Heads up! The clinic [Dominion Fertility] is very clean and well-organized. I also had to personally seek approvals from Kaiser to go straight to IVF when this was my doctor's recommendations due to my age and history. I can't comment on eSET because after genetic testing (PGS/PGT) of my embryos, I was only left with one healthy embryo. She always called me back by close of business day. Once our embryo was fertilized, I began taking supplemental progesterone and estradiol to prepare my body further for planned implantation. I stimulated very well had 14 eggs, 11 fert, 9 bx, 6 normal pgt. My embryo transfer also went perfectly. 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. While we did conceive again relatively quickly, this too resulted in another karyotypically normal loss. When we heard the heartbeat for the first time, I cried, and so did our nurse. A major weakness is their financial department. Besides Dr. Gordon, this is the best part about Dominion. This was after my third monitoring cycle which lasted over three months. Dr. Waud is sensitive and friendly, but it's very hard to get to see her or talk to her. First pregnancy that was a negative they actually forgot to call us that day. Dominion did not accept our insurance (Kaiser). Describe your experience with your nurse at Dominion Fertility. 941410 and The Circuit Court of Loudoun County, Virginia, Record No. She answered every single once of my many emails and questions within 24 hours. The front desk staff, the nurses, and my coordinator made such a difference in my journey. I like that. We're lucky that our insurance covers infertility treatment. It is a comfortable place to receive treatment. I think the time frame is very convenient. We also paid for assisted hatching of the embryo at $500. Some nurses were more compassionate and informative than others. I imagine that would have been different if it was on a week day. However, at the same time would have appreciated a little more information regarding my care during my visits and more attention to mental health. I interacted with multiple due to going between both Arlington and Bethesda clinic depending on where I was staying. A crucial report showing the karyotype of our miscarriage was left out of this paperwork, and it took a lot of back and forth and non-responsiveness to resolve. The place seems well-run and we have never had to wait too long to be seen. We were being forced to choose a "plan" without understanding what our options were.. We cover data around anxiety, depression, and stress as they relate to fertility & fertility outcomes. The whole point of seeing them was to having the proper testing done. We called him a few days latercalled me back only a few minutes later. It seemed like the most important was to sell us on the IVF Guarantee program which would end up costing us a lot more money. With the understanding and knowledge that she probably is very busy, I did not follow up until a few weeks later when I didn't hear anything. Even though we are dealing with the stressful topic of infertility after having a stillborn, Dr. Gordon's hopeful and optimistic attitude combined with his frankness when describing expectations and risks was very much appreciated. So of course I have to call insurance AGAIN and I tried to ask about the scheduling fees she spoke of. He is not an overly emotional dr, but I didn't want that. They are also very punctual for all appointment. WebArizona Defamation Law: A statement that brings a plaintiff into disrepute, contempt, or ridicule, or impeaches a plaintiffs honesty, integrity, virtue, or reputation. On the day of my FET they even handed me a pineapple snack with a sweet message that said stick baby stick. I ended up with 13 eggs, 5 fertilized and made it to freezing. Ratings of 10 indicate an excellent nursing team. 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. They were always prompt with paperwork and everything we needed. When we did conceive, Dr. D (as he's called), called the little dot on the sonogram our "baby". 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. He [Dr. DiMattina] diagnose my husband with low morphology (1%) and recommended that we proceed with IVF. Paid out of pocket for last 2. This cycle produced a viable embryo transferred on day 5, but no pregnancy. Weve been through several losses, which was not something she was dismissive of. The financial counselor is clear and upfront about costs, and she has been very helpful with communicating with the insurance company on my behalf. They do all of the pre-authorizing and tell us what is and is not covered by insurance. Dr. D [DiMattina] was always upfront about the treatment. IVF - estrace, Gonal F, Menopur, Ganirelix, Lupron. I always felt like they had my best interests in mind and they remembered things and followed upIt's a small enough clinic that you get personalized attention and people remember your name, but they're very bad at information sharing. Our insurance covered most costs, but we do pay for embryo storage, the injection teaching, visits after I was pregnant and couple other things. 6 eggs. I have said on more than one occasion that I wouldn't be able to go through IVF without Holli! 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. There is so much to take in during an ivf cycle but they all do a great job to help you not to feel overwhelmedThey [nurses] were all very caring and compassionate. The office is nice, a large waiting room. When I called the nurse line for after hours care during miscarriage, the nurse on call was incredibly nonchalant, and I actually never heard from my primary nurse during that period of recovery which was disappointing. Dr. DiMattina took the time to review my husband and my test results. Each morning was a ray of sunshine with the nurses even though you'd just seen them and were stressed in general about IVF, I choose Dr. D Matina because he was the longes running partner at the clinic and natural cycle IVF pioneer in the US. You need a doctor who will also be a cheerleader and team member with you. That cost did not include IVF meds ($5-9k), anesthesia for egg retrieval ($500), PGT-A testing ($150/embryo). Near the end, I was a more informed patient and was only under light sedation. We were always promptly seen. As for a con, I wish I could have more time to ask more questions and talk to him more about my concerns. It was more difficult to reach on the phone. Dr. Gordon did not shy away from referencing our history and showed sympathy for our situation in addition to factoring it into our treatment. > During my egg retrieval, I was very emotional, and the nurses and Dr. Gordon took the time to answer all my questions and comfort me, following up with a call later that day to check in. I go back to Leslie again expressing my frustration as I have spent A LOT of time and energy on this matter with little support from her. His reasoning is that PGS tested embryos have a higher rate of pregnancy, therefore, reducing the need for multiple embryos. Get informed about the process and ask as many questions as you can. Heather Harris v. Michael DiMattina, M.D. It's not like he rushes us out, but I think consultations should be longer than 30 minutes. The clinics strengths are communication and individualized care. Prior to starting treatment, we did a mock embryo transfer and a water sonogram, which cost us a total of $650. I cried during our testing results appt and he immediately stopped, asked how I was doing, and if we wanted to stop and whether I wanted to come back. With so many people coming in and out, the time with the doctors can be very fast. Then proceeds to try to tell me that if I pursued a reprocessing that I would have to pay more out of pocket because of scheduling fees. I would say have a very thick skin and be prepared to advocate for yourself. I love the clinic [Dominion Fertility] as a whole. The fact that I have my embryos at the facility and I have to go back for a transfer makes me mad. He always thought that we would be a relatively straightforward case despite our prior failed transfers at another clinic. I feel very well taken care of by all of the staff. I also am a mental health professional so had the capacity to cope with the unfortunate circumstances. He talked to my husband and I throughout the transfers to explain what was going on. 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. He was communicative therefore I never had questionsThe strategy he used that ultimately led to pregnancy for me was putting me on birth control pills to reset my hormones. The nursing staff is compassionate, organized, friendly, and helpful. I also am a mental health professional so had the capacity to cope with the unfortunate circumstances. Only one ovary responded to the medications, but the egg retrieval was successful. To Dr. Wauds credit, she seemed as sad and stumped by this as we were. His reasoning is that PGS tested embryos have a higher rate of pregnancy, therefore, reducing the need for multiple embryos. He tells you like it is but is clearly compassionate and invested in the process with you. 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. She argued that the services were not PCP/GYN, which I dont disagree with. She was kind, but never made me feel comfortable in her diagnosis or decisions. The staff is very professional and they have a nice large waiting room. Describe your experience with your nurse at Dominion Fertility. The nurses are amazing! He was willing to try when no other doctor would. We saw Dr. Gordon during most of our visits during monitoring, and he did all our procedures, so we really felt we got to know him and were sad he couldn't be with us through the whole pregnancy. Period. We did a hysterosonogram (water sonogram), hysterosalpingogram (HSG), couples genetic testing, and semen analysis - which I think is all standard for the clinic. He took the time to call me with the results of my first IVF cycle, reviewed the cycle with me over the phone and explained his recommendations. Monitoring was relatively efficient. From Dr. D to the Dominion staff, I felt like I mattered. 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 fact that Dominion Fertility has a poor financial navigation department decreases its value. She also teaches at a med school, and she has very clear views on the science of reproductive challenges, which she communicates very clearly. Of course, she responds immediately, unlike my past interactions with her where it takes longer for a response. For my second retrieval, I asked about transferred two since they were very poor quality and untested, but was not allowed to given my age. (Assigned nurse: Amy (called me the most)). [Dr. DiMattina] is very kind, calm, and confident. Dr. Kay is extremely thorough in her consultations. I always felt they were doing what was best for me and my husband. I didn't immediately remember this, but she did and was very kind a compassionate about it. I also shouldn't have to wait to weeks to start treatment because my nurse coordinator didn't contact me. I had a missed miscarriage which showed itself in a monitoring ultrasound, and in retrospect I could not have been surrounded by nicer peopleWhen we were transferring to the next clinic, we requested our medical records. They have available clinic hours for weekend visits to obtain certain treatments or tests. She thought none looked indicative of an inability conceive and carry, so we were sent on our way to try on our own. Not sure if that was the intention, but that put it in perspective for me that this was a medical issue that we were treating not some failure on our part. Dr. D is very kind, calm, and confident. The lawsuit, which centers on the election-related falsehoods spread by Fox News stars and guests in the wake of the 2020 election, represents one of the most high They almost always see you within ten minutes of your arrival time, and I was never there more than 20 minutes or so. Very nice and very responsive over email, which is good for me, especially during the business hours. When I contacted my coordinator about this, she said she would help me follow up with Leslie. I don't believe this is the case, but you might want to be prepared for that possibility as you consult with her. That is very much in line with nature and God's creation. 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. They all had great bedside manner and care about their patients. One thing I think that is unique to Dominion is that the offer an in-home injection teaching. Dr DiMattina was very honest. The start of Dominion Voting Systems' $1.6 billion defamation trial against Fox News has been delayed until Tuesday as the parties pursue a potential settlement, 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. 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. Dr. Gordon is an excellent fit who will show empathy to those who need it. We were sad to have to go to a new doctor and wanted to stay with them for the whole pregnancy! The doctor's job is to simply monitor your natural cycle. Sometimes there has been no wait at all. It's very convenient, clean, easy to schedule appointments, and organized. After every disappointing result, he'd ask us in for follow up personal visit with a hug and a smile. I had to initiate contact and find out the information I requested weeks ago. He personally called to give me the news after both transfers, which I appreciated. One cycle [with John David Gordon] was natural cycle ivf, so there were no injectable medications used. However, for us it was more important to feel we were receiving the best medical treatment and he is highly competent. Explore over 200 courses and lessons taught by leading fertility experts. He said long cycles and portions of my blood work indicated that PCOS may have been a factor. 12-1191. Ratings of 1 indicate an unsatisfactory LGBTQ care. No complaintsThe clinic as a whole walks you through every step of the process, so there's nothing to tell a new patient. When you call the nurses, you always have to leave a message and then they will call you back. He also knew that as someone who had a stillborn, I am not able to handle the disappointment each month and I would not want to be trying w/o success (or likelihood of success) each month w/o a plan. Appointments are made very efficiently over the phone, and I have never been kept waiting past an appointment time before seeing the doctor. He also had me go on metformin for 3 months before we started the egg retrieval protocol because of my history of lengthy menstrual cycles. She told me she would request auths and send to me, by email, the financial costs. Dr. Gordon comes out to greet you in the waiting room. 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. They have available clinic hours for weekend visits to obtain certain treatments or tests. He will change what needs to be changed if a protocol does not work. They were our primary point of contact with the clinic, were very responsive, and answered many of our questions. Dr. Gordon is that doctor! I consulted with multiple groups before undergoing fertility treatments. Dominion filed its lawsuit against Giuliani on Jan. 25, saying in a press release at the time that he "actively propagated disinformation to purposefully mislead Describe Susan Sarajari's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Dominion Fertility. Murdochs remarks came as a part of Dominion Voting Systems $1.6 billion lawsuit against Fox News. I feel that so many times, doctors' offices have rude receptionists. She has a habit of speaking fast and as if everyone in the world should know how insurance works. I never heard from Leslie. I believe Dominion offers a lot of advantages for patients with DOR or who otherwise want to try a more mini IVF approach. Moreover, after receiving the financial quote from the other clinic we noted that the difference in price was not worth the lack of personal touch. However, She wasnt a good fit for our journey. I was not getting pregnant after trying for 6 months. He said I could stop taking it if that was the case; I am not insulin resistant. Of all the doctors (who are all very kind), I always felt the most comfortable with her. I should've never been under such heavy drugs for such a simple procedure in the beginning. From the first time he came in to monitor me, he was asking me personal questions about my career and interests. Very organized, convenient locations and hours, accommodating and competent medical staff. 9. Many times, in this process the "issue" falls on the women but we're able to handle it but when the guy is involved you don't know how they will react. I am by no means a pushy person, but he made me feel I was by rolling his eyes when Id ask questions or sarcastically saying things like, someones been doing research. He told us many times that hed get me pregnant and when that didnt happen, he just kept repeating that most people do; he seemed more frustrated than compassionate and didnt have much to offer in terms of how we might do things differently. I wasn't contacted by my nurse coordinator for two weeks. Dr. Gordon did not shy away from referencing our history and showed sympathy for our situation in addition to factoring it into our treatment. I also was to refrain from certain activities after my embryo transfer to attempt to secure implantation. A crucial report showing the karyotype of our miscarriage was left out of this paperwork, and it took a lot of back and forth and non-responsiveness to resolve. When I called the nurse line for after hours care during miscarriage, the nurse on call was incredibly nonchalant, and I actually never heard from my primary nurse during that period of recovery which was disappointing. After Intracytoplasmic Sperm Injection (ICSI), the 5 days, and Preimplantation Genetic Testing (PGD), I was left with only one healthy embryo. We really appreciated that he set his expectations for our care. Dr. Waud is definitely empathetic. However, I found it incredibly frustrating that when I would ask specific questions about my case, like why do you think our results were below expectations, or why are you choosing the same medical protocol when it didn't work that well before, or how many follicles do you see (during a monitoring appointment), he would never give me specific answers and often seemed to take offense that I was asking questions at all, like I was questioning his ability or something. My FETs failed and again she just kind of shrugged. During my first cycle, I was told three different numbers at various points regarding how many of my eggs were mature. The nurses were very quickly during this time to see all of the patients they needed to see. Very personal care with Dr. Gordon, his staff and all of the nurses. He mentioned that IUIs and other treatments would be wastes of money because of the low morphology issue. In Fridays decision, Judge Davis said damages, if they were awarded to Dominion, would be calculated by the jury. The strategy he used that ultimately led to pregnancy for me was putting me on birth control pills to reset my hormones. I kept sharing with my friends and family that the entire process from the start of my cycle to the transfer was so straight forward and easy - which I did not expect it to be! There is only one nurse who is not very good at drawing blood, and I wince every time it's her turn because she has trouble doing it and it's very painful. Not to mention I left multiple VMs with no return calls. After that, I had yet to hear from Leslie to inform me. I felt very trusting of her opinions and recommendations. The clinical staff I got to grow attached when they drew my blood, Nichol was the best at drawing my blood because my veins are difficult find. I was on the antagonist protocol for both IVF cycles. Receptionists are kind and not rude, which is HUGE. As a result, she, in the eyes of insurance, does not get to charge a specialist copay, only the copay rate of a PCP/GYN. 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. They felt your highs and lows with you. She was upset when I kept on asking why she thought I had PCOS. For any new patient entering this journey don't move forward until you understand the medical and financial component. Fact check or seek second opinions for the statistics for success she gives you at the initial consult. Monitoring was during early morning hours, before work, which worked for me. 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? After the third or fourth cycle failed, however, the answer was always the same: come in for a chat. > I got a second opinion from another area-clinic and while I did not pursue care there, I wish I had found them first as the RE I spoke with gave me more confidence in their knowledge of up-to-date research and laboratory quality. So we went to Dominion and are very happy to have changed. He always took the time to explain things during meetings when a transfer did not work. We were assigned a coordinator who helped order medicine and checked in with us on setting up appointments. I love Dr. Gordon. The total cost was around $28,000, which included the retrievals, all monitoring, ICSI, assisted hatching if needed. Download Record 941410: Joint Appendix (4.0 MB) Download Record In total we spent 16,500The Arlington office is the best! Dominion clearly cares about their patients and staff - we had a big snowstorm in DC one weekend, and they put up their staff at the hotel across the street so there'd be no chance they'd miss work! We used Natural Cycle IVF. He always thought that we would be a relatively straightforward case despite our prior failed transfers at another clinic. Typically at this clinic, they see you quickly. Dr. Waud is very on top of recent research. I have found no weaknesses. Dr DiMattina is straightforward and respectful. No complaints. I'm so blessed to have gotten pregnant the first FET. One 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 concerns. Our costs ended up being all diagnostic or pregnancy related, and therefore we had pretty good insurance coverage. Everyone in the office [of Dominion Fertility] were friendly and welcoming. Describe the costs associated with your care under John David Gordon at Dominion Fertility. I would prefer that they pick up the calls. Dr. D was always upfront about the treatment. Even after failed transfers it was hard to get her to return my calls. He would tell us the good and the bad. This may not work for all patients. If you like to know details about your treatment, she's not a good doctor for you. All in all, our treatment cost us around $6850. This was great because it was the quarter of the cost of one cycle, and there were little use of extra hormones. Dominion Voting Systems is bringing a massive $1.6bn (1.3bn) defamation lawsuit against the company, alleging that Fox News harmed its reputation by airing election conspiracy theories. They are your cheerleaders all the way thru!..We used Natural Cycle IVF. When I finally talked with her on the phone, no apologyI felt more like a number when I came in for blood draws and monitoringEvery nurse was a little different. Describe your experience with your monitoring appointments at Dominion Fertility. I asked each of them independently. Wow! (Assigned nurse: Natalie Sofia). I am not sure how I would have been able to get testing for something else and then send it to them without a written order. He's blunt and gets right down to business but in the end he actually opened up and grew on us a bit. Be informed about your own case and be your own advocate. At no point did we ever consider changing course even though the cost was $7000 per month. Dr. Gordon was the right fit from the beginning. Not every doctor will fit all the criteria's you look for in a person, what I needed was a doctor with experience that would help us have a baby. He was younger, fresher and seemingly more up to date on the latest medical studies, Use all the doctors at Dominion. They asked what time would be best for monitoring, so they could have enough staff at peak hours, resulting in us usually be in and out within half an hour. For more information please see our FAQs. Ratings of 1 indicate that a clinic was poorly operated. Wait times varied greatly depending on patients that day. He also said if you had cancer, you would never question trying to get the best care for yourself. she also stuck to established protocols and didn't personalize treatment to my specific issues, and if I asked questions she kind of blew me off. I came to the office about 4-5 times fir blood test and ultrasounds (to track the growth of my egg). After I was diagnosed with fertility issues, I met with Leslie Jackson requesting an overview of what my insurance would or would not cover before I could decide to start treatment. My egg retrieval went perfectly. This clinic [Dominion Fertility] is wonderful. From the first time he came in to monitor me, he was asking me personal questions about my career and interests. 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. The office is nice, a large waiting room. The very first appointment went great, I thought the nurses were friendly and Dr. Kay explained the testing we would need. She was also hopeful and optimistic when I was not. They are only counting a part of the copay I paid to the clinic, it created a discrepancy between what I paid and what insurance counted. I love the nurses at Dominion. Ratings of 10 indicate that a clinic operated very well. They had no idea what she was talking about. We discussed IUI and IVF options; he didn't push either. Holli is my primary point of contact with Dr D's office. My FETs failed and again she just kind of shrugged. 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