Bitesize - What bespoke treatment at CRGH involves.
Welcome to the latest episode of The Fertility Podcast bite-size where we are in conversation with Dr Waal Saab, Deputy Clinical Director at The Centre for Reproductive and Genetic Health.
What was discussed:
- How treatment is tailored depending on medical history
- Success rates and what they mean at different clinics
- How CRGH is open 24/7
- The multidisciplinary approach when it comes to medical care. W
- How all medical decisions depend on input from clinicians, embryologists, nurses.
- How a patient’s psychological status is well cared for with access to counselling and how partners are also supported
- How CRGH are well known to be a centre of referral where patients come, after recurrent failures eg. implantation failures or miscarriages
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Transcript
05:34.82
Wael Saab
So, CGRH is well-known to offer bespoke treatment because we take into account individualized patient care, every one of us is different. Every patient medical history is different. We tailor treatment based on taking medical history that will help us in deciding what kind of medical workup we need to do that will lead to a proper or the correct diagnosis. And the treatment will be based on that every one of us is different. Every patient's medical history is different when we know exactly what we are looking for. We know to offer the treatment that is tailored to a specific person without using blanket policies during medical treatment.
06:38.33
Wael Saab
At CRGH, we are different. I always keep on telling my patients if you mix a sperm and eggs that will create embryos, this has been happening for thousands if not millions of years but obviously without any doubt every clinic is different. Success rates between clinics is different and at CRGH we pride ourselves being a clinic that works 24/7. We try to make sure that we are offering the treatment if a collection embryo transfer, any form of procedure that is required during fertility treatment is required to happen on a weekend, on a bank holiday that will happen at the right time. We tailor the treatment properly and in general what makes any clinic difference specifically CRGH is that paying attention to details. We do follow a multidisciplinary approach when it comes to medical care. We take into account the patient’s soma and psyche at the same time. Any medical decision will depend from input from clinicians, embryologists, nurses, and obviously throughout the fertility journey we make sure that our patient’s psychological status is well cared off.
08:13.33
Wael Saab
Fertility journeys can be a rollercoaster, there are lots of ups, lots of downs. Although for initial consultations clinicians see the patients for 1 hour but most of our patients have journeys that lasted for years years of treatment years of trying good news, bad news and they do require support during the treatment. Not necessarily. We want to wait until. An outcome whether the outcome is positive or negative. We want to make sure that they are mentally and physically in the right status possible throughout the treatment but we have 3 to 4 counsellors that our patients have full access to they can have their direct. Mobile or emails that they can contact you during the treatment for support and when I say support I say support for if there are a single patients having treatment for themselves support for their partners during the treatment because sometimes unfortunately we end up forgetting partners. Ah, whether male partners or female partners during the treatment so they obviously have full access to the support sessions too.
09:49.86
Wael Saab
Obviously at CRGH when we deal with consultation when we when we deal with patients for treatment. The treatment is not only medical the treatment starts from. The time we see the patient with the time when we hear the patients we have to make sure to give them that space for them to let us know their history to vent the treatment trust me simple things that we might hear that the patient's previous experiences before just hearing the patients what are their specific leads and tailoring that rather than just the treatment being only one-sided which is offered by the clinician or from the clinic and that's it this interaction between the clinician between the clinic and the patients will give the patients our clients more confidence that they are seen they are heard and that the treatment that they are given to them is personalized and it's not a blanket policy that everyone is offered the same treatment any time. These key factors. Although they sound minor but they are very major in patient care. Um in all fields I have to say but specifically in fields like fertility because it's it's a sensitive topic. We do give ah patients hormones as well to make things unfortunately even worse. And ah it involves more than one person. It is the patient the partner sometimes the family that is basically also involved in the treatment. So ah, giving that patient that extra space to be heard will make CRGH really different to other places and. That is a key for any successful story.
11:56.36
Wael Saab
Obviously, unfortunately in the field of fertility irrespective of the advances that has happened over the last few years, few decades, we have to admit that there's always unfortunately not every person who visits us, we are able to help or to treat because at CRGH we have a prolonged and long experience with treatment treating hardcore medical cases or difficult cases. We are well known to be a center of referral where patients come and see us. After recurrent failures whether implantation failures whether miscarriages we deal with those challenges using a multidisciplinary approach we are on top of the game when it comes to we are up to date with research any new advances in the treatment. We try to if it helps our patients we try to implement it. We are very academic in our approach we have regular multidisciplinary meetings that are attended by different members of staff. We have regular negative cycle meetings where we try to assess what can be done different to help people. We audit our pregnancy rates quite frequently to make sure that even ladies who have recurrent IVF failures we try to as much as possible to give them that hope obviously a logical hope, a realistic hope and we do our best and crossing that extra mile with that case as we have seen we have across the years that I have been at CRGH there are plenty of stories that have been end up in a negative or a bad outcome before where we helped and assisted that couple. And that what makes our speciality quite rewarding.