Pacific NW Fertility

Available Resources

Genetic counseling: Offered
Genetic counseling
Acupuncture: Offered
Acupuncture
Mental health counseling: Offered
Mental health counseling
Nutrition counseling: Offered
Nutrition counseling
Administration of shots: Offered
Administration of shots
Coordinating at-home nursing is not offered: Not Offered
Coordinating at-home nursing
is not offered
Selling medication: Offered
Selling medication
Providing backup medication: Offered
Providing backup medication
Issaquah
751 NE Blakely Drive
Issaquah, WA 98029
(206) 515-0000
Seattle
1101 Madison St.
Seattle, WA 98104
(206) 515-0000
On a scale from 0-10, how likely are you to recommend Pacific NW Fertility to a friend?
Strongly recommend: 80%Neutral: 13%Don't recommend: 7%9.1
83 assessments
  • 80% Strongly recommend (9-10)
  • 13% Neutral (7-8)
  • 7% Don't recommend (0-6)
Operations
Poorly operated
Operated well
9.6
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
Difficult scheduling
Easy scheduling
9.1
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
Incompetent billing dept.
Competent billing dept.
8.1
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
Poor nursing team
Excellent nursing team
9.2
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

Attention to Detail
Low attention to detail
High attention to detail
8.6
Attention to Detail

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.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Live births per fresh IVF cycle by age range
10%
20%
30%
40%
50%
60%
<35
35-37
38-40
41-42
>42
This Clinic
National Average
Annual Cycles for this Clinic
1,087
Annual Cycles National Avg.
635
83 assessments
7
7
Age
35 - 38
Treated
2015 - 2018
Success with this Doc
No
Treatment
5 IUI, 1 IVF, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids, Unexplained
7
7
Dr. Marshall seems to be very well practiced in her field. I have 100% trust in her knowledge of fertility treatment. 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? did I have a positive HCG?, etc) and clearly hadn't refreshed herself prior to the meeting. Which was disappointing. 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.
When we decided to use donor eggs we were initially assigned a new RN [at Pacific NW Fertility] but she failed to send in my Rx and complete my FMLA forms even though I asked her twice for each so I requested to return to my IVF RN...IVF with ICSI and PGS $22,000...Emily, Danielle (RN's), Annemika (CRNA), Suzanne (phlebotomist) and the recovery RN are amazing...Parking could be a pain. More expensive than other clinics in the area. Long wait times. Leaving messages with the front office staff is not always reliable
Age
35 - 38
Treated
2015 - 2018
Success with this Doc
No
Race
European, East Asian
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
5 IUI, 1 IVF, Donor Eggs, Donor Sperm
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids, Unexplained
7
7
How was your experience with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall seems to be very well practiced in her field. I have 100% trust in her knowledge of fertility treatment. She was present for most of my procedures and often entertained my questions. After my hysteroscopy she told my husband about the results, because I was still coming out of anesthesia, but she would have never followed up with me if I hadn't asked. 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? did I have a positive HCG?, etc) and clearly hadn't refreshed herself prior to the meeting. Which was disappointing. 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?
She's very knowledge but not that personable - she lays out the facts but she doesn't pressure you to go one way or the other. She is one of the harder doctors to get appointments with - prepare yourself for a lot of 'hurry up and wait'.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
To up front, I didn't feel like a number until our embryo transferred failed. Prior to this (during the IVF cycle and leading up to the frozen embryo transfer) I felt treated like a human. We had our egg retrieval on Thanksgiving and there wasn't any "oh man, this is a holiday and I'm working..."-vibe. Communication had been pretty good up to the point (a few months later) of the cycle failure. After I went in for my first beta HCG, I received a phone call around 11am - I had a "very good" level. Then the 2nd draw (phone called results received around 2pm) the number had decreased and that apparently wasn't good but I was not informed what that could mean - just that it wasn't good and I would need to repeat the blood draw again. After the 3rd HCG blood draw, 3pm no phone call - I called them to see what was happening and about 10 min later received a return call saying "sorry, your HCG levels are dropping. You can stop taking the estrogen and progesterone." And that was it. I was livid - 99% due to the fact that my one and only PGS normal embryo had died - but 1% because there was total lack of compassion and explanation. I was then informed that if I wanted answers I would have to talk to Dr. Marshall and her next appointment was in 3 months. Suddenly my $20k investment had met its end and I was just a number placed back in the line
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
I was diagnosed with low ovarian reserve (AMH ) and probable poor egg quality, other than that I don't know why the meds and doses were chosen. my IVF regimen was as follows: 3 weeks of BCP suppression check/blood work Follistim 450 IU and miniHCG 20u for 12 days. 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). Started Ganerelix on day 9. On day 12 max follicle size was 18.6 so HCG Trigger shot was scheduled for that night with retrieval the next morning. Egg retrieval in the morning, 10 eggs retrieved, 7 of those were mature. Day one report - 5 fertilized. Day 5 - 1 blastocyst and two more still growing. Day 6 - 2 blastocysts, both biopsied and frozen PGS report a four days later (we were told it would take 2 weeks) - 1 chromosomal normal blastocyst About a week after the retrieval I had a hysteroscopy and removal of some polyps found during the Saline Sonogram. Then I took a month and a half break (continuing birth control pills) to allow healing. For the FET, I did 2 weeks of lupron at 10u (some overlap with the BCP). A suppression check and blood work prior to starting Estrogen patches. The patches started at two every other day for a week then increased to 3 patches every other day for a few days then up to 4 patches every other day. Lupron had been reduced to 5 units every day. My first lining check was not thick enough so I continued with 4 patches. Still continuing with Lupron. Finally my lining was thick enough (it took 5 weeks instead of the 4 that was initially outlined). Progesterone was to start 6 days prior to transfer, but I forgot to start the progesterone so the cycle got cancelled. For the next cycle to prepare for the frozen embryo transfer, we repeated the BCP and lupron portion of the meds but I reacted negatively to the estrogen patches (rashes) so we switched to delestrogen injections. The delestrogen injection worked much better and my lining was ready pretty quickly. 6 days prior to the transfer I started progestrone injections and stopped the lupron. 10 days later I had my first beta HCG which was 150ish and my follow hcg test had declining levels so I had to repeat it again and the number was even lower so I was told to stop the delestrogen and progesterone.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily)
Emily is A-M-A-Z-I-N-G! She was the glue that held everything together. Each ultrasound/blood work visit started with the blood draw or the ultrasound then wrapped up with Emily. I was often unsure of what Dr.Marshall meant or what I was supposed to do but Emily always closed the loop. And if I ever reached out to her via email (about something that I was obsessing over or a weird thing I had read on a forum) she responded within 2 hours and reasoned with me. She helped me keep my sanity. She's very nice, funny, personable and professional. I always felt better when she was around. On one visit she wasn't there but she followed up with me the next day to make sure I understood the plan and to see if I had questions. She was even very timely with outside paperwork - FMLA forms, Rx forms, etc. If it weren't for Emily, I might have gone to another facility for my current treatments
Describe your experience with Pacific NW Fertility.
Clinic strengths - for me the location is very convenient. Emily, Danielle (RN's), Annemika (CRNA), Suzanne (phlebotomist) and the recovery RN are amazing. They have every magazine under the sun to keep you entertained. Weaknesses - If Emily wasn't working that day it would take a long time to get the results of my blood work. Parking could be a pain. More expensive than other clinics in the area. Long wait times. Leaving messages with the front office staff is not always reliable
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
IVF with ICSI and PGS $22,000. Meds for IVF were about $4,000. FET about $800. Meds for FET about $1200.
What specific things went wrong at Pacific NW Fertility?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Failed to order appropriate test
7
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Lorna Marshall at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
32
Treated
2019
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF
Diagnosis
Recurrent Pregnancy Loss, PCOS
10
10
After my third miscarriage I searched online for books on recurrent miscarriage. I came across Dr. Shahine's book, "Not Broken". I learned so much from it. Fast forward another year at a clinic across the country where I live, I had gone through a very successful egg retrieval but had two failed transfers. I was defeated...I booked a second opinion consult with her. I am so very thankful I did! She first started our conversation with "I just want to say that I am so sorry you are going through this.". Those simple words meant so much to me and my husband and made us immediately feel like she cared. She showed so much empathy with us. It really stood out to us.
Everytime I called or emailed any of the staff [at Pacific NW Fertility] they were prompt to answer. I was impressed with that. Brittany helped me make sure I got all of my information to them and that I had filled out everything that I needed to...She [Dr. Shahine] recommended trying metformin starting before our next transfer. I am lean PCOS and have never had issues with my blood glucose so I hadn't ever tried it. She cited the study by Dr. Zev Williams suggesting benefits in PCOS with metformin. I have felt incredible since taking it. She also recommended lovenox as an immunmodulator. I did this as well a low dose of 40 mg. So far my pregnancy has been on the right track. So thankful for these suggestions
Age
32
Treated
2019
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IUI, 1 IVF
Diagnosis
Recurrent Pregnancy Loss, PCOS
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr Shahine had read through my chart thoroughly before our consult. She was aware of my entire case, and my chart is a thick one. She went over extra details she had questions about and we discussed those. She then made her recommendations based on research and sited those studies. She stressed that we had done nothing to cause our many miscarriages, failed transfers and were doing everything we could. However, she did make two changes and suggestions for our doctor here in town. 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. I would highly recommend her to anyone. Especially those who have had recurrent miscarriage. We need more providers with the care and compassion that she has!
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
She is incredibly thoughtful, knows all the current studies, is humble and is just all around an incredible doctor. Highly recommend.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
After my third miscarriage I searched online for books on recurrent miscarriage. I came across Dr. Shahine's book, "Not Broken". I learned so much from it. Fast forward another year at a clinic across the country where I live, I had gone through a very successful egg retrieval but had two failed transfers. I was defeated. I had been following Dr. Shahine on instagram for over a year. I booked a second opinion consult with her. I am so very thankful I did! She first started our conversation with "I just want to say that I am so sorry you are going through this.". Those simple words meant so much to me and my husband and made us immediately feel like she cared. She showed so much empathy with us. It really stood out to us.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
She recommended trying metformin starting before our next transfer. I am lean PCOS and have never had issues with my blood glucose so I hadn't ever tried it. She cited the study by Dr. Zev Williams suggesting benefits in PCOS with metformin. I have felt incredible since taking it. She also recommended lovenox as an immunmodulator. I did this as well a low dose of 40 mg. So far my pregnancy has been on the right track. So thankful for these suggestions.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Jennifer)
I had Jennifer call me to get all of my information before my consult with Dr. Shahine. She was so kind, thorough and paid attention to detail. All of her notes she took were correct for when we had our appointment with Dr. Shahine.
Describe your experience with Pacific NW Fertility.
Everytime I called or emailed any of the staff they were prompt to answer. I was impressed with that. Brittany helped me make sure I got all of my information to them and that I had filled out everything that I needed to.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
It was a second opinion consult so it was not much. I am thankful for that!
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
She strongly encouraged us to only transfer one embryo. We took her advice and continued with only one.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

9
9
Age
32 - 36
Treated
2015 - 2019
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
9
9
Dr Shahine recommended a single embryo transfer, which we agreed with. We also appreciated her recommendation to do PGS testing on our day 5 embryos to essentially up our odds of success with the single embryo transfer approach...treated me with respect, and I thought very highly of her background, research, and passion about with what she does, as well as her involvement with organizations and individuals outside of the clinic that support infertility.
During our IVF cycle our primary nurse [at Pacific NW Fertility] was very responsive, compassionate, and helpful. I felt very supported, and never hesitated to reach out to ask questions...Monitoring was scheduled when convenient with my schedule during the week. The appts on the weekend are scheduled in time order, which makes it less convenient, but not beyond reason...Costs were given upfront and conveyed very clearly. There were no hidden costs.
Age
32 - 36
Treated
2015 - 2019
Success with this Doc
Yes
Race
European
Income
Occupation
Accountant
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
9
9
How was your experience with Lora Shahine at Pacific NW Fertility?
From our initial meeting through our IVF treatments, Dr. Shahine was kind, informative, and compassionate, all traits that my husband and I valued while going through an emotional time in our fertility journey. I felt very listened to, and any concerns or topics I asked about were addressed and discussed with respect and honesty. I liked that we saw her every visit and that she always made time to ask how I was feeling. She coordinated the care that I needed to receive very smoothly.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Ask any question that you may have around any and all parts of your treatment. No question is too big, or too small, and Doctor Shahine was very receptive, open, and honest to any questions we brought forward.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Doctor Shahine consistently checked up with me during my iVF cycle, always making sure to ask how I was feeling. I truly felt listened to and felt like the staff cared for my well being during such an emotional time. I felt like Dr Shahine treated me with respect, and I thought very highly of her background, research, and passion about with what she does, as well as her involvement with organizations and individuals outside of the clinic that support infertility.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
My initial protocol involved testing to properly diagnose the reasoning for infertility, including a Hysterosalpingography, Saline sonogram, bloodwork to check such levels as FsH, estradiol, TSH, Anti mullerian hormone level, and progesterone. When my husband and I decided to do IVF, Dr. Shahine set up a FET protocol for my IVF cycle, due to the potential of ovarian overstimulation. This included birth control pills, Ganirelix, Gonal F, minced dose HCG, and Progesterone in Oil injections.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle Call)
During our IVF cycle our primary nurse was very responsive, compassionate, and helpful. I felt very supported, and never hesitated to reach out to ask questions. 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 nursing staff I have met thus far is very supportive, & quick to respond to emails.
Describe your experience with Pacific NW Fertility.
The clinic is very well run overall. Staff are respectful, kind, attentive, and prompt in returning emails and phone calls. I truly feel like the staff I communicate with knows my name, and I feel very comfortable reaching out with any questions.
Describe your experience with your monitoring appointments at Pacific NW Fertility.
Monitoring was scheduled when convenient with my schedule during the week. The appts on the weekend are scheduled in time order, which makes it less convenient, but not beyond reason.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Costs were given upfront and conveyed very clearly. There were no hidden costs.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr Shahine recommended a single embryo transfer, which we agreed with. We also appreciated her recommendation to do PGS testing on our day 5 embryos to essentially up our odds of success with the single embryo transfer approach.
9
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
25
Treated
2019
Success with this Doc
Yes
Treatment
Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Other
10
10
Dr. Shahine took the time to talk with me one on one. When she did, she praised me for taking charge of my health and also made sure I knew that my miscarriages were not my fault.... Dr. Shahine recommenced a 3D ultrasound to evaluate the shape of my uterus and check for a septum. When the results came back inconclusive she recommended a hysteroscopy to get a direct look and to diagnose/treat any abnormalities that may be causing my recurrent pregnancy loss.
The clinic [Pacific NW Fertility] is always running on time, they are very friendly, and they have the capability to draw labs, and do ultrasounds and other procedures on site. The rooms are private and not super clinical which is nice.... The nursing staff is very kind. I was very nervous at my first appointment and they took time to comfort me and show me compassion....The clinic was upfront with costs associated with things if you didn’t have insurance coverage and provided cost sheets when requested for hysteroscopy, IVF, IUI, etc.
Age
25
Treated
2019
Success with this Doc
Yes
Race
European
Income
$0 - $49K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
Fertility Medications
Diagnosis
Recurrent Pregnancy Loss, Other
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine was so kind throughout the process. My initial meeting with her was great, she quickly coordinated the care that I needed to receive. When she sensed my hesitancy when we were discussing surgery, she assured me she wouldn’t do anything that she didn’t need to to, and that’s she wasn’t a surgical cowboy. This meant a lot to me because I’ve had anxiety regarding recovery time. When my surgery had to be cancelled last minute (day of surgery), she personally called me to discuss why and apologize, and offered to write a letter for work and got me rescheduled ASAP.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
I would simply tell them to pick Dr. Shahine.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine took the time to talk with me one on one. When she did, she praised me for taking charge of my health and also made sure I knew that my miscarriages were not my fault.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Dr. Shahine recommenced a 3D ultrasound to evaluate the shape of my uterus and check for a septum. When the results came back inconclusive she recommended a hysteroscopy to get a direct look and to diagnose/treat any abnormalities that may be causing my recurrent pregnancy loss.
Describe your experience with the nursing staff.
The nursing staff is very kind. I was very nervous at my first appointment and they took time to comfort me and show me compassion.
Describe your experience with Pacific NW Fertility.
The clinic is always running on time, they are very friendly, and they have the capability to draw labs, and do ultrasounds and other procedures on site. The rooms are private and not super clinical which is nice.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
All of my care was covered under my insurance as pre-conception screening or screening for abnormalities. I did not have any “infertility” related billing. The clinic was upfront with costs associated with things if you didn’t have insurance coverage and provided cost sheets when requested for hysteroscopy, IVF, IUI, etc.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Not applicable
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
9
Age
35
Treated
2019
Success with this Doc
?
Treatment
3 IUI
Diagnosis
Unexplained
10
9
She [Dr. Shahine] is happy to talk through any questions or concerns you may have...She took the time to get to know us--why we moved to Seattle, what we do for work, etc. She was approachable, friendly, and authentic. Also, when we saw her at the Footsteps for Fertility 5K the next day, she ran over and gave us big hugs. It's clear she truly cares about her patients... During our consultation appointment, we felt as though she met us where we were, explained our options thoroughly, and gave us hope that IVF could work for us. She exceeded all expectations, and we're looking forward to starting this process with her.
They [Pacific NW Fertility] are organized, friendly, and professional. I will say that I haven't had a ton of appointments yet, so I don't have much to critique. My only interactions that haven't been totally positive have been with some front desk staff that seemed a little confused, but I mostly think it's because I've interfaced with some new folks...She [nurse] was very real with me about my previous AMH score and diagnosis. She let me know that they needed to test to see whether IVF would be the right path for me, because some with DOR won't get good results. Given my new AMH (it went up by quite a bit), the other blood tests, and my ultrasound, I received positive encouragement. But I believe the nurse and doctor would have directed me to another path if they thought I wasn't a good candidate for IVF.
Age
35
Treated
2019
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
1st of 4 Docs
Treatment
3 IUI
Diagnosis
Unexplained
10
9
How was your experience with Lora Shahine at Pacific NW Fertility?
We're just starting to work with Dr. Shahine. During our consultation appointment, we felt as though she met us where we were, explained our options thoroughly, and gave us hope that IVF could work for us. She exceeded all expectations, and we're looking forward to starting this process with her.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Come with questions. She is happy to talk through any questions or concerns you may have.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
She took the time to get to know us--why we moved to Seattle, what we do for work, etc. She was approachable, friendly, and authentic. Also, when we saw her at the Footsteps for Fertility 5K the next day, she ran over and gave us big hugs. It's clear she truly cares about her patients.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Chelsea Reed)
She was very real with me about my previous AMH score and diagnosis. She let me know that they needed to test to see whether IVF would be the right path for me, because some with DOR won't get good results. Given my new AMH (it went up by quite a bit), the other blood tests, and my ultrasound, I received positive encouragement. But I believe the nurse and doctor would have directed me to another path if they thought I wasn't a good candidate for IVF.
Describe your experience with Pacific NW Fertility.
They are organized, friendly, and professional. I will say that I haven't had a ton of appointments yet, so I don't have much to critique. My only interactions that haven't been totally positive have been with some front desk staff that seemed a little confused, but I mostly think it's because I've interfaced with some new folks.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
We are just getting started. I will say that I was impressed that some of the tests were covered by insurance. I thought all fertility work was not covered, but they were able to keep our costs down for testing. However, I know we're about to spend a huge chunk of change on our first round of IVF. Dr. Shahine gave us options to apply for grants, but other than that, we're going to be stuck with a very significant bill.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Clinic Atmosphere
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Ask a Question

Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
30 - 32
Treated
2017 - 2019
Success with this Doc
?
Treatment
5 IUI
Diagnosis
9
10
Dr. Lamb has clear strategies for treatment, and navigates the often emotional roller coaster of fertility treatments with care and support. We have done several IUIs and meet at various intervals with her to discuss next steps. She is always encouraging and positive, helping keep our spirits up while being clear about the areas for growth. We feel so lucky to have met her and the whole PNWF team!
We have loved PNWF and have had a great experience. From the front desk staff, to the nurses and doctors, everyone is supportive and on top of all the details. It can be hard to get in as a new patient, so I recommend getting on the waitlist if you’re wanting to be seen sooner than 3 months out.... I cannot day enough positive things about working with Michelle! She is detailed, kind, supportive, and goes above and beyond to support her patients. She is a powerful support for Team Lamb!
Age
30 - 32
Treated
2017 - 2019
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Teacher
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
5 IUI
Diagnosis
9
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb has clear strategies for treatment, and navigates the often emotional roller coaster of fertility treatments with care and support. We have done several IUIs and meet at various intervals with her to discuss next steps. She is always encouraging and positive, helping keep our spirits up while being clear about the areas for growth. We feel so lucky to have met her and the whole PNWF team!
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
It can be hard to get an appointment, as she books several months out- get on the waitlist and you may get squeezed in earlier!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is personable, kind, knowledgeable, and tailors her approach to each patient. She is warm and clear, giving encouragement and support in a data-driven, personable way.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We have done 5 IUIs, resulting in 1 biochemical pregnancy, one ectopic pregnancy, and three negative pregnancy tests. Each cycle was unique and different, varying the doses of Letrazole tablets or Folustim injections, and combined with a trigger shot to find the perfect combination.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle)
I cannot day enough positive things about working with Michelle! She is detailed, kind, supportive, and goes above and beyond to support her patients. She is a powerful support for Team Lamb!
Describe your experience with Pacific NW Fertility.
We have loved PNWF and have had a great experience. From the front desk staff, to the nurses and doctors, everyone is supportive and on top of all the details. It can be hard to get in as a new patient, so I recommend getting on the waitlist if you’re wanting to be seen sooner than 3 months out.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
$3500 for 5 IUIs plus medication
What specific things went wrong at Pacific NW Fertility?
  • Failed to call with results
  • Provided conflicting information
9
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Julie Lamb at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
9
Age
38 - 39
Treated
2018 - 2019
Success with this Doc
?
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
10
9
Dr. Broughton is always warm and friendly at appointments, but she senses if you are feeling worried or upset and is sympathetic.... Since we just have one embryo, Dr. Broughton recommended an ERA test (mock transfer cycle where a biopsy of the uterine lining is done) before we move forward with the actual FET.... Don't expect to see her at every appointment. I was also surprised that she was not the doctor that performed my egg retrieval.
I've been with the clinic [Pacific NW Fertility] for about 2 years now (sigh) and have been pleased with the service. I feel like everyone is doing all they can to help you. I've heard this clinic is on the expensive side, but it is convenient to my work... Everyone on the nursing team was friendly and in a way more helpful than the doctors since they are the ones teaching you how to administer meds, scheduling, etc.
Age
38 - 39
Treated
2018 - 2019
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
10
9
How was your experience with Darcy Broughton at Pacific NW Fertility?
I began seeing Dr. Broughton after Dr. Swelstad left the clinic (I liked him too and sad that he left). This was during my treatment after failed IUIs and we were ready to start considering IVF as the next step. My first impression was she was very warm and cheerful and seemed genuine. (I've had other doctors that have a robotic/fake friendly personality and this was not the case with Dr. Broughton). Although, I liked Dr. Swelstad (male), I felt I could be more open with Dr. Broughton. I haven't felt pressured to do any of the various treatment options and she always takes time to answer questions. For example, when my husband and I were trying to decide if we wanted to do ICSI vs. traditional IVF, she was clear about the probable outcome but didn't push one way or the other in our case. I am still in treatment with Dr. Broughton (awaiting FET).
What's one piece of advice would you give a prospective patient of Darcy Broughton at Pacific NW Fertility?
Don't expect to see her at every appointment. I was also surprised that she was not the doctor that performed my egg retrieval. I was not bothered by this, but some might. Personally, I thought it was interesting to see what the other doctors at the clinic were like.
During treatment, were you treated like a number or a human with Darcy Broughton at Pacific NW Fertility?
Dr. Broughton is always warm and friendly at appointments, but she senses if you are feeling worried or upset and is sympathetic.
Describe the protocols Darcy Broughton used in your cycles at Pacific NW Fertility and their degree of success.
I have unexplained infertility so I assume I'm on the standard IVF protocol. During my stim cycle (for egg retrieval), things were moving along on the slower side. About halfway through, she decided to increase Follistim to the highest dosage (450) and I continued stimulation for 14 days (longer than average). I did end up getting 20 eggs, but the process ended with only one embryo suitable for transfer. Dr. Broughton recommended another round of IVF to try for more embryos, and although this I what I would like to do, I cannot afford that option. Since we just have one embryo, Dr. Broughton recommended an ERA test (mock transfer cycle where a biopsy of the uterine lining is done) before we move forward with the actual FET. We are about to begin the ERA cycle in the next week.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Amber and Linda)
Everyone on the nursing team was friendly and in a way more helpful than the doctors since they are the ones teaching you how to administer meds, scheduling, etc.
Describe your experience with Pacific NW Fertility.
My OB/GYN recommended this clinic, so I didn't do any research before choosing PNWF. Also, since I didn't have a particular doctor I wanted to see, I got in for a first appointment fairly quick. I've been with the clinic for about 2 years now (sigh) and have been pleased with the service. I feel like everyone is doing all they can to help you. I've heard this clinic is on the expensive side, but it is convenient to my work (which is extremely helpful when you have tons of appointments) and I'm happy I decided to go to PNWF.
Describe the costs associated with your care under Darcy Broughton at Pacific NW Fertility.
In my situation, I've had to pay about 95% out of pocket. A small portion of some of the various tests were covered by my insurance. An IUI is about $400, not including meds (I think I spent about $500 per cycle on meds). One cycle of IVF is about 19k and genetic testing on the embryos is about 4k. This does not include medications for the IVF cycle, which were about 6k. The FET is about 5k, with about $500 in medications. Considering all these treatments, plus the various tests, I would say I've easily spent 30k, and I haven't even had a transfer yet.
Describe Darcy Broughton's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We only have one embryo so this is not applicable.
10
Doctor
Darcy Broughton
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Darcy Broughton at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

9
9
Age
32 - 33
Treated
2018 - 2019
Success with this Doc
?
Treatment
4 IUI
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Endometriosis, Male Factor, Poor Egg Quality, Tubal Blockage
9
9
Dr Shahine was always prepared for our meetings. ...Due to DOR, age, family goals, and history of repeat pregnancy loses she gave us timeline of ~6 months to try this intervention if we had the energy for it and then suggested we move onto IVF. IVF would allow us best chance of success and also allow us to test for chromosomal abnormalities to dec risk of repeat miscarriage. ...
Their office [Pacific NW Fertility] can be difficult to find your first time or two to the clinic as signage is poor in the towers so it is tricky if you can't remember what floor to go to and what tower you should be in. ... Primary nurse, Michelle was organized with timelines and calendars of appointments, lab work, etc. ... There office staff is always very professional. All appointments have been on time. The office is always very clean.
Age
32 - 33
Treated
2018 - 2019
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
4 IUI
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Endometriosis, Male Factor, Poor Egg Quality, Tubal Blockage
9
9
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr Shahine was always prepared for our meetings. What sets her apart from other physicians, is that she engaged both my husband and I in the conversation. This helped her to gauge our individual personalities, emotions, and learning styles in order to know how to best present information to us which often meant in 2 various styles - 1 that worked better for my husband, and one that worked better for me. Dr Shahine quickly read that I needed to process information in an evidence based method. 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. I have had repeat pregnancy loses and was seen by more provider than I can count. Other providers would dance around my questions regarding miscarriage whereas Dr Shahine was genuinely empathetic but provided me with evidence based research for what things may be linked to miscarriage. This helped my brain process information and felt like I had some control. The control to me was knowledge. I am the person that needs to know the "but why", and she always delivered the answers.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Write down all your questions in advance of your meeting with her. She will notice your list of questions and allow you time to ask every question you have.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr Shahine always is very warm in her welcome. She genuinely listens to your concerns and shares in your heartbreak without rushing you or showing signs of being uncomfortable. She allows you to process and talk through your emotions which I believe helped her guide her decision making process with us. When asking to share her reasons in her decision making process she presents pros and cons and always cites examples we have given in relation to our "feelings".
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Dr Lora Shahine took over my care after other physicians left the practice thus I was already on a regimented protocol that she agreed with so we did not need to make any adjustments. 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. Due to DOR, age, family goals, and history of repeat pregnancy loses she gave us timeline of ~6 months to try this intervention if we had the energy for it and then suggested we move onto IVF. IVF would allow us best chance of success and also allow us to test for chromosomal abnormalities to dec risk of repeat miscarriage.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle)
Primary nurse, Michelle was organized with timelines and calendars of appointments, lab work, etc. They recently moved to a model to have a "care team" which they believe allows for improved communication time. I have not been as impressed with others on the care team as they do not seem to be as informed on my particular case and give insufficient answers to my questions (they do not address all questions asked) and often contradict what the primary nurse and MD's plan was which makes it frustrating. I feel most confident when Michelle answers my questions. I also have never met the other care providers so I believe without a face to face meeting they may treat me more as a number vs human
Describe your experience with Pacific NW Fertility.
They are open 7 days a week. The first appointment may take a while to get however once you are an established patient it is very easy to make appointments when needed. There office staff is always very professional. All appointments have been on time. The office is always very clean. Their office can be difficult to find your first time or two to the clinic as signage is poor in the towers so it is tricky if you can't remember what floor to go to and what tower you should be in.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
My insurance does cover some expenses however many things, especially medications are cash pay only despite insurance saying they cover fertility benefits.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We have not yet fully discussed this with MD thus can not provide information on this at this time.
9
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
?
Treatment
5 IUI
Diagnosis
PCOS, Other, Unexplained
10
10
Dr Broughton has been very understanding and very caring about our situation and what we have went through. She is finding answers for us. She is very knowledgeable and very educated. I love that she has a very extensive background with the female body. I trust her completely. She takes the time to let me talk and answers al my questions. ...
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. ... They do there best to help with billing insurance for things that are infertility and not infertility related. ... The nurses are amazing. Amber has mostly been my nurse since I started going to PNWF she has always been amazing at responding to my emails and phone calls. Which I wrote and call a lot because I am from out of town and we travel back and forth.
Age
30 - 31
Treated
2018 - 2019
Success with this Doc
?
Race
Latino, Other
Income
$50K - $99K
Occupation
Operations
Order & Number of Docs Seen
4th of 4 Docs
Treatment
5 IUI
Diagnosis
PCOS, Other, Unexplained
10
10
How was your experience with Darcy Broughton at Pacific NW Fertility?
Dr Broughton has been very understanding and very caring about our situation and what we have went through. She is finding answers for us. She is very knowledgeable and very educated. I love that she has a very extensive background with the female body. I trust her completely. She takes the time to let me talk and answers al my questions.
What's one piece of advice would you give a prospective patient of Darcy Broughton at Pacific NW Fertility?
You are in good hands! Trust the process and the journey.
During treatment, were you treated like a number or a human with Darcy Broughton at Pacific NW Fertility?
When D.r Swelstad left the clinic we were sad we liked him. We got pregnant with our son and lost him at 18weeks. Dr Broughton became our new doctor she is so smart and knowledgeable she was very sweet understanding and determined for us. We appreciate her.
Describe the protocols Darcy Broughton used in your cycles at Pacific NW Fertility and their degree of success.
Dr Broughton took the time to go through our whole history with us and each round we went through step by step. We did a round with her and she kept track of my body and how it was reacting. She noticed my lining was thick so she suggested we do a sis procedure and sure enough we found a polyp that was keeping my lining so thick. So we did a hysteroscopy and now we are waiting for Aunt Flo to show up so we can start another round of iui with trigger Letrozole and follistim. She also adjusted the meds and amounts daily. We are very hopeful.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Amber)
The nurses are amazing. Amber has mostly been my nurse since I started going to PNWF she has always been amazing at responding to my emails and phone calls. Which I wrote and call a lot because I am from out of town and we travel back and forth. Amber has been very supportive from the time we first started to when she got to call us and tell us we were pregnant to finding out we lost our son.
Describe your experience with Pacific NW Fertility.
I wish they would open a clinic in Yakima or somewhere closer to me! 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. They are amazing.
Describe the costs associated with your care under Darcy Broughton at Pacific NW Fertility.
They do there best to help with billing insurance for things that are infertility and not infertility related. 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. So every little thing helps!
10
Doctor
Darcy Broughton
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Darcy Broughton at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
38 - 40
Treated
2017 - 2019
Success with this Doc
Yes
Treatment
IVF, 2 Egg Freezing, 2 Embryo Freezing, Donor Sperm
Diagnosis
Diminished Ovarian Reserve
10
10
She [Dr. Julie Lamb] took the time to talk to me and really listened. She went out of her way to help me fulfill my dream of being pregnant by Christmas. She also celebrated small wins along the way. And for times when my numbers weren’t great she stayed optimistic yet realistic. She was positive and caring...has a very sunshiny demeanor. She is very intelligent and treated me with respect, taking the time to explain everything. She let me direct things and helped guide decisions that were right for me. She was the perfect blend of candid and caring. She made a scary process almost fun. She even held my hand before each egg retrieval as I went to sleep.
She [nurse at Pacific NW Fertility] was SO ORGANIZED and took a lot of stress out of the process. She also taught me to do injections and made me feel like a pro...I paid about $15000 per round... They work with you financially. You get personal treatment. You feel like a human. The main blood draw person is so good at it too. The front desk people are fast and have it together...First round went better than expected with 8 eggs and 4 embryos but only one passed the genetic screening.
Age
38 - 40
Treated
2017 - 2019
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Graphic Designer
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, 2 Egg Freezing, 2 Embryo Freezing, Donor Sperm
Diagnosis
Diminished Ovarian Reserve
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr Lamb has a very sunshiny demeanor. She is very intelligent and treated me with respect, taking the time to explain everything. She let me direct things and helped guide decisions that were right for me. She was the perfect blend of candid and caring. She made a scary process almost fun. She even held my hand before each egg retrieval as I went to sleep.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Schedule in advance because she books up fast!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
She took the time to talk to me and really listened. She went out of her way to help me fulfill my dream of being pregnant by Christmas. She also celebrated small wins along the way. And for times when my numbers weren’t great she stayed optimistic yet realistic. She was positive and caring.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I ended up with a very low AMH so she said to plan for 3-4 IVF cycles which was more than I had originally anticipated. I wanted to freeze some embryos and some eggs. First round went better than expected with 8 eggs and 4 embryos but only one passed the genetic screening. Next round we kept the same plan and I got one more healthy embryo. We decided to do a couple more rounds for eggs - I was using a friend sperm donor and didn’t know if I would have a husband in the future. I froze 11 eggs. 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. She even came out to the waiting room to give me a hug when I was there for the blood test to confirm pregnancy.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle Call)
Danielle was the best nurse I have ever had. She was SO ORGANIZED and took a lot of stress out of the process. She also taught me to do injections and made me feel like a pro. She was so encouraging, caring, and positive. Also smart and knowledgeable. Nursing perfection.
Describe your experience with Pacific NW Fertility.
They are great. Detail oriented. They work with you financially. You get personal treatment. You feel like a human. The main blood draw person is so good at it too. The front desk people are fast and have it together.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
I paid about $15000 per round
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I knew I only wanted her to put one in. I had already genetically tested them. She recommended the same so it wasn’t even much of a discussion.
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Julie Lamb at Pacific NW Fertility.

8
8
Age
32
Treated
2018
Success with this Doc
No
Treatment
4 IUI
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Male Factor, Other, Unexplained
8
8
I was only able to meet Dr Swelstad once before he left the practice I saw him at. 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. I believe he couldn't be as concrete with his suggested plan/approach with IVF as he knew we would have to go through in a change of provider very soon.
Appointments are always on time, you can call 7 days a week, prompt replies from nursing team via email, and large(r) practice thus I believe they do a good job of staying current with evidence based practice to optimize pt outcomes. They [Pacific NW Fertility] also have many resources for fertility exercise classes, acupuncture, counseling etc. Only downside is this supplemental care is not reviewed with the provider
Age
32
Treated
2018
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
4 IUI
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Male Factor, Other, Unexplained
8
8
How was your experience with Brad Swelstad at Pacific NW Fertility?
I was only able to meet Dr Swelstad once before he left the practice I saw him at. 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. I believe he couldn't be as concrete with his suggested plan/approach with IVF as he knew we would have to go through in a change of provider very soon. The next provider may have a very different plan to his which could introduce doubt. He went the safest route with disseminating information to us.
What's one piece of advice would you give a prospective patient of Brad Swelstad at Pacific NW Fertility?
Ask clarifying questions about exact timelines for your specific scenario.
During treatment, were you treated like a number or a human with Brad Swelstad at Pacific NW Fertility?
My impression of Dr Swelstad may not be reflective of his normal care. I was transferred onto his caseload and ended up having a consultation with him just before he left that practice. I am sure he was pressured to continue seeing new patients up until he left due to clinic demands and shortage of providers so I can not fault him. 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.
Describe the protocols Brad Swelstad used in your cycles at Pacific NW Fertility and their degree of success.
Interventions were previously established by another provider thus we did not change anything. We did discuss IVF as an option however did not review when we should consider this route more seriously.
Describe your experience with the nursing staff.
I can not recall who my nursing team was while under care of Dr. Swelstad as I was only with him for one visit thus I communicated with previous MD's nursing team (at same clinic) since they were familiar with my case/care.
Describe your experience with Pacific NW Fertility.
Overall this clinic is excellent. Appointments are always on time, you can call 7 days a week, prompt replies from nursing team via email, and large(r) practice thus I believe they do a good job of staying current with evidence based practice to optimize pt outcomes. They also have many resources for fertility exercise classes, acupuncture, counseling etc. Only downside is this supplemental care is not reviewed with the provider. Pamphlets are nicely displayed and you have to specifically ask for details if you want further information.
Describe the costs associated with your care under Brad Swelstad at Pacific NW Fertility.
Visit was covered as I met my deductible for the year.
Describe Brad Swelstad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We did not review this in detail.
What specific things went wrong at Pacific NW Fertility?
  • Failed to order appropriate test
8
Doctor
Brad Swelstad
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
34
Treated
2018
Success with this Doc
?
Treatment
1 IVF, 1 Embryo Freezing
Diagnosis
Endometriosis
9
10
She [Dr. Marshall] is very straight forward but not too blunt. When talking about my chances being lower than others because of low egg count she talked us through specific number examples and let us throw in hypothetical questions. 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.
I was able to talk to someone at the clinic [Pacific NW Fertility] whenever I needed to. 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. ...The clinic has been great. The hours work well - during a cycle you get appointments around 8 and 8:30 on the weekdays. The Saturday/Sunday appointments are all morning appointments.
Age
34
Treated
2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, 1 Embryo Freezing
Diagnosis
Endometriosis
9
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
She is very straight forward but not too blunt. When talking about my chances being lower than others because of low egg count she talked us through specific number examples and let us throw in hypothetical questions. 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.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Don't be afraid to ask your questions. She is so smart and it could be intimidating to ask what might feel like a dumb question but she's actually very patient with the crazy things I've asked her. 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.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
I was able to talk to someone at the clinic whenever I needed to. 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. She let me express my worry and explained the process as many times as I wanted to hear it very kindly.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
My first IVF cycle was with hcg (20 units) and folistim (450 units). The folistim is at the highest dose because I have very few eggs for someone my age. We started a day earlier than planned and retrieved a day earlier than predicted. I stayed at those dosages the whole cycle and the trigger was planned when the largest follicle was at about 19 mm. Early on she let me know it would be best to do retrievals now if I want to plan for more than one child because my egg count is so low so we are starting a second cycle now.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily)
The staff at this clinic has treated me so well since our first appointment - they are actually the reason I was even open to the idea of IVF. Before meeting them I had imagined it to be too difficult and painful for me to take on. After our first appointment I felt I was in good hands and they were already reassuring me that I could do this. Emily my nurse and coordinator is the best support I could ask for. She has been so kind and patient and available during what has been the biggest challenge of my life. I can't imagine doing this all without Emily. I can't recommend her enough.
Describe your experience with Pacific NW Fertility.
The clinic has been great. The hours work well - during a cycle you get appointments around 8 and 8:30 on the weekdays. The Saturday/Sunday appointments are all morning appointments. They have wifi in the lobby so when I've had to wait for results I was able to stay busy. Everyone on the phone and in person is kind and understanding.
9
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lorna Marshall at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

8
6
Age
31
Treated
2018
Success with this Doc
?
Treatment
4 IUI
Diagnosis
Recurrent Pregnancy Loss
8
6
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. I felt that she really took her time to familiarize herself with our case and that means a lot. She had so much compassion and approached our current situation with kindness.... She suggested we change the dosage on some meds due to those complications. 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.
PNWF is a much larger clinic than my previous clinic. There are many doctors on staff here and most of your appointments are handled by the nurses. As a new patient, you'll most likely not meet with your doctor right away. You meet with a nurse first and do any testing required first. (i.e.: RPL bloodwork) Then you will see Dr. Shahine to review those results at a later time. 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.
Age
31
Treated
2018
Success with this Doc
?
Race
East Asian
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
4 IUI
Diagnosis
Recurrent Pregnancy Loss
8
6
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine is a very active person in the field of fertility medicine. She is very active on her social media Instagram to help raise awareness for infertility including available grants and support groups. She is also a specialist for recurrent pregnancy loss and an author. The reason why I seeked her out for a second opinion on my recurrent pregnancy loss was to gain some new insights on why I've miscarried two babies already in the last two and a half years. So far, I'm not sure I've learned anything new, that I haven't heard from my previous RE. To be honest, I did not expect her to have the magic pill that would fix RPL, but maybe we'll learn more as our treatment at this new clinic moves forward.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Dr. Shahine is good about making sure you have your questions answered. She is also reassuring and encouraging. I say this about any Dr or situation, to be your own advocate and bring those hard questions to them.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
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. I felt that she really took her time to familiarize herself with our case and that means a lot. She had so much compassion and approached our current situation with kindness.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
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 suggested we change the dosage on some meds due to those complications. 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.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle Peterson)
Communication at this clinic is mainly with your nurse coordinator or the front office relaying your phone calls and scheduling your next appointments. No portal message system but you can email your coordinator directly. So far they do call back within reasonable time. It does seem as though, when your taking to a nurse who is not your set coordinator, there is some mix ups and misunderstandings.
Describe your experience with Pacific NW Fertility.
PNWF is a much larger clinic than my previous clinic. There are many doctors on staff here and most of your appointments are handled by the nurses. As a new patient, you'll most likely not meet with your doctor right away. You meet with a nurse first and do any testing required first. (i.e.: RPL bloodwork) Then you will see Dr. Shahine to review those results at a later time. 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.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Medications for a hybrid oral/injection cycle ran about $440 and the IUI and sperm prep were covered at 80% by our insurance.
What specific things went wrong at Pacific NW Fertility?
  • Provided conflicting information
8
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Verified

This patient has provided documentation of treatment at this clinic.

8
10
Age
31
Treated
2018
Success with this Doc
?
Treatment
1 IVF
Diagnosis
Male Factor, Tubal Blockage
8
10
Dr. Lamb has always been a candid and proactive part of my treatment. My partner and I came to the clinic with some complicated issues, so we are still undergoing treatment and discussing potential future treatments. I appreciated Dr. Lamb's personalized approach to my care, and I know that she truly wants us to leave the clinic with a baby.... I shared my ideas for potential protocol changes, and Dr. Lamb always explained to me why those changes would be good or bad with evidence to back up her answers. Don't be afraid to play an active role in your care and approach IVF as a team process.
I always feel like a human at Pacific Northwest Fertility. Everyone knows me by name and offers a kind word or a greeting when they see me.... The nursing staff is extremely busy, so it does take 24-48 hours to receive a response. I recommend sending all questions at once, rather than spacing them out over several e-mails and phone calls. The nursing staff is knowledgeable and professional, even when faced with the tough task of sharing bad news with the patient.
Age
31
Treated
2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Male Factor, Tubal Blockage
8
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb has always been a candid and proactive part of my treatment. My partner and I came to the clinic with some complicated issues, so we are still undergoing treatment and discussing potential future treatments. I appreciated Dr. Lamb's personalized approach to my care, and I know that she truly wants us to leave the clinic with a baby. It's just a matter of finding the right path to get there. Dr. Lamb has been patient with my severe anxiety, and I appreciate her direct and scientific answers to my questions. I am very happy with my experience as a patient.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Don't be afraid to ask questions and ask for more explanations. I shared my ideas for potential protocol changes, and Dr. Lamb always explained to me why those changes would be good or bad with evidence to back up her answers. Don't be afraid to play an active role in your care and approach IVF as a team process.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
I always feel like a human at Pacific Northwest Fertility. Everyone knows me by name and offers a kind word or a greeting when they see me. I definitely do not feel like a stranger coming into the clinic as just another number. The nurses and front desk staff are all incredibly warm and caring.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We used a higher dose of Follistim during cycling and triggered with HCG. All of my eggs produced were mature, but we didn't get as many healthy embryos as expected. We used IVF + ICSI. We are in the process of troubleshooting our approach for our next cycle since we are dealing with severe male factor infertility and less eggs making it to blast.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Clare Hatch)
The nursing staff is extremely busy, so it does take 24-48 hours to receive a response. I recommend sending all questions at once, rather than spacing them out over several e-mails and phone calls. The nursing staff is knowledgeable and professional, even when faced with the tough task of sharing bad news with the patient.
Describe your experience with Pacific NW Fertility.
This clinic is clean, professional, and warm. It was important for me to choose a clinic where I felt personally cared about. (I toured other clinics in the Seattle area that left me feeling like a number.) I never waited more than ten minutes for an appointment, and I was quite often seen early upon arrival. My monitoring appointments were a breeze and the clinic was running like a machine to move me through each step. Although this isn't what I planned for my life, I am happy to say that I feel like PNWF is my family.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
The cost for a full cycle was approximately $18,000. This doesn't include medications and optional PGS testing.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr. Lamb prefers eSET/pursuing one healthy singleton pregnancy at a time.
8
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Julie Lamb at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
27
Treated
2018
Success with this Doc
Yes
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Recurrent Pregnancy Loss
10
10
Doctor Shahine is very sympathetic to fertility struggles. Especially miscarriages. 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.... In my case I have a “balanced translocation” a condition with my chromosomes that can be passed down to my eggs that lead to miscarriages. Since a large number of my eggs would not result in a viable pregnancy, Doctor Shahine told me we would be more aggressive with the egg retrieval medication.
The clinic [Pacific NW Fertility] is always clean and has a relaxing atmosphere. I’ve been seen in a timely manor and everyone I’ve come in contact with has been very kind and helpful. Getting to the office can be confusing the first time. The office is good about giving you instructions beforehand how to get there. You will have to pay for parking ($8) each appointment, that is a downside, however for good treatment it is worth it.
Age
27
Treated
2018
Success with this Doc
Yes
Race
Other
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Recurrent Pregnancy Loss
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Doctor Shahine is really good at giving you all the options and staying neutral to allow you to make the best decision for you. However if you ask her “what would you do if you were in my situation?” She will give you an honest answer and list the reasons why. Which I appreciate. Doctor Shahine is really good at explaining treatment procedures and keeping you informed of what needs to happen.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
You can never ask too many questions. Do some research on each treatment beforehand and come in with some questions written down.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Doctor Shahine is very sympathetic to fertility struggles. Especially miscarriages. 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.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
In my case I have a “balanced translocation” a condition with my chromosomes that can be passed down to my eggs that lead to miscarriages. Since a large number of my eggs would not result in a viable pregnancy, Doctor Shahine told me we would be more aggressive with the egg retrieval medication. That way we’d have better odds of getting a “good egg.” The results were effective as we ended up with one embryo to transfer.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Tara)
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. She is sincere while being professional. She is fantastic at explaining procedures and giving you instructions on how to administer medication.
Describe your experience with Pacific NW Fertility.
The clinic is always clean and has a relaxing atmosphere. I’ve been seen in a timely manor and everyone I’ve come in contact with has been very kind and helpful. Getting to the office can be confusing the first time. The office is good about giving you instructions beforehand how to get there. You will have to pay for parking ($8) each appointment, that is a downside, however for good treatment it is worth it.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
A large portion of our treatment was covered by insurance. Treatment costs included egg retrieval, kearotype testing, fertility medication, PGD and PGS testing.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
34
Treated
2018
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
10
10
From the first time I met her [Dr. Lora Shahine] I felt so comfortable. You can tell she genuinely cares for her patients, getting to the cause of your fertility problems and coming up with an individual care plan to help achieve your end goal. 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. She is great at listening and answering every question I present. I began seeing her after my previous RE retired within the practice. The transition was seemless and I am so pleased with the attention to detail and protocol she has put in place for me.
[The nurses at Pacific NW Fertility were] Very attentive and thorough in answering my questions and in a timely matter...Front office staff hasn’t been calling to remind me of my upcoming appointments. Also, I have had a few issues with the billing department. Make sure you take notes and review billing statements. Thankfully I am very organized. Everyone is very friendly. The clinic is clean. And I’m always brought back on time or if not they have communicated with me. I appreciate that.
Age
34
Treated
2018
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine has a sweet demeanor, has great bedside manor and is very to the point. She is great at listening and answering every question I present. I began seeing her after my previous RE retired within the practice. The transition was seemless and I am so pleased with the attention to detail and protocol she has put in place for me.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Initially starting with a fertility consult can be very scary and intimidating and although she wasn’t my initial Dr on this journey I had to start over with a new protocol with her and I was immediately heard and cared for. She is relatable and incredibly knowledgeable. She is every active in the community, an author and advocate. Overall a great physician!
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
From the first time I met her I felt so comfortable. You can tell she genuinely cares for her patients, getting to the cause of your fertility problems and coming up with an individual care plan to help achieve your end goal. I feel welcomed and listened to each time I’m with her and her clinical team.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Dr. Shahine has set up a FET protocol for my which included birth control pills, a saline sonogram, Lupron, Estrogen patches and Progesterone in Oil injections. Lupron was part of my protocol due to the suspicion of endometriosis.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Gray)
Very attentive and thorough in answering my questions and in a timely matter
Describe your experience with Pacific NW Fertility.
Front office staff hasn’t been calling to remind me of my upcoming appointments. Also, I have had a few issues with the billing department. Make sure you take notes and review billing statements. Thankfully I am very organized. Everyone is very friendly. The clinic is clean. And I’m always brought back on time or if not they have communicated with me. I appreciate that.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
I did get a sheet with the 2018 FET cost estimate. I don’t have the specifics on hand but with meds it was around $6,000 per transfer.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
All of the physicians with in the clinic agree that 1 healthy pregnancy at a time is best. Best for Mom and baby as a pregnancy with multiples run a higher chance of encountering risks. However, they will consider transferring 2 on a case by case basis.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
?
Treatment
6 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
She [Dr. Shahine] does her homework about you prior so you don’t have to explain your story over and over. She is competent in her job, kind, compassionate, and direct. She really was amazing. She is willing to do what you want to do, or get you to the right people that you need. She works with outside facilities if you live outside the Seattle area.... She gave us the option of trying to do IVF with our own eggs but our chances of having a quality egg would be very low. If our end game was a healthy child she suggested we use donor eggs.
They [Pacific NW Fertility] were prompt returning emails and phone calls. They were all so kind especially for crazy people like me with all my questions. They truly are great people. They have a candy dish at the front desk. Chocolate really does calm nerves when you are so nervous to be in a place like that. Everyone has smiles on there faces. 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. Costs ranged from 22,000ish to 40,000 ish with and without medications
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
?
Race
European, Other
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
6 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
She does her homework about you prior so you don’t have to explain your story over and over. She is competent in her job, kind, compassionate, and direct. She really was amazing. She is willing to do what you want to do, or get you to the right people that you need. She works with outside facilities if you live outside the Seattle area.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
You will love her. She is so kind, so caring. She is educated, direct and compassionate. She is prepared for your visit and treats you with respect and explains everything fully.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
She is so kind but explains everything very well. She gets to the point but has compassion. She knew about us and didn’t have to look through a chart while she talked. She did her homework. She is amazing
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
She gave us the option of trying to do IVF with our own eggs but our chances of having a quality egg would be very low. If our end game was a healthy child she suggested we use donor eggs. But she wanted to make sure whatever choice we made she would go 100% toward that choice and do everything she could to make our dream come true
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Can’t remember her name)
The whole office was kind, welcoming and caring. The office was brightly lit wh big windows overlooking downtown seattle
Describe your experience with Pacific NW Fertility.
They were prompt returning emails and phone calls. They were all so kind especially for crazy people like me with all my questions. They truly are great people. They have a candy dish at the front desk. Chocolate really does calm nerves when you are so nervous to be in a place like that. Everyone has smiles on there faces. They make you feel human
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
We got quotes for both and outside monitor IVF with and with PGS and quotes for outside monitoring donor cycles. Costs ranged from 22,000ish to 40,000 ish with and without medications
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I understand the single versus multiple egg transfer. Dr Shahine’s clinic promoted single egg high quality transfer. The thought of multiples scared us so that eased our minds.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Ask a Question

Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
9
Age
39 - 40
Treated
2017 - 2018
Success with this Doc
No
Treatment
6 IUI, Donor Sperm
Diagnosis
10
9
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!
Front desk staff [Pacific NW Fertility] is friendly, compassionate, and very responsive—both when we are standing in front of them and on the phone. The andrology lab seems to run really smoothly. When we come in for procedures, the rooms are prepared appropriately.... One prescription wasn’t called into our pharmacy in the timeframe we had expected. When we brought it to the clinic’s attention, the situation was immediately remedied.
Age
39 - 40
Treated
2017 - 2018
Success with this Doc
No
Race
European
Income
$200K - $499K
Occupation
Doctor
Order & Number of Docs Seen
1 Doc Seen
Treatment
6 IUI, Donor Sperm
Diagnosis
10
9
How was your experience with Julie Lamb at Pacific NW Fertility?
We initially chose to see Dr Lamb (as opposed to the another clinic provider) because her bio on the clinic website seemed like the best initial fit. As a lesbian couple who (initially) was “only needing IUI,” we were worried about feeling like “less of a priority” because we weren’t seeking IVF or something else complicated. But from our very first visit with Dr Lamb, it felt very clear that she was going to dedicate whatever time and attention our treatment plan required. 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! She has always been very compassionate in her demeanor and is easy to talk to about very intimate details of our lives.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Don’t be afraid to ask the “hard questions” that you really want answers to or are wondering about — it might be scary to hear the answer, but hearing it from Dr Lamb really does make it a little easier!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
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. She reads people (at least she reads us!) very well, and seems to truly understand that even when we are struggling to understand the science, we are still in the midst of a very emotional process. She responds to our emotional display in slowing down a bit, asking if we need a break, etc—but never witholding or “sugar-coating” the information we are seeking.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We started with a very basic protocol because all labs, u/s, and hysterosalpingogram were normal. 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. For the 6th cycle, we tried a ten-day course of letrozole, but because of thin ing of the uterine lining, we didn’t continue that in cycle 7. Cycle 7 we did letrozole days 3-7 + injectables, with day 12 u/s. We used letrozole instead of clinic per Dr Lamb’s recommendation to lower the risk of multiples.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle Peterson)
Ms Peterson was assigned to us a bit later in our treatment course—Dr Lamb’s primary medical assistant had had a couple of health-related leaves of absence, and while the clinic was trying to provide coverage, things just weren’t going as smoothly as we expected. When we raised this concern to Dr Lamb, she immediately asked Ms Peterson to follow-up and address our MA-RN related concerns. Tim’s Peterson exceeded our expectations for timely and thoughtful communication, and was clearly invested in preventing any further communication-related frustration.
Describe your experience with Pacific NW Fertility.
Front desk staff is friendly, compassionate, and very responsive—both when we are standing in front of them and on the phone. The andrology lab seems to run really smoothly. When we come in for procedures, the rooms are prepared appropriately. We don’t have much experience with the on-site lab for blood draws. The clinic seems to always be running on time, which is pretty amazing. There was only one occasion when they were about ten minutes behind schedule, and we were informed at check-in, and an MA came out to give us an updated timeline so we knew what to expect (again, for just a ten minute delay).
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
We were provided with a price sheet at the very first appointment, and while we did not expect our insurance to cover any of our fertility-related care, the clinic agreed to bill insurance prior to collecting payment from us. Our insurance ended up covering some components of the care, and it was super convenient to us that hey had been willing to bill.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
N/a
What specific things went wrong at Pacific NW Fertility?
  • Failed to call in prescriptions to pharmacy
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Julie Lamb at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

8
10
Age
34
Treated
2018
Success with this Doc
No
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve, Unexplained
8
10
Lorna Marshall thoroughly reviewed our chart and was happy to help us with IUI because she knew we were not ready for IVF. When we wanted to be more aggressive she adjusted our protocol and added inhectables. She was always understanding of our situation and showed compassion while at the same time being straight forward with our situation.... I was prescribed Letrozole 5mg daily days 2-6. This was a little earlier than typically prescribed because my cycles are a little shorter than average. My ultrasound on day 8 showed 3 mature follicles. I triggered that day and did the IUI next day. The second IUI with PNW Fertility we added follistim (75iu) on day 7 in attempts to be more aggressive. My ultrasound was day 8 and showed 3 mature follicles. I triggered day 8 and IUI was day 9.
Every single interaction I had with staff at PNW Fertility was positive. I interacted with many nurses, front desk staff, lab staff, ultrasound techs, phlebotomist, and nursing assistants. Everyone was welcoming, kind, and compassionate. The only negative feedback I have is on the financial counselor, Jamila Thomas. After meeting with her she was to send additional information via email. I followed up with her twice via email and never received a reply.
Age
34
Treated
2018
Success with this Doc
No
Race
Other
Income
$100K - $199K
Occupation
Accountant
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve, Unexplained
8
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
Lorna Marshall thoroughly reviewed our chart and was happy to help us with IUI because she knew we were not ready for IVF. When we wanted to be more aggressive she adjusted our protocol and added inhectables. She was always understanding of our situation and showed compassion while at the same time being straight forward with our situation.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
I can’t think of any advice to give specifically related to Lorna Marshall.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
The communication with Lorna Marshall’s nurses was outstanding. When I had questions they were answered promptly and with plenty of detail. At one point the nurse had reviewed my chart and noticed I hadn’t properly scheduled an appointment and called me. This attention to detail and communication did not exist through my last clinic.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
I was prescribed Letrozole 5mg daily days 2-6. This was a little earlier than typically prescribed because my cycles are a little shorter than average. My ultrasound on day 8 showed 3 mature follicles. I triggered that day and did the IUI next day. The second IUI with PNW Fertility we added follistim (75iu) on day 7 in attempts to be more aggressive. My ultrasound was day 8 and showed 3 mature follicles. I triggered day 8 and IUI was day 9.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Amber Hopkins)
I cannot speak highly enough of my nurse, Amber Hopkins. Her response time was prompt and she always provided detailed explanations and/or instructions. Amber was always very compassionate and understanding. She emailed directly with me at my request rather than using the portal. Amber called me on the phone on several occasions, which I found to be rare with other clinics. She was always up to speed on my cycle and protocol and often followed up with me on her own accord. From the beginning I felt a personal connection and never did I feel like just a number.
Describe your experience with Pacific NW Fertility.
Every single interaction I had with staff at PNW Fertility was positive. I interacted with many nurses, front desk staff, lab staff, ultrasound techs, phlebotomist, and nursing assistants. Everyone was welcoming, kind, and compassionate. The only negative feedback I have is on the financial counselor, Jamila Thomas. After meeting with her she was to send additional information via email. I followed up with her twice via email and never received a reply.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
Consultation $295-375 Ultrasound $185 Venipuncture $25 Hormone testing $79-85 each Injection $40 Insemination $275 Sperm wash & prep $270
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
N/A
8
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lorna Marshall at Pacific NW Fertility.

6
3
Age
33 - 34
Treated
2017 - 2018
Success with this Doc
No
Treatment
6 IUI, Donor Sperm
Diagnosis
Unexplained
6
3
Dr. Marshall was personable and patient with us during the consultations, but was was less than willing to stray from the conventional process of attempting a set number of IUIs, and then proceeding to IVF without a good understanding of why the IUIs weren't working. ... We asked about a laparoscopy to look for possible endometriosis, which she dismissed as too invasive ... We decided to move forward with the procedure anyway using my wife's OB-GYN, and they did indeed find endometriosis ...
PNWF seems to be pretty good at middle of the road infertility cases and provide a good level of quality to the standard procedures. However, they seem less willing to explore each individual's unique challenges and get to the root of unexplained infertility. ... 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. ... 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. ... Jennifer [nurse] was very congenial and responsive to e-mails and calls. A
Age
33 - 34
Treated
2017 - 2018
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Engineer
Order & Number of Docs Seen
1 Doc Seen
Treatment
6 IUI, Donor Sperm
Diagnosis
Unexplained
6
3
How was your experience with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall was very calm and considerate whenever we met with her. She is very knowledgable and was patient with us even when we were frustrated that multiple IUI attempts had not worked. I have also heard great things about her from other patients that we have met during our journey. My two critiques are as follows: - Dr. Marshall (and PNW Fertility) was less than willing to stray from the normal playbook. Our case is atypical in that we were using donor sperm and we had no explanation why the IUIs hadn't worked to date. We asked about a laparoscopy to look for possible endometriosis, which she dismissed as too invasive and stated that she thought there was no reason to think my wife had that condition. We decided to move forward with the procedure anyway using my wife's OB-GYN, and they did indeed find endometriosis, which may have been an issue with the prior IUI attempts - At our last insemination, the RN asked if we had been taking in additional medication recommended by Dr. Marshall. These recommendations were in our file, but she had not actually told us anything about it.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Dr. Marshall is knowledgable and considerate, but as with everything in the infertility process, it is important to be your own advocate and make sure you communicate with her if you feel you need more testing or are seeking a different approach.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall was personable and patient with us during the consultations, but was was less than willing to stray from the conventional process of attempting a set number of IUIs, and then proceeding to IVF without a good understanding of why the IUIs weren't working.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
Multiple IUIs attempted with Dr. Marshall and RNs at PNWF. None were successful. After 5 attempts Dr. Marshall recommended proceeding directly to IVF.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Jennifer Schilling)
Jennifer was very congenial and responsive to e-mails and calls. As with Dr. Marshall, we thought she was not comfortable straying from the normal procedures for IUIs.
Describe your experience with Pacific NW Fertility.
PNWF seems to be pretty good at middle of the road infertility cases and provide a good level of quality to the standard procedures. However, they seem less willing to explore each individual's unique challenges and get to the root of unexplained infertility. 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. It just made everything seem very transactional. 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.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
IUI costs included the insemintation, as well as defrosting and testing of donor sperm. We were repeatedly charged for sperm analysis that as not done (since it was a donor). We have begun exploring IVF costs, and while they seem comparable to other clinics in the area, it is... excessive.
What specific things went wrong at Pacific NW Fertility?
  • Failed to call with results
  • Failed to order appropriate test
  • Provided conflicting information
  • Failed to convey critical information
6
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
3
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
7
8
Age
33 - 34
Treated
2017 - 2018
Success with this Doc
?
Treatment
3 IUI, IVF, 1 Egg Freezing, 1 Embryo Freezing, Surrogacy
Diagnosis
Unexplained
7
8
We underwent 3 IUI treatments, with a trigger HCG shot [protocol with Dr. Shahine]. They were extremely painful and bloody, apparently I have a "tricky cervix". Then we underwent IVF, using birth control pills, Lupron subcutaneous injections, estrogen patches, progesterone intramuscular injections. I think it was the pretty standard set of drugs with usual doses...is not a fan of multiple embryo transfers for anyone, but especially for people with kidney or heart problems.
The care coordinator, and nursing staff [at Pacific NW Fertility] were all very great. They were compassionate, attentive, and very organized...The costs for the IUI treatments was around $3000 or $4000, the whole process for IVF was about $58,000...Appointment times are easy to get and make and there are several options for before or after work. One weakness of the clinic is that I feel they are so busy that sometimes you feel like a number. I have been going there for over a year and seeing the same ladies in the front desk, and the same nursing staff, but I still feel like they don't even know my name.
Age
33 - 34
Treated
2017 - 2018
Success with this Doc
?
Race
Income
$200K - $499K
Occupation
Doctor
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, IVF, 1 Egg Freezing, 1 Embryo Freezing, Surrogacy
Diagnosis
Unexplained
7
8
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Lora Shahine came highly recommended to me from several friends. I was initially impressed by her, but as my husband and I started coming more often to PNW Fertility, we realized that we only saw her the one time we initially met her. All my IUIs and scans were done by other practitioners. When I voiced concern and wanted to meet with her, we were scheduled for an hour appointment with her to discuss starting IVF. My husband and I took the day off work, and Dr. Shahine was about 50 minutes late and we felt very rushed in our meeting with her. 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. As time has gone on, I feel like Dr. Shahine has been more involved with our care, and we've formed a decent relationship. All in all, it just seems to us as though she is very busy, and we are not important enough.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
One piece of advice I'd give a prospective patient is to meet with multiple providers, and then go to the one with whom you feel the best connection. I went with recommendations of friends but I feel like maybe it just wasn't the right fit for us, as we prefer very involved practitioners.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
In the beginning, I felt like a number. I felt like several times my calls weren't answered back and I sometimes felt forgotten. As my journey went on, I felt more of a connection with Dr. Shahine, and felt as though I started to matter, and our infertility journey continued to be unproductive.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
We underwent 3 IUI treatments, with a trigger HCG shot. They were extremely painful and bloody, apparently I have a "tricky cervix". Then we underwent IVF, using birth control pills, Lupron subcutaneous injections, estrogen patches, progesterone intramuscular injections. I think it was the pretty standard set of drugs with usual doses.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle)
The care coordinator, and nursing staff were all very great. They were compassionate, attentive, and very organized.
Describe your experience with Pacific NW Fertility.
Pacific Northwest Fertility Seattle is a beautiful location. The staff is very friendly. The office is clean and well run. Appointment times are easy to get and make and there are several options for before or after work. One weakness of the clinic is that I feel they are so busy that sometimes you feel like a number. I have been going there for over a year and seeing the same ladies in the front desk, and the same nursing staff, but I still feel like they don't even know my name.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
The costs for the IUI treatments was around $3000 or $4000, the whole process for IVF was about $58,000.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I think Dr. Shahine is not a fan of multiple embryo transfers for anyone, but especially for people with kidney or heart problems.
7
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
9
10
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
?
Treatment
IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Tubal Blockage, Unexplained
9
10
Dr Shahine always made me feel like she had all the time in the world and was never rushed. She has an incredible bed side manner and so much empathy for women going through such a difficult time.... Dr Shahine has always been absolutely amazing and cares about me as a person, is always asking how I am doing and how I am feeling. The only thing I haven’t liked in recent visits is the nurse that calls me in, she always seems in a bad mood, always pronounces my name wrong and just seems like she doesn’t like her job, even my husband noticed and said something.
Very helpful and friendly front desk and they remember who I am. Rooms [Pacific NW Fertility] are very nice, and I love the gals who draw my blood every time they are very friendly and distract you while they are taking blood. The office is the whole 10th floor and parking is easy.... My first coordinator Danielle was a dream! Loved her so much but then she got another role. I now have Tara and she is also very sweet as well as organized... The only thing I haven’t liked in recent visits is the nurse that calls me in, she always seems in a bad mood, always pronounces my name wrong and just seems like she doesn’t like her job, even my husband noticed and said something.
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Accountant
Order & Number of Docs Seen
1 Doc Seen
Treatment
IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Tubal Blockage, Unexplained
9
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr Shahine has always been absolutely amazing and cares about me as a person, is always asking how I am doing and how I am feeling. The only thing I haven’t liked in recent visits is the nurse that calls me in, she always seems in a bad mood, always pronounces my name wrong and just seems like she doesn’t like her job, even my husband noticed and said something. I look past this because Dr Shahine is so wonderful but definitely doesn’t match how the rest of the staff is.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Just be prepared that it’s a journey, and it will not happen overnight but Dr. Shahine will always keep you updated and give every option available and then let you make the decision that’s right for you. She will give you the good and the bad but always remains positive that there is always another option to start a family and to never loose hope!
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr Shahine always made me feel like she had all the time in the world and was never rushed. She has an incredible bed side manner and so much empathy for women going through such a difficult time.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
We used a normal IVF protocol for egg retrieval and have had two rounds of frozen embryo transfer that involved lupron, birth control pills and then estrogen patches and progesterone in oil shots
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Tara)
My first coordinator Danielle was a dream! Loved her so much but then she got another role. I now have Tara and she is also very sweet as well as organized
Describe your experience with Pacific NW Fertility.
Very helpful and friendly front desk and they remember who I am. Rooms are very nice, and I love the gals who draw my blood every time they are very friendly and distract you while they are taking blood. The office is the whole 10th floor and parking is easy.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
I believe it was 18,000 for the egg retrieval and then 5,000 for each transfer, plus the cost of medication
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
She explained both and gave her opinion on what she thought was best for us but then left the final decision up to us.
9
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

9
9
Age
30 - 31
Treated
2017 - 2018
Success with this Doc
?
Treatment
7 IUI
Diagnosis
Male Factor, Unexplained
9
9
He [Dr. Brad Swelstad] is caring and compassionate but also tells you how it is, not just what you want to hear. He will give you all the facts, good or bad, and allow you to make your own decisions. He is easy to understand and always has charts and visual aids to help explain things in an easy to understand way. Even though we have not yet had success, I believe he will get us to our goal and trust that he knows how to get there.
The ARNPs at Pacific Northwest Fertility are amazing. They are the ones that have done all my IUIs and ultrasounds. They are always pleasant and compassionate. The nursing staff and MA staff are okay. Sometimes they are hard to understand on the phone but they always call when they say they will and are more than willing to get answers to questions they don't know the answer to.
Age
30 - 31
Treated
2017 - 2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
7 IUI
Diagnosis
Male Factor, Unexplained
9
9
How was your experience with Brad Swelstad at Pacific NW Fertility?
Dr. Swelstad is a pleasure to work with. He is caring and compassionate but also tells you how it is, not just what you want to hear. He will give you all the facts, good or bad, and allow you to make your own decisions. He is easy to understand and always has charts and visual aids to help explain things in an easy to understand way. Even though we have not yet had success, I believe he will get us to our goal and trust that he knows how to get there.
What's one piece of advice would you give a prospective patient of Brad Swelstad at Pacific NW Fertility?
Listen to what he says, even if it is not what you want to hear. He will give you options but also give his opinion. I wish I had listened to his opinion earlier even though it would mean moving to IVF sooner.
During treatment, were you treated like a number or a human with Brad Swelstad at Pacific NW Fertility?
Dr. Swelstad took the time to get to know us and talk to us about our lives outside of fertility. Our visits are always personable and enjoyable and he takes time to just chat instead of being in a hurry to get to the next patient.
Describe the protocols Brad Swelstad used in your cycles at Pacific NW Fertility and their degree of success.
We started with Dr. Swedlstad after 3 rounds of medicated cycles (clomid) with two of them including IUIs. Dr. Swelstad instantly switched us to Femera and did 3 cycles of that with IUIs. After this, we took a break and moved to combo cycles with 5 days of Femera and 3 days of Follistim injections followed by a trigger and IUI. The last 2 cycles, we also used suppository progesterone. All cycles failed.
Describe your experience with the nursing staff.
The ARNPs at Pacific Northwest Fertility are amazing. They are the ones that have done all my IUIs and ultrasounds. They are always pleasant and compassionate. The nursing staff and MA staff are okay. Sometimes they are hard to understand on the phone but they always call when they say they will and are more than willing to get answers to questions they don't know the answer to.
Describe your experience with Pacific NW Fertility.
PNW Fertility is a great clinic. They are accommodating when scheduling procedures, testing, and ultrasounds. They are open every day and it was never an issue to get in when necessary. They are a smaller clinic so it feels like they get to know you and you never feel like a "number". The clinic is clean, organized, and welcoming.
9
Doctor
Brad Swelstad
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Brad Swelstad at Pacific NW Fertility.

10
10
Age
29 - 30
Treated
2017 - 2018
Success with this Doc
Yes
Treatment
6 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
10
10
She [Dr. Lorna Marshall] has told me her concerns and what she feels would be best but always giving me options to choose from...she was very informative and concise, which is what I look for in a doctor. She took the time to explain the entire process of IVF and answered questions along the way...SHe recommends freezing your embryos for at least 2 months to reset your body... I am on Follistim and Mini HCG. She has titrated the amount according to my labs.
MY care coordinator [at Pacific NW Fertility] is Emily. I have worked with at least 2 other nurses in this office. All of them are very kind and caring. Always calling to check on me and to make sure I am dong ok on my medications. When I am seen in the office Emily and all the other staff always have a smile on their face...IVF cycle cost around $25,000...This clinic overall is a great place to be receiving fertility services. No one wants to be in this situation but this is where you want to be going through it. The entire clinic is well run, usually on time and always clean.
Age
29 - 30
Treated
2017 - 2018
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
6 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
10
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
It has been a long road for my husband and I. I met Dr. Marshall during my ART consultation. During this consultation, she was very informative and concise, which is what I look for in a doctor. She took the time to explain the entire process of IVF and answered questions along the way. She has told me how it is through this journey that I am still on. She has told me her concerns and what she feels would be best but always giving me options to choose from.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
She is a great doctor and would recommend to all. Although this journey I am on is not something that has been planned, she has made it easier to get through.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
She takes the time to discuss the options and gives you time to ask questions. She cares about how you feel during your treatments. She takes the time when something is uncomfortable.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
I am currently on my first round of IVF. I am on Follistim and Mini HCG. She has titrated the amount according to my labs. She used Ganirelix. She is using a dual trigger with Lupron and HCG. SHe recommends freezing your embryos for at least 2 months to reset your body.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily)
MY care coordinator is Emily. I have worked with at least 2 other nurses in this office. All of them are very kind and caring. Always calling to check on me and to make sure I am dong ok on my medications. When I am seen in the office Emily and all the other staff always have a smile on their face.
Describe your experience with Pacific NW Fertility.
This clinic overall is a great place to be receiving fertility services. No one wants to be in this situation but this is where you want to be going through it. The entire clinic is well run, usually on time and always clean.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
My first and, at this point, my only IVF cycle cost around $25,000.
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I do know the office I go to has a protocol for this. For the age I am, she recommends not transferring more then 2 embryos at a time.
10
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
10
10
Age
25 - 26
Treated
2017 - 2018
Success with this Doc
No
Treatment
1 IVF
Diagnosis
10
10
Lora Shahine makes us feel like family every time we enter her office! WE love her deeply and her care for us shows in her words and actions.... She always has a smile on her face and cares for her patients deeply. She has been a light in our darkest hours and I am grateful for her. Even in the hard times she shows hope for us.... We used estrogen patches and Lupron first cycle but it affected my lining negatively so we went with estrogen and estrace and no Lupron and it helped! Once we transferred I was on estrogen, progesterone, estrace and aspirin. This ended in a Chemical pregnancy
Pacific Northwest Fertility is a great clinic the staff, the lab techs, the blood drawers the nurses and main doctors are always there to help! I have no negatives! I would like to explain to a new patient that goes in expecting a baby the first round that it's not always like this and its a hard pill to swallow when it happens to you. But this clinic is there for you to help you get to your baby. Even with the struggles they are always comforting. Even when you just need to cry.
Age
25 - 26
Treated
2017 - 2018
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Lora Shahine is a caring individual. She always has a smile on her face and cares for her patients deeply. She has been a light in our darkest hours and I am grateful for her. Even in the hard times she shows hope for us.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Know that you aren't just working with a doctor. You will be working with a friend.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Lora Shahine makes us feel like family every time we enter her office! WE love her deeply and her care for us shows in her words and actions.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
We used estrogen patches and Lupron first cycle but it affected my lining negatively so we went with estrogen and estrace and no Lupron and it helped! Once we transferred I was on estrogen, progesterone, estrace and aspirin. This ended in a Chemical pregnancy
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Grey)
Emily has been so amazing! I am the patient that sends over a million emails a day and she answers every single one in a timely manner! She is always smiling at our appointments and laughing along with us. She is a gem and we love her dearly and once again we are grateful God picked her for our team!
Describe your experience with Pacific NW Fertility.
Pacific Northwest Fertility is a great clinic the staff, the lab techs, the blood drawers the nurses and main doctors are always there to help! I have no negatives! I would like to explain to a new patient that goes in expecting a baby the first round that it's not always like this and its a hard pill to swallow when it happens to you. But this clinic is there for you to help you get to your baby. Even with the struggles they are always comforting. Even when you just need to cry.
Describe your experience with your monitoring appointments at Pacific NW Fertility.
Monitoring appointments were great for us. We live over an hour and a half a way and we had back to back appointments during the winter and they always would either see us earlier or get us in right on time because they understood our travel.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
So far for our whole experience we have spent a grand total of 30,000.00 including retrieval and transfer. Meds we have spent around 15,000.00 through our pharmacy.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I trust our doctor and what she says will be best for my body.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
10
10
Age
40
Treated
2017
Success with this Doc
Yes
Treatment
2 IVF, 2 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve
10
10
Dr. Marshall: individualized her protocol recommendation, synthesizing her knowledge of IVF research and her experience and innovation with cancer patients. Her ability to individualize effective protocols was absolutely top notch. Most doctors like standard protocols because they are what generally works. But if you are older or not an easy case, you NEED someone like Dr. Marshall—who has the knowledge, the courage, and agility to go beyond textbook solutions.
My experience with my IVF coordinator [at Pacific NW Fertility - Sea], Emily Gray, and all the nursing staff has been top notch...The high quality of the experience I have had is embedded in how PNWF operates. All my interactions with PNWF doctors have been very positive. I believe their equipment and protocols are top notch...The team at PNWF fertility provides a fabulous combination of medical talent and attentive care... Everyone has been so kind and understanding. It has meant so much they everyone takes such pride and care in what they do: from handling my frequent blood draws to providing thoughtful care before and after egg retrievals.
Age
40
Treated
2017
Success with this Doc
Yes
Race
European
Income
$500K
Occupation
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
2 IVF, 2 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve
10
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
Pursuing IVF is one of the most out-of-control experiences I’ve had. But there is a comfort in knowing you are doing everything you can. Dr. Marshall has given me that comfort. At every step of my partnership with Dr. Marshall, I have had deep confidence in our approach. And the results are there to prove it. I went from two canceled cycles before working with Dr. Marshall to 15 total eggs retrieved in two back-to-back cycles of embryo banking after working with Dr. Marshall. While my transfer cycle is not until next month, I have rock-solid confidence in our path forward. For you to understand how special Dr. Marshall is, it’s helpful to contextualize my situation and the struggles I had before meeting her. If you are short on time, please scroll to the end where I sing her praises. My story – Before Dr. Marshall I am a healthy woman who has been active my entire life. My body has always cooperated with me, and I thought having a child would be no exception. So I spent my 30s focusing on my career and exploring the world, actively avoiding pregnancy, confident my husband of 17 years and I could have a child when and if we chose to. When we were ready to pursue pregnancy, I was 40. To avoid risking delays and miscarriage, we opted for IVF straightaway. This made our case unusual because we hadn’t spent time trying on our own without success, so we weren’t prepared for the rude awakening that followed. The initial diagnosis was beyond disheartening. I learned my FSH (at 13 IU/L) meant I was closer to menopause than I had counted on. Statistical models estimated I had the potential for three eggs each cycle. My new label: 40-year-old with Diminished Ovarian Reserve. Defiant, we proceeded anyway. But we got knocked down HARD. My first cycle was canceled quickly out of the gate because the birth control pills led to over-suppression. Only one follicle responded. Determined to get more information and move forward quickly, I sought another opinion per the suggestion of a friend of mine with extremely high standards. I flew out of town straightway to do so. The second round was canceled too. Once again, I had a dominant follicle emerge and my other follicles wouldn’t grow as a result. I started pouring over medical journals and learned there was a group of criteria used to describe my poor response: the Bologna criteria. Trust me, this is not a group you want to be in. I hated all these labels, and my sense of self started to morph with the loss of hope. It felt like my only option was to throw a hail Mary, without any real confidence that one would work. Not liking this conclusion (and not being able digest mentally why it shouldn’t be possible to preempt the early development of a dominant follicle), I scheduled a meeting with Dr. Marshall, at the recommendation of several friends. MY MEETING WITH DR. MARSHALL TURNED AROUND THE TRAJECTORY OF MY FERTILITY JOURNEY. 180 DEGREES. My story – After Dr. Marshall After my husband and I talked to Dr. Marshall, I knew I wanted to work with her. I knew she would be my final fertility doctor. Several things really jumped out at me during our initial conversation. Dr. Marshall: • Individualized her protocol recommendation, synthesizing her knowledge of IVF research and her experience and innovation with cancer patients. Her ability to individualize effective protocols was absolutely top notch. Most doctors like standard protocols because they are what generally works. But if you are older or not an easy case, you NEED someone like Dr. Marshall—who has the knowledge, the courage, and agility to go beyond textbook solutions. She discussed options with me, and her rationale was targeted and precise. Dr. Marshall was able to design a protocol that was much more compelling and effective than what I was able to find on other sites and in medical journals. During our discussion my prior cycles became critical inputs for deciding how to move forward. My prior doctors had made very solid decisions, but the key to better results was precisely pinpointing what needed to be changed based on what did not work in the past. • Offered us an entire path forward, not just a protocol for the next cycle – Given my first two cycles had been canceled, it seemed naïve to assume that the next cycle would miraculously be “the one.” We talked through a few scenarios that alleviated the pressure on the next cycle even while giving us renewed hope. It felt like a fresh start. • Focused on doing the right thing – Dr. Marshall happily agreed to work with us, even though there was a chance I could hurt the success rates of her clinic. She is clearly motivated to help people achieve their fertility goals, and is willing to put her patients’ needs ahead of her clinic’s numbers. • Has a sense of urgency – Dr. Marshall helped us get started as soon as possible, and worked with us to schedule other diagnostic procedures while we waited for the cycle to begin. Once we got started with the cycle, it felt like I was like I was in a different body. Hope blossomed when the cycle wasn’t canceled, and then turned into giddiness when I saw above-average results for my age. In the end, we made 9 follicles! From two canceled cycles to 9 follicles! Eight of these follicles made it to day 3, but we were down to one healthy embryo after genetic testing. So we opted to bank the first one and try IVF again. The second cycle proceeded as the first. While there were fewer follicles recruited out of the gate (I pursued this cycle as soon as possible after the prior one), we made 6 follicles, 15 total after two tries! And we now have another healthy embryo. These two cycles also highlighted how and why Dr. Marshall is so unique: • Drive for results – Throughout our journey so far, Dr. Marshall has been in the process with us. She does her work with skin in the game. We went from two canceled cycles to 15 follicles over two cycles. • Mental flexibility to do the right thing – Dr. Marshall always has a plan, but dynamically optimizes when there is new information (from bloodwork, from ultrasound, etc.) There are a lot of smart doctors but in my experience her ability to perceive leading indicators quickly and comprehensively and adapt plans accordingly is extremely, extremely rare. I am not used to others staying ahead of me, and it has been a true joy to relax and just do what I’m told! • Blends the best of IVF science with warmth and compassion – From her ability to handle my IVF-emoting to her kind bedside manner, Dr. Marshall brings warmth as well as expertise. My gratitude to Dr. Marshall runs deep. If, like me, you are able to work with her, you will be a very, very, very lucky person indeed!
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Work with Dr. Marshall and you can relax.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
Estradiol for suppression. Clomid + High dosage follistim for stimulation. Human growth hormone for finishing. The timing Dr. Marshall used for each step was critical for changing my results.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Gray)
My experience with my IVF coordinator, Emily Gray, and all the nursing staff has been top notch. It is difficult to identify all the traits that an ideal IVF coordinator has, but my experience with Emily has helped to crystallize them: • Deeply knowledgeable – Emily’s ability to smoothly manage communication and coordination among my doctor, the front desk, my pharmacy, geneticists, and others is rooted in her knowledge of both IVF medicine and the PNWF process. Her knowledge is broad (covering my questions on embryo banking, acceptable medications, etc.) and deep (e.g., risks associated with back-to-back IVF cycles). I’ve worked with many nurses in multiple fields who can go through the motions, but can’t connect each process step or my question to the bigger goal. Emily goes way beyond. • Commitment to results – As with Dr. Marshall and with the entire team, Emily has always been “in it to win it” with my husband and me. During one visit, I expressed that I appreciated her working with me even after I had proven to be the Cancellation Queen. She responded immediately and confidently: “I’ve never known you as that.” At that moment, I realized how important it is to feel in my bones the support and belief of the team you are partnering with. • Attunement and sensitivity – Emily is upbeat when delivering good news, and compassionate when delivering bad news. This sensitivity is HUGE when going through the IVF process. There is nothing worse than going through a gut-wrenching process with a tone deaf partner. • Proactive and clear – Emily stays ahead of me in all aspects of the process: from sending me a tentative calendar before we’ve even finalized target dates to ensuring my prescriptions are ready to go. • Responsive and patient – I’m not an easy patient. I ask lots of questions. All the time. Emily has been gracious with her attention and timely with her responses, often providing more information and insight than I even know to ask for. The rest of the nursing staff and front desk staff has been great to work with as well. At a certain point, I started to feel like a regular given the number and frequency of my visits. Everyone has been so kind and understanding. It has meant so much they everyone takes such pride and care in what they do: from handling my frequent blood draws to providing thoughtful care before and after egg retrievals. The team at PNWF fertility provides a fabulous combination of medical talent and attentive care.
Describe your experience with Pacific NW Fertility.
The high quality of the experience I have had is embedded in how PNWF operates. All my interactions with PNWF doctors have been very positive. I believe their equipment and protocols are top notch.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
~$10K for physician services (monitoring, aspiration, transfer); ~$9K for embryology (insemination, blastocyst culture, cryopreservation)
10
Doctor
Lorna Marshall
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
8
Age
28 - 29
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
1 IUI, 1 IVF
Diagnosis
Unexplained
8
8
Overall we were very happy with Dr. Swelstad. he only negative thing we encountered was the way in which he approached his recommendation that we use ICSI in our first IVF cycle. According to my husband's sperm analysis all his numbers were above average, except for morphology, which was at the low end of average, but still in a normal range. To me, this indicated that there was no male factor, or at least not one that had been proven. Dr. Swelstad's rationale was that because we had unexplained infertility and had never conceived, it was possible that the sperm were having trouble fertilizing the egg despite the numbers being normal.
The quality of care is great [at Pacific NW Fertility], very easy to get appointments at times that work for you, overall atmosphere is very welcoming. The downside is it is extremely expensive when compared to the national average, especially for extra things like ICSI.... We opted for the refund plan, which, once you added the extra fees for ICSI, anesthesia, etc came to over $20,000. The terms were that if you used all your embryos in 12 months and still hadn't sustained a pregnancy to 12 weeks, you would be refunded 80% (not including those extra fees and add-ons).
Age
28 - 29
Treated
2016 - 2017
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI, 1 IVF
Diagnosis
Unexplained
8
8
How was your experience with Brad Swelstad at Pacific NW Fertility?
Overall we were very happy with Dr. Swelstad. The only negative thing we encountered was the way in which he approached his recommendation that we use ICSI in our first IVF cycle. According to my husband's sperm analysis all his numbers were above average, except for morphology, which was at the low end of average, but still in a normal range. To me, this indicated that there was no male factor, or at least not one that had been proven. Dr. Swelstad's rationale was that because we had unexplained infertility and had never conceived, it was possible that the sperm were having trouble fertilizing the egg despite the numbers being normal. He recommended that we use ICSI and gave us a ballpark figure of the price (not included in our IVF cycle plan) that turned out to be significantly lower than the actual price. Though he apologized for this later with the usual "I'm a doctor, I'm not in billing," we felt that if a doctor is going to strongly recommend an optional and expensive add-on treatment, that he should be informed about current pricing. After discussing it on our own and discovering the real price of ICSI, which seemed to be exorbitant compared to some other clinics we looked into and the national average, we decided we did not want to do ICSI. Dr. Swelstad then proceeded to call us to make the case again. In some ways we appreciated the personal attention, especially as he made the call at 5 pm, but we also felt quite pressured to proceed with ICSI. In the end, since we only had 7 eggs that were mature enough to be fertilized at all, we were glad we did ICSI, which resulted in 6/7 being fertilized. However, if we had had more eggs I don't think this procedure would have been necessary at all, and the clinic would not give us the option of making the decision after the egg retrieval. It is a fine line since the clinic does, of course, have a vested interest in achieving success, but we did feel pressured, despite Dr. Swelstad's generally kind demeanor and obvious commitment to getting us our positive outcome.
During treatment, were you treated like a number or a human with Brad Swelstad at Pacific NW Fertility?
I felt very good after our first consultation with Dr.Swelstad. He was a great conversationalist and seemed interested in our situation in both a professional and personal way.
Describe the protocols Brad Swelstad used in your cycles at Pacific NW Fertility and their degree of success.
We did a fresh IVF cycle using my husband's frozen sperm and my own eggs. I was on fairly standard doses of follistim (increased from 300 daily to 375 when I wasn't responding enough), mini HCG, and later Ganirelix. My follicles weren't getting big enough, thus the increased dosage. If I did it again I would want to be on the higher dosage from the beginning, as I believe this was the cause of our relatively mediocre-average egg retrieval count. But at the time there was no way of knowing how I would respond, and we definitely didn't want to over-stimulate. I needed a few extra days, and therefore extra doses of ganirelix, but it all worked out well in the end, and I experienced almost no side effects at all from the treatment. 11 eggs retrieved, 7 were mature, 6 were fertilized using ICSI, and 5 survived to day 5. We transferred two and are now pregnant with twins.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Alyssa Fox)
Alyssa, who no longer works at PNWF, was awesome at communicating with us by email while we were still overseas and trying to get everything organized to start our cycle. I contacted multiple clinics and never got a better or more prompt response than from her. This was crucial to our decision to go with this clinic and her continued support and communication made the whole process very smooth.
Describe your experience with Pacific NW Fertility.
The quality of care is great, very easy to get appointments at times that work for you, overall atmosphere is very welcoming. The downside is it is extremely expensive when compared to the national average, especially for extra things like ICSI.
Describe the costs associated with your care under Brad Swelstad at Pacific NW Fertility.
We opted for the refund plan, which, once you added the extra fees for ICSI, anesthesia, etc came to over $20,000. The terms were that if you used all your embryos in 12 months and still hadn't sustained a pregnancy to 12 weeks, you would be refunded 80% (not including those extra fees and add-ons).
Describe Brad Swelstad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
There was no option because we chose a refund plan that required us to transfer two at a time, and we were fine with that.
8
Doctor
Brad Swelstad
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
41 - 45
Treated
2013 - 2017
Success with this Doc
Yes
Treatment
IVF, Donor Eggs, Donor Sperm
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Poor Egg Quality
10
10
Doctor shahine always took extra time with me was and explained everything throughly. She was patient with me and let us take our time in making decisions....We did an embryo donation. From the start there were many hoops to jump through - a very through psych evaluation for myself and my family and a very through physical evaluation...The only criticism I would have is that her schedule is very busy and doesn't always coincide with dates for procedures - but for me she was available 90% of the time.
Pacific Northwest fertility clinic is a great spot to go if you want individual attention. This office has a great small community feeling with cutting edge current knowledge. They remember your name - ask about how your doing and actually care....We did an embryo donation....When we started our process for transfer the clinic had unfortunately had two coordinators leave for work related reasons. Alyssa was not assigned to us but in hearing our frustrations she took us on and stayed with us all the way through the process
Age
41 - 45
Treated
2013 - 2017
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Marketer or PR
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF, Donor Eggs, Donor Sperm
Diagnosis
Recurrent Pregnancy Loss, Diminished Ovarian Reserve, Poor Egg Quality
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
I absolutely loved doctor shahine! She was patient and through with her information and very current with her knowledge. She was also Very compassionate. The only criticism I would have is that her schedule is very busy and doesn't always coincide with dates for procedures - but for me she was available 90% of the time.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
I would go into the whole process with a open mind and a positive attitude - and I felt doctor shahine was good at fostering these.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Doctor shahine always took extra time with me was and explained everything throughly. She was patient with me and let us take our time in making decisions.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
We did an embryo donation. From the start there were many hoops to jump through - a very through psych evaluation for myself and my family and a very through physical evaluation to confirm that we were st the best possible starting place to Give the most ultimum results. I had to have a Procedure to remove scar tissue which pushed back the transfer procedure but in the long run this was a great preventive step to avoid miscarriage.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Alyssa )
When we started our process for transfer the clinic had unfortunately had two coordinators leave for work related reasons. Alyssa was not assigned to us but in hearing our frustrations she took us on and stayed with us all the way through the process and even contacted us after our baby was born to follow up! She was incredible!
Describe your experience with Pacific NW Fertility.
Pacific Northwest fertility clinic is a great spot to go if you want individual attention. This office has a great small community feeling with cutting edge current knowledge. They remember your name - ask about how your doing and actually care. If you don't want to feel like a number being passed through a conveyer belt system PNW fertility if for you.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
The ebryo transfer with medications was about 5k and then the procedure to remove scar tissue was about 1500$ after insurance.
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I liked the fact that they promote single transfer - doctor Shahine's rational for it was that the risk didn't out weight the small chance of benefit. I being an older mom the risk of caring multiples to a full healthy term didn't justify the small percent bump of likely hood of implantation that you might get from transferring two.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
38 - 39
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
1 IUI, 1 IVF
Diagnosis
Male Factor, PCOS, Other
10
10
Dr. Lamb was very kind and honest as she reviewed our history. She pointed out that ivf was the next best step for us (given many months of failed Clomid, Femara, and injectable Follistim cycles) but was willing to help us with more injectable cycles and iui if we preferred. She was very thorough, most importantly! She found things my last RE missed: low sperm morphology, uterine septum, and Ashermans syndrome when she went in to remove the septum via hysteroscopy. We valued her attention to detail immensely. She has also been very kind and a good cheerleader when I've felt low.
It takes a while to get in for your first appointment [at Pacific NW Fertility]. Make sure to get all of your records sent asap. They might cancel your appt if not! The front desk signed for and lost my records that I overnighted them, but I was able to upload them to the patient portal last minute, thankfully! I really like my current coordinator but some of the other coordinators or nurses there were not as patient or helpful. Previously, I felt a bit patronized when I asked questions via email, which is annoying because I am a highly educated person working in healthcare myself.
Age
38 - 39
Treated
2016 - 2017
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI, 1 IVF
Diagnosis
Male Factor, PCOS, Other
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb was very kind and honest as she reviewed our history. She pointed out that ivf was the next best step for us (given many months of failed Clomid, Femara, and injectable Follistim cycles) but was willing to help us with more injectable cycles and iui if we preferred. She was very thorough, most importantly! She found things my last RE missed: low sperm morphology, uterine septum, and Ashermans syndrome when she went in to remove the septum via hysteroscopy. We valued her attention to detail immensely. She has also been very kind and a good cheerleader when I've felt low. We did do ivf and had a great retrieval -- many eggs and good fertilization with icsi. Many embryos were made and 4 were normal on PGS. I have had 1 fet that didn't take but am looking forward to doing another asap -- hopefully with success this time!
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
I think treatment at her clinic is more expensive but the quality and attention to detail are worth it! Definitely have a consult with her and come prepared with your records!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
She listened to our concerns and didn't rush us. Dr. Lamb even gave us advice on a cycle she wasn't managing, the first time we met her. She reviewed our records thoroughly and found 3 major things our previous RE missed.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I have PCOS and a high afc. History of ohss on an injectable cycle with ti with another provider. She watched me very closely because of this due to risk for ohss again and was able to avoid it! I believe it was an antagonist protocol -- Follistim 225 and low dose hcg daily to start with. Follistim decreased to 150 after first ultrasound. Ganirelex to suppress premature ovulation. Dual trigger with hcg and Lupron. Yield was 26 eggs, 21 fertilized with icsi,14 embryos frozen by day 5-6. 4 of these were pgs normal. I am 38.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: There have been 2 of them since we started. Yvette has been awesome!)
The first coordinator and fill in staff were much less helpful than the coordinator that we have now. Yvette is our current coordinator and I value her help!
Describe your experience with Pacific NW Fertility.
It takes a while to get in for your first appointment. Make sure to get all of your records sent asap. They might cancel your appt if not! The front desk signed for and lost my records that I overnighted them, but I was able to upload them to the patient portal last minute, thankfully! I really like my current coordinator but some of the other coordinators or nurses there were not as patient or helpful. Previously, I felt a bit patronized when I asked questions via email, which is annoying because I am a highly educated person working in healthcare myself. Neither Dr. Lamb nor Yvette have caused me to feel this way, though! Repeat your SA at this clinic. They do a more in depth analysis, and we learned that we have both female and male factor fertility issues! I believe that this clinic has one of the best embryology labs.
Describe your experience with your monitoring appointments at Pacific NW Fertility.
We live out of the area and primarily had outside monitoring. The clinic worked nicely with our local radiology clinic. Monitoring done in the days prior to retrieval at PNWF was smooth -- no excessuve waiting. I was happy with it.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
I can't remember because we had so many medical costs lately. I think ivf was around 15k with outside monitoring. Icsi was extra. Biopsy of embryos was extra. Medications were extra. Fet with outside monitoring is over 3k, not including meds.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr. Lamb prefers ESET with pgs tested embryos. Her rationale was sound!
What specific things went wrong at Pacific NW Fertility?
  • Lost paperwork
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
10
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
6 IUI
Diagnosis
PCOS, Unexplained
8
10
When meeting with Dr. Marshall I felt very confident in her knowledge. She has a gentle disposition and is able to clearly explain the process and procedures she recommended...Dr. Marshall's first treatment plan was to have me try Metformin as she explained that it sometimes helps patients with PCOS get pregnant naturally. My body didn't react well to the Metformin so she then had me start on Clomid with IUI. Her reason was that there is a better chance in conceiving with IUI versus naturally as the timing is exactly right. After 7 cycles of Clomid (and 6 IUIs) she recommended that we move forward with IVF.
I would say my clinic's [Pacific NW Fertility] greatest strength is their size. They are very small which makes you feel like you are more than a number. Everyone from the staff, nurses, and doctors and very friendly, understanding and nice. The biggest weakness, I would have to say, is communication. Sometimes there is a delay in hearing back from them if you email or call with question.Each IUI cycle (including meds, ultrasounds, IUI procedure, and lab work) cost about $1,100 out of pocket - my insurance does not cover infertility medications or treatments. I was told that I can expect IVF to cost between $20,000 - $25,000
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
Yes
Race
Prefer not to answer
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
6 IUI
Diagnosis
PCOS, Unexplained
8
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
When meeting with Dr. Marshall I felt very confident in her knowledge. She has a gentle disposition and is able to clearly explain the process and procedures she recommended. I went to her after having a bad experience at another clinic and upon meeting her she put my mind at ease.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Expect to not see her at every visit.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
I had previously gone to another clinic in my city where my treatment plan was confused with another patient's on more than one occasion. My previous doctor felt very cold and made promises that were unreasonable. As soon as I met with Dr. Marshall I felt like she cared about my husband and me and didn't try to make promises that couldn't be kept. All the staff at PNWF are so warm and caring.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
Dr. Marshall's first treatment plan was to have me try Metformin as she explained that it sometimes helps patients with PCOS get pregnant naturally. My body didn't react well to the Metformin so she then had me start on Clomid with IUI. Her reason was that there is a better chance in conceiving with IUI versus naturally as the timing is exactly right. After 7 cycles of Clomid (and 6 IUIs) she recommended that we move forward with IVF.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Lanika Exkano)
I originally had another nurse when I first started my treatment at the clinic, but she was promoted and I was assigned a new one. My current nurse is very kind and compassionate and very friendly. She is also very helpful if I ever have any questions.
Describe your experience with Pacific NW Fertility.
I would say my clinic's greatest strength is their size. They are very small which makes you feel like you are more than a number. Everyone from the staff, nurses, and doctors and very friendly, understanding and nice. The biggest weakness, I would have to say, is communication. Sometimes there is a delay in hearing back from them if you email or call with question.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
Each IUI cycle (including meds, ultrasounds, IUI procedure, and lab work) cost about $1,100 out of pocket - my insurance does not cover infertility medications or treatments. I was told that I can expect IVF to cost between $20,000 - $25,000.
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
I was told that my clinic likes to transfer single embryos; however, if we would like to transfer two we have that option. They would not transfer more than two.
8
Doctor
Lorna Marshall
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
34 - 36
Treated
2015 - 2017
Success with this Doc
Yes
Treatment
6 IUI, 1 IVF, 1 Embryo Freezing
Diagnosis
Male Factor
10
10
I can't work with a doctor with zero sense of humor, especially about something so crazy as fertility treatment and IVF. I appreciated her [Dr. Lorna Marshall] openness to answering my questions and telling me what she was doing step by step. She'd take time to explain everything she was seeing on the ultrasound, which I appreciated. I learned a lot going through this process and she is open to taking a teacher approach, which is what I desire in a doctor. She also held my hand at one point before the egg retrieval and said, sincerely, "We want this to work for you." That meant a lot to me and made me cry (in a good way).
[Pacific NW Fertility] Strengths: Small, privately owned, competent, clean, high-tech, compassionate care team Weaknesses: Traffic getting across town sucks for multiple treatments Things to look for in a clinic: There should be no pictures of babies in the waiting room, no parenting magazines, and nothing to remind you of babies or children. If this is the case, you know that the staff is trying to maximize your psychological comfort. (Any woman in fertility treatment knows that seeing the giant bellies and all the baby posters at the OB's office is torture.) Even our nurse coordinator, who was pregnant, concealed her baby belly under her lab coat. Really considerate of her. Pay attention to how you're treated and whether your doctor or nurses remember your case when he/she sees you. At our first clinic, not this one, the doctor would be reading our chart while she was in front of us to try to remember who we were. The nurses at our last clinic got us confused with other couples. This did not happen at PNWF, thankfully! You do not have to put up with that kind of treatment!
Age
34 - 36
Treated
2015 - 2017
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Consultant
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
6 IUI, 1 IVF, 1 Embryo Freezing
Diagnosis
Male Factor
10
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall is competent and speaks clearly, though not necessarily an overly warm or gushing personality. My husband and I make a lot of jokes and she would often simply smile at us, and sometimes laugh a little, but not give a huge guffaw. (I call the vaginal ultrasound wand, "My old friend.") I thought we had a good, collaborative working relationship. I can't work with a doctor with zero sense of humor, especially about something so crazy as fertility treatment and IVF. I appreciated her openness to answering my questions and telling me what she was doing step by step. She'd take time to explain everything she was seeing on the ultrasound, which I appreciated. I learned a lot going through this process and she is open to taking a teacher approach, which is what I desire in a doctor. She also held my hand at one point before the egg retrieval and said, sincerely, "We want this to work for you." That meant a lot to me and made me cry (in a good way).
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
You really have to trust your doctor a whole lot during what may be the most vulnerable and stressful period of your life. This person is going to see you at your worst. Don't be afraid to switch doctors. We switched to Dr. Marshall from another doctor at another clinic. As with any doctor, speak up and advocate for your own care. Things do slip through the cracks and open communication is key. ...I still never fully got the hang of fertility treatment -- I was never fully comfortable with having to be a part of that system, though much of the struggle was in my own head. It's important to recognize in yourself when the doctor is really the problem, or the problem is within yourself. Conceiving a child is such a personal, magical thing -- and here you have to welcome strangers into the process. Eventually, with IVF, they will no longer be strangers but some of the people you see most often during the week. Fit is so important.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
I have experiences with two clinics in Seattle and this was the far better of the two. The smaller clinic size meant that I got to know the nurses and doctors.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
We had male factor infertility caused by cancer treatment. We used husband's frozen sperm. Treatment plan with this clinic was two IUIs, one of which resulted in miscarriage and another that didn't take. We'd had three IUI failures at a previous clinic, as well. Dr. Marshall encouraged us to continue with IUIs, but I was tired of failures and the imprecision with my irregular menstrual cycle -- so I made the case for IVF and Dr. Marshall agreed. This is important to note because the clinic makes a LOT more money off of an IVF patient than an IUI patient. And yet, Dr. Marshall did not push us to do IVF before we were ready, in fact, I was ready to take the next step and asked for IVF. It's important to have a doctor who sees you as a human being with hopes for a family, rather than a source of cash and profit.
Describe your experience with the nursing staff.
There was staff turnover for us because of maternity leave and retirements. The clinic was juggling a lot while also managing our care. I don't think our quality of care suffered.
Describe your experience with Pacific NW Fertility.
Strengths: Small, privately owned, competent, clean, high-tech, compassionate care team Weaknesses: Traffic getting across town sucks for multiple treatments Things to look for in a clinic: There should be no pictures of babies in the waiting room, no parenting magazines, and nothing to remind you of babies or children. If this is the case, you know that the staff is trying to maximize your psychological comfort. (Any woman in fertility treatment knows that seeing the giant bellies and all the baby posters at the OB's office is torture.) Even our nurse coordinator, who was pregnant, concealed her baby belly under her lab coat. Really considerate of her. Pay attention to how you're treated and whether your doctor or nurses remember your case when he/she sees you. At our first clinic, not this one, the doctor would be reading our chart while she was in front of us to try to remember who we were. The nurses at our last clinic got us confused with other couples. This did not happen at PNWF, thankfully! You do not have to put up with that kind of treatment!
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
From memory: $5,000 - $10,000 out of pocket over the years $15,000 - $25,000 insurance over the years
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We did genetic screening of our embryos, put one embryo in, and I am now seven months pregnant with an apparently healthy baby. The genetic screening cost about $2,500 out of pocket. This seems like a reasonable risk/reward for our family to minimize the chances of a failed transfer and to minimize the odds of multiples.
10
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Lorna Marshall at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
N/A
Age
40
Treated
2017
Success with this Doc
Yes
Treatment
2 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve
10
N/A
We used a protocol that Dr. Marshall developed in her work with cancer patients....Dr. Marshall cares. This comes across in how she partnered with us--able to listen, empathize, and steer the cycle... Dr. Marshall: Individualized her protocol recommendation, synthesizing her knowledge of IVF research and her experience and innovation with cancer patients. Her ability to individualize effective protocols was absolutely top notch
Every time I've gone under anesthesia [at Pacific NW Fertility], I've felt watched over as a person not just a patient.... I am not used to others staying ahead of me, and it has been a true joy to relax and just do what I’m told! Blends the best of IVF science with warmth and compassion – From her ability to handle my IVF-emoting to her kind bedside manner, Dr. Marshall brings warmth as well as expertise.
Age
40
Treated
2017
Success with this Doc
Yes
Race
European
Income
$500K
Occupation
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
2 Embryo Freezing
Diagnosis
Diminished Ovarian Reserve
10
N/A
How was your experience with Lorna Marshall at Pacific NW Fertility?
Pursuing IVF is one of the most out-of-control experiences I’ve had. But there is a comfort in knowing you are doing everything you can. Dr. Marshall has given me that comfort. At every step of my partnership with Dr. Marshall, I have had deep confidence in our approach. And the results are there to prove it. I went from two canceled cycles before working with Dr. Marshall to 15 total eggs retrieved in two back-to-back cycles of embryo banking after working with Dr. Marshall. While my transfer cycle is not until next month, I have rock-solid confidence in our path forward. For you to understand how special Dr. Marshall is, it’s helpful to contextualize my situation and the struggles I had before meeting her. If you are short on time, please scroll to the end where I sing her praises. My story – Before Dr. Marshall I am a healthy woman who has been active my entire life. My body has always cooperated with me, and I thought having a child would be no exception. So I spent my 30s focusing on my career and exploring the world, actively avoiding pregnancy, confident my husband of 17 years and I could have a child when and if we chose to. When we were ready to pursue pregnancy, I was 40. To avoid risking delays and miscarriage, we opted for IVF straightaway. This made our case unusual because we hadn’t spent time trying on our own without success, so we weren’t prepared for the rude awakening that followed. The initial diagnosis was beyond disheartening. I learned my FSH (at 13 IU/L) meant I was closer to menopause than I had counted on. Statistical models estimated I had the potential for three eggs each cycle. My new label: 40-year-old with Diminished Ovarian Reserve. Defiant, we proceeded anyway. But we got knocked down HARD. My first cycle was canceled quickly out of the gate because the birth control pills led to over-suppression. Only one follicle responded. Determined to get more information and move forward quickly, I sought another opinion per the suggestion of a doctor friend of mine. I flew out of town straightway to do so. The second round was canceled too. Once again, I had a dominant follicle emerge and my other follicles wouldn’t grow as a result. I started pouring over medical journals and learned there was a group of criteria used to describe my poor response: the Bologna criteria. Trust me, this is not a group you want to be in. I hated all these labels, and my sense of self started to morph with the loss of hope. It felt like my only option was to throw a hail Mary, without any real confidence that one would work. Not liking this conclusion (and not being able digest mentally why it shouldn’t be possible to preempt the early development of a dominant follicle), I scheduled a meeting with Dr. Marshall, at the recommendation of several friends. MY MEETING WITH DR. MARSHALL TURNED AROUND THE TRAJECTORY OF MY FERTILITY JOURNEY. 180 DEGREES. My story – After Dr. Marshall After my husband and I talked to Dr. Marshall, I knew I wanted to work with her. I knew she would be my final fertility doctor. Several things really jumped out at me during our initial conversation. Dr. Marshall: • Individualized her protocol recommendation, synthesizing her knowledge of IVF research and her experience and innovation with cancer patients. Her ability to individualize effective protocols was absolutely top notch. Most doctors like standard protocols because they are what generally works. But if you are older or not an easy case, you NEED someone like Dr. Marshall—who has the knowledge, the courage, and agility to go beyond textbook solutions. She discussed options with me, and her rationale was targeted and precise. Dr. Marshall was able to design a protocol that was much more compelling and effective than what I was able to find on other sites and in medical journals. • Offered us an entire path forward, not just a protocol for the next cycle – Given my first two cycles had been canceled, it seemed naïve to assume that the next cycle would miraculously be “the one.” We talked through a few scenarios that alleviated the pressure on the next cycle even while giving us renewed hope. It felt like a fresh start. • Focused on doing the right thing – Dr. Marshall happily agreed to work with us, even though there was a chance I could hurt the success rates of her clinic. She is clearly motivated to help people achieve their fertility goals, and is willing to put her patients’ needs ahead of her clinic’s numbers. • Has a sense of urgency – Dr. Marshall helped us get started as soon as possible, and worked with us to schedule other diagnostic procedures while we waited for the cycle to begin. Once we got started with the cycle, it felt like I was like I was in a different body. Hope blossomed when the cycle wasn’t canceled, and then turned into giddiness when I saw above-average results for my age. In the end, we made 9 follicles! From two canceled cycles to 9 follicles! Eight of these follicles made it to day 3, but we were down to one healthy embryo after genetic testing. So we opted to bank the first one and try IVF again. The second cycle proceeded as the first. While there were fewer follicles recruited out of the gate (I pursued this cycle as soon as possible after the prior one), we made 6 follicles, 15 total after two tries! And we now have another healthy embryo. These two cycles also highlighted how and why Dr. Marshall is so unique: • Drive for results – Throughout our journey so far, Dr. Marshall has been in the process with us. She does her work with skin in the game. We went from two canceled cycles to 15 follicles over two cycles. • Mental flexibility to do the right thing – Dr. Marshall always has a plan, but dynamically optimizes when there is new information (from bloodwork, from ultrasound, etc.) There are a lot of smart doctors but in my experience her ability to perceive leading indicators quickly and comprehensively and adapt plans accordingly is extremely, extremely rare. I am not used to others staying ahead of me, and it has been a true joy to relax and just do what I’m told! • Blends the best of IVF science with warmth and compassion – From her ability to handle my IVF-emoting to her kind bedside manner, Dr. Marshall brings warmth as well as expertise. My gratitude to Dr. Marshall runs deep. If, like me, you are able to work with her, you will be a very, very, very lucky person indeed!
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
You're smart to work with her. You can relax now.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Dr. Marshall cares. This comes across in how she partnered with us--able to listen, empathize, and steer the cycle. Every time I've gone under anesthesia, I've felt watched over as a person not just a patient.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
We used a protocol that Dr. Marshall developed in her work with cancer patients. Suppression with estradiol. Then a combination of Clomid, Follistim, and Omnitrope. I will need to confirm exact timing and doses.
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
We froze embryos after both cycles.
10
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
Nursing
+ Read more- Read less
10
10
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
2 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis
10
10
Dr. Lamb seems to "know her stuff" very well and I felt like our treatment plan was tailored to our medical situation and results. I felt like she was genuinely rooting for us and in tune with the emotional side of going through these treatments and procedures. I am a numbers person and at times would have liked more precise percentages from her (e.g. likelihood of x happening) but I also know that data isn't always available.
We did a multicycle IVF plan [at Pacific NW Fertility] that was $21,000 plus the cost of medications for two retrievals and as many transfers as we needed. I think IUIs were $750-1000 altogether...All of the nurses were great - Emily, our IVF coordinator was fabulous!!..When this much was at stake, it was worth it to have a team of people who were warm, reliable, and incredibly competent.
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Lawyer
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb seems to "know her stuff" very well and I felt like our treatment plan was tailored to our medical situation and results. I felt like she was genuinely rooting for us and in tune with the emotional side of going through these treatments and procedures. I am a numbers person and at times would have liked more precise percentages from her (e.g. likelihood of x happening) but I also know that data isn't always available.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Take your time and come prepared with questions!
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb took her time during our appointments to answer all of the questions we had and was always empathetic, even at our first appointment when things got emotional.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I have DOR and we used an estrace lead in with no birth control suppression, followed by Follistim and miniHCG with Ganirelix added in just prior to expected retrieval. We had one canceled IVF cycle due to a dominant follicle (converted to IUI, which was unsuccessful) and our second cycle resulted in three eggs retrieved and fertilized. By day 5, only one remained and we did a fresh transfer that was successful.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Rudolf)
All of the nurses were great - Emily, our IVF coordinator was fabulous!!
Describe your experience with Pacific NW Fertility.
They are very organized and always professional. When this much was at stake, it was worth it to have a team of people who were warm, reliable, and incredibly competent. The only downside for me was that parking gets pricey!
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
We did a multicycle IVF plan that was $21,000 plus the cost of medications for two retrievals and as many transfers as we needed. I think IUIs were $750-1000 altogether.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
My doctor did not have a strong opinion on one versus two embryo transfer, and was comfortable holding off on the decision until 1-2 days before transfer. She did talk with me about the pros and cons and provided information on the risks of multiples. We only had three embryos and just one made it to transfer on day 5, so the decision was made for us.
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask a Question

Ask this reviewer a question about their experience with Julie Lamb at Pacific NW Fertility.

10
10
Age
34 - 40
Treated
2010 - 2016
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Recurrent Pregnancy Loss, Unexplained
10
10
Since I had a previous successful pregnancy, and mostly unexplained fertility, we did a standard course of treatment for my egg retrieval. She [Dr. Lorna Marshall] used birth control and Lupron, followed by Gonal-F and Menopur. She used an HCG trigger for retrieval. Following transferal, we did progesterone in oil shots, combined with estrogen patches. I had a fresh cycle transfer, but I understand that the clinic now combines PGD with a frozen cycle transfer to improve results. The second transfer was a chemical pregnancy, likely due to attachment on previous scar tissue. For the third transfer, she positioned the embryo in a different place. This led to my second successful IVF pregnancy,r, with birth control for regulation, then progesterone in oil and estrogen patches.
I think the clinic [PNW Fertility] has lots of options, is very well respected in the field, and has been doing this for a long time. It seems a little intimidating at first, and there is certainly a feeling that this is a business, but still one where they care about you.... I had a few [nurses], the first one was a bit scattered, but the second one I had was great. She went on maternity leave before my final successful transfer, but her replacement was also great.
Age
34 - 40
Treated
2010 - 2016
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Professor
Order & Number of Docs Seen
1st of 3 Docs
Treatment
1 IVF
Diagnosis
Recurrent Pregnancy Loss, Unexplained
10
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
She is very knowledgeable, and extremely caring. She explained the different steps, and walked me through what the options were. Once I was pregnant, I did feel a little rushed out of the clinic, but I figured that was because she was sure that everything was going well.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Write everything down.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
She knew who I was, she asked about my other kids, she was kind, and very sympathetic.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
Since I had a previous successful pregnancy, and mostly unexplained fertility, we did a standard course of treatment for my egg retrieval. She used birth control and Lupron, followed by Gonal-F and Menopur. She used an HCG trigger for retrieval. Following transferal, we did progesterone in oil shots, combined with estrogen patches. I had a fresh cycle transfer, but I understand that the clinic now combines PGD with a frozen cycle transfer to improve results. The second transfer was a chemical pregnancy, likely due to attachment on previous scar tissue. For the third transfer, she positioned the embryo in a different place. This led to my second successful IVF pregnancy,r, with birth control for regulation, then progesterone in oil and estrogen patches.
Describe your experience with your nurse at Pacific NW Fertility.
I had a few, the first one was a bit scattered, but the second one I had was great. She went on maternity leave before my final successful transfer, but her replacement was also great.
Describe your experience with Pacific NW Fertility.
I think the clinic has lots of options, is very well respected in the field, and has been doing this for a long time. It seems a little intimidating at first, and there is certainly a feeling that this is a business, but still one where they care about you.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
They were covered by insurance, so the total bill for the first pregnancy was about $12,000, but we only paid $1500. The embryo storage was $250/6 months. The second and third transfers were about $2500 each, again, partially covered by insurance.
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
She said she would let the embryologist decide one versus two based on the quality of the day, for the first transfer, and the embryologist said one. For the second and third transfers, I asked for a single embryo.
10
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Ask a Question

Ask this reviewer a question about their experience with Lorna Marshall at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

7
9
Age
39 - 42
Treated
2013 - 2016
Success with this Doc
Yes
Treatment
9 IUI, Donor Sperm
Diagnosis
Recurrent Pregnancy Loss, Unexplained
7
9
Dr. Lamb was cooperative in her approach, listening and integrating the recommendations of another doctor I had consulted with in another state. She was willing to order tests she normally does not and prescribed medication she normally does not because of the additional input I had brought to the table. This was essential for me. But I am not confident that if I had not received the out-of-state consultation, I would have been successful with just Dr. Lamb's recommendations.
Costs at the clinic [Pacific NW Fertility] change at least annually and staff is good about sharing the current cost sheet.... Friendly and professional front-desk staff; a clean and bright atmosphere; a generally warm attitude from all I interacted with. I had to be on top of my billing and regularly review charges as there were a couple of times when charges were done in error and one time when a test was done (and I was charged for it) when I explicitly asked that it not be done.
Age
39 - 42
Treated
2013 - 2016
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Professor
Order & Number of Docs Seen
1 Doc Seen
Treatment
9 IUI, Donor Sperm
Diagnosis
Recurrent Pregnancy Loss, Unexplained
7
9
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb was cooperative in her approach, listening and integrating the recommendations of another doctor I had consulted with in another state. She was willing to order tests she normally does not and prescribed medication she normally does not because of the additional input I had brought to the table. This was essential for me. But I am not confident that if I had not received the out-of-state consultation, I would have been successful with just Dr. Lamb's recommendations.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Ask a lot of questions and be your own advocate, realizing that no one can help you as much as you can help yourself.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb was warm, caring and understanding. She always referred to me by my preferred (nick) name and took the time to respond to all my questions.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
IUIs with partner or donor sperm, following Letrozole on cycle days 3-7, ultrasound to confirm mature follicles, and ovulation-stimulating shot.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Mary)
Julie's medical assistant at the time was Mary. She was somewhat erratic - very responsive at times and not very responsive at other times. She was always well-meaning and kind in person.
Describe your experience with Pacific NW Fertility.
Friendly and professional front-desk staff; a clean and bright atmosphere; a generally warm attitude from all I interacted with. I had to be on top of my billing and regularly review charges as there were a couple of times when charges were done in error and one time when a test was done (and I was charged for it) when I explicitly asked that it not be done.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
Costs at the clinic change at least annually and staff is good about sharing the current cost sheet. The clinic was good about referring me to a pharmacy where the drugs I needed were lower cost that typical.
What specific things went wrong at Pacific NW Fertility?
  • Failed to call in prescriptions to pharmacy
  • Scheduled the wrong procedure
7
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
30 - 33
Treated
2013 - 2016
Success with this Doc
Yes
Treatment
2 IVF
Diagnosis
Anovulation, Endometriosis, PCOS, Unexplained
10
10
Dr. Lamb customized her plan to my body. For every setback we had, she had a new idea for something to try. This made me feel like she was taking care of me and not just following a standard formula for fertility care...Dr. Lamb is an exceptional physician. She is honest, compassionate, and extremely bright. My situation was somewhat unique, and she continued to correct the course of treatment to try to improve outcomes. She is blunt, which I really appreciated.
The clinic [Pacific NW Fertility] runs as a well-oiled machine. If you're there long enough, you get to know the flow pretty well. New patients should know that the physicians do the IVF's for the most part and not the IUI's...My one criticism is that once you get a positive pregnancy test, the every-other-day HCG checks are excessive and can lead women to go crazy...For each IVF, I think the procedures were about $12,000 and the meds were about $6,000. The FET's were somewhere in the range of $4,000-5,000 with an addition $500 or so for medications.
Age
30 - 33
Treated
2013 - 2016
Success with this Doc
Yes
Race
European, Middle Eastern
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IVF
Diagnosis
Anovulation, Endometriosis, PCOS, Unexplained
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is an exceptional physician. She is honest, compassionate, and extremely bright. My situation was somewhat unique, and she continued to correct the course of treatment to try to improve outcomes. She is blunt, which I really appreciated. I think the number one rule to survive years of fertility treatments is to manage expectations. Dr. Lamb does that beautifully.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Prepare for honesty. She does not sugar coat. Do your homework and come prepared with questions.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb customized her plan to my body. For every setback we had, she had a new idea for something to try. This made me feel like she was taking care of me and not just following a standard formula for fertility care
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We started with a "standard" IVF (although she had to adjust my dose of Follistim mid-course to higher levels). She retrieved 25 eggs but only 3 were mature and fertilized (only 1 grew to 5 days and was chromosomally normal). To increase the number of mature eggs the second IVF, she modified the protocol to change the timing of my trigger shot and start with a higher Follistim dose. That resulted in fewer total eggs retrieved but 12 were mature and fertilized (resulting in 6 that grew out to 5 days and were chromosomally normal). I have done a total of 5 FETs. We started with a standard FET cycle which didn't work. The second time she modified the dose of estrogen. Then we took a break (I did a uterine biopsy which showed evidence of endometriosis; my sample was sent to Bruce Lessy and I am lacking some receptor (beta-something...it's been a while so I forgot the name). I then did 3 months of once monthly Lupron injections to "re-set". I had 2 FETs after that which did not work, even though we did adjust a few things along the way. Finally my fifth FET we did a "natural" cycle where I ovulated via letrozole. I ended up pregnant with the FET embryo and a new one because we did not listen to Dr. Lamb and had sex during the FET cycle. So I had twins (it was an eSET so they knew that the second one was because I had ovulated and had sex. Oops). Joke was on us because I miscarried at 9 weeks. Because I had gotten pregnant on my own, Dr. Lamb wanted to preserve the last two frozen embryos I had and instead go back to basics: Letrozole and timed intercourse. The first month that didn't work but the second month it work. And I had a healthy baby boy in Sept 2016. Long story short...2 IVFs and 5 embryo transfers over the course of 4 years and I got pregnant with Letrozole and old fashioned sex. But I have no doubt that all the things Dr. Lamb did along the way primed my body for pregnancy. Even though I don't remember everything we did, she adjusted the course every single FET to try something new.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Melinda Lloyd)
Melinda, who has since retired, was amazing. She was prompt and always returned my calls. She set up calls with Dr. Lamb as needed or when she couldn't answer my questions. I felt so well cared for with Melinda as my point person.
Describe your experience with Pacific NW Fertility.
The clinic runs as a well-oiled machine. If you're there long enough, you get to know the flow pretty well. New patients should know that the physicians do the IVF's for the most part and not the IUI's. I think some women want the docs to do everything, but that's not a sustainable model. My one criticism is that once you get a positive pregnancy test, the every-other-day HCG checks are excessive and can lead women to go crazy.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
For each IVF, I think the procedures were about $12,000 and the meds were about $6,000. The FET's were somewhere in the range of $4,000-5,000 with an addition $500 or so for medications. Anesthesia was billed separately and was usually in the range of $700.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
This is one of the reasons I love Dr. Lamb. She feels pretty strongly about eSET which I agree with. My sister did fertility treatments in NYC and those docs are like cowboys. They love pushing multiple embryo transfers. And why? Twins are hard on the mom and the fetuses. It's so risky!! Dr. Lamb feels this way as well. She is concerned about a patient's health in addition to fertility desires.
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

6
10
Age
36
Treated
2016
Success with this Doc
Yes
Treatment
IUI, 1 IVF
Diagnosis
Unexplained
6
10
Dr. Lamb was very informative on my first visit letting me know what to expect; however, on subsequent visits her answers were not always consistent. She did not always recall my past history or family planning goals we had previously discussed. With that being said, she was very friendly and appointments never felt rushed. And really, I cannot complain because in the end the IVF was successful on my first attempt.
Loved this clinic [Pacific NW Fertility]! The clinic itself is very clean, modern, and everything is done on site (except genetic testing). All of the doctors are very knowledgeable and highly active in contributing more to the field through research, community outreach/education, etc. They keep up with their training to stay on top of the latest and greatest. While I liked my doctor, there was another MD in the practice that did my retrieval that I really loved. I hope to switch to her for baby #2 since we just seemed to have a better connection.
Age
36
Treated
2016
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
IUI, 1 IVF
Diagnosis
Unexplained
6
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb was very informative on my first visit letting me know what to expect; however, on subsequent visits her answers were not always consistent. She did not always recall my past history or family planning goals we had previously discussed. With that being said, she was very friendly and appointments never felt rushed. And really, I cannot complain because in the end the IVF was successful on my first attempt.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Be your own advocate. Ask questions on each visit and be prepared to gently remind her/staff of your history and goals.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
While they were very friendly most of the time, there were moments when I had to remind them of my history details and things/wishes we had discussed at prior appointments.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
Eek-I can't recall this. A lot of meds-it is all kept me of a blur now. They did make me a calendar to give me specific instructions and keep me organized.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Kallie)
Kallie was was extremely friendly and easy to talk to.
Describe your experience with Pacific NW Fertility.
Loved this clinic! The clinic itself is very clean, modern, and everything is done on site (except genetic testing). All of the doctors are very knowledgeable and highly active in contributing more to the field through research, community outreach/education, etc. They keep up with their training to stay on top of the latest and greatest. While I liked my doctor, there was another MD in the practice that did my retrieval that I really loved. I hope to switch to her for baby #2 since we just seemed to have a better connection.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
Total cost for everything including meds, one IVF freeze all cycle, embryo transfer cycle, genetic testing of both my husband and I, embryo genetic testing, etc. totaled about $35,000.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
PNWFertility places emphasis on ONE and I am behind this philosophy. They did ask me if I would like to transfer 2, giving me the option based on my specific circumstances. However, they still highly recommended just transferringnone which is what I decided.
6
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
36 - 39
Treated
2013 - 2016
Success with this Doc
?
Treatment
1 Embryo Freezing (cancer)
Diagnosis
Cancer, Other
9
10
She [Dr Lorna Marshall] takes the time to explain procedures and recommendations and gets into the 'why' of what we are doing. She explains things in a way that I (an RN) and my husband (not in a medical profession) both understand what we are doing and why. She is flexible with us to make changes in what we are doing (decided not to do an IUI), and listens to our concerns....Dr Marshall always greets me with a smile, and takes the time to know what is going on in my life. She has worked with me to schedule last minute appointments around other commitments and spends time asking about things going on in my life.
Such a convenient location! [Pacific Northwest Fertility in Seattle is] only 3 blocks from Harborview, and right on the Swedish downtown campus....Melinda is great about returning my calls and/or emails of questions. She helped coordinate things between us and the genetics company when there was a massive change in charges that I didn't expect (and we got them to drop that $5k charge)....There were some miscommunications early on in our 2015/16 process where things didn't move as quickly as I wanted--we met in September and paid for PGS and PGD and wanted to get things moving quickly, but it took about 6 weeks before they actually thawed our embryos to get samples to send for testing. At our first appointment, the timeline we discussed indicated that I might be ready to have embryos implanted by November/December, but in actuality
Age
36 - 39
Treated
2013 - 2016
Success with this Doc
?
Race
European, Black or African-American
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 Embryo Freezing (cancer)
Diagnosis
Cancer, Other
9
10
How was your experience with Lorna Marshall at Pacific NW Fertility?
She takes the time to explain procedures and recommendations and gets into the 'why' of what we are doing. She explains things in a way that I (an RN) and my husband (not in a medical profession) both understand what we are doing and why. She is flexible with us to make changes in what we are doing (decided not to do an IUI), and listens to our concerns.
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Ask lots of questions. Write things down so you don't forget the little details.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Dr Marshall always greets me with a smile, and takes the time to know what is going on in my life. She has worked with me to schedule last minute appointments around other commitments and spends time asking about things going on in my life. I am an RN at a nearby trauma hospital and we have talked a bit about that as well. Dr Marshall is encouraging and optimistic and enthusiastic and she has me convinced that we can make this thing work!
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
2013 egg retrieval before chemo: Menopur/Follistim/Ganirelix and HCG trigger. I was 35 years old and we got 11 eggs. 8 made it to freeze as embryos at day 3; 2 made it to day 5 freeze (in 2015), and one of those was found to be chromosomally normal after PGS testing. The remaining embryo has the genetic mutation that caused my cancer, so we are currently doing a second egg retrieval in one more shot to try for a baby without this mutation hanging over their head. Based on my AMH and FSH levels, Dr Marshall actually recommended against doing another egg retrieval when we first asked. But when we decided that we wanted to try even though there was a higher chance of failure, she worked with us full force. We are pulling out all the big guns on this one: 4mg Estrace x12 days, then 100mg Clomid x5 days; 150mg Menopur; 300IU Follistim. Will start Ganirelix once follicles are ready, and will have an HCG trigger
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Melinda and Adriana)
Melinda is great about returning my calls and/or emails of questions. She helped coordinate things between us and the genetics company when there was a massive change in charges that I didn't expect (and we got them to drop that $5k charge). Melinda is good about letting me know when she won't be in the office, so I know to ask for her backup coordinator when I call. She even went to bat for me (along with Dr Marshall) to get the clinic to offer me the cancer rate discount, even though this second egg retrieval is happening AFTER my chemo/treatment.
Describe your experience with Pacific NW Fertility.
Such a convenient location! Only 3 blocks from Harborview, and right on the Swedish downtown campus.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
It was about $9500 for our initial egg retrieval in 2013 (with a cancer patient discount and meds paid for through another cancer patient fund); in 2015, it was $4850 for PGD; $1k for PGS; $4500 for embryo biopsying and sending samples to the genetics company; it will be $11800 for this next round of egg retrieval, including ICSI (currently doing injections for this); I paid $5184 for my meds this time around. Another $1800 for biopsies to send for PGS and PGD; $3865 for FET, plus the cost of meds.
What specific things went wrong at Pacific NW Fertility?
  • Provided conflicting information
9
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
28 - 29
Treated
2015 - 2016
Success with this Doc
?
Treatment
2 IVF
Diagnosis
Male Factor
10
10
We have not yet had success with any of our frozen transfers, but I only attribute this to us just being on the wrong side of luck so far and I'm confident things will work out soon. Through all of the ups and down, Dr. Shahine and the staff of Pacific Northwest Fertility have been attentive, compassionate and encouraging. Dr. Shahine has even called me personally on many occasions to answer my questions and reassure me that we are moving forward in the right direction. She is hopeful, yet honest; frank yet sensitive and I would recommend her to anyone seeking help in their fertility journey.
Pacific Northwest Fertility is a fantastic clinic. Everyone on the staff clearly takes the "customer service" part of their job very seriously. The front desk staff, the nurses, the phlebotomists...everyone there is polite and makes you feel comfortable. I've always been seen promptly and the one time I had to wait, I was given snacks, water and magazines. I appreciate their attention to detail and their focus on positive patient experiences.
Age
28 - 29
Treated
2015 - 2016
Success with this Doc
?
Race
Ashkenazi Jewish
Income
Occupation
Operations
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
2 IVF
Diagnosis
Male Factor
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine is the best doctor I've ever worked with. She is competent, experienced, honest, compassionate and open minded. We came to her clinic because of male factor issues and after a terrible experience at another fertility clinic that left me hospitalized for 8 days with severe OHSS. After throughly reviewing my history, Dr. Shahine developed a treatment plan that would minimize my risk of hyperstimulating again while still recruiting plenty of eggs. Her plan worked, we had a great retrieval and my discomfort was very minimal. She and her team checked in on me frequently after my retrieval to make sure my recovery was going well. We have not yet had success with any of our frozen transfers, but I only attribute this to us just being on the wrong side of luck so far and I'm confident things will work out soon. Through all of the ups and down, Dr. Shahine and the staff of Pacific Northwest Fertility have been attentive, compassionate and encouraging. Dr. Shahine has even called me personally on many occasions to answer my questions and reassure me that we are moving forward in the right direction. She is hopeful, yet honest; frank yet sensitive and I would recommend her to anyone seeking help in their fertility journey.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
If things don't work out right away, don't despair, stay the course. The infertility journey is often longer than any of us would hope or imagine but you are in good hands with Dr. Shahine and the staff of Pacific Northwest Fertility.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Definitely like a human. Dr. Shahine is incredibly knowledgeable on all aspects of fertility treatments and I always felt confident in her ability to assess our situation and come up with a proper treatment plan. We've had some bad luck during our infertility journey and Dr. Shahine has been there every step of the way(including calling me personally and letting me talk her ear off for nearly an hour!) to make us feel supported and to provide encouragement to stick with it.
Describe your experience with Pacific NW Fertility.
Pacific Northwest Fertility is a fantastic clinic. Everyone on the staff clearly takes the "customer service" part of their job very seriously. The front desk staff, the nurses, the phlebotomists...everyone there is polite and makes you feel comfortable. I've always been seen promptly and the one time I had to wait, I was given snacks, water and magazines. I appreciate their attention to detail and their focus on positive patient experiences.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
10
Age
36
Treated
2016
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
Other
8
10
She [Dr. Lamb] gave me the choice to do a natural FET instead of medicated, but also provided full pros/cons of each. I never questioned my treatment protocol with her and after PGS we ended up with 2 healthy embryos. First FET and we got the good news we were pregnant! Although we were really hoping for more embryos, this was actually exactly what Dr. Lamb had predicted for me (hence the earlier recommendation for multiple cycles).
Kallie [nurse at Pacific NW Fertility] was great! There were a couple times she was a bit disorganized, but she was very easy to talk to and ask questions when something needed clarification...We did a freeze all cycle, ICSI, PGS, and then a FET. Total cost for everything including meds was just under $30K...This clinic is run like a well oiled machine-from the scheduling, to the lab draws in the same office, finer desk, back desk, financial coordinator, nurses, doctors-they know what they’re doing and it shows. Excellent communication between everyone on staff to keep visits running seamlessly and minimize the time you spend waiting.
Age
36
Treated
2016
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 1 IVF
Diagnosis
Other
8
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb was very honest with me about my chances to conceive through IVF. She was up front and suggesting we do a freeze all and multiple IVF cycles to try and get all my embryos now due to our goal of a large family and already being 35. Unfortunately, however, we just didn’t have the finances to do more than one cycle. This was a tough realization and she showed compassion when it brought me to tears that we had to cross our fingers and pray for the best with this one cycle. She gave me the choice to do a natural FET instead of medicated, but also provided full pros/cons of each. I never questioned my treatment protocol with her and after PGS we ended up with 2 healthy embryos. First FET and we got the good news we were pregnant! Although we were really hoping for more embryos, this was actually exactly what Dr. Lamb had predicted for me (hence the earlier recommendation for multiple cycles).
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Be direct and go prepared with questions.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb and Kallie were very personable and made attempts to get know me. I am naturally introverted, but they made it easy to open up about our family planning goals and the goal of having a large family despite starting at age 35
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I don’t recall
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Kallie)
Kallie was great! There were a couple times she was a bit disorganized, but she was very easy to talk to and ask questions when something needed clarification.
Describe your experience with Pacific NW Fertility.
This clinic is run like a well oiled machine-from the scheduling, to the lab draws in the same office, finer desk, back desk, financial coordinator, nurses, doctors-they know what they’re doing and it shows. Excellent communication between everyone on staff to keep visits running seamlessly and minimize the time you spend waiting.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
We did a freeze all cycle, ICSI, PGS, and then a FET. Total cost for everything including meds was just under $30K
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr. Lamb and the entire PNW fertility clinic very much advocate for single embryo transfers. They gave me the choice to do 2, but provided a very educated pros/cons of 1 vs 2.
8
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
10
Age
33 - 37
Treated
2012 - 2016
Success with this Doc
Yes
Treatment
4 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
10
10
When I overstimulated with 41 eggs on retrieval she [Dr. Lora Shahine] recommended a freeze all so my body could adjust first even though I was disappointed. It was the best thing for me. I'm glad she had my back...She explained the process and diagnosis thoroughly. She made recommendations along the way and was honest with expectations. She was compassionate and thorough.
The phone scheduling staff [at Pacific NW Fertility] is always pleasant and quick to answer phone. Nurses and techs were always smiling and in a good mood...About $15k for first cycle with ICSI plus meds and $4k for second frozen cycle...Our IVF coordinator Melinda was a little dry and hard to communicate with but was responsive to calls and emails...After 4 failed IUI's with another clinic I came to Pacific NW Fertility and met with Dr Shahine because I had a recommendation. She redid all my tests and then suggested IVF with ICSI to save time and money and take away all the factors of unexplained infertility that she couldn't diagnose.
Age
33 - 37
Treated
2012 - 2016
Success with this Doc
Yes
Race
Other
Income
$100K - $199K
Occupation
Sales Representative
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
4 IUI, 1 IVF
Diagnosis
PCOS, Unexplained
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
She explained the process and diagnosis thoroughly. She made recommendations along the way and was honest with expectations. She was compassionate and thorough. When I overstimulated with 41 eggs on retrieval she recommended a freeze all so my body could adjust first even though I was disappointed. It was the best thing for me. I'm glad she had my back.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Choose a doctor that is a good fit for you. Dr Shahine was amazing and I felt truly blessed to have her on my journey.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
She genuinely cared about how I felt through the process and was honest about the expectations. She shared in our joy and excitement during pregnancy.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
After 4 failed IUI's with another clinic I came to Pacific NW Fertility and met with Dr Shahine because I had a recommendation. She redid all my tests and then suggested IVF with ICSI to save time and money and take away all the factors of unexplained infertility that she couldn't diagnose. We did a low dose medication cycle that my body responded well too and got 16 amazing quality embryos. 1st transfer of 1 embryo resulted in pregnancy. 4 years later we used another frozen embryo from same cycle and were successful.
Describe your experience with the nursing staff.
Our IVF coordinator Melinda was a little dry and hard to communicate with but was responsive to calls and emails. Probably just a personality conflict.
Describe your experience with Pacific NW Fertility.
The phone scheduling staff is always pleasant and quick to answer phone. Nurses and techs were always smiling and in a good mood
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
About $15k for first cycle with ICSI plus meds and $4k for second frozen cycle
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
It was our decision and she said it was up to us. My husband wasn't on board for twins so we did one
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

9
10
Age
31
Treated
2016
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
9
10
Dr. Shahine was always completely open and honest with me and my partner. She welcomed us into her care, and was a huge advocate and supporter of our desire to have a family. She gave us the facts, and prepared us for the road we had ahead of us....I always felt like I was receiving personalized care from not only Dr Shahine, but her entire team [Pacific NW Fertility] as well...The initial recommendation was to go straight to IVf, as I have diminished ovarian reserve and low quality eggs.
The office [Pacific NW Fertility] is well organized, the staff is all really nice, and the finance counselor is great - she helped us navigate through all of the insurance claims. It's nice that the facility is in the hospital, and the office itself is really nice!...My nurse, and the entire team, was absolutely amazing. Emily is so compassionate, so smart and so incredibly organized. She took the time to return my phone calls, even into the evening hours.
Age
31
Treated
2016
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Marketer or PR
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 1 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
9
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine was always completely open and honest with me and my partner. She welcomed us into her care, and was a huge advocate and supporter of our desire to have a family. She gave us the facts, and prepared us for the road we had ahead of us.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
I would tell other patients to trust her plan
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
I always felt like I was receiving personalized care from not only Dr Shahine, but her entire team as well
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
The initial recommendation was to go straight to IVf, as I have diminished ovarian reserve and low quality eggs. We knew iui was unlikely to work, and Dr Shahine warned that we would likely get tired and overly stressed from all the failed treatments. Due to insurance, we opted to start IuI, even if it failed, just to move on to IVF. Dr Shahine was supportive of this decision, regardless. I was on femara, and then did 3 rounds of IUIs. 2 were unsuccessful, 1 resulted in a pregnancy, but I miscarried around 5.5 weeks. From there, we began the preparations for ivf. I was on birth control for a couple of weeks, and once we did a suppression check, I moved on to the follositim and mini hcg injections. I responded much better to treatment than anticipated- and when we got to egg retrieval, we had 11 eggs. 6 fertilized, and 2 made it to day 5 blast. Since my estrogen was high, we did not do a fresh transfer - we froze both. We scheduled the first transfer about a month+ from frozen date. The first transfer went well, and I got a positive beta blood test - but unfortunately, it did not last. We did the second transfer a couple of weeks later, and it has worked! Currently pregnant, in my second trimester.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Rudolph)
My nurse, and the entire team, was absolutely amazing. Emily is so compassionate, so smart and so incredibly organized. She took the time to return my phone calls, even into the evening hours. She answered my emails within hours of sending one. She gave me such clear instructions on every step of the way, I never got overwhelmed. Emily was so supportive along this journey - laughing with us when we needed laughter, crying when we needed extra tears, and being extra brave for us, when I needed encouragement.
Describe your experience with Pacific NW Fertility.
The office is well organized, the staff is all really nice, and the finance counselor is great - she helped us navigate through all of the insurance claims. It's nice that the facility is in the hospital, and the office itself is really nice!
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
We were lucky to have insurance - All in, we ended up spending about $10k
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
N/a
9
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
10
10
Age
32 - 34
Treated
2014 - 2016
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
10
10
Strengths [of Dr. Lora Shahine]: Caring, knowledgeable and compassionate. Optimistic and positive. Open to alternative therapies to support fertility treatments. Clearly explains procedures and makes you feel at ease. Has used fertility treatments herself, so she understands what you are going through emotionally and physically. Weaknesses: Too positive sometimes.
[Nurse] Danielle was always available to answer my questions, clearly described the process and how to administer injections, and her calendars kept us on track. She was personable, compassionate and friendly. I had excellent interactions with the entire nursing staff....Professional, comfortable, clean, helpful staff. Parking garage. Patient care separated from lab, private rooms to talk about finances with financial counselors.
Age
32 - 34
Treated
2014 - 2016
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Marketer or PR
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
3 IUI, 1 IVF
Diagnosis
Unexplained
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Strengths: Caring, knowledgeable and compassionate. Optimistic and positive. Open to alternative therapies to support fertility treatments. Clearly explains procedures and makes you feel at ease. Has used fertility treatments herself, so she understands what you are going through emotionally and physically. Weaknesses: Too positive sometimes.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
My advice is the same for all fertility patients, regardless of doctor: Be prepared with questions and don't be afraid to ask the "silly" question. Be your own advocate - you know your body, and if you don't feel like a course of treatment is working, say so. Ask for other options or changes you can make to improve your outcomes.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine took the time to explain all treatments and answer all our questions. We never felt rushed during an appointment. When our first embryo transfer resulted in a negative pregnancy test, Dr. Shahine called me to express her disappointment at the failure and belief that we would ultimately get pregnant. She genuinely cares about her patients and helping you create a family. She's gone through IVF, so she is uniquely able to understand how you are feeling, both physically and emotionally.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
IVF, egg retrieval: 9 days of mini-HCG and Follistem; added Ganirellex on day 5 FET #1, programmed cycle: Delestrogen every three days (estrogen patches were recommended, but we were trying to save money). Delestrogen dosage decreased after initial check because levels too high. Progesterone-in-oil (ethyl oleate) five days before transfer. Diazapam for embryo transfer. Negative pregnancy test. FET #2, natural cycle: Tried two natural FET cycles but both were canceled because estrogen levels failed to get high enough and follicles stopped growing. FET #2, programmed cycle: At Dr. Shahine's recommendation, returned to the programmed cycle and used estrogen patches instead of delestrogen injections. Patches resulted in more consistent estrogen levels that rose gradually and within acceptable parameters. Progesterone-in-oil changed to sesame oil base because ethyl oleate base was irritating and causing lumps; sesame oil more comfortable for me. Diazapam for transfer. Negative pregnancy test. FET #3, programmed cycle: Same medicines and protocol for this transfer. Major change was switching to a prenatal with methylfolate instead of folic acid. Positive pregnancy test.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle)
Danielle was always available to answer my questions, clearly described the process and how to administer injections, and her calendars kept us on track. She was personable, compassionate and friendly. I had excellent interactions with the entire nursing staff.
Describe your experience with Pacific NW Fertility.
Professional, comfortable, clean, helpful staff. Parking garage. Patient care separated from lab, private rooms to talk about finances with financial counselors.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
IVF and one FET: About $16,000 + medications (about $4,000) + genetics screening (about $5,000) FET #2 and #2: About $5,000 + medications (about $2,000)
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Since we elected to have all embryos screened through PGS, Dr. Shahine recommended only transferring one embryo at a time. Her rationale was that transferring two screened embryos did not increase the success rate, only the chance of multiples. And she recommended we try to avoid multiples if possible because it's more stressful to both the mother and babies.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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10
8
Age
32
Treated
2015
Success with this Doc
No
Treatment
2 IUI, 1 IVF, 1 Egg Freezing
Diagnosis
Tubal Blockage, Unexplained
10
8
She [Dr. Lamb] asked all the right questions and was very thorough in her questions, diagnosis and recommendation of treatment...I was very honest in letting her know I was going to get a 2nd opinion, not because of anything she did or didn't do, but because I needed to make sure I was doing all of my research and advocating for myself. Her response was extremely positive and supportive. I will never forget her words to me which were "I encourage you to do that. All I want for you is a baby and I do not care how that baby comes to you. Please let me know what I can do to help as you move forward." This shows her amazing character as a Dr. and individual...
The [Pacific NW Fertility - Sea] clinic treats each patient individually, putting everyone on different schedules unique to their cycle. They are located in downtown seattle, which is nice for anyone who works downtown - it makes appointments easy to get to. The staff is friendly. Pacific NW is one of the most expensive clinics in the area though and include certain items into their packages without giving any other option, including ICSI and assisted hatching, which added on an additional $3,000 or so...
Age
32
Treated
2015
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Marketer or PR
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IUI, 1 IVF, 1 Egg Freezing
Diagnosis
Tubal Blockage, Unexplained
10
8
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Julie Lamb at first was very professional and clinical. She asked all the right questions and was very thorough in her questions, diagnosis and recommendation of treatment. As time went on and we continued to work with her, her bedside manner became a lot more personable, as any normal relationship would the more time you spend with someone. In our last follow up appointment with Dr. Julie Lamb, after our last failed cycle with her, I was very honest in letting her know I was going to get a 2nd opinion, not because of anything she did or didn't do, but because I needed to make sure I was doing all of my research and advocating for myself. Her response was extremely positive and supportive. I will never forget her words to me which were "I encourage you to do that. All I want for you is a baby and I do not care how that baby comes to you. Please let me know what I can do to help as you move forward." This shows her amazing character as a Dr. and individual.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Give her time. At first she is very clinical, but as she gets to know you and you her, the walls break down a bit. She is amazing, passionate and extremely knowledgeable and caring.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr Lamb was very personable. Although we didn't leave with a take-home baby, we did feel very well taken care of and supported by her.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Kallie Flarhety )
Kallie was also extremely amazing. She was personable and dependable. During the IVF process, Kallie would make patients a priority and at times I would get email responses late into the evenings, just to ease my mind. She stayed very professional, while still considerate and amazing all at the same time.
Describe your experience with Pacific NW Fertility.
The clinic treats each patient individually, putting everyone on different schedules unique to their cycle. They are located in downtown seattle, which is nice for anyone who works downtown - it makes appointments easy to get to. The staff is friendly. Pacific NW is one of the most expensive clinics in the area though and include certain items into their packages without giving any other option, including ICSI and assisted hatching, which added on an additional $3,000 or so. I would say this is a downside, as if we would have known better, we would not have done ICSI, as we didn't actually need it. You do have a primary Doctor at the clinic, but know that they do not perform IUI's or work that closely with you on clomid cycles, which is normal. There are 3 other Dr's that work at that clinic and help each other out when needed. This means that Dr. Lamb only performed 1/3 actual transfers and sometimes I would have other Dr's doing my ultrasounds during the stim cycle. I wasn't phased by this too much, but I do know that some patients want the same Dr. the entire time.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
$30,000
10
Doctor
Julie Lamb
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
36
Treated
2015
Success with this Doc
Yes
Treatment
1 IVF, 1 Embryo Freezing, Donor Sperm
Diagnosis
10
10
Julie Lamb from the first appointment was wonderful. She spent more than what I felt was probably our allotted time during our first appointment explaining everything and answering every single one of our questions. My partner and I are different and I wanted scientific answer and she wanted emotional answer and Dr. Lamb adjusted to us both giving each of us what we needed. It always felt like she cared about our outcome, our feelings, and us. We had full trust in her throughout the entire process.
One of the things I love so much about Pacific Northwest Fertility was how organized the office was. At each appointment, especially early on, you're meeting with the doctor, nurse, financial coordinator, and blood draw. One might think that would take hours, but there is little to no wait time there. They function like a well-oiled machine. If you're in the waiting room waiting for the doctor, they'll go ahead and do your blood draw really quick. If there is a back-up, they'll shift the order of your appointment to make most efficient use of your time. As a person that works during the day, I was extremely appreciative of this aspect of the clinic.
Age
36
Treated
2015
Success with this Doc
Yes
Race
European, East Asian
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, 1 Embryo Freezing, Donor Sperm
Diagnosis
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Julie Lamb from the first appointment was wonderful. She spent more than what I felt was probably our allotted time during our first appointment explaining everything and answering every single one of our questions. My partner and I are different and I wanted scientific answer and she wanted emotional answer and Dr. Lamb adjusted to us both giving each of us what we needed. It always felt like she cared about our outcome, our feelings, and us. We had full trust in her throughout the entire process.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Dr. Lamb makes you feel comfortable right away. I would recommend that they come prepared with questions because Dr. Lamb is fantastic at answering them, which is refreshing compared to my experience with other medical appointments and the feeling of being rushed.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb was always kind, she took the time to get to know me and my partner, so it felt like we were talking to a friend with a lot of medical knowledge rather than a doctor that was just doing their job. I always felt like she genuinely cared about the outcome of our treatment.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I was the egg donor in our care and we used a sperm bank for fertilization. My partner was the embryo recipient, so we went through the whole cycle with Dr. Lamb. We had only one slight hiccup in that my partner happened to ovulate even on the medications prompting us to delay treatment implantation one month. Dose was adjusted and we tried again. Dr. Lamb was compassionate and explained what occurred throughout.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Kallie Flaherty)
Kallie was so great. She was extremely responsive to use via email or phone anytime we had questions. We had some abnormal bleeding early in the pregnancy and Kallie was on top of getting us in right away and calling to check-in. The nursing staff and Dr. Lamb seem to work seamlessly. The clinic functions like a well-oiled machine.
Describe your experience with Pacific NW Fertility.
One of the things I love so much about Pacific Northwest Fertility was how organized the office was. At each appointment, especially early on, you're meeting with the doctor, nurse, financial coordinator, and blood draw. One might think that would take hours, but there is little to no wait time there. They function like a well-oiled machine. If you're in the waiting room waiting for the doctor, they'll go ahead and do your blood draw really quick. If there is a back-up, they'll shift the order of your appointment to make most efficient use of your time. As a person that works during the day, I was extremely appreciative of this aspect of the clinic.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
For the egg retrieval, storage, and embryo transfer, our loan was $22,000. Fertility medication and donor sperm on top of that was around $5,000.
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Julie Lamb at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
31
Treated
2015
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Male Factor
10
10
Dr Shahine was the best and made going through the IVF process as easy and stress free as possible. She spent time going over each step in detail and explaining why things wet done and any risks and benefits involved. She was able to answer all of our questions effectively and in terms we could understand. She was compassionate and encouraging but also gave us realistic expectations. Infertility sucks and it is a scary process but Dr Shahine makes it as easy as possible and you are in great hands with her.
Pacific NW Fertility was great! The staff was very professional and organized. It is a busy clinic so trying to get an initial appt. can take a couple weeks...Initial visit was around $250 Total cost of all IVF treatments (ultrasounds, bloodwork, egg retrieval, ICSI fertilization, embryo transfer, post-transfer ultrasounds etc) almost $16,000. Medications from MDR pharmacy (our insurance covered some) was about $2500. Infertility sucks and it is a scary process but Dr Shahine makes it as easy as possible and you are in great hands with her.
Age
31
Treated
2015
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Male Factor
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr Shahine was the best and made going through the IVF process as easy and stress free as possible. She spent time going over each step in detail and explaining why things wet done and any risks and benefits involved. She was able to answer all of our questions effectively and in terms we could understand. She was compassionate and encouraging but also gave us realistic expectations.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Infertility sucks and it is a scary process but Dr Shahine makes it as easy as possible and you are in great hands with her.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr Shahine and her staff were accessible to answer all my questions and took time to make sure we were comfortable with every step of the IVF process.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Started B/C pills and took them for about three weeks. Had a baseline ultrasound and blood work done. My injectable drugs to start were Follistim and HCG. After a couple ultrasound and blood work monitoring appointments, Ganirelix was added. I used injectable progesterone and estrogen patches. We had 18 eggs retrieved, 15 mature, 9 fertilized with ICSI, 3 that made it to 5-day blastocysts. We transferred two embryos and have one frozen. We got pregnant with one baby, had a great pregnancy and he was born healthy 9 months later!
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle )
Danielle was amazing! She was our main contact before, during and after our IVF journey. She was easy to get ahold of and would always get back to me promptly. She was a great source of information and encouragement.
Describe your experience with Pacific NW Fertility.
Pacific NW Fertility was great! The staff was very professional and organized. It is a busy clinic so trying to get an initial appt. can take a couple weeks.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Initial visit was around $250 Total cost of all IVF treatments (ultrasounds, bloodwork, egg retrieval, ICSI fertilization, embryo transfer, post-transfer ultrasounds etc) almost $16,000. Medications from MDR pharmacy (our insurance covered some) was about $2500.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Ask this reviewer a question about their experience with Lora Shahine at Pacific NW Fertility.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
40 - 41
Treated
2014 - 2015
Success with this Doc
Yes
Treatment
2 IVF
Diagnosis
Recurrent Pregnancy Loss
10
10
Unsurprisingly the information I was getting from the support groups was not inaccurate but not necessarily applicable to me or otherwise was not the course that Dr. Shahine recommended for me; each time she was incredibly patient in explaining to us her view on the given approach or procedure while remaining open to our choices. As a result we felt like we were getting a carefully thought out practical approach that reflected the best of what's available in this industry for our particular situation. She also showed us so much compassion throughout the rollercoaster that is infertility and repeat pregnancy loss, both in our lows but also in our highs.
I liked this clinic [Pacific Northwest Fertility]. It is clean and comfortable, with highly professional staff from the receptionists to the phlebotomists to the sonographers to the financial advisors. In all of the many months (more than a year) that I was a patient of PNWF, my only disappointment with the care there was when I had a miscarriage and brought in the products of conception for testing; I'd called ahead but when I arrived the staff at the front desk was apparently unaware of why I was there and I had to wait in the waiting room, distraught, with my bag containing the specimen jar with the products of conception. While that could have been handled with much more compassion, it was definitely inadvertent.
Age
40 - 41
Treated
2014 - 2015
Success with this Doc
Yes
Race
Ashkenazi Jewish
Income
Occupation
Lawyer
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IVF
Diagnosis
Recurrent Pregnancy Loss
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
I had a million questions for Dr. Shahine, and she was wonderfully patient with us. I was learning as much as I could from her but also from internet support groups; I was bringing that information back to her. Unsurprisingly the information I was getting from the support groups was not inaccurate but not necessarily applicable to me or otherwise was not the course that Dr. Shahine recommended for me; each time she was incredibly patient in explaining to us her view on the given approach or procedure while remaining open to our choices. As a result we felt like we were getting a carefully thought out practical approach that reflected the best of what's available in this industry for our particular situation. She also showed us so much compassion throughout the rollercoaster that is infertility and repeat pregnancy loss, both in our lows but also in our highs.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Don't be afraid to ask questions, even if you are worried your questions aren't relevant. She will be patient and thoughtful and not rush you.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine always allowed us as much time as we needed with her to ask as many questions as we might have about the process, the likely outcomes, and anything else on our minds. And when our first transfer failed, she was the one who called to tell us directly and to answer any questions we had. After our son's birth we sent a birth announcement and she called and emailed to congratulate us.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
We sought Dr. Shahine due to her specialization in recurring pregnancy loss. We first completed RPL genetic testing to try to identify a specific cause. The screening did not indicate a specific reason for the losses, supporting the conclusion (and Dr. Shahine's suspicion) that the recurrent losses were due to chromosomal abnormalities. We followed an antagonist protocol (suppressed using birth control pills, followed by stimming with Folistim and mini-HCG, followed by Ganirelix). In the first round of IVF we retrieved 15 eggs; 11 were mature and 10 fertilized. Fertilization was done using ICSI (required because we were doing PGS testing). Of those 10 embryos, 6 made it to 5-day blastocyst, were biopsied for PGS testing and then frozen. Only one of those was found to be chromosomally "normal." A frozen transfer was necessary because of the timing of PGS results from the third party lab. Because I am sensitive to medication and prefer to minimize it, Dr. Shahine offered (and we opted for) a natural FET (birth control pills and progesterone were the only medications). We transferred the one "normal" embryo but had a negative pregnancy test. With no additional "normal" embryos, we decided to do a second IVF cycle. Because we obtained the results were were looking for in terms of retrieval in the first cycle, Dr. Shahine recommended the same protocol for the next cycle. We retrieved 17 eggs; 15 were mature, 8 fertilized, and 6 made it to blastocyst (5 on day 5 and one on day 6). Of those, 2 were chromosomally "normal." We transferred a single "normal" embryo, which led to a successful pregnancy (singleton birth). We had the option to know the sex before transfer but opted to wait until after we had a positive pregnancy test.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle Call)
Our care coordinator was Danielle Call. I really hit it off with Danielle and felt like I was in completely capable hands with her. She was so kind, caring, and patient. She walked me through every step of stimming and triggering (even in my second cycle) like I was the only patient she needed to see. She called me during my third trimester just to see how I was doing with the pregnancy. I hugged her when we had our final appointment when I "graduated" from PNWF to prenatal care.
Describe your experience with Pacific NW Fertility.
I liked this clinic. It is clean and comfortable, with highly professional staff from the receptionists to the phlebotomists to the sonographers to the financial advisors. In all of the many months (more than a year) that I was a patient of PNWF, my only disappointment with the care there was when I had a miscarriage and brought in the products of conception for testing; I'd called ahead but when I arrived the staff at the front desk was apparently unaware of why I was there and I had to wait in the waiting room, distraught, with my bag containing the specimen jar with the products of conception. While that could have been handled with much more compassion, it was definitely inadvertent.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
We were lucky to have insurance cover a large portion of our costs (approx. $30K was covered by insurance) and we were out of pocket maybe $10K in total (for meds, two retrievals, PGS testing of 12 blastocysts, and two transfers).
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
N/A
Age
33 - 35
Treated
2011 - 2013
Success with this Doc
Yes
Treatment
11 IUI, 3 IVF, Surrogacy
Diagnosis
Anovulation, Diminished Ovarian Reserve, Male Factor, Unexplained
10
N/A
All of the physicians and ARNPs are wonderful but we are particular fans of Dr. Shahine. She is Stanford trained, wickedly smart and direct, yet she considers the couple and what they need. She also thinks about the whole person and what a toll infertility treatment can take on the person and the couple...Tell her where you are physically, mentally and emotionally and be really honest about your concerns / fears. She knows her stuff...
All of the drs [at Pacific NW Fertility - Sea] are great. They have some of the best embryologists. Some insurances won't cover them. Location / parking is a bit of a pain...They explained the facts, were kind and compassionate and got us in when we needed to be...[Nurses are...] Compassionate, thorough, flexible on how they communicated (phone vs. email. Email was easier given my job)...
Age
33 - 35
Treated
2011 - 2013
Success with this Doc
Yes
Race
European
Income
Occupation
Business Executive
Order & Number of Docs Seen
1st of 2 Docs
Treatment
11 IUI, 3 IVF, Surrogacy
Diagnosis
Anovulation, Diminished Ovarian Reserve, Male Factor, Unexplained
10
N/A
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine was thoughtful and honest. The most professional, evidence based fertility clinic in the PNW. We had a long process and every step of the way PNWF took care of us. Even when we had some horrible news and had to make tough decisions. They explained the facts, were kind and compassionate and got us in when we needed to be. All of the physicians and ARNPs are wonderful but we are particular fans of Dr. Shahine. She is Stanford trained, wickedly smart and direct, yet she considers the couple and what they need. She also thinks about the whole person and what a toll infertility treatment can take on the person and the couple. We cannot speak highly enough of PNWF.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Tell her where you are physically, mentally and emotionally and be really honest about your concerns / fears. She knows her stuff.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine asked asked about my physical, emotional and mental health. She suggested add'l support. She asked how things were going with my marriage. She answered all of my questions (and I had a lot of them). she called me at home on Sat, the day we received a negative pregnancy test after our 4th (and final) IVF when I was crushed. It was not her normal day to work. She emailed me when we had a positive pregnant test. And she dealt with all of the complications we had directly and professionally.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
IUI was with letrozole. The last one (Where I got pregnant w/ my twins) was injectables + a trigger. It was a while ago so I don't remember the IVF protocols. One used lupin and it was my worst response.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Melinda)
Compassionate, thorough, flexible on how they communicated (phone vs. email. Email was easier given my job)
Describe your experience with Pacific NW Fertility.
All of the drs are great. They have some of the best embryologists. Some insurances won't cover them. Location / parking is a bit of a pain.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
Nursing
Operations
Scheduling
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
39 - 40
Treated
2018 - 2019
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
I definitely felt like Dr Shahine cared about my treatment and about being completely honest and open about my chances and the possible routes I could take at my age. Though she did push me to consider IUI and IVF ASAP, I opted to go the natural route for awhile (acupuncture and supplements) before deciding to finally try IUI. Dr Shahine did lay out realistic expectations for me.
There's a bit of a cattle-call feeling [at Pacific NW Fertility] with all the women in the clinic coming and going, but I understand that goes with the industry. Everyone is nice and courteous and I was never made to feel less than human, however. Fertility struggles can feel invasive and embarrassing but the clinic does everything right in making you feel at ease.... Michelle (and De Shahine's whole team) was fantastic; she's available by email and took the time to explain many things and answer all my questions. She's also very personable and warm.
Age
39 - 40
Treated
2018 - 2019
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
I definitely felt like Dr Shahine cared about my treatment and about being completely honest and open about my chances and the possible routes I could take at my age. Though she did push me to consider IUI and IVF ASAP, I opted to go the natural route for awhile (acupuncture and supplements) before deciding to finally try IUI. Dr Shahine did lay out realistic expectations for me.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
No question is a dumb question! Come prepared with all of your questions and she will answer honestly and realistically, but in a caring way.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr Shahine is very warm and creates a feeling of openness and honesty, which I appreciated. She also took the time to get to know me and asked many questions. Her nurses are fantastic as well!
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
I'm on my first IUI and have used Femara on cycle days 3-7 and then had an HCG trigger shot on day 13. It still remains to be seen if it was successful.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Michelle)
Michelle (and De Shahine's whole team) was fantastic; she's available by email and took the time to explain many things and answer all my questions. She's also very personable and warm.
Describe your experience with Pacific NW Fertility.
There's a bit of a cattle-call feeling with all the women in the clinic coming and going, but I understand that goes with the industry. Everyone is nice and courteous and I was never made to feel less than human, however. Fertility struggles can feel invasive and embarrassing but the clinic does everything right in making you feel at ease.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
So far probably around $1000
Describe Lora Shahine's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
N/a
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

9
10
Age
37
Treated
2018
Success with this Doc
?
Treatment
1 IUI, 2 IVF
Diagnosis
PCOS
9
10
[Dr. Lamb's] schedule books quickly, and I did not see her on the majority of my visits or my egg retrieval...I'm 37 and had one prior egg retrieval that only resulted in 5 eggs, so we did BCP agonist, a higher dose of Gonal-F with the addition of mini HCG, and a HCG trigger. I generally have a high amount of follicles but my eggs need more to mature, and this seemed to do the trick.
This clinic [Pacific NW Fertility] has a rule that for PGS embryos, they will only transfer one single. 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. We've had no unexpected charges, and the lab and front desk have always been great. I particularly liked my nurse anesthetist, who really put me at ease during the actual egg retrieval.
Age
37
Treated
2018
Success with this Doc
?
Race
European
Income
$200K - $499K
Occupation
Entrepreneur
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI, 2 IVF
Diagnosis
PCOS
9
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb has been very compassionate and really clearly explained every step of the procedure, as well as the studies behind certain options that make her recommend or not recommend them. She seems incredibly up to date on the latest science.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Her schedule books quickly, and I did not see her on the majority of my visits or my egg retrieval, so you might want to plan that out ahead of time. However, all of the doctors or NPs I saw were great.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb consistently takes the time to talk to me about my emotional state in addition to what's actually happening with treatment.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I'm 37 and had one prior egg retrieval that only resulted in 5 eggs, so we did BCP agonist, a higher dose of Gonal-F with the addition of mini HCG, and a HCG trigger. I generally have a high amount of follicles but my eggs need more to mature, and this seemed to do the trick.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Clare Hatch)
I ADORE my nurse coordinator, who has been helpful and easy to access via email whenever I have any questions. The staff is also exceptionally good at preparing you for what's to come.
Describe your experience with Pacific NW Fertility.
So far, we've had nothing bad to report. We've had no unexpected charges, and the lab and front desk have always been great. I particularly liked my nurse anesthetist, who really put me at ease during the actual egg retrieval.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
We went through insurance, so we were only out of pocket about $3000 for genetic testing. I believe the total billed to insurance was something like $18k.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
This clinic has a rule that for PGS embryos, they will only transfer one single. I'm not sure of the policy on non-tested embryos, since we did not go that route.
9
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
9
Age
43
Treated
2018
Success with this Doc
?
Treatment
2 IUI, 3 IVF
Diagnosis
Other, Unexplained
8
9
She [Dr. Shahine] is very compassionate and is humble. She will refer to other doctors to ensure you are receiving the best care....I had an issue with thin lining and she referred with another doctor to add a medication to help. It appear to be helpful such as adding trental to my protocol for a month. It did help get my lining thicker for a transfer.... She is great, although a couple of times I felt rushed out of the appointment...
This clinic [Pacific NW Fertility] is timely and flexible on their schedules. You can see other doctors and I like how they meet daily to consult on all patients to discuss as a group on your care. It helps keep things consistent and if they are out of the office, someone can pick up where they left off. They operate very seamlessly.... I was able to make early monitoring appointments. It was helpful to not conflict with my work schedule.
Age
43
Treated
2018
Success with this Doc
?
Race
South Asian
Income
Occupation
Marketer or PR
Order & Number of Docs Seen
3rd of 4 Docs
Treatment
2 IUI, 3 IVF
Diagnosis
Other, Unexplained
8
9
How was your experience with Lora Shahine at Pacific NW Fertility?
She is great, although a couple of times I felt rushed out of the appointment or that she didn't want to treat me any longer due to my recurrent issue. I could have been me feeling that but all other times she was really great.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
If something doesn't work the first time, push to find a new protocol. Take notes as over time you may be repeating a protocol and something my be missing that is a big piece of your puzzle.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
She is very compassionate and is humble. She will refer to other doctors to ensure you are receiving the best care.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
I had an issue with thin lining and she referred with another doctor to add a medication to help. It appear to be helpful such as adding trental to my protocol for a month. It did help get my lining thicker for a transfer.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Emily Gray)
She is very well organized and is responsive to all questions, especially when I have a million questions!
Describe your experience with Pacific NW Fertility.
This clinic is timely and flexible on their schedules. You can see other doctors and I like how they meet daily to consult on all patients to discuss as a group on your care. It helps keep things consistent and if they are out of the office, someone can pick up where they left off. They operate very seamlessly.
Describe your experience with your monitoring appointments at Pacific NW Fertility.
I was able to make early monitoring appointments. It was helpful to not conflict with my work schedule.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
Fortunately most of the costs were covered by insurance except for genetic testing which were $2500 and miscellaneous costs that was not covered by insurance approximately around $1000 overall.
8
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
35
Treated
2018
Success with this Doc
Yes
Treatment
IUI
Diagnosis
Unexplained
10
10
You go into your first appointment feeling crazy emotional and he [Dr. Swelstad] had the right amount of empathy coupled with data that made me hopeful. He gave us a plan (both short term and long term) and we left feeling like there could be a light at the end of the tunnel (or at least we could affirmatively do something instead of just having unexplained fertility and doing the same thing every month).
[The nurses at Pacific NW Fertility were] Very response when I called with questions...Takes a long time for the initial appointment, but once you're in then getting seen is a breeze. If you are having issues TTC and think you will need to see a fertility doctor, get the appointment on the books...because it will take 2-3 months to get the initial appointment)... He [Dr. Swelstad] was very patient and listened to all my questions (and answered them).
Age
35
Treated
2018
Success with this Doc
Yes
Race
European
Income
Occupation
Lawyer
Order & Number of Docs Seen
1 Doc Seen
Treatment
IUI
Diagnosis
Unexplained
10
10
How was your experience with Brad Swelstad at Pacific NW Fertility?
You go into your first appointment feeling crazy emotional and he had the right amount of empathy coupled with data that made me hopeful. He gave us a plan (both short term and long term) and we left feeling like there could be a light at the end of the tunnel (or at least we could affirmatively do something instead of just having unexplained fertility and doing the same thing every month).
What's one piece of advice would you give a prospective patient of Brad Swelstad at Pacific NW Fertility?
I did my homework before I met with Dr. Swelstad and I think it made our first appointment much more productive because I was able to ask more detailed specific questions instead of having to cover the basics of fertility. If you're going to spend the time and money with a specialist, you might as well get your moneys worth and use his vast knowledge.
During treatment, were you treated like a number or a human with Brad Swelstad at Pacific NW Fertility?
MY ob had previously done my fertility workup so I showed up with a big binder of test results and 19 months of cycle charts. He was very patient and listened to all my questions (and answered them).
Describe your experience with the nursing staff.
Very response when I called with questions.
Describe your experience with Pacific NW Fertility.
Takes a long time for the initial appointment, but once you're in then getting seen is a breeze. If you are having issues TTC and think you will need to see a fertility doctor, get the appointment on the books (under 35 so they say wait a year - I'd call before a year because it will take 2-3 months to get the initial appointment).
10
Doctor
Brad Swelstad
Communication
Compassion
Explained risks
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
30
Treated
2018
Success with this Doc
No
Treatment
3 IUI
Diagnosis
PCOS, Unexplained
10
10
Dr swelstad was very nice and easy to talk to. He explained a lot to us and figured out a treatment plan that we both thought was great. We are happy to be working with him. He seemed very caring and not just as another patient but like he really cares about his patients....we talked and figured out a plan for us within our means..... dr swelstad switched me to femara with injections of follistim and trigger shot with iui and progesterone
Beautiful clinic. Everyone there was very friendly and nice from the front desk to the ma and nurse to the dr and the phlebotomist. I also Love that the lab is in the clinic....pnwf does there best to help from billing what they can to insurance to helping you go through a fertility pharmacy so you can get your medicine at a better cost... Amber is amazing. She always calls me back in a timely matter and always emails me or responds to my emails in a timely matter!
Age
30
Treated
2018
Success with this Doc
No
Race
Other
Income
$50K - $99K
Occupation
Business Executive
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
3 IUI
Diagnosis
PCOS, Unexplained
10
10
How was your experience with Brad Swelstad at Pacific NW Fertility?
Dr swelstad was very nice and easy to talk to. He explained a lot to us and figured out a treatment plan that we both thought was great. We are happy to be working with him. He seemed very caring and not just as another patient but like he really cares about his patients. It was nice because we were so nervous.
What's one piece of advice would you give a prospective patient of Brad Swelstad at Pacific NW Fertility?
Just relax you are in good hands he is very nice and easy to talk to!
During treatment, were you treated like a number or a human with Brad Swelstad at Pacific NW Fertility?
My husband and I both really like dr swelstad! He was very nice and professional yet caring and we talked and figured out a plan for us within our means.
Describe the protocols Brad Swelstad used in your cycles at Pacific NW Fertility and their degree of success.
My husband and I had done 6 rounds of clomid and two rounds with iui. Nothing had worked. So dr swelstad switched me to femara with injections of follistim and trigger shot with iui and progesterone
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Amber)
Amber is amazing. She always calls me back in a timely matter and always emails me or responds to my emails in a timely matter!
Describe your experience with Pacific NW Fertility.
Beautiful clinic. Everyone there was very friendly and nice from the front desk to the ma and nurse to the dr and the phlebotomist. I also Love that the lab is in the clinic. I wish I lived closer so I could always just go to that clinic and not have to go to a separate dr where I live for iui and ultrasounds
Describe the costs associated with your care under Brad Swelstad at Pacific NW Fertility.
Everything is spendy with infertility it doesn’t matter where you go. I wish there was insurance here to help with infertility but pnwf does there best to help from billing what they can to insurance to helping you go through a fertility pharmacy so you can get your medicine at a better cost
10
Doctor
Brad Swelstad
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

8
8
Age
30
Treated
2017
Success with this Doc
Yes
Treatment
10 Fertility Medications
Diagnosis
PCOS
8
8
Met [Dr. Marshall] in both an exam room and a regular office, that made me feel more like human than just a body... My first visit was great, I felt like we had a gameplan and well taken care of. UPDATE: The gameplan played out exactly as she predicted...Started taking metformin (500 mg/day for first week, then bumped up to 1000 mg) Taking 5mg of Letrazole on days 3-7 (I was already doing this with previous OB) Ultrasound on day 13 with injection of 10,000 USP units/vial to induce ovulation
So far I think it's a great spot, I just wish they [Pacific NW] accepted my insurance (Bridgespan) but I think that's partly a ACA issue. I've felt very comfortable and well taken care of so far. Even my first experience with a blood draw was very pleasant with a friendly and knowledgeable phlebotomist...I was told they'd call me with my blood results but I ended up calling them a couple days after and they had the results ready...They were great, communicated all the information I needed and were very approachable.
Age
30
Treated
2017
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Graphic Designer
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
10 Fertility Medications
Diagnosis
PCOS
8
8
How was your experience with Lorna Marshall at Pacific NW Fertility?
It's great so far. Honestly, I'm just getting started after seeing my regular OB-GYN for about a year before seeking additional expertise. My first visit was great, I felt like we had a gameplan and well taken care of. UPDATE: The gameplan played out exactly as she predicted, after one failed cycle (I ovulated, but did not get a positive pregnancy test), I got pregnant on the second cycle and am currently 16 weeks along and everything looks good so far (hoping I didn't jinx it by counting it as "1 live birth" on a previous question).
What's one piece of advice would you give a prospective patient of Lorna Marshall at Pacific NW Fertility?
Come prepared with lots of information.
During treatment, were you treated like a number or a human with Lorna Marshall at Pacific NW Fertility?
Met in both an exam room and a regular office, that made me feel more like human than just a body.
Describe the protocols Lorna Marshall used in your cycles at Pacific NW Fertility and their degree of success.
Started taking metformin (500 mg/day for first week, then bumped up to 1000 mg) Taking 5mg of Letrazole on days 3-7 (I was already doing this with previous OB) Ultrasound on day 13 with injection of 10,000 USP units/vial to induce ovulation
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Lanika)
They were great, communicated all the information I needed and were very approachable.
Describe your experience with Pacific NW Fertility.
So far I think it's a great spot, I just wish they accepted my insurance (Bridgespan) but I think that's partly a ACA issue. I've felt very comfortable and well taken care of so far. Even my first experience with a blood draw was very pleasant with a friendly and knowledgeable phlebotomist.
Describe the costs associated with your care under Lorna Marshall at Pacific NW Fertility.
$295 for office visit/comprehensive exam $185 for pelvic ultrasound $135 for pregnyl shot through MRD pharmacy
Describe Lorna Marshall's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
not applicable as of now
What specific things went wrong at Pacific NW Fertility?
  • Failed to call with results
8
Doctor
Lorna Marshall
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
36 - 37
Treated
2016 - 2017
Success with this Doc
Yes
Treatment
IUI, 1 IVF
Diagnosis
10
10
during my initial consultation, dr lamb took 45mins-1hr to sit and talk with me. we discussed my concerns over being unable to conceive in detail. she displayed a high level of empathy, and i felt she intently listened and responded with specifics....dr lamb was a pleasure to work with. she communicated clearly in terms i understood. she was gentle, and i felt like she understood the emotional stress i was experiencing. i had easy access to her, and tho visits were frequent, i never felt like my time was being wasted.
emily [at Pacific NW Fertility] was/is incredible. she handled all of my medication scheduling, which can get complicated with a busy work schedule. she was responsive to emails, knowledgable about all the steps of treatment, and professional...strengths: good candy at counter, professional and friendly front desk staff and lab techs. huge bonus was primarily female staff. weaknesses: paid parking. hardly a weakness worth mentioning....i believe the total cost of care ended up around 29k.
Age
36 - 37
Treated
2016 - 2017
Success with this Doc
Yes
Race
European
Income
$500K
Occupation
Entrepreneur
Order & Number of Docs Seen
1 Doc Seen
Treatment
IUI, 1 IVF
Diagnosis
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
dr lamb was a pleasure to work with. she communicated clearly in terms i understood. she was gentle, and i felt like she understood the emotional stress i was experiencing. i had easy access to her, and tho visits were frequent, i never felt like my time was being wasted.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
expect her to be direct but gentle, and leave you with reasonable expectations about treatment.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
during my initial consultation, dr lamb took 45mins-1hr to sit and talk with me. we discussed my concerns over being unable to conceive in detail. she displayed a high level of empathy, and i felt she intently listened and responded with specifics. i appreciated that she didn't give me unreasonable expectations, but left me feeling hopeful.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: emily rudolf)
emily was/is incredible. she handled all of my medication scheduling, which can get complicated with a busy work schedule. she was responsive to emails, knowledgable about all the steps of treatment, and professional.
Describe your experience with Pacific NW Fertility.
strengths: good candy at counter, professional and friendly front desk staff and lab techs. huge bonus was primarily female staff. weaknesses: paid parking. hardly a weakness worth mentioning.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
i believe the total cost of care ended up around 29k. huge bonus was putting it on amex and getting pointsssssssss.
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
37 - 39
Treated
2015 - 2017
Success with this Doc
Yes
Treatment
2 IUI, 3 IVF, 3 Egg Freezing
Diagnosis
Diminished Ovarian Reserve, Male Factor
10
10
Dr. Lamb was very patient with us and answered many questions. She was also humorous and personable. She always stayed positive and offered many smiles when we needed them.... We worked on egg retrievals for three years before implanting because of my age (37-39) and diminished reserves. We were able to get enough eggs for a successful transfer and freezing and have three left to try for a second child.
Strengths- good staff, professional, good results and efficiency Weaknesses- the billing office [Pacific NW Fertility - Seattle] has been very helpful working with us but if you are using insurance at all Beware... it is very time consuming and tedious to get the payments applied.... We worked with two nurses that were assigned to Dr. Lamb and liked them both. Nurse Schilling is an incredible nurse practitioner who also worked with us.
Age
37 - 39
Treated
2015 - 2017
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, 3 IVF, 3 Egg Freezing
Diagnosis
Diminished Ovarian Reserve, Male Factor
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is very professional and nice to work with plus she is incredibly talented with fertility issues and treatments. I’m so glad our family found her- we are now seven weeks away from a baby girl thanks to Dr. Lamb!
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Don’t be afraid to ask her all of your questions.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb was very patient with us and answered many questions. She was also humorous and personable. She always stayed positive and offered many smiles when we needed them.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
We worked on egg retrievals for three years before implanting because of my age (37-39) and diminished reserves. We were able to get enough eggs for a successful transfer and freezing and have three left to try for a second child.
Describe your experience with the nursing staff.
We worked with two nurses that were assigned to Dr. Lamb and liked them both. Nurse Schilling is an incredible nurse practitioner who also worked with us.
Describe your experience with Pacific NW Fertility.
Strengths- good staff, professional, good results and efficiency Weaknesses- the billing office has been very helpful working with us but if you are using insurance at all Beware... it is very time consuming and tedious to get the payments applied.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
We used two insurance companies and only paid the remainder which was around $400 for drugs after two cycles and $1500 Per cycle. I think it would have been $20-30k Per cycle without insurance.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
My doctor recommended we try two - which we did- one was viable.
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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0
9
Age
40 - 41
Treated
2015 - 2016
Success with this Doc
No
Treatment
2 IUI, 4 IVF
Diagnosis
0
9
While I was going to egg retrieval stimulation, he [Dr. Hickok] never told me I had thin lining. I had no idea this was an issue until we started the transfer process which as a patient I was not aware how this piece was important to the process. He did not fully inform us that it would likely no work, he acted like you can "roll the dice" and see what happens. I feel it was a waste of one of our 3 PGS embryos. We had sent in 6 but 3 were abnormal.
The organization of the office [Pacific NW Fertility] from appointments, blood work, and the process worked very well. There was never a long wait. It happened once and they acknowledge it but offering Starbucks gift cards and why there was a wait.... They had monitor hours and the process was very easy and quick. I was able to get in and out before work.... Annie was fantastic. She was very compassionate when having to deliver bad news. When she was off, it was very clear on the difference in care I received from other nurses.
Age
40 - 41
Treated
2015 - 2016
Success with this Doc
No
Race
South Asian
Income
$100K - $199K
Occupation
Marketer or PR
Order & Number of Docs Seen
1st of 4 Docs
Treatment
2 IUI, 4 IVF
Diagnosis
0
9
How was your experience with Lee Hickok at Pacific NW Fertility?
While I was going to egg retrieval stimulation, he never told me I had thin lining. I had no idea this was an issue until we started the transfer process which as a patient I was not aware how this piece was important to the process. He did not fully inform us that it would likely no work, he acted like you can "roll the dice" and see what happens. I feel it was a waste of one of our 3 PGS embryos. We had sent in 6 but 3 were abnormal.
What's one piece of advice would you give a prospective patient of Lee Hickok at Pacific NW Fertility?
He's retired now but I think all clinics should require either an orientation or resources so that patients fully understand the process.
During treatment, were you treated like a number or a human with Lee Hickok at Pacific NW Fertility?
He has a good bed side manner and was very gentle and explaining the process as this was my first time for IVF.
Describe the protocols Lee Hickok used in your cycles at Pacific NW Fertility and their degree of success.
Birth control before starting stims. Ganirelex and Lupron, for stims.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Annie Terry)
Annie was fantastic. She was very compassionate when having to deliver bad news. When she was off, it was very clear on the difference in care I received from other nurses.
Describe your experience with Pacific NW Fertility.
The organization of the office from appointments, blood work, and the process worked very well. There was never a long wait. It happened once and they acknowledge it but offering Starbucks gift cards and why there was a wait.
Describe your experience with your monitoring appointments at Pacific NW Fertility.
They had monitor hours and the process was very easy and quick. I was able to get in and out before work.
Describe the costs associated with your care under Lee Hickok at Pacific NW Fertility.
I don't recall as insurance cover most of it outside of genetic testing which was Genesis for $2,500.
Describe Lee Hickok's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
They indicated that the embryos were PGS tested so only SET.
0
Doctor
Lee Hickok
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
28
Treated
2016
Success with this Doc
Yes
Treatment
1 IUI
Diagnosis
10
10
Lora [Shahine] was great at explaining each procedure and all of our options. She was very candid and patient. We never felt rushed with her time and always felt good leaving her office. When our IUI didn't work, Lora explained the possibilities as to why it may not have worked and took her time in explaining what future course of actions we could choose from...Lora was always so great with both my husband and I. Was in constant contact, never made us feel like we were asking silly questions, and always made us feel like we were a priority to her.
This clinic [Pacific NW Fertility - Sea] has amazing hours! It is clean and the staff is very friendly....I had two different nurses communicate with me during my time with Lora. Each were prompt in their replies to my emails and were great at answering any questions hat I had....Lora [Shahine] was great at explaining each procedure and all of our options. She was very candid and patient. We never felt rushed with her time and always felt good leaving her office.
Age
28
Treated
2016
Success with this Doc
Yes
Race
Other
Income
$100K - $199K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Lora was great at explaining each procedure and all of our options. She was very candid and patient. We never felt rushed with her time and always felt good leaving her office. When our IUI didn't work, Lora explained the possibilities as to why it may not have worked and took her time in explaining what future course of actions we could choose from.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
Trust her and listen to all she has to say.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Lora was always so great with both my husband and I. Was in constant contact, never made us feel like we were asking silly questions, and always made us feel like we were a priority to her. Lora still keeps in contact even though I moved to the other side of the state.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
I used letrozol to help regulate my period which worked wonderfully. My husband stored his sperm as he travels for work and we did an IUI. Before the IUI I received a trigger shot to help trigger ovulation and did an ultrasound to see where I was at in my cycle. The IUI unfortunately didn't work but we continued with letrozol and ended up getting pregnant naturally.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: I unfortunately do not remember )
I had two different nurses communicate with me during my time with Lora. Each were prompt in their replies to my emails and were great at answering any questions hat I had.
Describe your experience with Pacific NW Fertility.
This clinic has amazing hours! It is clean and the staff is very friendly.
Describe the costs associated with your care under Lora Shahine at Pacific NW Fertility.
I am not 100% sure but I want to say around 1000-1500
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
10
N/A
Age
40 - 41
Treated
2015 - 2016
Success with this Doc
Yes
Treatment
IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Tubal Blockage
10
N/A
I started treatment at 39 and was diagnosed with endometriosis causing blocked tubes. I also was thought to have slightly diminished egg quality. Dr. Lamb recommended laparoscopic surgery prior to proceeding with an embryo transfer. She also recommended that we complete PGD testing. We took both of those steps, which I believe were critical. We completed two rounds of IVF resulting in only one normal embryo. That embryo resulted in pregnancy.
Everyone I encountered at PNW Fertility was kind, encouraging and knowledgeable. We always felt well taken care of. They go out of there way to make numerous required visits as easy as possible...The nursing staff was great, particularly our IVF coordinator who was awesome and really on top of my treatment.
Age
40 - 41
Treated
2015 - 2016
Success with this Doc
Yes
Race
Income
$500K
Occupation
Lawyer
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Tubal Blockage
10
N/A
How was your experience with Julie Lamb at Pacific NW Fertility?
I could not have asked for more as a patient of Dr. Lamb. She always took as much time as needed to answer all of our questions and concerns. She was optimistic, but also very clear about chances of success and obstacles we may face.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
Don't be afraid to ask questions about your treatment or to express concerns. I am one of those people that needs to know what the next steps will be regardless of outcome. Dr. Lamb was very patient in addressing my need to discuss various options and outcomes.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb and her staff were always kind and generous with their time. I always felt well taken care of and that they were truly invested in my treatment.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
I started treatment at 39 and was diagnosed with endometriosis causing blocked tubes. I also was thought to have slightly diminished egg quality. Dr. Lamb recommended laparoscopic surgery prior to proceeding with an embryo transfer. She also recommended that we complete PGD testing. We took both of those steps, which I believe were critical. We completed two rounds of IVF resulting in only one normal embryo. That embryo resulted in pregnancy.
Describe your experience with the nursing staff.
The nursing staff was great, particularly our IVF coordinator who was awesome and really on top of my treatment.
Describe your experience with Pacific NW Fertility.
Everyone I encountered at PNW Fertility was kind, encouraging and knowledgeable. We always felt well taken care of. They go out of there way to make numerous required visits as easy as possible
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
10
10
Age
33
Treated
2015
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Tubal Blockage, Uterine Fibroids
10
10
Dr. Lamb is an amazing doctor and was really thorough and listened to me and my concerns. I never felt like she was in a rush and I felt she was always so compassionate and caring.... Dr. Lamb is a mother herself who complately understands her patients desire to become parents. She was always very straight forward and thorough.... She had to up my medication dosage a few different times to get my follicles to grow and be where she wanted them to be at the right time. I
Everyone at PNWF in Seattle were so kind toward every patient. They didn’t make you feel like just another nobody, they all seemed genuine and sweet and very helpful. If I ever needed a last minute appointment they would not hesitate to get me in to be seen.... My nurse Kallie was available to always answer my question and she was very thorough and never made me feel like I was bugging her. She was always super sweet.
Age
33
Treated
2015
Success with this Doc
Yes
Race
Other
Income
$50K - $99K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
1 IVF
Diagnosis
Diminished Ovarian Reserve, Male Factor, Poor Egg Quality, Tubal Blockage, Uterine Fibroids
10
10
How was your experience with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is a mother herself who complately understands her patients desire to become parents. She was always very straight forward and thorough. She has a great team working for her and I would highly recommend her to any family or friends.
What's one piece of advice would you give a prospective patient of Julie Lamb at Pacific NW Fertility?
I would tell them that she is very straight forward in a caring and compassionate way. She is very sweet and relates to her patients as humans and their desire to become a mom and dad.
During treatment, were you treated like a number or a human with Julie Lamb at Pacific NW Fertility?
Dr. Lamb is an amazing doctor and was really thorough and listened to me and my concerns. I never felt like she was in a rush and I felt she was always so compassionate and caring.
Describe the protocols Julie Lamb used in your cycles at Pacific NW Fertility and their degree of success.
She had to up my medication dosage a few different times to get my follicles to grow and be where she wanted them to be at the right time. I took Lupron, follistim, birth control, menopur, as well as the patches.
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Kallie flaherty)
My nurse Kallie was available to always answer my question and she was very thorough and never made me feel like I was bugging her. She was always super sweet.
Describe your experience with Pacific NW Fertility.
Everyone at PNWF in Seattle were so kind toward every patient. They didn’t make you feel like just another nobody, they all seemed genuine and sweet and very helpful. If I ever needed a last minute appointment they would not hesitate to get me in to be seen.
Describe the costs associated with your care under Julie Lamb at Pacific NW Fertility.
Ivf with Dr. Lamb was $16,000 but after all the testing and medication I spent closer to $30,000.
Describe Julie Lamb's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Pacific NW Fertility.
Dr. Lamb preferred a single embryo transfer for me, before we found out I only had one PGS normal embryo to transfer anyway. She prefers a healthy Singleton pregnancy over a high risk twin pregnancy. I respected her decision of what was best for me.
10
Doctor
Julie Lamb
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
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10
10
Age
33
Treated
2015
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Recurrent Pregnancy Loss
10
10
Dr. Shahine is one of the most trustworthy, kind, caring and intelligent doctors my husband and I have ever known. She truly cares about you and understands the gravity and complexity of undergoing fertility treatment, not to mention the emotional toll it can take...Dr. Shahine is incredibly inclusive, never treats you like a number and truly acts as a partner in your care. She makes it a point to explain every procedure, lab test and result with great care and compassion.
The doctors and nursing staff (medical assistants, front desk staff and phlebotomy included) are all fantastic. It's evident that the staff communicates well with one another (internal patient processes are clear and streamlined) and they are always kind, helpful and knowledgeable in their interactions with patients. I did run into challenges with the PNWF billing specialists (duplicate charges, improper billing to insurance, etc.) - but I was always able to resolve these issues.
Age
33
Treated
2015
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Recurrent Pregnancy Loss
10
10
How was your experience with Lora Shahine at Pacific NW Fertility?
Dr. Shahine is one of the most trustworthy, kind, caring and intelligent doctors my husband and I have ever known. She truly cares about you and understands the gravity and complexity of undergoing fertility treatment, not to mention the emotional toll it can take.
What's one piece of advice would you give a prospective patient of Lora Shahine at Pacific NW Fertility?
It's okay to be emotionally vulnerable. Dr. Shahine will not judge you and is there to support you through this journey.
During treatment, were you treated like a number or a human with Lora Shahine at Pacific NW Fertility?
Dr. Shahine is incredibly inclusive, never treats you like a number and truly acts as a partner in your care. She makes it a point to explain every procedure, lab test and result with great care and compassion.
Describe the protocols Lora Shahine used in your cycles at Pacific NW Fertility and their degree of success.
Gonal F Pen Progesterone in Oil 100mg/mL
Describe your experience with your nurse at Pacific NW Fertility. (Assigned nurse: Danielle Call)
Danielle was my primary care coordinator/RN and she was fantastic in this role. She is extremely knowledgeable, kind, approachable and organized. No question was a "dumb" question and she treated each hurdle in my IVF journey, sensitively and with compassion.
Describe your experience with Pacific NW Fertility.
The doctors and nursing staff (medical assistants, front desk staff and phlebotomy included) are all fantastic. It's evident that the staff communicates well with one another (internal patient processes are clear and streamlined) and they are always kind, helpful and knowledgeable in their interactions with patients. I did run into challenges with the PNWF billing specialists (duplicate charges, improper billing to insurance, etc.) - but I was always able to resolve these issues.
10
Doctor
Lora Shahine
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Pacific NW Fertility
Seattle
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more