The billing folks are not super clear, but having encountered others at other clinics, that seems to be par for the course. Just trust him. Dr. Gordon always cared about me and answered every question I have with a lot of patience. He diagnose my husband with low morphology (1%) and recommended that we proceed with IVF. Pregnant on first try. We're lucky that our insurance covers infertility treatment. Unforunately, science does not always match what happens in human existence, and I 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 clinics. The costs are high, although I found Dominion to be less expensive than other practices. IVF is costly. 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. They were all very caring and compassionate. The fact that I have my embryos at the facility and I have to go back for a transfer makes me mad. We had already done a failed IUI at another clinic and went to Dr. Gordon wanting to learn more about natural cycle IVF as we were still unsure about stimulated IVF. Our original doctor at Dominion had since left the practice, and Dr. Kay become our new primary. The nurses also didn't inform me that I'd have to have a 2 hour glucose test, so when I went to the lab, I wasn't prepared and didn't have enough time. She was kind, but never made me feel comfortable in her diagnosis or decisions. Over multiple years I used up several lifetime limits on different insurance programs. From the first time he came in to monitor me, he was asking me personal questions about my career and interests. Each visit they asked when we usually come for monitoring, so they can be prepared for staffing at peak hours. Describe Michael DiMattina's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Dominion Fertility. Holli is my primary point of contact with Dr D's office. He mentioned that IUIs and other treatments would be wastes of money because of the low morphology issue. Dr. Gordon comes out to greet you in the waiting room. I was very emotional after the egg retrieval, and the nurse helping us that day let me cry on her shoulder and called me later to check up on me. If the egg retrievals had been during a weekend when he was not working, another doctor would have done them. She told me she would request auths and send to me, by email, the financial costs. So far, that's where we are in the process! Natalie Sofia is a God send. Embryo fertilization went perfectly. 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. The nurses were fantastic. 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 would receive a warm welcome from the team whenever I would go to the clinic it. Our insurance covered most costs, but we do pay for embryo storage, the injection teaching, visits after I was pregnant and couple other things. And, when asking questions, I found it very helpful to have them at hand for a productive conversation. 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. 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. If you have questions, you have to contact the nurses. One thing I think that is unique to Dominion is that the offer an in-home injection teaching. It has not. (Assigned nurse: Kerry Hartman). Dr. D first recommended that we move straight to IVF. I saw Dr. Waud for every step - consultations, diagnostic testing, and, unfortunately, D&C and follow-up hysteroscopy procdures. write down all the questions you have ahead of time. This does not apply to me because we used Natural Cycle IVF - just my natural egg produced in a cycle without fertility medication prior. He was younger, fresher and seemingly more up to date on the latest medical studies, Use all the doctors at Dominion. 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. 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. Overall, no one was terrible nor exceptional. 941923, Hon. Describe the protocols Susan Sarajari used in your cycles at Dominion Fertility and their degree of success. I only met my nurse coordinator [at Dominion Fertility] one time in more than a year. Washington Fox News Media on Tuesday asked a court in Delaware to dismiss a $1.6 billion defamation There's no doubt in my mind that we weren't just numbers. He can be really blunt, he won't hold your hand and cry with you. If you're the kind of patient who wants your hand held and wants to understand in detail every step of this process, he may not be your guy. Near the end, I was a more informed patient and was only under light sedation. The BCP reset worked. However, Dr. D cleared that up on our first appointment back in 2016. The facility (Arlington) was clean, welcoming, and modern. Dr. D is very kind, calm, and confident. Every other doctor called that the "embryo. 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. 941923, Judges, Home | Describe your experience with Dominion Fertility. The receptionists are very helpful and there are dedicated financial coordinators who are there to deal with all of the insurance and payment stuff. I went through a half dozen natural cycle IVF procedures at this clinic. I also am a mental health professional so had the capacity to cope with the unfortunate circumstances. They were always supportive, always positive, and even sprinkled me with fairy dustMy monitoring experience was goodThe clinics strengths are communication and individualized care. 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. Donna Jove! They have available clinic hours for weekend visits to obtain certain treatments or tests. I love Dr. Gordon. Ratings of 1 indicate an unsatisfactory billing department. The nursing staff I saw at monitoring visits were mostly very friendly and competent. I had to call repeatedly to get her to call me and explain the next steps of treatment as it wasn't clear. Even after failed transfers it was hard to get her to return my calls. 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. My experience was pretty mediocre. I mostly communicated with my primary nurse through the portal. She answered every single once of my many emails and questions within 24 hours. We were being forced to choose a "plan" without understanding what our options were. He would tell us the good, the bad, and the ugly. I also was able conference call my husband into the call and Dr D. answered all of our additional questions. I took Letrozole from days 5-9 of my cycle, then we would do u/s monitoring and then take Novarel to force ovulation. The staff is very professional and they have a nice large waiting room. Arlington location - clean, nice relaxing environment, modern, organized. The day of the egg collection I was beyond nervous, and they kept rooting for me. The doctor's job is to simply monitor your natural cycle. > IVF - estrace, Gonal F, Menopur, Ganirelix, Lupron. Dominion uses a team approach but Dr. Gordon was very involved the entire time. Describe the costs associated with your care under Susan Sarajari at Dominion Fertility. The front desk staff will always greet you with kindness and a smile. A long period of time passes, I hear nothing, I call my insurance to see if the bills were submitted for reprocessing. Since more drugs will be out of pocket, Dominion said they'd help me shop around for the best prices. Doe and Mr. Doe are haunted by questions about what became Within 36 hours I was in the office for an egg retrieval. VA-SUPREME-COURT-RECORDS The business side of the clinic is disorganized; they didn't keep an accounting of the deposit they made me pay, so they tried to bill me for things even though they already had a huge deposit, and I had to fight with them and provide proof that I had put down a deposit. 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. 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. Most monitoring appointments were fairly quick, and I was able to get to work on time afterwards. It was a few hundred dollars for our first few rounds of IUI. This resulted in me meeting my deductible and out of pocket maximum at a later date in the eyes of insurance when in reality, I already met it because of the specialist copay rate. 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. 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. 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. Describe your experience with your nurse at Dominion Fertility. I was not getting pregnant after trying for 6 months. She was extremely difficult to get a hold of outside of an office visit. I have no doubt that he is happy to answer them. I'm able to contact her via the phone or email and so far she's been great. The staff is very friendly here. I'm so blessed to have gotten pregnant the first FET. See comments related to financial conflicts. Dr. Sarajari recommended we do IVF within six months after seeing mine and my husband's diagnostic test results. I had insurance but they required me to leave a large deposit rather than billing through my insurance and then billing me. This was great because it was the quarter of the cost of one cycle, and there were little use of extra hormones. Heather Harris v. Michael DiMattina, M.D. I can only talk about the Arlington location since all my visits where there. They mostly seemed annoyed that I was contacting them or asking questions at appointments. This past March, we had our egg retrieval- 21 eggs retrieved, 8 mature, 5 fertilized, 5 blasts, and 4 PGS normal. 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! 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. A few of the nurses I saw for bloodwork were so kind but overall the care felt very impersonal. All in all, our treatment cost us around $6850. From Dr. D to the Dominion staff, I felt like I mattered. The front desk staff, the nurses, and my coordinator made such a difference in my journey. They were always prompt with paperwork and everything we needed. Describe your experience with your nurse at Dominion Fertility. 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. > At no point did we ever consider changing course even though the cost was $7000 per month. With Natural IVF there is only one egg produced at a time. I felt like a number at the other clinic. Their main finance person was pretty good when I could get a hold of her, but it was a constant battle. 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. 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 had weeks of delay due to hormone issues and became increasingly frustrated and felt a little out of the loop. Dr. Gordon did not shy away from referencing our history and showed sympathy for our situation in addition to factoring it into our treatment. However, at the same time would have appreciated a little more information regarding my care during my visits and more attention to mental health. Solely based on my experience, I would not recommend Dominion Fertility for patients who are not strictly doing IUIs. Simply based on my experience with the financial department, I wouldnt recommend Dominion. My only criticism (which honestly is slight) is that sometimes the morning monitoring hours can feel like a revolving door. 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. He always took the time to explain things during meetings when a transfer did not work. First cycle was a fresh transfer (unsuccessful). He will change what needs to be changed if a protocol does not work. I guess, I wish the clinic were closer to me in southern Maryland. 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. I was randomly assigned to Dr. Sarajari when I decided to pick Dominion Fertility - I am glad that I was! We were assigned a coordinator who helped order medicine and checked in with us on setting up appointments. However, She wasnt a good fit for our journey. 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. I also was able conference call my husband into the call and Dr D. answered all of our additional questions. I've gotten in 5 minutes, but sometimes waited up to 30. Very organized, convenient locations and hours, accommodating and competent medical staff. The staff is very professional and they have a nice large waiting room. 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. 941410 and The Circuit Court of Loudoun County, Virginia, Record No. For more information please see our FAQs. > So we went to Dominion and are very happy to have changed. ", Dominion fertility is a "natural cycle" IVF clinic pioneer in the field. and seen throughout this journey. 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. 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 I have found no weaknesses. Strictly doing IUIs call me and answered every single once of my cycle, then we would do monitoring. 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