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Stimulated for 12 days (which is 5 days longer than my previous cycle). She really was amazing. Her response time was prompt and she always provided detailed explanations and/or instructions. Our insurance didn’t cover any of it and it was very expensive, approx $40,000. For more information please see our FAQs. So thankful for these suggestions. Thankfully I am very organized. Quality data not shared. She was the perfect blend of candid and caring. The clinic's [Pacific NW Fertility] strengths are their warm and kind service. You will have to pay for parking ($8) each appointment, that is a downside, however for good treatment it is worth it. We went through insurance, so we were only out of pocket about $3000 for genetic testing. This was not identified until 1 year later when another provider was reviewing results and surprised to see this was missed. Everyone is very friendly. At PNW we have seen Dr. Marshall throughout the entire cycle and the nurses have been responsive, pro-active and caring. Dr. Marshall had gone through our large stack of medical records and had detailed notes on exactly what she would recommend and provided thoughtful answers to all our questions. Fast forward to our first IVF cycle with Dr. Marshall, she had me on an estrogen lead in protocol to suppress the lead follicles. Describe your experience with your nurse at Pacific NW Fertility. My initial meeting with her was great, she quickly coordinated the care that I needed to receive. 6 days prior to the transfer I started progestrone injections and stopped the lupron. Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients. I couldn't have been more wrong. Meanwhile reporting to the clinic day 5 (ultra sound - 9 follicles), day 7 (US - 12 follicles), day 9 (US - 14 follicles), day 11 (13 follicles), and day 12 (12 follicles). When we brought it to the clinic’s attention, the situation was immediately remedied. She presented me with the most incredible resource (a book she authored on miscarriage and repeat pregnancy loss) and was able to factually support her decision making process. ... My biggest pet peeve with PNWF was that the first experience you have once entering their office is walking up to the front desk and being asked to pay up front. Weaknesses - If Emily wasn't working that day it would take a long time to get the results of my blood work. She was like a breath of fresh air after a few bad experiences with previous doctors. She had more thoroughly reviewed our file and had a more in depth conversation with us about our situation than our medical team at our previous clinic. Especially miscarriages. The stimulation portion of our IVF treatment plan included 450 IU of Gonal-F, 20 IU mini HCG, and 250 mcg Ganirelix. 3 IUI, IVF, 1 Egg Freezing, 1 Embryo Freezing, Surrogacy. We can help. She also taught me to do injections and made me feel like a pro. After such a loss (chemical pregnancy of your one and only embryo), I was hoping for answers but since she didn't appear to know me from the next infertile woman so it felt like a waste of time. How was your experience with Brad Swelstad at Pacific NW Fertility? She is incredibly thoughtful, knows all the current studies, is humble and is just all around an incredible doctor. Obstet Gynecol. They [Pacific NW Fertility] were prompt returning emails and phone calls. She first started our conversation with "I just want to say that I am so sorry you are going through this.". This interaction made me feel so good just to know that there was a path forward. If our end game was a healthy child she suggested we use donor eggs. We started with a very basic protocol because all labs, u/s, and hysterosalpingogram were normal. So it may take you several weeks to get in for the first appointment with the nurse and then several more weeks after that to actually meet with your Dr. Dr. Shahine is a very active person in the field of fertility medicine. They make you feel human, We got quotes for both and outside monitor IVF with and with PGS and quotes for outside monitoring donor cycles. Describe your experience with your nurse at Pacific NW Fertility. Obstetric health care workers' attitudes and beliefs regarding influenza vaccination in pregnancy. My nurse took my calls and emails every day - even when I repeated myself and she didn't make me feel like I was bothering her. Because I was a new patient to him and he was in transition to move out of state to a different practice, I feel he had several things to juggle. So far my pregnancy has been on the right track. The clinic has been great. This clinic also times the IUIs differently than my last clinic to be anytime on the day after trigger shot instead of a set 36hrs after trigger like my previous clinic's IUIs. I would highly recommend her to anyone. So far, we've had nothing bad to report. She was so encouraging, caring, and positive. (Assigned nurse: Michelle Peterson). In the beginning, I felt like a number. The doctor came up with one plan and that was the only plan. 389 were here. From the first time I met her I felt so comfortable. Unfortunately, both blastocysts were abnormal but upon reflection I'm so grateful to have used PGT-A to avoid wasting time and money on blastocyst that would not result in a viable egg. Overall, we're still a challenging case and I can't say we have a happy ending yet. From the beginning I felt a personal connection and never did I feel like just a number. It's ok to keep asking why - she'll answer when she can and be honest when there is no explanation for a specific result. I can't recommend her enough. I can't imagine doing this all without Emily. After going through an unsuccessful, expensive and … Hur C, Broughton DE, Ozanne E, Yachimski P, Nishioka NS, Gazelle GS. She recommended the same so it wasn’t even much of a discussion. The control to me was knowledge. Dr. Lamb has always been a candid and proactive part of my treatment. I was able to talk to someone at the clinic whenever I needed to. She does her homework about you prior so you don’t have to explain your story over and over. Front office staff hasn’t been calling to remind me of my upcoming appointments. Dr. Marshall had gone through our large stack of medical records (we had done 2 unsuccessful cycles at another clinic) and had detailed notes on exactly what she would recommend, and provided thoughtful answers to all our questions. You would hear the outcomes of previous retrievals while you waited for your own which was a weird experience. I'm 36 years-old with diminished ovarian reserves and in the previous two cycles I had retrieved 4 eggs (1 fertilized) and 2 eggs (0 fertilized). Everyone knows me by name and offers a kind word or a greeting when they see me. Overall, it felt like like this doctor did not care about me as a person. Coming to PNW from SRM and working with Dr. Marshall was a complete game changer when it came to results (2 unsuccessful rounds at SRM, 1 successful round at PNW) as well as when it came to quality and type of care. IVF would allow us best chance of success and also allow us to test for chromosomal abnormalities to dec risk of repeat miscarriage. Also smart and knowledgeable. You would hear the outcomes of previous retrievals while you waited for your own which was a weird experience. Ratings of 10 indicate an excellent billing department. Parking could be a pain. I was very nervous at my first appointment and they took time to comfort me and show me compassion. She was SO ORGANIZED and took a lot of stress out of the process. Dr Shahine was always prepared for our meetings. It was a second opinion consult so it was not much. For our first 5 cycles, I took letrozole days 3-7, had a day 12 u/s, then timed ovulation trigger based on u/s results. Lorna Marshall thoroughly reviewed our chart and was happy to help us with IUI because she knew we were not ready for IVF. Brenna [at Pacific NW Fertility] is a fantastic IVF coordinator. She set the expectations really well in our very first appointment so we have felt like we've been "on track" because it's working out to match what she set us up for - it's not ideal (of course I wish it was way easier) but she's been really good about knowing what we can expect. Stimulated for 12 days (which is 5 days longer than my previous cycle). All in all, it just seems to us as though she is very busy, and we are not important enough. We decided to try a FET for one embryo and if it didn’t work I would do another round of IVF but it worked and I got my Christmas miracle. Utilizing state-of-the-art technology, our team of physicians, nurse practitioners, and … She then made her recommendations based on research and sited those studies. © 2021. At that time I was taking Femera on days 3-7 of my cycle, with ultrasound monitoring appointments to ensure the mature eggs where on the side in which my Fallopian tube was not blocked to ensure best change at success, when the follicle measured the correct size I would have a trigger injection with IUI within 36 hours. Pacific Northwest Fertility and IVF Specialists is a medical group practice located in Seattle, WA that specializes in Reproductive Endocrinology & Infertility and Nursing (Nurse Practitioner). Dr. Broughton is excited to be moving back and can’t wait to explore all that Seattle has to offer. All appointments have been on time. My impression of Dr Swelstad may not be reflective of his normal care. All of my care was covered under my insurance as pre-conception screening or screening for abnormalities. She suggested we change the dosage on some meds due to those complications. It was very hard to get a hold of her even once we had started IVF, and we basically felt connected to our IVF coordinator but not Dr. Shahine so much. I was often unsure of what Dr.Marshall meant or what I was supposed to do but Emily always closed the loop. The quality of the staff is equal at both locations and we met with different doctors and nurses during the monitoring phase and everyone was wonderful. (Assigned nurse: Emily Gray), Very attentive and thorough in answering my questions and in a timely matter. Previous: Pacific Northwest Fertility Physicians Next: Pacific Northwest Fertility Get Directions. After such a loss (chemical pregnancy of your one and only embryo), I was hoping for answers but since she didn't appear to know me from the next infertile woman so it felt like a waste of time. What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility? This is the Pacific Northwest Fertility company profile. Describe your experience with your nurse at Pacific NW Fertility. They have every magazine under the sun to keep you entertained. Dr. Broughton is … At our previous clinic all patients waited in an emergency-room style set up with sheets separating the bays. Describe your experience with your nurse at Pacific NW Fertility. Uncover why Pacific Northwest Fertility is the best company for you. The nursing staff has always been so kind, warm and welcoming. Dr Broughton took the time to go through our whole history with us and each round we went through step by step. As a new patient, you'll most likely not meet with your doctor right away. She stressed that we had done nothing to cause our many miscarriages, failed transfers and were doing everything we could. Long wait times. My insurance covers nothing with infertility so when we do my hsg or my sis procedure or my hysteroscopy all of those things get covered by insurance because they are not infertility and labs. There were no hidden costs. Everytime I called or emailed any of the staff [at Pacific NW Fertility] they were prompt to answer. We have yet to do an embryo transfer since we'd like to bank a few more first. I don’t know how she manages to do this for every patient, but Tara is SO organized and quick to respond to any questions you have. We have not yet fully discussed this with MD thus can not provide information on this at this time. All content is posted anonymously by employees working at Pacific Northwest Fertility. We switched immediately after. I'm not sure of the policy on non-tested embryos, since we did not go that route...So far, we've had nothing bad to report. You get personal treatment. Ratings of 10 mean it was easy to schedule appointments. Finding her has been a game changer in reducing the anxiety and stress of this entire experience, while also giving us a better outcome. If you have questions always ask Dr. Marshall, she really wants to make sure patients have all the information they need to understand their options. I can say that I am now pregnant after our third transfer, and I truly feel that it's Dr. Shahine's suggestions made all the difference. The nursing staff is extremely busy, so it does take 24-48 hours to receive a response. Dr. Shahine never left me feeling hopeless. Which was disappointing. We absolutely love Dr. Marshall. She is competent in her job, kind, compassionate, and direct. She has always been very compassionate in her demeanor and is easy to talk to about very intimate details of our lives. He went the safest route with disseminating information to us. I never waited more than ten minutes for an appointment, and I was quite often seen early upon arrival. I was suppose to be hired for a part time "receptionist/ … We are very hopeful. They make you feel human... We got quotes for both and outside monitor IVF with and with PGS and quotes for outside monitoring donor cycles. I was able to talk to someone at the clinic [Pacific NW Fertility] whenever I needed to. Write down all your questions in advance of your meeting with her. Dr. Shahine considered all my previous testing and medical files from my previous RE and fully reviewed everything before we came in for our consult. After reviewing and discussing our last IUI treatments with our first RE, she noticed the dosage of the fertility meds and some complications I had. She showed so much empathy with us. Dr Shahine recommended a single embryo transfer, which we agreed with. Salaries posted anonymously by Pacific Northwest Fertility … She even held my hand before each egg retrieval as I went to sleep. The Saturday/Sunday appointments are all morning appointments. First round went better than expected with 8 eggs and 4 embryos but only one passed the genetic screening. Communication had been pretty good up to the point (a few months later) of the cycle failure. PMID: 20168097. In the time I spent with her I found her to be very kind and compassionate. Dr. Marshall answered all our questions thoughtfully and backed up her suggestions with clinical research findings. Emily my nurse and coordinator is the best support I could ask for. She was very informative and provided many resources. I began seeing her after my previous RE retired within the practice. Of course, you have diminished ovarian reserves and there are very successful treatment protocols that we've developed. She let me direct things and helped guide decisions that were right for me. Because I was a new patient to him and he was in transition to move out of state to a different practice, I feel he had several things to juggle. Health. PMID: 25734345. Welcome to Pacific Northwest Fertility and IVF Specialists. Broughton DE, Brannigan RE, Omurtag KR. Dr. Marshall answered all our questions thoughtfully and backed up her suggestions with clinical research findings. Pacific NW Fertility is advising all of our patients to check this site before booking travel and if you have questions to talk with your nurse or doctor before traveling. When I had questions they were answered promptly and with plenty of detail. I felt very supported, and never hesitated to reach out to ask questions...Monitoring was scheduled when convenient with my schedule during the week. Trust the process and the journey. The office is always very clean. This clinic is also very efficient and my team has been incredibly responsive with information and any concerns I may have. My partner and I came to the clinic with some complicated issues, so we are still undergoing treatment and discussing potential future treatments. She weighed 8lbs 7oz and is the most beautiful being I have ever laid eyes on. (I have a genetic condition that results in a small % of normal embryos) Beyond the outcome, the experience felt different - from her proactive communication, to her kind and thorough bedside manner, to the fact that even though she didn't do the retrieval surgery, she popped in right after to check on us - it felt like she was on our side and we were on the same team throughout the entire process. However, Dr. Marshall has and continues to do everything she can to support patients like me who are really challenging. In a perfect world I wish the clinic would have informed me he would be leaving the practice soon and allowed me to either keep the apt with him or wait to get in with another provider. After my third miscarriage I searched online for books on recurrent miscarriage. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. I’ve been seen in a timely manor and everyone I’ve come in contact with has been very kind and helpful. You would hear the outcomes of previous retrievals while you waited for your own which was a weird experience. My husband and I knew after that first meeting that we had to switch to Dr. Marshall and we were grateful that she would consider taking our case given the challenge and likelihood that it might lower the clinic's success statistics. Just this is what we are doing. During our IVF cycle our primary nurse was very responsive, compassionate, and helpful. After our failed embryo transfer, when we were finally able to meet up to discuss what happened - she couldn't remember a lot of the details of my cycle (how many embryos did we get? Broughton DE, Jungheim ES. We are now back at the clinic, and though we now have a team of nurses assigned vs a primary nurse, I still feel the same. The quality of the staff is equal at both locations and we met with different doctors and nurses during the monitoring phase and everyone was wonderful. She reads people (at least she reads us!) Her response, "Really? It seems like there could be a better way that's more considerate of the emotional state that most people are in when they arrive. She is very intelligent and treated me with respect, taking the time to explain everything. Dr Shahine always is very warm in her welcome. From the first phone call to their office, to our first meeting with Dr. Stoelk, to our last ultrasound, I was … Dr Lamb has always been very forth-coming with the level of detail we were looking for in terms of understanding the science of what is (and is not) happening, AND she does it in a very compassionate and empathetic manner.... We really felt like to only patients in the clinic when she was sitting in front of us—she was never rushing off to another clinic appointment, never seemed annoyed by our questions—even when we had a half dozen of them! (Assigned nurse: Can’t remember her name), The whole office was kind, welcoming and caring. During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility? Still continuing with Lupron. Don't be afraid to play an active role in your care and approach IVF as a team process. After my third miscarriage I searched online for books on recurrent miscarriage. (I toured other clinics in the Seattle area that left me feeling like a number.) The nurses and front desk staff are all incredibly warm and caring. The only negative feedback I have is on the financial counselor, Jamila Thomas. You feel like a human. All of my eggs produced were mature, but we didn't get as many healthy embryos as expected. I am very happy with my experience as a patient. We have begun exploring IVF costs, and while they seem comparable to other clinics in the area, it is... excessive. The finance department is quick to answer with any questions (e.g. A free inside look at Pacific Northwest Fertility salary trends based on 10 salaries wages for 8 jobs at Pacific Northwest Fertility. 2mg estrogen lead in. (Assigned nurse: Tara). Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility. The process took 2+ months. She was present for most of my procedures and often entertained my questions...After our failed embryo transfer, when we were finally able to meet up to discuss what happened - she couldn't remember a lot of the details of my cycle (how many embryos did we get? It doesn’t feel like you are a statistic or a dollar sign- she really does want to help you emotionally as well as physically to get results you want. Long wait times. (Assigned nurse: Emily), Emily is A-M-A-Z-I-N-G! Dr. Marshall suggested a completely different protocol and the results were dramatically different compared to our previous 2 cycles (round 1: 4 embryos - all abnormal, round 2: 2 embryos - all abnormal, moved to Dr. Marshall, round 3: 11 embryos, 2 normal). The clinic [Pacific NW Fertility] is always clean and has a relaxing atmosphere. If you have questions always ask Dr. Marshall, she really wants to make sure patients have all the information they need to understand the options. We met with Dr. Marshall and it was night and day from our previous clinic. After meeting with her she was to send additional information via email. my IVF regimen was as follows: 3 weeks of BCP suppression check/blood work Follistim 450 IU and miniHCG 20u for 12 days. Everyone is very friendly. She takes the time to let me talk and answers al my questions. She is very intelligent and treated me with respect, taking the time to explain everything. Costs were given upfront and conveyed very clearly. I knew I only wanted her to put one in. Day 5 - 1 blastocyst and two more still growing. I learned so much from it. Leaving messages with the front office staff is not always reliable. This included birth control pills, Ganirelix, Gonal F, minced dose HCG, and Progesterone in Oil injections. At our previous clinic, all patients waited in an emergency-room style set up with sheets separating the bays. She went over extra details she had questions about and we discussed those. We just need to adjust your treatment plan.". I feel welcomed and listened to each time I’m with her and her clinical team...has a sweet demeanor, has great bedside manor and is very to the point. In our one-hour consultation she arrived with detailed notes on our medical history and jumped right in with new protocol recommendation. When I wanted to find out a timeline to resume treatment post miscarriage, I only seemed to get calls back re things that could be sold to me. Not certain why their billing is not more streamlined. I trust her completely. I have always felt incredibly comfortable at every visit. (Assigned nurse: Claire ). Staff are respectful, kind, attentive, and prompt in returning emails and phone calls. I love that they have a lab in clinic so if doctor wants to order something while we are there they can get it done ASAP. To a new patient I would say you are in good hands. 2009;114(5):981-7. doi: 1097/AOG.0b013e3181bd89c2. They are open 7 days a week. 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