How was your experience with David Cohen?
Dr. Cohen was very proactive with our care. When things didn't work he would suggest what next steps and tests we could do to find out answers. He wasn't pushy with these options (PGS, ERA, etc) since some cost extra money, but giving us the options right away was helpful rather than going through more failed cycles before trying. From the beginning he was wonderful and informative to meet with, however I don't think he set up our expectations on the time and emotional and physical toll everything can take, as well as about potential delays that can happen. Once we started to understand all of these items over time, on our own we were able to deal with them better. I just wish I had understood more about how long and taxing the whole journey could be earlier on.
What one piece of advice would you give a prospective patient of David Cohen?
Don't be afraid to reach out to him with questions or concerns. He is caring and willing to explain things, but also busy so you also need to be your own advocate if you have questions or concerns.
During treatment, did you feel like you were treated like a number or a human?
The dr always was willing to talk to me individually when needed and answered answers specific to my situation
Describe the protocols David Cohen used in your cycles and their degree of success.
Since we didn't have any other issues other than unexplained infertility, we followed fairly regular protocols with the addition of estrace to increase lining. Dr. Cohen didn't require birth control between each cycle which I preferred because of the added delay and birth control sometimes hurt more than helped my cycle. When we did have to use birth control in preparation for a test or getting to the next cycle, I often didn't have to go through the whole cycle before we could move ahead. Since the waiting can feel like forever, these small adjustments made a big difference in feeling like we were moving forward.
Describe your experience with your nurse.
They have a lot of patience, and can be slow to respond or not very compassionate. Sometimes they don't explain things well and several times there were mistakes, mix-ups or medicines not ordered. I had to definitely be my own advocate and push to get the right information or things corrected. Usually they assumed things were my mistake when in fact they almost never were. Also, the protocol for morning baselines and test is long and trying. You have to be there early and never know how long it make take. Once you are meeting with someone, however, the staff are in general very nice, especially with it being so early in the morning.
Describe your experience with Institute for Human Reproduction.
It is a smaller clinic so you get more personalized care. The doctors are great, the nurses and staff, particularly the coordinators, can be hit or miss. The morning baseline and test routine is taxing and difficult, especially if you work and don't know how long things will take each time you go in. You don't always get results by the time you are supposed to which is also stressful. However, when there are scheduled procedures or appointments things go very smoothly and people are very nice and helpful.
Describe your experience with your monitoring appointments.
Monitoring was only in the morning between 6:30 am - 9 am, first come, first serve, where you would have to go in and wait. At a minimum it would take 30 min if it was empty, other times I was there for close to 2 hours. You could not schedule time and you never knew how long it would take, so adjusting for work was difficult.
Describe the costs associated with your care under David Cohen.
IUI's were $1,500 (before insurance), 2 cycles of IVF + PGS (not including medicine) $10,000 (after insurance), ERA test $900
What specific things went wrong at this clinic?
- Failed to call in prescriptions to pharmacy
- Failed to call with results
- Failed to inform you of changes in protocol
- Provided conflicting information
- Failed to convey critical information