For physicians
My name is Dmitri Dozortsev. I am a non-physician expert in translational fertility, helping physicians to incorporate cutting-edge basic science into clinical practice. By utilizing my services you will increase the level of patient satisfaction, improve outcomes in difficult cases, and expand your practice. My assistance is limited to cases with at least two failed IVFs due to poor egg quality and/or absence of chromosomally normal embryos and also, some cases of unexplained, repeated implantation failure. Please note that I am NOT consulting for routine IVF cases or cases with aspermia or azoospermia.
Most IVF cases are straightforward and can be resolved with one of the standard protocols. However, with a case’s complexity, the time required to help a patient increases disproportionally to the point when it is no longer feasible and begins affecting other cases.
What I find most challenging for physicians is to navigate scientific research publications that is required for solving difficult cases. This has nothing to do with intellect, but everything with trust. Unfortunately, so-called evidenced based medicine, failed us miserably with only about 1% (my estimate) of publications containing actionable information. It takes a unique set of expertise to navigate this ocean of junk science and you need an experienced navigator for the muddy waters. This is where my 30+ years of expertise and unique blend of education fits in.
Acceptance criteria:
- The patient must be cycling at least several times a year
- Under 44 years of age
- Motile sperm is available (regardless of the source or quality)
- More than 1 follicle at a baseline ultrasound or at least one follicle if the tubes are blocked
I accept to work on only a small number of cases a month and choose those where my investment of time is likely to be more fruitful or pick my curiosity for some reason. I also always prefer cases of those physicians who are egor to try something new. The time zone is unimportant, since most of the communication is in writing.
Other requirements:
- Patience is a virtue
In some cases, after just reviewing and doing research with existing data, I can propose a course of action. But in others, finding a way forward will require collecting additional clinical information by tracking one or two natural cycles and additional testing. If your patient is very impatient, this is not a good candidate.
Cost:
You will be offering my services as a part of the package which will include my fee, your fee and estimated variable costs of additional testing and medicine. Mine and your fee are fixed, while variable costs may change.
You can brand this service however you like. For example “Enhanced Fertility Package™”.
Once I reviwed patient’s history (no charge) and ready to accept the case, I will email you a digital contract between your and mine practice, invoice for my services and a consent protecting mine and your liability. You may request patient to sign any additional consents as you wish.
If everything looks good to you and patient, you will return signed agreement, remit payment. and we will begin working on this case. The consent signed by patient you will keep on file as a part of her medical records. I do not need a copy.
The cost of my part of service can range widely, from $250 for less than an hour of my time to $15,000 for onsite presence.
HIPAA compliance:
My online platform that we will use for communication about the case is NOT HIPAA complient.
Privacy and Security:
I take privacy and security very seriously. But as we know even large organizations with unlimited Internet budgets get hacked regularly. Since I cant reliably protect sensitive information, I choose not to store it.
My database only has the name and affiliations of the physicians. Patients are identified by two random numbers that only you can link to a specific patient.
Anonymity:
It is entirely up to you to disclose to the patient that you are using me as one of your resources. Although, in most cases, patients will be actively asking you to reach out for my assistance with their case.
Data ownership:
I reserve all right to use any data about the case in any manner I find useful without identifying the physician or disclosing the information that may help identify the physician.
Case reporting:
Sometimes the case will be worth reporting. If this happens we will be co-authors on the case report.
Testimonies:
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