Describe your experience with Indiana Fertility Institute.
I appreciate the personal attention from this clinic and the way I felt recognized and known. I feel like there were occasionally some communication issues with the clinic but the issues weren't impossible to work through.
During treatment, did you feel like you were treated like a number or a human?
Dr. Jarrett's practice is small enough that I got to know the nurses during the early and midcycle ultrasound checks. I saw Dr. Jarrett frequently and felt like he knew my name and remembered my medical history. After each of my three D&Cs with him, he personally called me a few days later to check in. I ended up with some immune issues that were impacting my ability to carry past the first trimester. I had specific questions for him about some medication, which was considered experimental. Months later, he personally called me to discuss because he had run across a medical study on that issue in a journal he read.
Describe your experience with the nursing staff.
The nurses were all consistent in measuring follicle size during midcycle scans.
There was some miscommunication/confusion about medication doses and getting the medication ordered in a timely fashion. Overall, I liked them and thought they did a good job.
What specific things went wrong at this clinic?
- Failed to call with results
- Failed to order appropriate test
- Provided conflicting information
How was your experience with John Jarrett?
Dr. Jarrett is considered a PCOS expert in Indianapolis and one of the go-to fertility specialists. We originally chose Dr. Jarrett because we suspected that PCOS was one of our challenges. He was very good at treating the PCOS and three ovulation induction cycles (using Letrozole, Bravelle, Ovidrel), resulted in one miscarriage at 10 weeks and then our healthy baby girl. I felt like he was very knowledgeable and thorough in treating women with PCOS.
After the first pregnancy, my body developed an autoimmune issue that affected my ability to carry past the first trimester. We continued seeing Dr. Jarrett for assistance/monitoring with ovulation induction. He and his staff were very good at getting the doses of medication correct and making adjustments as necessary. I felt like his nurses were consistent at doing the midcycle scans and pretty good at communicating the plan to me the same day.
After experiencing three late first trimester losses in a row, I felt like Dr. Jarrett wasn't willing to explore the immune treatment protocol or coordinate with a RI out of Chicago. He wanted to keep trying to same protocol (Letrozole, Bravelle, Ovidrel) but I was growing frustrated with positive pregnancy tests that ended up as a D&C 6-10 weeks later.
After going to another clinic for a fresh set of eyes, Dr. Jarrett called me several months later to discuss some medication that I asked him about in connection with an immune treatment protocol. I liked that he remembered our conversation and took my questions seriously enough to look into it. I was surprised that he called me. We were ultimately successful in getting a second baby (technically, through a different clinic) but are planning to try for a third baby. When we do, we will return to Dr. Jarrett because I appreciate how he knows and values his patients. The size of his office is just right for us.
What one piece of advice would you give a prospective patient of John Jarrett?
Dr. Jarrett tends to be more direct, a bit blunt. He's not overly warm or sensitive. I suggest having your questions written down. Some people may feel intimidated by him. He likes being the smartest person in the room. I found that I felt that our appointments were the most productive when I went in with written questions.
Describe the protocols John Jarrett used in your cycles and their degree of success.
We did ovulation induction using Letrozole, Bravelle and a trigger with Ovidrel. My issue is PCOS/anovulation. I was also on Metformin to help with the insulin resistance component of PCOS, although my BMI is below-average. We also used Prometrium after ovulation to support progesterone levels.
My body responded well to the dosages of Letrozole and Bravelle. We triggered between 2 and 4 mature follicles each cycle. We were successful 50% of the time with a positive pregnancy test but I had trouble maintaining past the first trimester due to immune issues that developed after my first successful pregnancy.
Describe the costs associated with your care under John Jarrett.
The clinic was good at billing services to my insurance as "medical" whenever possible. The blood work and many of the ultrasounds were covered by insurance. There were labs, medication, tests that weren't covered.