I see patients who have done IVF cycles in other clinics all the time. How they responded in the earlier IVF treatment cycle provides me with valuable information, based on which I can tailor a better treatment protocol for them.
Some Important Questions
Please tell me more details about your earlier IVF cycles
- What were the meds which were used for superovulation?
- What was the dose used?
- How many follicles did you grow?
- How many eggs were collected?
- What was the E2 ( estradiol) level in the blood?
- How many embryos were transferred?
- What was the embryo quality?
- DO YOU HAVE PHOTOS OF YOUR EMBRYOS?
- What was the endometrial thickness?
- Can you please show me the printed treatment summary from your IVF clinic ?
Many of them look at me blankly. ( I am sure some of them wonder why I expect them to know all this - after all, they are just patients, and not doctors ! )
Others get defensive and say -
" The doctor did not tell us anything. "
" The clinic does not provide medical records. "
" They keep a copy of the medical treatment and do not give the patient anything at all."
Now I think that any clinic which does not routinely give the patient a treatment summary of their IVF cycle at the end of the treatment is a bad clinic . However, while the absence of the medical treatment summary reflects badly on the doctor who provided the treatment, it is also a reflection of the fact that the patient has been a bad patient as well !
Ignorance isn't Bliss
" The doctor did not give me a copy of the records " is not a good answer. Getting a copy of your medical treatment details is not only your right, it's your responsibility as well ! And if you do not assert your responsibility, then you are as much to blame as the doctor is !
It takes two to tango - and while you cannot change someone esle's behaviour, you can change your own !
- Start off from the first visit by observing what happens in the clinic
Does the doctor give you a copy of your consultation
- Do you get a copy of your lab tests?
- Do other patients have their records with them?
- Ask at the first visit itself what the clinic policy is about medical documentation
- If your doctor refuses to give you your records after your treatment is over ( because he does not want you to go to another doctor), then you need to become assertive !
- Ask for a copy of your medical records - and make this request in writing, with a copy to the Administrator of the Hospital
- If you do not get a reply, then ask your lawyer to write the letter for you - I can guarantee this will produce results !