How was your experience with Gabe San Roman at Northwell Health (formerly North Shore Long Island Jewish)?
in my experience, dr san roman is very warm and has a great bedside manner. He definitely has a bit of an ego and likes to recite his accolades almost every time my husband comes with me to our visits. he is incredibly sweet and seems to be very knowledgeable, however his office is a bit disorganized
What's one piece of advice would you give a prospective patient of Gabe San Roman at Northwell Health (formerly North Shore Long Island Jewish)?
be wary of the nurse practitioner's running the show...if things aren't going smoothly in your cycle, it is difficult to get in touch with him in the early stages...after going through a total of 2 ivf cycles and 4 failed transfers with pgs tested embryos, there is still a lack of continuity in the care that is received and the attention that is paid to the cycles
During treatment, were you treated like a number or a human with Gabe San Roman at Northwell Health (formerly North Shore Long Island Jewish)?
I was definitely treated like a human...everyone in the office is very friendly and ends up getting to know you, especially after 2 cycles
Describe the protocols Gabe San Roman used in your cycles at Northwell Health (formerly North Shore Long Island Jewish) and their degree of success.
my first stim cycle, I was placed on 1 vial of menopur and 150 of follistum, but ended up doubling that dose 3 days in...stimmed for 14 days and got 8 eggs, 7 mature. My second stim cycle, I was placed on 2 menopur and 450 follistum and stimmed for 7 days and ended up with 7 eggs. I was told when I went for a second opinion that my second cycle was an incredibly high dose especially for someone with a high ovarian reserve. We also ran into a few bumps in the road with our transfers. Our second frozen transfer was rushed, ended up with a beta of 18, but my lining wasn't responding as well as it had in the past...that ended up being a chemical.
The second ivf cycle with a fresh transfer, I was told to be on progesterone 2 times a day before the transfer by the nurse, then the dr said once a day...but discontinued everything due to high progesterone levels, in which my level went from over 100 to 50 then to 2...which was never going to sustain anything....
Describe your experience with the nursing staff.
the nurse practitioners are empathetic but they are highly unorganized and tend to run the office when they shouldn't ...i've had experiences where you ask them questions that they can't answer, and sometimes make stuff up. I have also had instances where they aren't looking at your numbers as trends but instead just one value and making decisions that are incorrect based on that...during one of my transfers, I was told to stop taking progesterone...my levels went from over 100 to 50 to 2 in the course of 4 days...no one thought to look at the trend, instead she just saw the 50 and still advised me to stay off the med. They never review your chart before they speak to you...they never seem to know what meds you are on when they meet with you...they seem really disorganized
Describe your experience with Northwell Health (formerly North Shore Long Island Jewish).
the clinic is very friendly and warm. The place is very clean and flows nicely, rarely have to wait a long time....everyone always says hi
the issue is that the dr or the nurses never seem to remember your story...even if they were to take 2 min before they see you to review your chart, it would be helpful, this doesn't ever seem to be the case
Describe the costs associated with your care under Gabe San Roman at Northwell Health (formerly North Shore Long Island Jewish).
each stim cycle was around 15,000 an additional 4,000 for pgs testing and then an additional 350/embryo at the lab...also 500 for anesthesia for retrieval
stim meds were not included in the 15,000
Describe Gabe San Roman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Northwell Health (formerly North Shore Long Island Jewish).
he's preference is to transfer 1 embryo if they are pgs tested
What specific things went wrong at Northwell Health (formerly North Shore Long Island Jewish)?
- Failed to call in prescriptions to pharmacy
- Lost paperwork
- Failed to call with results
- Lost results
- Provided conflicting information
- Failed to convey critical information