If you are looking for someone warm and cuddly, he would not be it but his compassion shines through when he is doing the procedures and walking you through the process. He brings his positive attitude every time we see him...
Conceptions is very welcoming and very knowledgeable. It is convenient that they have so many locations around Colorado. They are timely and organized with questions, appointments and procedures. I always feel at home and never judged when I'm in their offices...[nurse] has been the rock we go to through this experience and we are very thankful to have her in our life...Everyone in the office were always so kind, on top of my appointments and very knowledgeable with all the questions I would ask.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush was very straight forward with explanations of our diagnosis. Which I respected because my husband and I were the ones always asking why? If we did not understand it, he would take the time to re-explain the process and procedures (even draw pictures)! He showed his concern with our two failed IVFs and you could tell he was researching everything he could to help us succeed for the next. If you are looking for someone warm and cuddly, he would not be it but his compassion shines through when he is doing the procedures and walking you through the process. He brings his positive attitude every time we see him, and we truly appreciate it.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
My advice for a prospective patient is what you see is what you are going to get with Dr. Bush. Expect the information to come at you fast and rapidly but know he cares. It will help if you do research on your end - that way you can have a better more logical conversation with him. He will do what he can to get you pregnant and he is good at his job!
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Conceptions treated me like a human every time I have gone into see them, even getting blood work done, the phlebotomist took their time and got to know me. Everyone in the office were always so kind, on top of my appointments and very knowledgeable with all the questions I would ask. They showed their concern and love for my situation.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Treatment strategies/protocols IVF #1 - baby aspirin everyday; hCG 2x before transfer, 2x after transfer; 75mg progesterone shots; medrol 4 pills for 4 days before the transfer; Estrace 2mg morning and 2mg at night everyday; estrogen patches everyday; lupron 10 unites injections for 27 days. Went in for regular blood work and ultrasounds, they didn't change anything up really. I think most of my protocol was based off blood work and how my body was reacting. First test I was pregnant with my hcg at 112.6, went back for follow up and I had a chemical pregnancy, my hcg dropped to 18. They suggested doing an ERA (mock transfer) before my next round, we were anxious and decided to pass and start with another transfer.
Treatment strategies /protocols for IVF #2 - z-pack; folgard 2.2mg everyday; hCG 2x before transfer, 2x after transfer; Omnitrope 0.5cc for 10 days; 75mg progesterone shots; medrol 4 pills for 4 days before the transfer; Estrace 2mg morning and 2mg at night everyday; estrogen patches everyday; lupron 10 units injections for 23 days and had intralipid infusion. Biggest difference was no baby aspirin this round; but added folgard, z-pack, intralipid infusion and Omnitrope. This round resulted in a negative pregnancy with my hcg levels at 9.23. Again, was suggested doing an ERA - so we did an ERA.
Treatment strategies/protocols ERA - (only taking medications till transfer day) folgard 2.2mg everyday; hCG 1x before transfer day; medrol 4 pills 4 days before transfer day; 75 mg progesterone; estrace 2mg in the morning and 2 mg at night; delestrogen shot 0.25ml every 4 days; and lupron 10 units injections for 24 days. This resulted in my ERA coming back as pre-receptive by 12 hours.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Jessica R)
All the nurses are very helpful when we call or email them. Especially my primary nurse, Jessica R. She has answered all of my questions quickly, efficient and confidently. She has displayed her compassion through all the stages and are very thankful for her. She does not make me feel foolish for asking her questions over and over. She has been the rock we go to through this experience and we are very thankful to have her in our life.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Conceptions is very welcoming and very knowledgeable. It is convenient that they have so many locations around Colorado. They are timely and organized with questions, appointments and procedures. I always feel at home and never judged when I'm in their offices.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
I trust my doctors opinion and what is best for my body and my circumstances through all the testing he has done.
Know that you are in for an in depth conversation [with Dr. Mark Bush], very specific to your body and it's needs. Come with knowledge of the process and common IVF acronyms. It will help expedite the consultation and provide opportunity for you to ask questions...After being diagnosed with ashermans and having multiple surgeries to resect the scar tissue, I was on hormone therapy using estradiol 2 mg pills twice a day and del estrogen injections to rebuild the lining. We tried a couple different protocols, using Viagra or Cialis with pentoxy to help encourage uterine lining growth. The final successful cycle involved Viagra, estradiol 2mg, pentoxy, del estrogen and HCG (new study released Dec 2017). I used acupuncture during all if my treatments and it was an integral part of our success and highly recommended by Dr. Bush.
They [the nurses at Conceptions] supported me through happy days and sad. Whether they we're greeting me in passing, drawing my blood, explaining test results, reviewing medication, or grieving with me, they all provided perfect care...In seven years, one egg retrieval, four transfers and four surgeries, and lots of medication, we spent around $50,000. All things considered, very reasonable...The Littleton office feels like my home since I spent so many years there. Parking is close. Elevators are available when walking the stairs wasn't recommended. Easy access to blood draw area and waiting room always had something for me or my son (first IVF baby of ours) to do.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
He was straight forward, yet took the time to explain all the ins and outs, acronyms, processes, possibilities with us. He knows his areas of strength and has intelligently filled his team with people who can support patients in other ways. He isn't just after the nest numbers (though his numbers are very good) because he sincerely wants the best for his patients. He is very good at what he does and is able to tackle tough situations and conversations with ease.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Be ready. Know that you are in for an in depth conversation, very specific to your body and it's needs. Come with knowledge of the process and common IVF acronyms. It will help expedite the consultation and provide opportunity for you to ask questions.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
He was ready to fight for me to get the best care I could get. His protocol was personalized to my unique needs.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Tried IUI with estradiol, letrozole and luteal HCG because we hadn't tried IUI yet and infertility was unexplained. When that didn't work (twice), we began egg retrieval stimulation using follistem, menopur and saizen (saizen due to suspected poor egg quality). We froze all embryos for PGD since we didn't know why I couldn't get pregnant, nor why I miscarried. Around retrieval time, I also took doxycycline, nexium and a novarel trigger. The trigger was a half dose due to my high estradiol results. I needed ganirilex injections as I was very close to ovarian hyperstimulation. The next month, I started birth control pills to calm my own hormones and allow doc to control them with meds. For the transfer, I was on lupron, estradiol, and progesterone in oil with medrol right around transfer.
After being diagnosed with ashermans and having multiple surgeries to resect the scar tissue, I was on hormone therapy using estradiol 2 mg pills twice a day and del estrogen injections to rebuild the lining. We tried a couple different protocols, using Viagra or Cialis with pentoxy to help encourage uterine lining growth. The final successful cycle involved Viagra, estradiol 2mg, pentoxy, del estrogen and HCG (new study released Dec 2017). I used acupuncture during all if my treatments and it was an integral part of our success and highly recommended by Dr. Bush.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Tanya Sarver)
So amazing. They supported me through happy days and sad. Whether they we're greeting me in passing, drawing my blood, explaining test results, reviewing medication, or grieving with me, they all provided perfect care.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
This clinic is amazing. The Littleton office feels like my home since I spent so many years there. Parking is close. Elevators are available when walking the stairs wasn't recommended. Easy access to blood draw area and waiting room always had something for me or my son (first IVF baby of ours) to do.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
In seven years, one egg retrieval, four transfers and four surgeries, and lots of medication, we spent around $50,000. All things considered, very reasonable.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
He was open to our decision but encouraged us to transfer one at a time when we asked him what he would do if he were in our position.
He [Dr. Mark Bush] was very helpful and encouraging. Honest approach and matching to patients real life needs without pushing hai own opinions. I was going through divorce and I needed to save my eggs, and he listened to my needs and goals without judging me...Dr.Bush was able to understand what I’m going through and accepted my choice which was to “save my eggs first before I reach 41 years old”. Women should have right to make decision by themselves. I have only one ovary, so it made sense for me to do egg freezing and get as many eggs out as possible instead of doing whole IVF cycle with just one or two eggs.
This clinic [Conceptions Reproductive Associates] has great team work and collaborating very well with each other! Every one is well trained and provided excellent service! I felt like I’m on good hands, and I could enjoy the process because I trust the staff! Staff is very supportive and they would answer every question with so much patience unlike the mean staff of CRM...The staff was excellent! They knew exactly what they are doing! Especially nurse Erica was so good in communicating with me through email and planning early so I could prepare well.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
He was very helpful and encouraging. Honest approach and matching to patients real life needs without pushing hai own opinions. I was going through divorce and I needed to save my eggs, and he listened to my needs and goals without judging me unlike CRM Dr.Sarah Barton who said I have low quality eggs in front of my husband and who was going through depression which made the situation even worse. Fertility doctors please don’t do that! Please treat patient as human not as money! Dr.Bush was able to understand what I’m going through and accepted my choice which was to “save my eggs first before I reach 41 years old”. Women should have right to make decision by themselves. I have only one ovary, so it made sense for me to do egg freezing and get as many eggs out as possible instead of doing whole IVF cycle with just one or two eggs.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Do your homework first, be well prepared. Ask Dr.Bush the options you have. Take some time to reconsider the options, and make the choice that you agree with!
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
He was very honest, and listened to my needs.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
I could tell every cycle they were using different strategies and really monitoring the follicles growth. They were manipulating the growth of my follicles by increasing and decreasing the injections unlike Dr.Sarah Barton from CRM who never cared to even manipulate my doses and give me the same dosage of injections until the end.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Erica )
The staff was excellent! They knew exactly what they are doing! Especially nurse Erica was so good in communicating with me through email and planning early so I could prepare well.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
This clinic has great team work and collaborating very well with each other! Every one is well trained and provided excellent service! I felt like I’m on good hands, and I could enjoy the process because I trust the staff! Staff is very supportive and they would answer every question with so much patience unlike the mean staff of CRM!
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
It was costly, but they never canceled the cycle due to delayed payment. We had great trust developed and I did 6 egg freezing cycles in a row. Sometimes paperwork were not fast enough but still nobody stopped me and choose to trust that I will pay.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
[Dr. Mark Bush's] Strengths: Transfer skills and monitoring Weaknesses: Everything else. Zero flexibility to your needs, he is not willing to try different protocols, accept embryos from any other facility you may transfer from, take a closer look or customize to you -the problem is going to be “you”- it’s never going to be anything else...If you’re looking for a doctor who will fight hard and have a “whatever it takes” attitude to be flexible to regiments/protocols for you, he is not it. One size fits all for Dr Bush,
[Conceptions Reproductive Associates] Strengths - You will get in and out of apointments quickly, billing wasn’t a headache, polite front desk, blood draws and ultrasounds Weaknesses- overall lack of compassion and testing you humanly. When my transfer failed, I heard nothing from the doctor and they just nonchalantly tried to schedule me to speak to the doctor 30 days out...Communication from my main two nurses was often arrogant, and lacked compassion
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
If you’re looking for a doctor who will fight hard and have a “whatever it takes” attitude to be flexible to regiments/protocols for you, he is not it. One size fits all for Dr Bush, he is skilled, and will give it a try as long as you don’t hurt the clinics numbers . If you require customization beyond the basics that should get you pregnant- you won’t get it from him.
From my very first consultation with him, I was discouraged but moved forward because of the clinic’s track record (which I now am a bit unsure about because they do not report to SARTS).. I told myself his blunt communication was honesty, and even though the consultation me feeling discouraged I told myself compared to to other consultations that I had with other doctors who had been more encouraging perhaps he was the real
deal for not trying to “sell” to me. What I didn’t realize is he was really just showing me from the very beginning that his true focus is who might fit in the clinics successful statistics or not. I wish I would have listened to my intuition in my first consultation which was bleak and had the tone of “why havent you had success” instead of “we’re going to do what is needed to help you”.
He had me do a work up to see if he would even “accept” me. After the consultation, I was only able to communicate with him directly two more times on transfer days. I emailed him once and got a response from his nurse that he communicates through them only.
Strengths: Transfer skills and monitoring
Weaknesses: Everything else. Zero flexibility to your needs, he is not willing to try different protocols, accept embryos from any other facility you may transfer from, take a closer look or customize to you -the problem is going to be “you”- it’s never going to be anything else.
Bottom line- He has a well ran machine and formula I’ll give him that - but if you don’t fit his set formula he will just tell you that quote unquote: “you just fit in the percentage that’s not successful” at their clinic and emphasize their clinic numbers that ARE successful. Which will make you feel more horrible as a failure. Emphasizing clinic success rates as an answer at the time of someone’s failure and need to know what they can do to be successful is inconsiderate and arrogant. It was a VERY low point for me. I read he did this in others reviews and it should have been another red flag to me. But I hoped I would be on the other side of his clinic’s questionable statistics to not have to deal with that.
I can’t emphasize enough that he only cares about the clinic’s numbers. If you fit the formula, he can bring you success. **If you need customization to get success - he will not be willing to customize for you.**
With this doctor you either fit in his preset formula…. or you don’t. That’s it.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Take a look at other reviews and see that there are stark differences in initial consultations. Some will say how positive he was and reassuring that he could help him. Others like mine are the complete opposite. If you don’t get a decent positive tone of wanting to help you in your consultation- run. Don’t take it as honesty and move forward like I did. Because what that tone is telling you - is that he doesn’t think you may fit into their set formula of protocols and ideal patient candidates. And if you don’t fit, he is not going to be flexible or customize anything for you- so you’re wasting your time. Stop and find another doctor at that point.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Communication was overall bland, arrogant and lacked compassion. I wasn’t able to communicate with the doctor except by delivering a message through the nurse and at transfer.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
I did two rounds and protocols were pretty much the same regardless of results. Rationale was never given for the protocols. We got 1 embryo from the first round and 0 embryos from the second round before I moved forward to donor eggs.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Kristine and Charly )
Communication from my main two nurses was often arrogant, and lacked compassion. They did respond quickly for the most part by email. For the office staff, people were friendly.
I don’t recommend seeing this office for out of town patients, appointments sometimes changed considerably making it difficult to plan and travel. They were sometimes even moved around the day of my travel or day of my appointment.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Strengths - You will get in and out of apointments quickly, billing wasn’t a headache, polite front desk, blood draws and ultrasounds
Weaknesses- overall lack of compassion and testing you humanly. When my transfer failed, I heard nothing from the doctor and they just nonchalantly tried to schedule me to speak to the doctor 30 days out. They had zero consideration that no one should have to wait that long to hear from a doctor after a failed transfer. I had to really advocate for myself to them, if you’ll let them - they will treat you like just another number.
I also had the same first name as an office associate and got emailed details on other patients information more than once which showed a huge lack of carefulness with patient information and violates HIPAA laws.
Primary nurses are just as arrogant as the doctor and overall communicate with a condescending tone, they show zero compassion and will also not try to really treat you like you’re anything but another number. They make it clear they are just a messenger and could care less about you. Scheduling is sometimes subject to change without much warning making it hard for out of town patients, for example- my appointment was moved up with just a few hours warning to meet their scheduling needs even though they knew I was an out of town patient. Luckily I had just flew in and had to rush over. I was also once switched to another office without warning, and had to pay extra Uber fees to get over there as I was from out of town and only flying in and out for the day’s appointment.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
He allowed me to transfer two pgs tested embryos in my donor egg round, which resulted in a chemical pregnancy.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
We personally had a great experience with Dr Bush. He is very confident in his abilities and we had success twice over with him. You don’t have much interaction with your doctors but the interactions we did have with him were pleasant and professional and he has a good sense of humor...Do not expect to see him every appointment. Have trust in the nursing staff and don’t be afraid to advocate for yourself if you think something is wrong
The [Conceptions Reproductive Associates] clinic has high success rates. They are a business so expect to talk about to financials every visit! Always keep track of your treatment plan and ask questions if you are confused/concerned about anything...As a lesbian couple when talking to people they we all very accepting and I never felt judged. However… all of the forms are so heteronormative. Please fix that!!
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
We personally had a great experience with Dr Bush. He is very confident in his abilities and we had success twice over with him. You don’t have much interaction with your doctors but the interactions we did have with him were pleasant and professional and he has a good sense of humor.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Do not expect to see him every appointment. Have trust in the nursing staff and don’t be afraid to advocate for yourself if you think something is wrong
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr Bush was very personable during consult/transfer but that was all we interacted. His team did the work to make me feel more like a human and not just a number.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Due to my age, he had me do testosterone gel prior to starting my round of IVF. He also had me use HGH in combination with all of the other hormones in the antagonist protocol and with both transfers (second transfer was to my wife). We were able to get 3 normal embryos and after two transfers 2 healthy babies.
How competent was Mark Bush at LGBTQ+ care?
As a lesbian couple when talking to people they we all very accepting and I never felt judged. However… all of the forms are so heteronormative. Please fix that!!
Describe your experience with the nursing staff at RMA of Colorado - Conceptions Reproductive Associates.
The nursing team is busy, but they were always responsive and helpful to me and my wife. Very knowledgeable.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
The clinic has high success rates. They are a business so expect to talk about to financials every visit! Always keep track of your treatment plan and ask questions if you are confused/concerned about anything.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
About 7K oop for retrieval and transfer and 2k oop for second transfer
How competent was RMA of Colorado - Conceptions Reproductive Associates at LGBTQ+ care?
They were welcoming and respectful. I mentioned the forms previously… the forms are so heteronormative. Even filling out the information for embryo testing didn’t have a place to mark that you were using donor material. So we put my wife in even though it wasn’t her genetic material.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at RMA of Colorado - Conceptions Reproductive Associates.
They had us meet with a therapist to talk about using donor material and talking about that with our children. Otherwise they handled everything with Cryogam well.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Failed to send your chart to another clinic
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
When we were preparing for my cycle they submitted my wife’s chart to my insurance for pre-authorization. This caused my insurance to deny coverage and was concerning since my wife did not have a relationship with my insurer.
Dr. Bush took his time and connected with us on a personal level...Dr. Bush is intelligent, kind and is truly an expert in his field...He is thorough, straight-forward and detail oriented...We are 3 for 3 with our frozen embryo transfers and have 3 amazing children that we can't imagine living without. We are about to move forward on transferring our 4th and final embryo and trust that this cycle will be as successful as the first 3...
The clinic [Conceptions Reproductive Associates] is clean, run well, organized and very welcoming. From the moment you walk in the door, you will feel comfortable. All of the staff are kind and professional...Dr. Bush has created an environment where everyone feels heard and respected. The billing department, receptionists, blood draw techs, nurses, etc. all approached me with kindness and compassion...
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
My husband and I have had nothing short of an amazing experience with Dr. Bush and his team at Conceptions. We are 3 for 3 with our frozen embryo transfers and have 3 amazing children that we can't imagine living without. We are about to move forward on transferring our 4th and final embryo and trust that this cycle will be as successful as the first 3. Dr. Bush is intelligent, kind and is truly an expert in his field. We live in Tampa, Florida and chose Conceptions in Colorado because none of the doctors we interviewed compared to Dr. Bush. He is thorough, straight-forward and detail oriented. We have zero complaints. If you choose Conceptions, you will not be disappointed.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Trust him and do what he suggests, you will not be disappointed. He is direct, but also compassionate.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush took his time and connected with us on a personal level.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Erika P and Tanya S)
Erika P and Tanya S were detail oriented, compassionate and knowledgeable. They were also good communicators.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
The clinic is clean, run well, organized and very welcoming. From the moment you walk in the door, you will feel comfortable. All of the staff are kind and professional. I really didn't experience anything negative, nor can I point out any weaknesses. Dr. Bush has created an environment where everyone feels heard and respected. The billing department, receptionists, blood draw techs, nurses, etc. all approached me with kindness and compassion.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
We only had singles transferred. Dr. Bush was confident that a single would be successful and it was. This was important to us because we did not want multiples.
He [Dr. Bush] is direct, confident and generally not "warm and fuzzy". BUT he is brilliant and you are hiring someone to make you a parent, not become your best friend...He knew us by name, knew our story and our journey, and provided optimism and hope that kept us on the path to parenthood...PCOS diagnosis- Agonist protocol...Third transfer- addition of blood thinner, additional growth hormone, and hydroxychloroquine. Transferred two tested embryos, both stuck...
Tanya [nurse at Conceptions Reproductive Associates] was amazing and stuck with us through a long and challenging journey with lots of setbacks. Her case load was likely too large to provide the kind of constant 1:1 care that she clearly is able to do (and likes to do) and was therefore sometimes difficult to reach...But she was organized, honest, optimistic, thorough and kind...
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush, from the outset, gave us hope and optimism that parenthood could be achieved. While it took a while, he ultimately made that dream come true and we are forever indebted to him for it. We met with him a handful of times through the journey -- but were lucky enough to have his expertise for the egg retrieval and all three transfers. When faced with setbacks or disappointment, Dr. Bush welcomed us for WTF conversations and adjusted the plan to produce better results. We absolutely would recommend him to anyone wanting to achieve the ultimate goal of parenthood. Dr. Bush made it happen.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Don't be taken aback by Dr. Bush's demeanor in the meetings in his office. He is direct, confident and generally not "warm and fuzzy". BUT he is brilliant and you are hiring someone to make you a parent, not become your best friend. Once I reminded myself of that, my expectations of our interactions were adjusted and I came to appreciate his approach, confidence and care.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush did a good job of ensuring that we felt listened to and valued as individuals despite the fact that he runs a busy fertility practice with thousands of patients. He knew us by name, knew our story and our journey, and provided optimism and hope that kept us on the path to parenthood.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
PCOS diagnosis- Agonist protocol for IVF following three failed rounds of IUI.
Egg retrieval resulted in 18 eggs, 12 fertilized, 8 made it to day 6-7. Of those 8, 6 tested genetically normal and were frozen.
First transfer- resulted in positive pregnancy test and graduation from clinic. However, miscarriage at 12 weeks occurred.
Second transfer- adjusted protocol to include intralipid infusion. Resulted in a negative pregnancy test.
ERA cycle- resulted in normal results but helpful for diagnostic puroposes and for me getting focused and centered as the patient.
Third transfer- addition of blood thinner, additional growth hormone, and hydroxychloroquine. Transferred two tested embryos, both stuck. Positive pregnancy test resulting in the healthy birth of boy/girl twins.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Tanya)
Tanya was amazing and stuck with us through a long and challenging journey with lots of setbacks. Her case load was likely too large to provide the kind of constant 1:1 care that she clearly is able to do (and likes to do) and was therefore sometimes difficult to reach. She simply had too many patients to manage. But she was organized, honest, optimistic, thorough and kind. When we lost our first pregnancy at 12 weeks (after graduating from the clinic) we were able to reach Tanya by phone on the drive home and she talked us back from the cliff. She was initmately involved in the D&C process, management of the miscarriage and procedure for next steps. And when we had success, she was there to cheer us on and celebrate with us. Ultimately, she did an amazing job and was very patient with me, and we're grateful for her.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
If you're a patient of Dr. Bush's, it seems you are likely to have high-quality, personalized and optimistic treatment that results in success. Dr. Bush is clearly respected highly within the practice, and it seemed that staff did an exceptionally good and careful job with his patient (me). The nursing team is over committed to too many patients, and could use some reprieve. It can be difficult to reach them by phone or email due to volume. But everyone we interacted with was ultimately great. The billing department can be a real challenge, but we did most of our interactions with Taunya at the front desk of the Lone Tree office and she was amazing.
We loved all the staff-- phlebotomist, sonographer, PAs, midlevels, etc who cared deeply for our successful conclusion.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
We spent about $50k to achieve our highest goal of becoming parents. We ended up with twins, and even if it had been only one baby, we know it was worth every penny.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Dr. Bush was clear that multiple embryo transfers were off the table until all other options had been exhausted. First two transfers were eSET. Third transfer utilized two embryos to increase the chance of success, and resulted in fraternal twins. Dr. Bush was clear with us about the potential risks of a multiple embryo transfer and we ultimately let him decide on transfer day if one or two would be used. We are thrilled with the result.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
Overall it was a great experience at a wonderful clinic. Being happy success stories makes the challenges seem miniscule.
[Dr. Mark Bush] is really profesional and knowledge , he will take the time to explain everything to you . He also will tell you the truth in your face he will not create false expectations . He will take the time to treat you as an individual and review the right treatment for you...we are hopeful that we will have a baby at the end...he is honest when he give you the expectation
[The Nursing Staff at Conceptions Reproductive Associates-Denver] are all really nice and they treat you with compassion and they show that they care about you as a person...Clinic I loved is really nice and clean , people is nice and proper...everybody have their place or roll and they do a very good profesional work...I like how everything is really well organized
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
De Bush is really profesional and knowledge , he will take the time to explain everything to you . He also will tell you the truth in your face he will not create false expectations . He will take the time to treat you as an individual and review the right treatment for you to end up with a baby in your arms . We are going with him and we are hopeful that we will have a baby at the end .
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Take the time to research to ask the right questions , make a list ... have him give you the best treatment that he suggest .
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr Bush is really professional and he will tell you the truth right upfront ... he is honest when he give you the expectations ... he will do the right for you
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
He did check me every day with blood work and ultrasound así I won’t be on risk of OHSS . He will look all the details and try to give you the correct answer .
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Sarah Evans )
They are all really nice and they treat you with compassion and they show that they care about you as a person
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Clinic I loved is really nice and clean , people is nice and proper... everybody have their place or roll and they do a very good profesional work . I like how everything is really well organized and clean.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Dr Bush was a great person when he decided to give me a discount for my treatment and he did manage this personally with me and a great nurse Sarah Lee , they were really nice to me when it comes to price for the treatment .
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
I did want to do a transfer on me but doctor bush will research about my situation first and we will discuss the best treatment for me . Also I would like to transfer 2 embryos but he only do 1 at the time .
Dr. Mark Bush is very welcoming. He is straight forward, but with good bed side manors...We started out by trying IUI’s. When those didn’t work we moved to IVF...Since I only have 1 good embryo he suggested I do an ERA biopsy to give us the best chance...Through our journey he has informed us of each step...That is currently where we are at in our journey as covid-19, has pushed everything back a little.
offices of [Conceptions Reproductive Associates] I have been to are very clean and the staff is organized...IVF was about 15,000, egg retrieval medication was about 5,000, genetic testing was 1,500, ERA biopsy was about 1,600...nurses have been great and very organized through this whole process...You feel like a priority.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush is very welcoming. He is straight forward, but with good bed side manors. I feel like Dr. Bush truly cares about my husband and I and wants to see us have a baby. Through our journey he has informed us of each step, and when the IUI’s did work he went over why and we looked at our next option.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Trust in the process, Dr. Bush would not steer you in the wrong direction
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush takes the time for you to understand. If you don’t he will explain it again and in a different way.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
We started out by trying IUI’s. When those didn’t work we moved to IVF. On top of the normal protocol I did have to have my uterus scraped as I had polyps. Since I only have 1 good embryo Dr. Bush suggested I do an ERA biopsy to give us the best chance. That is currently where we are at in our journey as covid-19, has pushed everything back a little.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Erika and Ali)
I have been lucky to have the best Nurses! Erika was with me after egg retrieval through my surgery and then I was transferred to Ali for FET. Erika kept an eye out for medications That were donated to try and lower my cost. Ali has been great and very organized through this whole process
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Both offices I have been to are very clean and the staff is organized. They have complimentary drinks and snacks. Appointments are on schedule and everything runs very smooth. The front desk ladies are always so nice and welcoming. You feel like a priority.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
IVF was about 15,000, egg retrieval medication was about 5,000, genetic testing was 1,500, ERA biopsy was about 1,600.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
For the most part Dr. Bush transfers one. As he states twins/multiples are hard to carry.
Mark Bush was arrogant and patronizing. He rarely allowed me to finish a thought, almost always cutting me off before I could finish what I was saying. He was quick to place a label on my infertility diagnosis without looking at all the labwork and results, and then later changed his diagnosis when he looked just a bit more thoroughly at my labwork. He spent a lot of time talking about his successful IVF statistics and pushing IVF at us when we were not feeling ready to take that step, wanting to being with a couple rounds of IUI.
The nursing staff [at Conception Reproductive Associates] helped take what Dr. Bush said and describe it in more detail, allowing me to ask questions or clarifications...The clinic sure likes to post their IVF success statistics on every table surface, door, and wall! I didn't love that they have multiple clinic locations that provide different services or that are only open on some days...
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Mark Bush was arrogant and patronizing. He rarely allowed me to finish a thought, almost always cutting me off before I could finish what I was saying. He was quick to place a label on my infertility diagnosis without looking at all the labwork and results, and then later changed his diagnosis when he looked just a bit more thoroughly at my labwork. He spent a lot of time talking about his successful IVF statistics and pushing IVF at us when we were not feeling ready to take that step, wanting to being with a couple rounds of IUI.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
His IVF success statistics are good, so I'm sure he is a smart and competent doctor. But his bedside manner, compassion, and attention to details were abysmal. Ultimately, I decided that in this difficult and stressful journey, I wanted a doctor who listened to me, treated me like a human, and didn't patronize me.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
At our first consultation, Dr. Bush looked at my labwork from my O/B clinic and saw a high AMH level. He right away declared that I had PCOS and described symptoms that I did not have (like anovulation - I ovulate!) He was then very pushy about IVF as the best option for us and prescribed metformin for blood sugar control, even though we hadn't tried IUI and were wanting to start there. After taking some time to consider our options, we had another consult with him where he looked at all my labwork again and declared that I did not have PCOS because I had low testosterone levels. So after months of taking metformin and following a PCOS diet, he changed his diagnosis because he did not look at the whole picture the first time we consulted with him.
Describe your experience with the nursing staff at RMA of Colorado - Conceptions Reproductive Associates.
The nursing staff helped take what Dr. Bush said and describe it in more detail, allowing me to ask questions or clarifications. I trusted them to hear me and advocate for what was best for me more than I trusted Dr. Bush. But ultimately, I could tell they were bound to whatever instructions or protocol he had given them. Now having been to another clinic where the nursing staff were excellent, attentive, and detail-oriented, I can say that the nursing staff at Conceptions were not up to the same level.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
The clinic sure likes to post their IVF success statistics on every table surface, door, and wall! I didn't love that they have multiple clinic locations that provide different services or that are only open on some days - this meant that we had to drive to a couple different locations, which meant we were always having to pull-up maps and give ourselves extra time to find a new location. I would have preferred to visit the same location for each test and visit.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Failed to convey critical information
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
Dr. Bush prescribed incorrect medication based on his inattention to detail in my lab results. This meant months of being on metformin and following a PCOS diet, when he later realized his mistake and changed his diagnosis.
Dr. Bush was great in the initial consultation, he made me hand my husband feel optimistic about our potential to get pregnant. We were nervously excited about the process and were disappointed that after that meeting we would not see or speak with Dr. Bush again until the egg retrieval. It is also requires an act of congress to even speak with Dr. Bush even if requested. Although I know he's a great doctor, his success rates can speak for themselves, it was a bit of a disappointment to not be working with him as much as we had thought.
It was challenging to communicate with my nurse [at Conceptions Reproductive Associates] because I did not have a direct phone number for her. They method of communication was to call the main line and leave a message to have her call me back within 24-48hrs or send an email. Typically the response was well within the 24 hour window but it was a very frustrating method of communication. Additionally, she did not work on Thursday's so if something came up Wednesday evening or Thursday I would have to wait until Friday sometime to get in contact with her.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush was great in the initial consultation, he made me hand my husband feel optimistic about our potential to get pregnant. We were nervously excited about the process and were disappointed that after that meeting we would not see or speak with Dr. Bush again until the egg retrieval. It is also requires an act of congress to even speak with Dr. Bush even if requested. Although I know he's a great doctor, his success rates can speak for themselves, it was a bit of a disappointment to not be working with him as much as we had thought.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Make sure to do your homework before each appointment so that you know what to ask because getting answers after the fact is a challenge.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
After the initial consult I never saw or spoke with Dr. Bush until the egg retrieval. I do not have a direct phone number to my nurse and either have to call and leave a message on the "Nurse Line" or send an email.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
I was on the Antagonist/Saizen protocol and I do not know why.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Nancy Guin)
It was challenging to communicate with my nurse because I did not have a direct phone number for her. They method of communication was to call the main line and leave a message to have her call me back within 24-48hrs or send an email. Typically the response was well within the 24 hour window but it was a very frustrating method of communication. Additionally, she did not work on Thursday's so if something came up Wednesday evening or Thursday I would have to wait until Friday sometime to get in contact with her.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
The clinic is very segregated meaning that your nurse will not be able to help you with any of the finance questions and simply refers you to the finance line which again requires you to leave a message and wait for them to call back. Beyond that I felt like I had to tease out of them how much I would need to pay and if I was eligible for the refund program.
Describe your experience with your monitoring appointments at RMA of Colorado - Conceptions Reproductive Associates.
Monitoring appointments went very smoothly.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Coordination of Care Fee = $990
PESA = $18,600
Natera = $1,500
Anesthesia = $400
Embryo Storage = $400
IVF Medications = $10,000
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Dr. Bush strongly suggests eSET due to the riskiness of multiple birth pregnancies.
My consultation with Dr Bush was by phone (am out of state). He had clearly taken the time to read over all my records and he had a plan in place for me specifically. I had done consults elsewhere where I felt like I didn’t matter...I only met Dr Bush in person at the time of egg retrieval. But it was very clear that he was personally directing the day to day management of my cycle. He is meticulous. I never felt like I was being pushed off to a nurse or secretary.
Initial consult [at Conceptions Reproductive Associates] was 175$. IVF cycle with PGS was about 16K. Nurse coordination fee around 1000...Transfer of donor sperm vial from old clinic to new clinic 750$...This is my 2nd clinic. Was very easy to set up the consult and then make the plans to start cycle remotely. They communicated with my old clinic. They sent reqs for blood work as needed. They were responsive. They helped me with alternatives for meds. The out of state planning/travel etc was so much easier than I thought it would be.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I only met Dr Bush in person at the time of egg retrieval. But it was very clear that he was personally directing the day to day management of my cycle. He is meticulous. I never felt like I was being pushed off to a nurse or secretary.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
He’s not super warm and fuzzy from what I understand, so if this is something you need then he’s not for you. But he works miracles and I know he will help me have my baby.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
My consultation with Dr Bush was by phone (am out of state). He had clearly taken the time to read over all my records and he had a plan in place for me specifically. I had done consults elsewhere where I felt like I didn’t matter.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Started with Birth control and added growth hormone after. Then did antagonist protocol (menopur/follistim/ganerelix). Daily blood and US once I arrived in CO. Trigger with lupron and pregnyl and ovidrel.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Erika)
Erika has been amazing. Not only does she communicate promptly, she’s been my support and my cheerleader.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
This is my 2nd clinic. Was very easy to set up the consult and then make the plans to start cycle remotely. They communicated with my old clinic. They sent reqs for blood work as needed. They were responsive. They helped me with alternatives for meds. The out of state planning/travel etc was so much easier than I thought it would be.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Initial consult was 175$.
IVF cycle with PGS was about 16K.
Nurse coordination fee around 1000.
Plane tickets to Denver and back 250$
8 nights hotel 900$ (they had discount agreements).
Rental car 300$.
Transfer of donor sperm vial from old clinic to new clinic 750$.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Have not transferred yet. Waiting for PGS results.
I appreciated that he [Dr. Mark Bush] told us the likelihood of getting pregnant and how he could help...Our conversations with him were very quick but again it didn’t really matter because we were always taken care of very diligently by his nurses and staff and could ask them any question. We knew Dr Bush was very busy and couldn’t sit and chat for hours and that was fine. He just needed to be there for the transfer and consultations and that was good with us.
I think any new patient would love to work with this clinic [Conceptions Reproductive Associates]. I would definitely recommend them to a friend. Even though my transfer was unsuccessful I know the nursing staff , Dr, embryologist, etc did everything they could to make it successful...I loved everyone that I worked with and thought they were very compassionate and understood the anxieties and hardships that come with fertility struggles
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
He doesn’t have the best bed Side manner but that didn’t really matter to us because we know that he knows what he’s doing and gets the job done. Our conversations with him were very quick but again it didn’t really matter because we were always taken care of very diligently by his nurses and staff and could ask them any question. We knew Dr Bush was very busy and couldn’t sit and chat for hours and that was fine. He just needed to be there for the transfer and consultations and that was good with us.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
To not be discouraged by his lack of bed side manner. He isn’t meaning to be rude or dismissive.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I felt like he was to he point and gave us the facts. I appreciated that he told us the likelihood of getting pregnant and how he could help.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Uterine testing, blood work, and mock transfer before moving forward with a FET cycle. Once all that was clear and good to go I got on birth control. When my period started and we were ready for the actual transfer part I got on several medications such as Lupron, estrogen patches, estrogen pills, estrogen suppositories, progesterone in oil , HCG injection , baby aspirin, vitamin D, prenatal. I’m probably forgetting a couple but there were a lot to remember.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Stacy O’Connell)
I loved everyone that I worked with and thought they were very compassionate and understood the anxieties and hardships that come with fertility struggles
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
I think any new patient would love to work with this clinic. I would definitely recommend them to a friend. Even though my transfer was unsuccessful I know the nursing staff , Dr, embryologist, etc did everything they could to make it successful
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
We did an embryo adoption so there were a few thousand dollars for lawyer fees and genetic parents blood work. Then a couple more thousand for uterine testing, mock transfer, and blood work. Medication was about $1,800 and the actual transfer was $5,610
Dr. Bush exhibited a great balance of compassion and intelligence. Once under his care I had a renewed hope that we would successfully conceive. He made me feel like our case was a priority and he was very adamant that the staff working with us treated us in the same manner. All of the tweaks that he made to our protocol were thoughtful and made sense....Before scheduling my embryo transfer Dr. Bush performed a hysteroscopy a
The clinic's central office [Conceptions Reproductive Associates] is clean and has a pleasant atmosphere. Most of the staff is very friendly, caring, and knowledgable. It is rare to be kept waiting long for a scheduled appointment. They take most insurances and they have a financial team that will contact your insurance company on your behalf. The staff is very supportive and truly cares about your success to conceive.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush exhibited a great balance of compassion and intelligence. Once under his care I had a renewed hope that we would successfully conceive. He made me feel like our case was a priority and he was very adamant that the staff working with us treated us in the same manner. All of the tweaks that he made to our protocol were thoughtful and made sense.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush has vast experience in fertility. He talks fast and often explains things at a high level. If you have any questions at all about what he's explaining or why he wants you to do a certain test or take a certain medication be sure to ask him to elaborate further and in simpler terms if necessary. He is a Dr. that uses a more scientific approach rather than a holistic one.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
When we first met with Dr. Bush we had already had several other procedures with other doctors. He had studied my history, empathized with my current situation, and outlined how we could be successful going forward. I felt like he genuinely cared about our case and was very confident in his capabilities.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Before scheduling my embryo transfer Dr. Bush performed a hysteroscopy and saw that there was a build of scar tissue in my uterus. He performed surgery to remove that scar tissue and then used estrogen to thicken my uterine lining for a couple of months prior to transfer. He also used Viagra to raise the volume of blood flow to the uterus. It was very important to him that my uterus lining was thick enough to allow for successful implantation
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Stacy)
I had a primary nurse but we worked with two or three others as well. Most communication was done via email and the emails were typically detailed and well organized. Sometimes they would send things that I had already done or instructions on things I had done in the past which made me think they didn't know my case as well as I would have liked.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
The clinic's central office is clean and has a pleasant atmosphere. Most of the staff is very friendly, caring, and knowledgable. It is rare to be kept waiting long for a scheduled appointment. They take most insurances and they have a financial team that will contact your insurance company on your behalf. The staff is very supportive and truly cares about your success to conceive.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
IVF is expensive but they do take most insurances. If you don't have insurance coverage one IVF cycle will be 25-35K depending on your specific protocol.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Dr. Bush will only allow up to two embryos to be transferred at one time. Typically, only one is recommended but in some cases they will support implantation of two depending on the case. In my situation we transferred two embryos and had one healthy implantation.
Dr. Bush did not bring up my weight ONCE during my journey with him. He treated me like a human with a legitimate medical issue causing infertility. He started me on the IVF process immediately after initial testing. After FIVE years of trying to get other infertility offices to help me I got pregnant after my first run of IVF with Dr. Bush.... Dr Bush did more detailed testing of my hormone levels than any other infertility Dr did. I have PCOS so weekly testing of my hormone levels was necessary which no other Dr's did.
They [Conceptions Reproductive Associates] were quick to respond to emails, and I prefer to communicate through email. Their phone response time is terrible. Multiple nurses told me to not even bother calling the nurse line. They should have someone assigned to get these calls to the appropriate place within the same day.... The billing department was very good about working with my insurance and making sure I was fully aware of any co-pays before they were due.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I cannot express enough how different Conceptions was different to every other fertility doctor I have gone to. I have long been diagnosed as having PCOS. The doctors at other Denver infertility offices (like CCRM) stated my infertility issues were caused by weight and refused to administer any IVF medication. ( I weighed 177 lbs.) Dr. Bush did not bring up my weight ONCE during my journey with him. He treated me like a human with a legitimate medical issue causing infertility. He started me on the IVF process immediately after initial testing. After FIVE years of trying to get other infertility offices to help me I got pregnant after my first run of IVF with Dr. Bush. My baby is due in August of this year and I will always be grateful to Dr. Bush and the entire Conceptions staff.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Trust Dr. Bush and his staff. Don't be afraid to ask questions. Be patient. IVF can be a long process.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I cannot express enough how different Conceptions was different to every other fertility doctor I have gone to. I have long been diagnosed as having PCOS. The doctors at other Denver infertility offices (like CCRM) stated my infertility issues were caused by weight and refused to administer any IVF medication. ( I weighed 177 lbs.) Dr. Bush did not bring up my weight ONCE during my journey with him. He treated me like a human with a legitimate medical issue causing infertility. He started me on the IVF process immediately after initial testing. After FIVE years of trying to get other infertility offices to help me I got pregnant after my first run of IVF with Dr. Bush. My baby is due in August of this year and I will always be grateful to Dr. Bush and the entire Conceptions staff.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Dr Bush went straight to IVF which was refreshing because other Denver infertility offices (Albrecht Women's Care). Made me do three IUI attempts and refused to do IVF on me which was a huge waste of money. Dr Bush did more detailed testing of my hormone levels than any other infertility Dr did. I have PCOS so weekly testing of my hormone levels was necessary which no other Dr's did. I never made near enough Progesterone on my own, even after becoming pregnant, so Dr Bush had me take Progesterone injections until my fourth month of pregnancy when the placenta finally starting making enough Progesterone to keep the pregnancy. I'm confident that with any other Dr I would have lost the pregnancy.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Jessica Rico and Veronica Morris)
Veronica Morris was my pre egg retrieval nurse. Jessica Rico was my post egg retrieval nurse. Jessica was so kind and showed such excitement for me every time I succeeded in a part of the IVF. She was a very good communicator, and made herself very available. Veronica was also nice, but sometimes my husband and I felt like she was annoyed with our questions.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
They were quick to respond to emails, and I prefer to communicate through email. Their phone response time is terrible. Multiple nurses told me to not even bother calling the nurse line. They should have someone assigned to get these calls to the appropriate place within the same day. The staff is so friendly when you are in the office and make you feel like they really care.
Describe your experience with your monitoring appointments at RMA of Colorado - Conceptions Reproductive Associates.
The ultrasound technician at the Sky Ridge location was one of my favorite people to visit during the process. She was so sweet and knowledgeable. The ultrasounds were quick and painless. I even got to do my first pregnancy ultrasound at their offices. Their ultrasound machines were top of the line and showed amazing detail.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
The billing department was very good about working with my insurance and making sure I was fully aware of any co-pays before they were due.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
My insurance would only pay for IVF if I did a single transfer so I never had to have the multiples conversation with Dr Bush.
Dr.Bush suggested doing a standard protocol with injectables, however, when his nurse was out of town and no one returned my call, Dr.Bush attempted to rush my treatment by just starting just to start. To be quite honest, I can not tell you what his rationale is/was because his nurse handles everything and appears to be making decisions on dosage and such. The results were failed cycle because no one was really handling my care.
Nurse Erika [at Conceptions Reproductive Associates- Castle Rock] wa just all over the place and disorganized in general. She would leave for vacation, fail to put in orders, fail to put in prescriptions and fail to make appointments. What really frustrates me most was that it felt as if Erika was handling me care, for instance, I asked her about the high dosage of medication, her response, just add a little more, we’ll figure it out, were “very casual here”.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush put me in the mindset of a pit boss at the casino. With that, I mean that he was thee to make sure you were going to spend/lose your money with him and only him! During my one and only consultation, all he spoke about was money and other clinics, he really did not discuss with me how his clinic was better and/or how he was going to help get us pregnant. Which is all we care about. We do t care about his feelings toward other clinics and why we should not use other clinics, but tell me why you’re clinic is the best choice. Additionally, Dr.Bush misled me with stats where he boasted that his clinic was the best, after things didn’t make sense, I looked on SART only to realize that his clinic was not even listed on SART, so how can he state that his clinic has best stats in Colorado if he is not a member of SART? Just very disappointed with him and his practice.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
If I were going to advise a prospective patient, I would tell them to find a clinic that is SART certified. I would let them know that Dr. Bush will not meet with you because he is too busy, he is too busy to do a regroup, his one nurse sometimes takes days to get a response from him and more importantly that Dr.Bush will not adjust any treatment, he pretty much will just keep going and hope it turns out good which makes for ineffective treatment.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I only met with Dr.Bush once, during consultation. After that, all of the care or lack there of was managed by his nurse, who was always out of office, always on vacation and had no idea of who I was or what was going on at all with me, just another paycheck, no real service. Just passed around and along
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Dr.Bush suggested doing a standard protocol with injectables, however, when his nurse was out of town and no one returned my call, Dr.Bush attempted to rush my treatment by just starting just to start. To be quite honest, I can not tell you what his rationale is/was because his nurse handles everything and appears to be making decisions on dosage and such. The results were failed cycle because no one was really handling my care.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Erika )
Nurse Erika wa just all over the place and disorganized in general. She would leave for vacation, fail to put in orders, fail to put in prescriptions and fail to make appointments. What really frustrates me most was that it felt as if Erika was handling me care, for instance, I asked her about the high dosage of medication, her response, just add a little more, we’ll figure it out, were “very casual here”.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Clinics strengths are that they do accept military insurance for workups. Additionally, they offer military discount which is great for disabled veteran like myself.
Clinics main weakness is that they are soo wrapped up in trying to compete with Ccrm that they lose the real focus of why they are her, to get us pregnant. It is disappointing to be at a clinic whom always makes mention to another clinic, it makes the treatment inefficient, they lose out on the focus of making sure that the patient is taken care of and it is for that reason that I decided to leave conceptions and am now at Ccrm.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
I don’t recall. He did accept military insurance and did offer military discount for service.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Failed to call in prescriptions to pharmacy
Lost paperwork
Lost appointments
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
Canceled a cycle due to clinic error
Scheduled the wrong procedure
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
As I have stated before. I was assigned to nurse Erika, whom was off a lot, vacationed a lot and just in general very substandard approach to treatment and getting things done. She dropped the ball numerousbtomes and then would just try to go along to keep it going withoutbtaken into account my overall health and my body. I felt as if I was getting my care from her versus the actual doctor and that is a
serious problem for me.
He [Dr. Mark Bush] gave us all medicated and unmedicated options and left the path up to us...My experience as a patient has always been very positive. I never felt like a number, he always knew where we have been and where we were headed next...He never talked down to us and he was more than happy to explain anything I asked about...He was very straight forward with what was going on after all our tests came back and he was honest with our options and gave us statistics of success with each given diagnosis.
The coordination staff (nurses, techs, etc) are the ones that run this office [at Conceptions Reproductive Associates] from day to day and who are "in tune" to your cycle at every point. They always knew what day I was on and what I should be doing on that day. If I had a question that I sent by email or phone, it was always answered the same day. I always felt like they had it under control. They had, and continue to have, my complete trust.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr Bush is by far and wide one of the best REs in Colorado, if not the entire country. He knows what he's talking about and his track record speaks volumes. My experience as a patient has always been very positive. I never felt like a number, he always knew where we have been and where we were headed next. He also always seemed to remember names of our kids, after we had gone back for subsequent transfers. He never talked down to us and he was more than happy to explain anything I asked about.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
We had been told not to expect a really human feeling with Dr Bush and that he isn't good at bedside manner. I completely disagreed with that assessment. He was very straight forward with what was going on after all our tests came back and he was honest with our options and gave us statistics of success with each given diagnosis. He gave us all medicated and unmedicated options and left the path up to us, as it should be.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Tanya Sarver)
The coordination staff (nurses, techs, etc) are the ones that run this office from day to day and who are "in tune" to your cycle at every point. They always knew what day I was on and what I should be doing on that day. If I had a question that I sent by email or phone, it was always answered the same day. I always felt like they had it under control. They had, and continue to have, my complete trust.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
I always felt like I was well taken care of by the entire staff in Littleton. Infertility is scary, so it is nice to have a team on your side! With strengths like knowledge, experience, and innovation, they are the best of the best.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Iui was around $7k per cycle. IVF was around $20k to include 1 transfer (fresh or frozen). Each subsequent transfer was $5k without medication costs.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Dr Bush was always very upfront that he wanted to transfer only 1 embryo at a time. He didnt want a high risk pregnancy for me and I didn't either. It wasn't an issue for me - aligned with my prior decision.
We have medications in place if my lining is not thick enough and a game plan for what will happen if things look good or not. Lots of detailed communication and waiting on results as my treatment with him [Dr. Bush] is still inprogress...From the moment I sat down not only did he refer to us as Mr. & Mrs he then asked what we preferred to be called. He also asked us about our journey and what we would like to do next...He speaks a bit fast and for a Southern woman it was a bit hard to keep up. We hit the ground running that day and was able to do a few different things as I was about to do an IUI with my OB and he made alterations to the sperm wash for my husband. He was genuine and kind.
They [nurses at Conceptions Reproductive Associates] are so SWEET and KIND! I walked in there and everyone from the receptionist to the techs say hello and remember your name. They sat down and explained everything in detail and don't get upset when I call back with more questions. They care about me as a person and are invested in my life...Cost are high but they include a lot more than other places. Also they work with income and really want everyone to have a chance to conceive
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
He speaks a bit fast and for a Southern woman it was a bit hard to keep up. We hit the ground running that day and was able to do a few different things as I was about to do an IUI with my OB and he made alterations to the sperm wash for my husband. He was genuine and kind.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Take notes and ask him to slow down if he's going to fast.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
From the moment I sat down not only did he refer to us as Mr. & Mrs he then asked what we preferred to be called. He also asked us about our journey and what we would like to do next.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
We have medications in place if my lining is not thick enough and a game plan for what will happen if things look good or not. Lots of detailed communication and waiting on results as my treatment with him is still inprogress
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Amanda)
They are so SWEET and KIND! I walked in there and everyone from the receptionist to the techs say hello and remember your name. They sat down and explained everything in detail and don't get upset when I call back with more questions. They care about me as a person and are invested in my life. Even asked about my best friend's wedding I was in. They really want you to succeed.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Strengths are the staff really cares about you, very friendly, family atmosphere. Weakness is there are a few clinics with different hours so sometimes it can get a bit confusing but once you realize that most procedures and all transfers are at the Littleton location it's easier. I wish there was an appointment reminder.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Cost are high but they include a lot more than other places. Also they work with income and really want everyone to have a chance to conceive
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Before our consult, Dr. Bush already had an idea of what plan he wanted to take with me, and we both agreed during our consult. Our plan was to see if I could build a lining for a FET with my previous frozen embryos, and if not, we would use a surrogate. We decided to do three months of estrogen orally and vaginally and if I am responding well to add injectable estrogen in my third month trial. He wanted to try this 3 month trial to see what my body can do, so that we are not wasting one of our frozen embryos.
Conceptions have a wonderful team of administrators and nursing staff. We can email our nurses and the business office and we always get a response by end of business. I have noticed that within the past 2 years, they have had a lot of changes of Doctors. Everyone except Dr. Bush are new. If you want more of a personal experience with your nursing staff I would go to Conceptions...my nurse (Cori) orders all my medications correctly. Cori (donor nurse) is very understanding, listens and relies my concerns to Dr. Bush. I was nervous about taking a injectable due to my previous cancer history, and she was very comforting and understanding. Cori and the rest of the nursing team are wonderful. From the blood draws to ultrasound techs, they are all nice.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I was surprised that Dr. Bush was up to speed on my case during my initial consult with him. He listened to me and gave me his thoughts. We were able to create a plan that I was happy with, and I felt that he saw me as a person and not another patient at his clinic. He responds to all my questions that I ask my nurse to ask him by the end of the day. He also was knowledgeable about IVIG during FET, which was wonderful!
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush was blunt and up front with his concerns and thoughts. If you want a doctor who is soft and comforts you, I don't think Dr. Bush is for you. He was straight and to the point, which is what I was looking for. Our in person consult was short, less than 15 mins.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I came to Dr. Bush to see if I would be able to do a FET with myself and whether I could build a lining. My previous doctor had recommended a surrogate to carry our embryos. Dr. Bush actually reviewed my oncology medical records, and came up with a plan to see if I could build a lining. In his words, he wanted to see if I had a fighting chance before we went through surrogacy. Even though he knows a surrogate will be our best chance to give our embryos, he knew that is was also important to see if I could transfer myself. He has first hand reviewed my case and came up with a 3 month plan to see if I respond to estrogen. He is giving me my chance to see what my body can do.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
Before our consult, Dr. Bush already had an idea of what plan he wanted to take with me, and we both agreed during our consult. Our plan was to see if I could build a lining for a FET with my previous frozen embryos, and if not, we would use a surrogate. We decided to do three months of estrogen orally and vaginally and if I am responding well to add injectable estrogen in my third month trial. He wanted to try this 3 month trial to see what my body can do, so that we are not wasting one of our frozen embryos.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Cori)
The staff at Conceptions is amazing! The entire nursing staff always responds to emails and voice messages within a few hours or by end of business. I have never had to wait long for a response, and my nurse (Cori) orders all my medications correctly. Cori (donor nurse) is very understanding, listens and relies my concerns to Dr. Bush. I was nervous about taking a injectable due to my previous cancer history, and she was very comforting and understanding. Cori and the rest of the nursing team are wonderful. From the blood draws to ultrasound techs, they are all nice.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Conceptions have a wonderful team of administrators and nursing staff. We can email our nurses and the business office and we always get a response by end of business. I have noticed that within the past 2 years, they have had a lot of changes of Doctors. Everyone except Dr. Bush are new. If you want more of a personal experience with your nursing staff I would go to Conceptions.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
We already had frozen embryos when we met with Dr. Bush. So far we are in the initial process and are paying out of pocket for consults, ultrasounds and bloodwork. So far we have probably spent just under $1,000 in 4 months on bloodwork and ultrasounds, and our initial consult.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Dr. Bush highly recommended we only to a eSET, because our embryos are CCS tested.
Dr. Bush is very innovative and quite brilliant. While it's known he is the doctor at Conceptions that is the "most direct" we really appreciated this. He spoke to us like we were intelligent (rather than dumbing anything down for us) and gave us an aggressive protocol suggestion. He knew our case very well and kept the conversation focused on our end goal, which is biological children...My third retrieval next month will be with Dr. Bush. We are going to try some new approaches to increase my egg quality, if possible. I am priming with testosterone, estrogen, and HGH. My stim cycle will be with Menopur-only and I will be doing a triple trigger.
I had a hard time with one of the ultrasound techs [at Conceptions Reproductive Associates] and shared this concern with the higher-ups. Overall, the techs are very experienced but there sometimes is one who is newer, making this already uncomfortable experience a bit more uncomfortable...they rarely transfer multiple embryos, in hopes to lower the chance of high-risk pregnancies.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush is very innovative and quite brilliant. While it's known he is the doctor at Conceptions that is the "most direct" we really appreciated this. He spoke to us like we were intelligent (rather than dumbing anything down for us) and gave us an aggressive protocol suggestion. He knew our case very well and kept the conversation focused on our end goal, which is biological children.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Come with a list of questions and don't expect small talk. You'll meet with a nurse following your meeting to process everything that was discussed.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
While Dr. Bush is known for being very direct, I felt like a human because he knew my case inside and out by the time I sat down for a consultation. He knew what our end goal was (biological children) and kept the conversation focused on that.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
My third retrieval next month will be with Dr. Bush. We are going to try some new approaches to increase my egg quality, if possible. I am priming with testosterone, estrogen, and HGH. My stim cycle will be with Menopur-only and I will be doing a triple trigger.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Erika)
I can't say enough great things about my nurse, Erika! She is incredibly experienced, knowledgeable, and very much "on my team." This journey would have been so much harder without her in my court. She's come to know my husband and I and has helped simplify this process. She has laughed with us, cried with us, and I'm sure will celebrate with us when we get out of this process!
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Conceptions has very high success rates and a great staff. We've been quite happy overall! The only way to reach a member of the nursing team is via email or you can call and request to be called back. My previous clinic gave me a direct number for my nurse, which I preferred. That said, they are always quite fast about getting back to me and there is always an on-call nurse should you need anything immediate during stim-time.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
$20,000 - round 1 of IVF (with Conceptions but with Dr. Greene)
$12,000 - round 2 (with Conceptions but with Dr. Greene)
$5,300 - round 3 (upcoming in October)
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
This clinic's success rates are very high so they rarely transfer multiple embryos, in hopes to lower the chance of high-risk pregnancies.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Provided conflicting information
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
I had a hard time with one of the ultrasound techs and shared this concern with the higher-ups. Overall, the techs are very experienced but there sometimes is one who is newer, making this already uncomfortable experience a bit more uncomfortable.
Dr Bush was wonderful. He was very honest in his assessment and recommendations. He gave us hope, but not false hope. He went the extra mile to make sure testing and procedures were done well...He was always willing to explain everything. I felt that he was also always one step ahead with a plan in place if needed next. In addition, we travelled from out of state to see Dr Bush and he was willing to work with labs and Ultrasounds done locally. Thanks to Dr Bush, I have 3 beautiful children and was told previously that I likely would never be a mother.
The nurses [at Conceptions] are supportive, compassionate and very knowledgeable. They are available 7 days a week and are so helpful...Staff is friendly, scheduling of procedures and labs are timely. The clinic runs very efficiently. Embryology is awesome, physician and nurses are awesome. Accupuncture is available and also done very well. I wouldn’t change a thing. It is obvious that these people know what they are doing
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I felt very comfortable and confident in Dr Bush. He went the extra mile to ensure that testing and procedures were done correctly and reviewed all labs / results personally. He was always honest and candid in answering questions and making recommendations. He was always willing to explain everything. I felt that he was also always one step ahead with a plan in place if needed next. In addition, we travelled from out of state to see Dr Bush and he was willing to work with labs and Ultrasounds done locally. Thanks to Dr Bush, I have 3 beautiful children and was told previously that I likely would never be a mother.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
You may have to wait a while for consult with Dr Bush (we did telephone due to distance), but it is well worth the wait.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr Bush was wonderful. He was very honest in his assessment and recommendations. He gave us hope, but not false hope. He went the extra mile to make sure testing and procedures were done well
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Cori)
The nurses are supportive, compassionate and very knowledgeable. They are available 7 days a week and are so helpful
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Staff is friendly, scheduling of procedures and labs are timely. The clinic runs very efficiently. Embryology is awesome, physician and nurses are awesome. Accupuncture is available and also done very well. I wouldn’t change a thing. It is obvious that these people know what they are doing
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Failed to call with results
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
Only one time, I was not contacted with results. These were labs taken from outside facility. This was in 2015 after my first transfer (which was successful!).I had no such issues with most recent transfer in 2017 (also successful)
If you are looking for hand holding throughout the process, Dr. Bush might not be for you, but he certainly will do everything he can to get you pregnant...He might not be as forthcoming with your treatment but will answers questions that you have so be prepared when you meet with him...Even though we only met with Dr. Bush in the initial meeting to plan the frozen transfer and the transfer itself, I knew he was managing care behind the scenes and trusted the decisions he was making.
The benefits of a larger practice [Conceptions Reproductive Associates] are that there are a lot of resources and you get results back incredibly quickly. Challenges are that you don't see the doctor too much and it can at times feel like you are one of many. For me that wasn't an issue since I just wanted to get pregnant and they did that twice for me successfully, but if you are looking for very personalized care and hand holding, you might not get that with a larger practice and should look to a smaller practice.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush is extremely knowledgeable and even though he isn't the warmest personality, he knows what he is doing and is committed to the best course of treatment for a successful outcome. Our previous doctor at Conceptions left to start a practice in another location and he had done a fresh transfer that resulted in our son. It wasn't even a tough decision on who would take over treatment for our frozen transfer for baby number 2 as we knew Dr. Bush was the best and would get us pregnant. Even though we only met with Dr. Bush in the initial meeting to plan the frozen transfer and the transfer itself, I knew he was managing care behind the scenes and trusted the decisions he was making. If you are looking for hand holding throughout the process, Dr. Bush might not be for you, but he certainly will do everything he can to get you pregnant.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Ask questions! He might not be as forthcoming with your treatment but will answers questions that you have so be prepared when you meet with him.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Jessica)
Hands down, the best part about our experience was Jessica and the nursing staff. Infertility/IVF was one of the scariest/nerve wracking experiences and Jessica was an angel. She always responded to my emails within a few hours and even some within a few mins and would call me anytime I needed to talk. She explained the treatment and didn't hesitate to give me good/bad/ugly with what it was and was honest in her answers. Additionally, you can tell that she is very knowledgeable herself and knows exactly what to do! I genuinely believe she is the absolute best in what she does.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
The benefits of a larger practice are that there are a lot of resources and you get results back incredibly quickly. Challenges are that you don't see the doctor too much and it can at times feel like you are one of many. For me that wasn't an issue since I just wanted to get pregnant and they did that twice for me successfully, but if you are looking for very personalized care and hand holding, you might not get that with a larger practice and should look to a smaller practice.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
I am incredibly lucky to have great insurance coverage for infertility so I only spent about $1,200 for my frozen transfer including medications
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Dr. Bush felt strongly that we only transfer one single embryo which was absolutely the best medical course of action and in the best interest of myself and a pregnancy.
Dr. Bush is not super warm and fuzzy, but he is honest. He gives examples of what he things and why and gave me a ton of information from the get go. He was very blunt about my AMH level and that continuing with IUIs would be wasting my time and my eggs. I liked that. We have a follow up on Thursday to discuss the egg retrieval. I know he is very confident in his ability and he wants to keep up his success rates, so I know he will continue to work hard to get me pregnant.
Erika [a nurse at Conceptions] is amazing. She works hard and gives me all the information I need. She calls me to celebrate the ups and is there to help me with downs. I will say, there was a nurse who called me one, I don't remember her name, but she didn't look at my protocol first, and that was annoying, it was right before starting priming, but otherwise, Erika has cleared everything up and has been super helpful.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush is not super warm and fuzzy, but he is honest. He gives examples of what he things and why and gave me a ton of information from the get go. He was very blunt about my AMH level and that continuing with IUIs would be wasting my time and my eggs. I liked that. We have a follow up on Thursday to discuss the egg retrieval. I know he is very confident in his ability and he wants to keep up his success rates, so I know he will continue to work hard to get me pregnant.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Be blunt, and ask questions. He talks very fast, but wants to be informative.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
I feel like I am more of a human here. They know my name, they answer questions, and they give tons of information up front. There is no secrecy in things, it is all laid out for you.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
He had me start a ton of vitamins, including CoQ10, Acai Berry, Myo-Inositol, Vitamin D, Vitamin E, L-Arginine, and DHA. Started those in December and then started priming in January. Due to my low AMH, they didn't prime me with birth control, instead after ovulation, I did 3 Cetrotide injections. Then started stims on Day 3 of my next cycle. Started with 3 vials of menopur and 0.7 iu of omnitrope in the morning and 225 of gonal at night. Increased Gonal to 375 on CD7. Then on cycle day 8 added a vial of menopur at night. By CD 10 they added a 2nd vial of menopur at night.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates. (Assigned nurse: Erika)
Erika is amazing. She works hard and gives me all the information I need. She calls me to celebrate the ups and is there to help me with downs.
I will say, there was a nurse who called me one, I don't remember her name, but she didn't look at my protocol first, and that was annoying, it was right before starting priming, but otherwise, Erika has cleared everything up and has been super helpful.
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Overall the clinic is great, I feel like they are there to serve people. Sometimes when I have gone in early for blood draws and ultrasounds, they didn't give me that feeling, and I felt like I was an inconvenience for showing up 10 minutes early to my appointment. This was never the case at Sky Ridge, only Littleton.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
The great thing about Dr. Bush's office is that all costs are on the website and they are all up front and honest. You don't have to jump through any hoops to get information. It is $19,411 for a full IVF cycle with PGS testing and ICSI included. This does not include medications, but is well priced overall.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
We only have one embryo to transfer... But I believe Dr. Bush prefers to transfer only one, since it is less risky as far as pregnancy goes.
What specific things went wrong at RMA of Colorado - Conceptions Reproductive Associates?
Provided conflicting information
Describe the specific things that went wrong at RMA of Colorado - Conceptions Reproductive Associates.
When it came time to trigger, the ultrasound tech said they would probably not be triggering me, but I had a nurse draw a circle on me for the trigger shot anyway, who also said I would probably not be triggered, and then they called and triggered me that day... I thought it was weird to get such conflicting information.
Dr Bush is a very intelligent man with a strong knowledge base. He practices reproductive therapy with an evidence based approach. He makes changes appropriately with poor or unexpected cycle outcomes. He sometimes speaks using a lot of difficult to understand medical terminology but uses illustrations and graphics to help explain in a more understandable way.
Strengths: Ease of appointment scheduling with reminder phone calls. Pleasant and polite staff. Weakness: Patient Portal needs improving. Providers [Conceptions Reproductive Associates] are frequently booked out weeks and may have to wait for consultations and follow ups.... I had different nurses for IVF coordination and FET coordination. Each nurse was knowledgeable in specific protocols used and the rational for why. Email was the easiest and fasted way to communicate.
How was your experience with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr Bush is a very intelligent man with a strong knowledge base. He practices reproductive therapy with an evidence based approach. He makes changes appropriately with poor or unexpected cycle outcomes. He sometimes speaks using a lot of difficult to understand medical terminology but uses illustrations and graphics to help explain in a more understandable way.
What's one piece of advice would you give a prospective patient of Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Expect a lot of information to be given by Dr. Bush and don't be afraid to ask for clarification if you don't understand something.
During treatment, were you treated like a number or a human with Mark Bush at RMA of Colorado - Conceptions Reproductive Associates?
Dr. Bush made a point to review all pertinent history and acknowledged/ validated feelings during difficult treatment outcomes.
Describe the protocols Mark Bush used in your cycles at RMA of Colorado - Conceptions Reproductive Associates and their degree of success.
IVF #1 Antagonist protocol using GonalF, Menopur and Cetrotide. Dual HcG and Lupron trigger. Freeze all. Rational: PCOS Diagnosis, high risk for OHSS. Results: poor responder: 3 eggs, 2 Mature, 1 fertilized did not make it to blast.
IVf #2 Long Lupron with Menopur only. HCG trigger. ICSI/CCS freeze all. rational: risk for OHSS, Probable poor egg quality. Results: 14 retrieved, 11 Mature, 9 Fertilized, 6 Blastocysts- 2 euploid.
Describe your experience with your nurse at RMA of Colorado - Conceptions Reproductive Associates.
I had different nurses for IVF coordination and FET coordination. Each nurse was knowledgeable in specific protocols used and the rational for why. Email was the easiest and fasted way to communicate. Phone calls required a voicemail left and calls may take a few hours to be returned
Describe your experience with RMA of Colorado - Conceptions Reproductive Associates.
Strengths: Ease of appointment scheduling with reminder phone calls.
Pleasant and polite staff.
Weakness: Patient Portal needs improving. Providers are frequently booked out weeks and may have to wait for consultations and follow ups.
Describe the costs associated with your care under Mark Bush at RMA of Colorado - Conceptions Reproductive Associates.
Costs were affordable and inline with the national average.
Describe Mark Bush's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Colorado - Conceptions Reproductive Associates.
Follows appropriate recommendations for known diploid eSET.