How was your experience with Magdy Milad at Northwestern Medicine?
I originally sought out Dr. Milad because of his experience in gynecological surgery, specifically fibroids. It was through this experience that we learned of our infertility issues. He did extensive diagnostic testing and then met with my husband and me to go over all of the results and explain their implications and our options. We always felt that we were in the driver's seat. Dr. Milad recommended we do IVF right away, but we weren't ready so we pursued IUI's and chlomid. Dr. Milad did an amazing job on my open myomectomy when I finally had to have one, and then oversaw every cycle of IVF. Before each cycle and after we would discuss what went well and what we thought should be changed. He entertained my many questions, and personally responded to my messages. When we thought we may be having immunological issues, Dr. Milad laid out the scientific evidence on treatment options - including nonconventional options that had some scientific support (the endometrial scratch, acupuncture, baby aspirin, etc.) After our miscarriage, Dr. Milad met with us to not only discuss options, but console us. My husband and I trust him implicitly, and really feel as if he cares about us.
What's one piece of advice would you give a prospective patient of Magdy Milad at Northwestern Medicine?
Patients that desire significant information on the treatment plans and options would be an excellent fit for Dr. Milad. if you need gynecological surgery - he is the best in the midwest.
During treatment, were you treated like a number or a human with Magdy Milad at Northwestern Medicine?
Dr. Milad has been our partner through a multi-year infertility struggle. He clearly explains test results and his recommendations. He lays out options in a way that is easy to understand and explains the science/evidence around risks and opportunities with treatment choices. Dr. Milad is kind, compassionate, and patient. He was very responsive to my many, many questions and was willing to think outside of the box when we got into later stages of IVF.
Describe the protocols Magdy Milad used in your cycles at Northwestern Medicine and their degree of success.
IVF #1 - 300 gonal f/150 menopur - 7 retrieved/6 mature/4 fertilized with ICSI/transferred two 7-cell 3-day embies - BFN, none to freeze
IVF #2 - 225 gonal f/150 menopur - 20 retrieved/11 mature/10 fertilized with ICSI/transferred two 10-cell embies on day 3 - froze 5 blasts, M/C
FET #1 - transferred one 5-day blast - BFN
FET #2 - had scratch done, baby aspirin - transferred two 5-day blasts - BFP
Describe your experience with your nurse at Northwestern Medicine. (Assigned nurse: Anitra and Amy)
I cannot say enough great things about the nursing coordinators. When I first entered the program, and I didn't understand the process as well, communications did seem abrupt. But over the months we've worked together, they are outstanding. I receive blood work results and treatment steps in a timely fashion on scan/appointment days. At anytime I can send questions to the nursing team and they respond usually same-day, if not the next day. They are compassionate and kind. They know our case well, and express genuine concern for how things are going.
Describe your experience with Northwestern Medicine.
Northwestern is a newer IVF program, with a state-of-the-art lab. The office location is convenient for downtown Chicago, and is open 7 days a week. The doctors rotate, meaning that your doctor will not always be reviewing your case and adjusting your protocol. Different doctors will do your retrievals and transfers, but the main POC for big treatment decisions will be done by your doctor and your doctor is always available throughout to respond to questions via their online platform.
All the doctors were fine except for Dr. Pavone, who was terrible.
The latest fertility stats are from 2015, and Northwestern is ranked #7 in the Chicago-land area with 38% of all fresh transfers resulting in a live birth. the numbers apparently drastically improved in 2016 because of the lab, but of course that's something to consider.
Scheduling is easy, wait times are minimal, and nurses and doctors are accessible.
Describe your experience with your monitoring appointments at Northwestern Medicine.
Scans are done in the morning between 630-800am. I found them efficient. The techs are professional and friendly. They aren't suppose to discuss the results, but mine always indicated whether things looked good or if there was an area for concern. If I wanted, instead of waiting for a callback later that day, a nurse would see me immediately after and go over the scan and talk about potential changes to treatment.
Describe the costs associated with your care under Magdy Milad at Northwestern Medicine.
For two fresh cycles, and two frozen embryo transfers, we've probably spent $2K with our insurance, including $1K for the cost of freezing embryos. There is a financial counselor at the office that walks through all coverage points and prices.
Describe Magdy Milad's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Northwestern Medicine.
Dr. Milad recommended two, 3-day embryos transferred and advised of trade-offs. He recommended one, 5-day embryo transfer because of his concern around the risks of carrying multiples. It was only after two failed fresh transfers and one failed frozen transfer that her recommended transferring two 5-day embryos.