If you like to know details about your treatment, she's not a good doctor for you. This was great because it was the quarter of the cost of one cycle, and there were little use of extra hormonesThe nurses are amazing! Most covered by insurance other than the couples genetic testing, the ERA test cycle, and the embryo genetic testing (PGS/PGT). Dr. Waud is sensitive and friendly, but it's very hard to get to see her or talk to her. I interacted with multiple due to going between both Arlington and Bethesda clinic depending on where I was staying. They would not offer us a guarantee package due to my low ovarian reserve even though I was only 34. Describe your experience with your nurse at Dominion Fertility. Her simple response to my distress was that she didnt receive calls and that she works until 3:30pm. He would tell us the good and the bad. He said long cycles and portions of my blood work indicated that PCOS may have been a factor. 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. If and when it does not work out, the solution is always to try again the next month. (Assigned nurse: Kerry Hartman). Describe your experience with your nurse at Dominion Fertility. They have available clinic hours for weekend visits to obtain certain treatments or tests. I had to always initiate questions or do research online to figure out informationI wouldn't classify myself as a high need patient so I didn't need a lot of attention. Describe your experience with your nurse at Dominion Fertility. The nurses even gave me the advice that if I was more flexible on leaving, 8:30 would mean a less full waiting room. The facility (Arlington) was clean, welcoming, and modern. As a woman, I guess I assumed our fertility issues were caused by me; never considered male factor infertility. 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. Near the end, I was a more informed patient and was only under light sedation. You took sex ed, but now you need to understand fertility. Our costs ended up being all diagnostic or pregnancy related, and therefore we had pretty good insurance coverage. About | We were generally in and out with about half an hour. It took three treatment cycles to be successful (2 did not reach the egg transfer stage). Dominion also billed my insurance incorrectly for a few consults that were charged as office visits, but they didnt submit it until I had already left their care for nearly a year, and when I tried to sort it out they basically said if I didnt pay (the incorrectly coded charge) they would charge me more for other visits they supposedly waived. Feb. 27, 2023. She argued that the services were not PCP/GYN, which I dont disagree with. I've gotten in 5 minutes, but sometimes waited up to 30. I'm able to contact her via the phone or email and so far she's been greatThere's only metered street parking, but there are tons of spaces so you don't have to worry about driving around the block multiple times. The place seems well-run and we have never had to wait too long to be seen. 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. Record 941923; Joint Appendix (9.5MB), The Circuit Court of Arlington County, Virginia, Record No. I have generally great insurance so cant imagine how much more difficult their process is for patients who do NOT have it. Even after failed transfers it was hard to get her to return my calls. Dr D only does FET because the outcomes are much better than the fresh embryo transfers, and we'll be doing PGS since my ovarian reserve is low. 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. They treated me as if I was their only patient. My embryo transfer also went perfectly. I like the clinic a lot. It has not. Holli is my primary point of contact with Dr D's office. Dr. Dimattina's protocol is to only transfer one embryo at a time. is covered under a package price of $4900. He personally called to give me the news after both transfers, which I appreciated. Having talked through our options, he thought we were good candidates for both natural and stimulated. Strengths: the clinic is conveniently located, clean, and very nice. ", Dominion fertility is a "natural cycle" IVF clinic pioneer in the field. She spent so much more time discussing our test results and providing some new insights as to why we may be having trouble (particularly pertaining to some male infertility issues). I don't like that. The clinic is well organized and everybody is very polite. Dr. D also does frozen embryos only, because he states frozen embryos are more successful. Each visit they asked when we usually come for monitoring, so they can be prepared for staffing at peak hours. She made this hard process easy for me. Ratings of 10 indicate an excellent nursing team. 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. They are very honest and forthcoming with any information about my history and future cycles. I like that. Dr. Gordon was the right fit from the beginning. Period. 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. Data to answer your questions about natural conception and diagnosing what might be wrong. Ratings of 10 indicate that a clinic operated very well. They were always prompt with paperwork and everything we needed. Download Record 941410: Joint Appendix (4.0 MB) Download Record 13 eggs. However, at the same time would have appreciated a little more information regarding my care during my visits and more attention to mental health. But talking was not going to ever change the outcome of our failed fertility cycles. Our original doctor at Dominion had since left the practice, and Dr. Kay become our new primary. With Natural IVF there is only one egg produced at a time. 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. Dominion uses a team approach but Dr. Gordon was very involved the entire time. Dr. Waud is definitely empathetic. The nurses seemed uninterested in explaining anything, my treatment, my medications and how to use them and why and my diagnosis. Once I asked however, the nurses and my coordinator were thorough and extremely helpful, but would have been even better to not have even needed to ask some of the generic questions in the first place. Dr DiMattina transferred only one embryo that was PGT normal. They had a long time window for monitoring so you can easily pick a time convenient for you. (Assigned nurse: Jen Machovina). 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. During the weekends I had to go to the Arlington office, there were more patients, the visits were according to arrival time, and sometimes I had to wait for about 20 minutes. If you have questions, you have to contact the nurses. And, when asking questions, I found it very helpful to have them at hand for a productive conversation. Unfortunately they failed to keep a proper accounting of the deposit and billed me for things that should have been paid from the deposit, even threatening to postpone my procedures if I didn't give them more money. Describe the specific things that went wrong at Dominion Fertility. The only thing that is difficult is keeping track of outside companies that you have to pay like anesthesia, genetic company and PGT testing. However, Dr. D cleared that up on our first appointment back in 2016. 1990-1999 If you're going the natural cycle route, that's what they will do anyway because no doctor can be in seven days a week. My insurance covered doctor visits. Very personal care with Dr. Gordon, his staff and all of the nurses. Describe the costs associated with your care under Susan Sarajari at Dominion Fertility. Smartmatic alleges in its $2.7 billion lawsuit that Fox News and the other defendants broadcast more than 100 knowingly false statements about the companys involvement in the 2020 election. 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. 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. I have never had a billing issue. Besides Dr. Gordon, this is the best part about Dominion. In total we spent 16,500. I had injections: gonal, menopur, ganirelix and lupron trigger shot. We had already been to a different clinic that accepted Kaiser but did not stay. From my understanding with insurance and my own research, I wouldnt have to pay more and the insurance company actually would pay less. The office is nice, a large waiting room. He always thought that we would be a relatively straightforward case despite our prior failed transfers at another clinic. 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. The billing folks are not super clear, but having encountered others at other clinics, that seems to be par for the course. During treatment, were you treated like a number or a human with Kay Waud at Dominion Fertility? Despite repeated attempts, Dr. D. consistently refused to answer questions specific to my case. Not only this, but a few years ago, I had a miscarriage, and she was the doctor to confirm it (even though she was not my primary doctor at Dominion at the time). Not to mention I left multiple VMs with no return calls. Never even a pregnancy scare. Dr D is very knowledgeable and explained everything in person. All of the nurses I have dealt with have been very competent and compassionate. Monitoring [at Doninion - Arlington] is by default a disorganized event. She told me to expect a high number of eggs retrieved, then when I responded poorly to stims in my first cycle she just kind of shrugged and repeated the exact same protocol for my second cycle. I do not remember the specific protocols used. Things to know are the same for all fertility offices - be prepared to pay prior to receiving services. I feel that so many times, doctors' offices have rude receptionists. 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. Wow! I wasn't contacted by my nurse coordinator for two weeks. 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. Limited activities during the two week wait after transfer. This is the most recent data from the CDC. I never had any doubts about his knowledge and experience. No complaints. Fortunately, I was lucky. Describe John David Gordon's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Dominion Fertility. Typically at this clinic, they see you quickly. 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. 941923, Judges, Home | 941410 and Hon. I love the nurses at Dominion. The whole point of seeing them was to having the proper testing done. 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. They were our primary point of contact with the clinic, were very responsive, and answered many of our questions. The $1.6bn lawsuit brought by voting company Dominion against Fox News has done more than threaten the rightwing channel with a historic financial penalty.. This was by far the worst experience at a clinic in my entire life. Lupron. They always greeted me with a smile and would greet me by my first name the moment I started my treatment. He diagnose my husband with low morphology (1%) and recommended that we proceed with IVF. Since 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. They mostly seemed annoyed that I was contacting them or asking questions at appointments. My employer covered fertility treatments 100% so I was very fortunate not to have paid anything except for the cryopreservation of embryos. Get informed about the process and ask as many questions as you can. Typically at this clinic, they see you quickly. They don't give you lab results or even basic information about procedure outcomes unless you chase them down. VA-SUPREME-COURT-RECORDS 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. That might seem like an exorbitant amount of money. Dr. Gordon seems to be a good professional and a very nice person. There's no doubt in my mind that we weren't just numbers. I think this would apply to most doctors though! Dr. D is very kind, calm, and confident. One cycle [with John David Gordon] was natural cycle ivf, so there were no injectable medications used. A few times it was busy (for example for people arriving the last ~20 min of the weekend AM window), but most of the time I was in and out in about 30-40 minutes. With Natural IVF there is only one egg produced at a time. Weaknesses: getting a hold of the front desk on the phone (it was easy through the portal). I know that this included some information she'd told us before, but she still took the time to rehash it for us. It is very evident (and so very appreciated) that she cares about her patients. During treatment, were you treated like a number or a human with John David Gordon at Dominion Fertility? Period. We called him a few days latercalled me back only a few minutes later. He can be really blunt, he won't hold your hand and cry with you. After every disappointing result, he'd ask us in for follow up personal visit with a hug and a smile. He talked to my husband and I throughout the transfers to explain what was going on. What's one piece of advice would you give a prospective patient of John David Gordon at Dominion Fertility? The financial counselor is clear and upfront about costs, and she has been very helpful with communicating with the insurance company on my behalf. Most everything that occurs during a Natural Cycle IVF treatment (monitoring, egg retrieval, semen collection, fertilization, embryo transfer, etc.) A few of the nurses I saw for bloodwork were so kind but overall the care felt very impersonal. The strategy he used that ultimately led to pregnancy for me was putting me on birth control pills to reset my hormones. However, She wasnt a good fit for our journey. On Jan. 8, Dominion sued Sidney Powell, a lawyer who previously worked for Heather Harris v. Michael DiMattina, M.D. Everybody seems ready to help you and answer your questions. costs have been about $5k to the clinic and $500 for meds (but we've reached our max for fertility drugs). It was impossible to reach the doctor outside of an office visit. Dr DiMattina was very honest. My calls and emails are always returned that day, and the nursing staff and IVF coordinators are wonderful people. I used to get nervous that I would miss their calls and then I would have to leave another message and wait for their call again. I asked leading legal experts about the potential strength of Dominion bringing a defamation suit against the former president. Ratings of 1 mean it was difficult to schedule appointments with this clinic. I had insurance but they required me to leave a large deposit rather than billing through my insurance and then billing me. I got to know the front desk staff so well on my last day I did say I was going to miss them. The team of nurses are very skilled and nice. I had to always initiate questions or do research online to figure out information. 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. Dr. Gordon is an excellent fit who will show empathy to those who need it. She was also hopeful and optimistic when I was not. First cycle was a fresh transfer (unsuccessful). Describe your experience with your nurse at Dominion Fertility. 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. It is a comfortable place to receive treatment. 941923, Hon. They were all very caring and compassionate. 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. I would prefer that they pick up the calls. Do your research, make sure that you feel comfortable with the diagnosis and treatment. I know that I always produced enough eggs to create embryos. I would prefer that they pick up the calls. The clinic itself is clean, updated, and modern. She answered every single once of my many emails and questions within 24 hours. They always greeted me with a smile and would greet me by my first name the moment I started my treatment. The clinic [Dominion Fertility] started early which was very convenient for my work scheduleHolli and the nursing staff took great care of us. I wish I had known more upfront about what to ask for and my own personal limits I want to switch to another provider but feel stuck. It is not difficult to get an appointment with your doctor; however, doctors don't provide you their emails. Dominions lawsuit against Fox Corporation is one of numerous defamation suits the company has brought in response to the 2020 election, alleging far-right Dr. Sarajari recommended we use ICSI for fertilization, which resulted in 100% of our eggs being fertilized. He will be very honest and not sell you a procedure or a statistic that won't work. It is a comfortable place to receive treatment. Each visit they asked when we usually come for monitoring, so they can be prepared for staffing at peak hours. Furthermore, Dr. Sarajari is not a credentialed reproductive endocrinologist specialist with Blue Cross Blue Shield. Describe your experience with your nurse at Dominion Fertility. 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. 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 They were always prompt with paperwork and everything we needed. 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. 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 also was able conference call my husband into the call and Dr D. answered all of our additional questions. 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. She also teaches at a med school, and she has very clear views on the science of reproductive challenges, which she communicates very clearly. I believe Dominion offers a lot of advantages for patients with DOR or who otherwise want to try a more mini IVF approach. When we did conceive, Dr. D (as he's called), called the little dot on the sonogram our "baby". This wasn't typical for them. Accessibility Statement, Washington & Lee University School of Law Scholarly Commons, Virginia Supreme Court Records, Volume 250. I also was to refrain from certain activities after my embryo transfer to attempt to secure implantation. They were our primary point of contact with the clinic, were very responsive, and answered many of our questions. 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