William T. Newman, Jr., Record No. If I ask a question over email before 2pm, I can expect an answer same day. They have available clinic hours for weekend visits to obtain certain treatments or tests. Embryo fertilization went perfectly. All of the nurses I have dealt with have been very competent and compassionate. Fortunately, I was lucky. My only criticism (which honestly is slight) is that sometimes the morning monitoring hours can feel like a revolving door. Having talked through our options, he thought we were good candidates for both natural and stimulated. This made me feel respected and cared forexcellent after-hours communication with the on-call nurse, and excellent communication through the portal How was your experience with Michael DiMattina at Dominion Fertility? This was by far the worst experience at a clinic in my entire life. They don't give you lab results or even basic information about procedure outcomes unless you chase them down. The BCP reset worked. Some days there are very few women in the waiting room and other days it is packed with a line out the door. However, Dr. D cleared that up on our first appointment back in 2016. Dr. Kay diagnosed me with PCOS without having my test results based on the fact that my periods were "irregular" (which they really aren't). I also shouldn't have to wait to weeks to start treatment because my nurse coordinator didn't contact mewe couldn't get anyone [from finance] to call us back to explain anything. The Delaware judge overseeing a voting machine companys $1.6 billion defamation lawsuit against Fox News delayed the opening of the trial Monday, raising I never had any doubts about his knowledge and experienceSince I was younger (30) when I started treatment and I was doing fertility treatment due to male factor, I was recommended the Natural IVF cycle. After that, I had yet to hear from Leslie to inform me. I never have to worry that I will not receive a call back when I have to leave the nurse or finance dept a message. I knew something was wrong, as I'd been with my husband for about a decade at the time with no pregnancy in sight. First pregnancy- egg retrievals using hormone injections. However, they separate the blood draw from the sonogram and you are forced back into the waiting room a second time in between the two. Dr. Gordon was the right fit from the beginning. Describe your experience with your nurse at Dominion Fertility. is covered under a package price of $4900. We also came to value his approach to trying again (or not) and was always willing to try (or at least discuss) some of my own ideas. (Assigned nurse: Kerry Hartman). Dr. Waud is very on top of recent research. First cycle was a fresh transfer (unsuccessful). I guess, I wish the clinic were closer to me in southern Maryland. Everyone in the office [of Dominion Fertility] were friendly and welcoming. Dr. Gordon has been very helpful and understanding for us throughout the process, and I have trusted the medical advice he has provided and the course of treatments he has recommended. They had a long time window for monitoring so you can easily pick a time convenient for you. The team of nurses are very skilled and nice. Never even a pregnancy scare. I think this would apply to most doctors though! Embryo fertilization went perfectly. IVF is costly. The nursing staff seemed to have high turnover. Most frustrating for me was her tendency to sugar coat, whereas I prefer to be grounded in facts and be able to make decisions based on risk. Fortunately, I was lucky. The day of the egg collection I was beyond nervous, and they kept rooting for me. I wanted to go to an expert. I love Dr. Gordon. She was kind, but never made me feel comfortable in her diagnosis or decisions. His greatest strength is his experience, knowledge, he's straight forward when interpreting the data, I needed that, I didn't want a doctor that didn't provide confidence. She was always very distracted when I called with questions, and seemed very disorganized. Record 941410: Joint Appendix (4.0MB), Download I was given a very typical antagonist protocol for my two retrievals. He is very blunt too. They were so caring and made us feel so at ease. I was put on a daily dose of baby Aspirin to help with the lining of my uterus. I believe Dr. D played a huge role in that. Yes we paid for this out of pocket the cost of IVF treatment was $16,000 and medication an additional $7,800. At Columbia Fertility, I felt like a number. I interacted with multiple due to going between both Arlington and Bethesda clinic depending on where I was staying. We did this timed intercourse for three months, which did not work for us for whatever reason. The place seems well-run and we have never had to wait too long to be seen. He also said if you had cancer, you would never question trying to get the best care for yourself. As someone who is seeking answers, he has done his best to give us answers to the extent that he could and if he couldn't, he would explain why. We're still early in the process but our current plan is to do traditional IVF with our own eggs and sperm. Breaking down every important topic relating to mental health & fertility. My Account | Describe your experience with the nursing staff at Dominion Fertility. Scheduling appointments has been easy and hassle-free. I was lucky enough to have insurance coverage at 60% with a $2500 out of pocket max.This means I paid that plus fees to have embryos genetically tested and stored. The total cost was around $28,000, which included the retrievals, all monitoring, ICSI, assisted hatching if needed. Very nice and very responsive over email, which is good for me, especially during the business hours. She has been a superstar from the very beginning. Heads up! They are also very punctual for all appointment. I haven't had such a good experience with a doctor putting us at ease yet patiently answering all our questions in a long time. Dr. Kay diagnosed me with PCOS without having my test results based on the fact that my periods were "irregular" (which they really aren't). At my initial consult, she really oversold how quick the IVF process would be for me given my age and unexplained diagnosis, which made it emotionally harder as we hit unexpected roadblocks and she didnt have any answers (or adjustments to our treatment) to help address it. I didn't feel like I would be in good care. 1 PGT normal embryo. We experienced one loss and one hysteroscopy under her care, and her bedside manner at surgery was the mix of humane and confident that I want in those stressful situations. Dr DiMattina was very honest. A judge has sanctioned Fox News after claims it withheld evidence in a $1.6bn (1.3bn) defamation lawsuit. It is very evident (and so very appreciated) that she cares about her patients. I took Letrozole from days 5-9 of my cycle, then we would do u/s monitoring and then take Novarel to force ovulation. Trust in the protocols he prescribes. He will try different approaches quickly if something is not working [Dominion -Arlington clinic is] Very organized, convenient locations and hours, accommodating and competent medical staff. All in all, our treatment cost us around $6850. The nurse with us the last few appointments was so happy when she heard that I'd had a positive home pregnancy test and cried when I cried hearing the heartbeat for the first time. At least I was told it wasn't an option. They felt your highs and lows with you. The communication is terrible. I wish I had known more upfront about what to ask for and my own personal limits He was very realistic and honest yet presented things in an optimistic manner. My coordinator sat with me and my husband for +1 hour at our kitchen table teaching us how to mix the meds, practice using the needle with a tester to get a feel for things. He is very blunt too. I wanted to feel like he understood and cared about my history and that any course of treatment that he prescribed was carefully tailored to my case. Over multiple years I used up several lifetime limits on different insurance programs. I believe Dominion offers a lot of advantages for patients with DOR or who otherwise want to try a more mini IVF approach. Ask this reviewer a question about their experience with Michael DiMattina at Dominion Fertility. Dr. Kay is extremely thorough, and I feel compassionate and kind, but I do think that some might perceive her to be a little bit colder at first conversation. There are additional hidden fees that are not self evident as part of the process, so the monthly bill is roughly $1,000 to $2,000 higher than what is quoted to you for a natural cycle. Ask this reviewer a question about their experience with Susan Sarajari at Dominion Fertility. We discussed IUI and IVF options; he didn't push either. Before even contacting Leslie, I called my insurance multiple times to first get a better understanding of what was going on and to see if insurance made a mistake. It has not. I fully trust Dr. D's medical expertise - that is why we stayed with him when we had to do a second cycle. I feel very well taken care of by all of the staffAll of the nurses I have dealt with have been very competent and compassionate. The clinic started early which was very convenient for my work schedule. I felt safe (in every sense of the word, emotionally, physically, etc.) Dominion Voting Systems' lawsuit argues Fox May 19, 2021 / 10:06 AM / CBS News. Arlington location [Dominion Fertility] - clean, nice relaxing environment, modern, organized. For more information please see our FAQs. Dr. Gordon was very warm and understanding during the process, but provided us with a frank assessment of our situation and potential courses of action. The staff at Dominion (Arlington) is amazing! They always greeted me with a smile and would greet me by my first name the moment I started my treatment. Dominion uses a team approach but Dr. Gordon was very involved the entire time. This past March, we had our egg retrieval- 21 eggs retrieved, 8 mature, 5 fertilized, 5 blasts, and 4 PGS normal. Wait times varied greatly depending on patients that day. Washington Dominion Voting Systems and Fox News are set to square off in Delaware state court this month when the voting machine company's $1.6 billion Dr. Gordon does not encourage multiple embryo transfer because it is more high risk. Dr. Waud was really friendly, warm, and seemed truly empathetic when I experienced multiple setbacks with each retrieval or my transfer ending in a miscarriage. My first transfer was from natural cycle ivf, so it only produced one egg. You need to speak up and ask question (how am I progressing, how many follicles do you see) otherwise you may not have a ton of information volunteered for you. They'll help you as you go along. I contacted Leslie on the patient portal about requesting a refund or for her to figure things out with insurance. We chose IVF. WebVirginia Supreme Court Records, Volume 250. We start next cycle. He was younger, fresher and seemingly more up to date on the latest medical studies, Use all the doctors at Dominion. He was straightforward, blunt, and gave just the right amount of sympathy without making me feel more sorry for myself. No complaints. However, at the same time would have appreciated a little more information regarding my care during my visits and more attention to mental health A major weakness [at Dominion Fertility] is their financial department.I had to initiate contact and find out the information I requested weeks ago. I only met my nurse coordinator one time in more than a year. You can come in anytime during the window of about three hours. I'm so blessed to have gotten pregnant the first FET. My husband's sperm has morphology issues so we'll probably end up doing ICSI. I can only talk about the Arlington location since all my visits where there. Another strength of Dominion is that they have a very knowledgeable finance department. I also shouldn't have to wait to weeks to start treatment because my nurse coordinator didn't contact me. The rationale for all of these is that combined, they offer the best possible chance for an embryo to implant into the uterus for pregnancy. It is an aggravating experience where you wish they would just combine it all into one visit Dr. D was a warm and caring Doctor. I was generally able to schedule easily, but I did feel like it was difficult to get answers directly from the doctors outside of appointments, and my primary nurse changed several times. He always thought that we would be a relatively straightforward case despite our prior failed transfers at another clinic. I would imagine that one of the biggest factors that prevent someone from considering treatment is financial capacity. I do not remember specifics. He mentioned that IUIs and other treatments would be wastes of money because of the low morphology issue. One thing I think that is unique to Dominion is that the offer an in-home injection teaching. Their main finance person was pretty good when I could get a hold of her, but it was a constant battle. Dr DiMattina transferred only one embryo that was PGT normal. Still though, it wasnt bad. She always called me back by close of business day. He said IVF with ICSI was needed to make sure the sperm penetrated the egg. So of course I have to call insurance AGAIN and I tried to ask about the scheduling fees she spoke of. She was extremely difficult to get a hold of outside of an office visit. At times, this can take a few hours, but they never make you wait more than a day for a return call, so it's really a minor issue. Record 941923; Joint Appendix (9.5MB), The Circuit Court of Arlington County, Virginia, Record No. However, She wasnt a good fit for our journey. She answered every single once of my many emails and questions within 24 hours. This cycle produced a viable embryo transferred on day 5, but no pregnancy. Once I finally had success and brought home a real live baby, I felt like I was bringing the baby to visit the "family" who made him possible. He [Dr. DiMattina] was always available by phone or message. Appointments run on schedule. While I tried to advocate for myself, I felt she was very hand wavy when I asked about new protocols or diagnostic tests that I had come across in FertStert or other journals. They are all pleasant in person and seem to run a tight ship. We were always promptly seen. Dr. Dimattina knows his medicine and never made me feel that any question asked was silly or I was wasting his time. I never felt that he didn't take my concerns seriously or that he did not understand how difficult it is to start to try and conceive again after having a stillborn a year ago. Dr. Gordon's hopeful and optimistic attitude combined with his frankness when describing expectations and risks was very much appreciated. The clinic does have fairly rigid rules about only doing frozen transfers and they almost mandate PGS testing. If you need hand holding, he's [Dr. DiMattina is] not for you. We were able to use it for medications which were covered, but not the treatment. He always called me back when I asked to speak with him. My insurance told me that Dr. Sarajari simply isnt credentialed as a specialist so if she wants to collect the specialist copay, she needs to get credentialed with insurance as one. (Assigned nurse: Jen Machovina). Dr. Gordon explains everything very well so that one can understand. She thought none looked indicative of an inability conceive and carry, so we were sent on our way to try on our own. It is not difficult to get an appointment with your doctor; however, doctors don't provide you their emails. He was willing to try when no other doctor would. I could be out of there within 35 min (even when the waiting room was full). This was great because it was the quarter of the cost of one cycle, and there were little use of extra hormones. He definitely exudes a command over these procedures, but does so in a very reassuring way. With so many people coming in and out, the time with the doctors can be very fast. I understand that he is, but strongly feel given the nature of this science, patients will have questions and its only professional to answer them willingly. We only got 1 PGT-A normal embryo in the first cycle, so we did another one. I love the nurses at Dominion. Murdochs remarks came as a part of Dominion Voting Systems $1.6 billion lawsuit against Fox News. He [Dr. Gordon] tells you like it is but is clearly compassionate and invested in the process with you. A federal judge on Thursday appeared skeptical of arguments to dismiss a defamation lawsuit filed by Dominion Voting Systems over baseless 2020 election claims made by Trump allies Sidney Powell, Rudy Giuliani Ask her to go over all details of your case with a fine tooth comb, examining all contingencies, and not necessarily deciding that the simple answer is the best answer. Dr. D is very kind, calm, and confident. This particular question is not applicable to us for this treatment, because we did a Natural Cycle IVF (there was only one egg produced by my body naturally for retrieval). Describe your experience with your nurse at Dominion Fertility. A judge has sanctioned Fox News after claims it withheld evidence in a $1.6bn (1.3bn) defamation lawsuit. He [Dr. DiMattina] diagnose my husband with low morphology (1%) and recommended that we proceed with IVF. He would tell us the good, the bad, and the ugly. Every other doctor called that the "embryo. I have low ovarian reserve despite my age, so we're doing this as soon as possible to get as many good eggs from me as possible. I loved all of them. Dr. Gordon seems to be a good professional and a very nice person. This made me feel respected and cared for. Her simple response to my distress was that she didnt receive calls and that she works until 3:30pm. Ratings of 1 indicate that a clinic was poorly operated. Ms. I also was able conference call my husband into the call and Dr D. answered all of our additional questions. My employer covered fertility treatments 100% so I was very fortunate not to have paid anything except for the cryopreservation of embryos. I had a missed miscarriage which showed itself in a monitoring ultrasound, and in retrospect I could not have been surrounded by nicer people. During treatment, were you treated like a number or a human with Michael DiMattina at Dominion Fertility? (Assigned nurse: Sam). You took sex ed, but now you need to understand fertility. However, I had to pay the specialist copay to the clinic. This does not apply to me because we used Natural Cycle IVF - just my natural egg produced in a cycle without fertility medication prior. Dr. Gordon comes out to greet you in the waiting room. This was after my third monitoring cycle which lasted over three months. I emailed her my concerns one night at 11:45pm, and she called me back personally at 9:15am the next morning, waited patiently for me to conference in my husband, and helped us talk through our options. Our costs ended up being all diagnostic or pregnancy related, and therefore we had pretty good insurance coverage. Before seeing Dr. D, I went to my regular OB-GYN and went through the tormenting process of timing intercourse, clomid cycles, countless exams, and I even did fertility-focused acupuncture. 12-1191. The whole point of seeing them was to having the proper testing done. He always took the time to explain things during meetings when a transfer did not work. His reasoning is that PGS tested embryos have a higher rate of pregnancy, therefore, reducing the need for multiple embryos. Dr. Gordon is that doctor! MyPillow chief executive Mike Lindell, speaks to reporters outside federal court in Washington, Thursday, June 24, 2021. We were being forced to choose a "plan" without understanding what our options were. Dont wait! I do not know the rationale for this, but it seems to be a common protocol. With Natural IVF there is only one egg produced at a time. I have the capacity to ask questions myself but it would be nice to not have to elicit information all the time as it should be standard of care. They helped battle my insurance on multiple occasions - even getting on a three-way call with me and them a few times to resolve matters. Describe Susan Sarajari's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Dominion Fertility. It is a comfortable place to receive treatment. Fact check or seek second opinions for the statistics for success she gives you at the initial consult. Got fewer and less quality eggs; 2 transfers, no pregnancy. If I had just one issue, and it's a slight one, it would be that you can almost never reach a nurse directly in real time - you'll have to leave a voicemail at the nurses' desk, and they will return your call. Dr. Waud is very on top of recent researchOne thing I most appreciated about her is she gave me her phone number, and I could text and speak with her directly and immediately about any concernsI think Dr. Waud would agree that our case turned out to be more complicated than it appeared, resulting in a misdiagnosis which ultimately led us to change clinicsShe also teaches at a med school, and she has very clear views on the science of reproductive challenges, which she communicates very clearly. My insurance covered doctor visits. What's one piece of advice would you give a prospective patient of Michael DiMattina at Dominion Fertility? After our testing results appt, Dr D told us to call him with any questions. Appointments are made very efficiently over the phone, and I have never been kept waiting past an appointment time before seeing the doctor. They don't give you lab results or even basic information about procedure outcomes unless you chase them down. After being dx'ed with lean PCOS, he prescribed Metformin, which I didn't want to take/didn't tolerate too much. I'll be sure to update as I progress through everything. The front desk staff will always greet you with kindness and a smile. In this situation, you can think of it the same way, but people struggle because cancer really never spontaneously cures itself whereas infertility can. > Solely based on my experience, I would not recommend Dominion Fertility for patients who are not strictly doing IUIsbilled my insurance incorrectly for a few consults that were charged as office visitsThe nursing staff seemed to have high turnover. Describe your experience with your nurse at Dominion Fertility. I don't know if my treatment plan was tailored to me or how common my experience was, so I can't speak on that - but I felt heard and cared for during every conversation from my consultation through graduation. Though the initial test seem daunting they help develop the picture of what is the best path to conceive. We found out I have a blocked tube, and because I was already 41 at the time decided to pursue IVF rather than try IUI. Describe Kay Waud's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Dominion Fertility. I think the time frame is very convenient. If you're the kind of patient who wants your hand held and wants to understand in detail every step of this process, he [Dr. Dimattina] may not be your guyWe only got 1 PGT-A normal embryo in the first cycle, so we did another oneDespite repeated attempts, Dr. D. consistently refused to answer questions specific to my case. Billing is even around the corner and incredibly helpful - they will answer any and all questions you have about costs of treatment on the spot. The receptionists are very helpful and there are dedicated financial coordinators who are there to deal with all of the insurance and payment stuff. (Assigned nurse: Holli Simon). I mostly communicated with my primary nurse through the portal. His reasoning is that PGS tested embryos have a higher rate of pregnancy, therefore, reducing the need for multiple embryos. I would receive a warm welcome from the team whenever I would go to the clinic it. I would recommend that you try to allow yourself to trust that he will give you the information that you need, but if you want more details (like the size of your ovarian follicles on each visit, for example), you should ask him questions. We cover data around anxiety, depression, and stress as they relate to fertility & fertility outcomes. During weekdays I would go to the Bethesda office and ask to be seen at 7am and I was seen between 7 and 7:05. He gave me the option for an in-person visit at the time, but I knew what I wanted to do next so we proceeded with our next cycle. I have never had a billing issue. We called him a few days latercalled me back only a few minutes later. There is so much to take in during an ivf cycle but they all do a great job to help you not to feel overwhelmed. The nurses were fantastic. Failed to call in prescriptions to pharmacy, Failed to send your chart to another clinic, Failed to inform you of changes in protocol. The clinic as a whole walks you through every step of the process, so there's nothing to tell a new patient. She [our Dominion Fertility nurse] was very nice, but for many years on the job, I would have expected better communication, understanding. Team whenever I would receive a warm welcome from the beginning risks was very involved entire. 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