IVF patients who've done an IVF cycle in other clinics are very reluctant to repeat another IVF cycle. In their mind , all doctors are created equal , so they are naturally skeptical about whether Dr Malpani is really any better than their prior IVF clinic ? Their unasked question is What makes Malpani Infertility Clinic better than anyone else ?
Their confidence in IVF doctors has been shaken up . As we know, at the first consultation , every IVF doctor is in sell model. The doctor is on their best behavior , and is willing to make lots of tall promises to lure the patient to sign up, so they can make money from the patient. However, when the cycle fails, they become unapproachable , and patients feel abandoned and cheated. They refuse to trust any other doctor, because they fail to realize that not all doctors are created equal.
One of the biggest reasons for their angst is that they feel the doctor has let them down. They don't share information with them; they don't provide satisfying explanations for why the cycle failed ; and they will offer additional options like using donor eggs or doing surrogacy, which sounds like upselling to the patient. These treatment options are much more expensive , and often not acceptable to the patients . Patients aren't fools. They know that they are being taken for a ride , because they can sense that the doctor is hiding the truth from them, now that the cycle has failed. Even worse, they realise that they were cheated because the doctor did not follow best global practices, and did not provide them with photos of their embryos.
This is why its very hard for us to explain to patients why we're better a burnt child dreads the fire, and they are unwilling to try a new doctor, because they are disenchanted with the medical profession because of their poor experience.
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