DOR ladies: If you could choose, money no object-- Shady Grove, Dominion, or CCRM?

[Anonymous]

Just got a very generous insurance plan but can only choose between Shady Grove, Dominion or CCRM. I have really bad DOR (AFC 4, amh 0.3) and this will be my last shot.

I'm not sure if I have the time to do consults at all three. Would love to hear pro/con and endorsements of these clinics. Which should I pick?

[Anonymous]

There are a ton of threads asking this very question. You can use the search function in the forum. I would choose Widra at Shady Grove. He is straightforward, which some people like and other don't. Regardless, he will listen to you and discuss/explain options if you are researching a lot and have specific questions. I asked really dumb questions along the way and he was always patient and respectful despite that. I also considered him to be sympathetic and sensitive overall. He knows a lot about the industry and what other clinics do. He is not that involved during the monitoring, so you need to set up consults and follow-up consults for that. He will answer questions you send in through your nurse.

I have done consults with other REs who have reputations for being especially warm, great bedside manner, etc. and I didn't have that experience at all with them. I liked Widra much more and never left a consult feeling really upset or like my issues were dismissed.

So, given reactions vary from patient to patient, you may need to devote a bit more time to comparison shop to get a better sense which is the best fit.

[Anonymous]

Anonymous wrote:There are a ton of threads asking this very question. You can use the search function in the forum. I would choose Widra at Shady Grove. He is straightforward, which some people like and other don't. Regardless, he will listen to you and discuss/explain options if you are researching a lot and have specific questions. I asked really dumb questions along the way and he was always patient and respectful despite that. I also considered him to be sympathetic and sensitive overall. He knows a lot about the industry and what other clinics do. He is not that involved during the monitoring, so you need to set up consults and follow-up consults for that. He will answer questions you send in through your nurse.

I have done consults with other REs who have reputations for being especially warm, great bedside manner, etc. and I didn't have that experience at all with them. I liked Widra much more and never left a consult feeling really upset or like my issues were dismissed.

So, given reactions vary from patient to patient, you may need to devote a bit more time to comparison shop to get a better sense which is the best fit.

thanks for the response. ive read all the threads (and many duplicated topics on DCUM). Wasn't sure if there were updated opinions so thought worth asking

[Anonymous]

I would probably choose CCRM or Dominion. CCRM because they are willing to customize protocols and I love that the doctors due all the monitoring , you can contact them, and you have your own individual nurse. It's a very organized system. Dominion, if you'd like to do natural cycle.

[Anonymous]

Anonymous wrote:There are a ton of threads asking this very question. You can use the search function in the forum. I would choose Widra at Shady Grove. He is straightforward, which some people like and other don't. Regardless, he will listen to you and discuss/explain options if you are researching a lot and have specific questions. I asked really dumb questions along the way and he was always patient and respectful despite that. I also considered him to be sympathetic and sensitive overall. He knows a lot about the industry and what other clinics do. He is not that involved during the monitoring, so you need to set up consults and follow-up consults for that. He will answer questions you send in through your nurse.

I have done consults with other REs who have reputations for being especially warm, great bedside manner, etc. and I didn't have that experience at all with them. I liked Widra much more and never left a consult feeling really upset or like my issues were dismissed.

So, given reactions vary from patient to patient, you may need to devote a bit more time to comparison shop to get a better sense which is the best fit.

I thought (still think) Widra is great. He's not warm and fuzzy, per se. But I loved him! I liked his fact-based, logical approach. Despite that, I was sad not to see him any longer. I was super happy to take home two babies, though.

[Anonymous]

CCRM with Dr. Payson. In fact we've now decided to go there again, after a not great experience at Shady Grove and radio silence from Dominion after liking Dr. Gordon (but the nurses don't pick up phones apparently?).

[Anonymous]

Davis at Cornell if it's your last shot

[Anonymous]

Anonymous wrote:Davis at Cornell if it's your last shot

+1

If that's not an option I'd do CCRM. I'd also do a consult with Davis at Dominion for natural cycle.

Shady Grove is fine for cookie cutter IF. But I wouldn't go there for DOR.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Davis at Cornell if it's your last shot

+1

If that's not an option I'd do CCRM. I'd also do a consult with Davis at Dominion for natural cycle.

Shady Grove is fine for cookie cutter IF. But I wouldn't go there for DOR.

Can people chime in with more details on why SG is not good for DOR? I thought most REs use basically the same protocols. What specifically is SG lacking or not doing that a place like Cornell or CCRM would do?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Davis at Cornell if it's your last shot

+1

If that's not an option I'd do CCRM. I'd also do a consult with Davis at Dominion for natural cycle.

Shady Grove is fine for cookie cutter IF. But I wouldn't go there for DOR.

Can people chime in with more details on why SG is not good for DOR? I thought most REs use basically the same protocols. What specifically is SG lacking or not doing that a place like Cornell or CCRM would do?

I would love to know as well

[Anonymous]

Anonymous wrote:CCRM with Dr. Payson. In fact we've now decided to go there again, after a not great experience at Shady Grove and radio silence from Dominion after liking Dr. Gordon (but the nurses don't pick up phones apparently?).

Does CCRM have a DC monitoring option? I am leaning toward them but having to go to Vienna/Tysons for monitoring to come back to DC for work is something that I would have to consider

[Anonymous]

I posted to recommend SG above. REs like Widra know what Cornell and CCRM do and will discuss/consider options from those places that you've researched. I have seen people say that there is more tinkering with doses during the monitoring phase at these other places. I do not know how much of a difference that is - SG would seek the RE opinion about dose changes for me even when he was out of town. I'm not sure what more you can expect.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Davis at Cornell if it's your last shot

+1

If that's not an option I'd do CCRM. I'd also do a consult with Davis at Dominion for natural cycle.

Shady Grove is fine for cookie cutter IF. But I wouldn't go there for DOR.

Can people chime in with more details on why SG is not good for DOR? I thought most REs use basically the same protocols. What specifically is SG lacking or not doing that a place like Cornell or CCRM would do?

I would love to know as well

There are countless threads on this.
https://www.google.com/search?q=dcurbanmom+DOR+cornell+shady+grove+site:www.dcurbanmom.com

[Anonymous]

Anonymous wrote:

Anonymous wrote:Davis at Cornell if it's your last shot

+1

If that's not an option I'd do CCRM. I'd also do a consult with Davis at Dominion for natural cycle.

Shady Grove is fine for cookie cutter IF. But I wouldn't go there for DOR.

Exactly.

[Anonymous]

In my experience, SG will only transfer embryos on day 5. If you have DOR, you will probably not have anything to transfer. Also, at least my old doctor at SG (can't speak for the whole practice) gave me very high doses to increase egg production. But the quality of these eggs were horrible. I was also in my twenties when I was at SG, so bad quality was not a function of age. Cornell and GW will both do day 3 transfers and will give you low doses of medicine.