[{"_id":"project-settings","settings":{"translateMetaTags":true,"translateAriaLabels":true,"translateTitle":true,"showWidget":true,"isFeedbackEnabled":false,"customWidget":{"theme":"custom","font":"rgb(255,255,255)","header":"rgb(0,0,0)","background":"rgba(0,0,0,0.8)","position":"right","positionVertical":"bottom","border":"rgb(204,204,204)","borderRequired":false,"widgetCompact":true,"isWidgetPositionRelative":false},"widgetLanguages":[],"activeLanguages":{"fr-CA":"Français (Canada)","es":"Español","en":"English"},"enabledLanguages":["en","es","fr-CA"],"debugInfo":false,"displayBranding":true,"displayBrandingName":false,"localizeImages":false,"localizeUrls":false,"localizeImagesLimit":false,"localizeUrlsLimit":true,"localizeAudio":false,"localizeAudioLimit":false,"localizeDates":false,"disabledPages":[],"regexPhrases":[],"allowComplexCssSelectors":false,"blockedClasses":false,"blockedIds":false,"phraseDetection":true,"customDomainSettings":[],"seoSetting":[],"translateSource":false,"overage":false,"detectPhraseFromAllLanguage":false,"googleAnalytics":false,"mixpanel":false,"heap":false,"disableDateLocalization":false,"ignoreCurrencyInTranslation":false,"blockedComplexSelectors":[]},"version":22146},{"_id":"en","source":"en","pluralFn":"return n != 1 ? 1 : 0;","pluralForm":2,"dictionary":{},"version":22146},{"_id":"outdated","outdated":{"#pad":1,"#back to the":1,"#back to them and establishing eye contact":1,"#the lab tests":1,"#the monitor":1,"#to the screen":1,"#can see my activities going from a pad of paper":1,"#if we’re sitting in a consult room and the patient can see me,":1,"#we were in the same consult room. There’s a couple of practical issues that I always warn patients about and one is the relatively limited field of view.":1,"#I think the idea behind this is just communication no different than we would experience if":1,"#Dr. Jonathan Kort, Reproductive Endocrinologist, RMA Northern California":1,"#of it and that goes for both sides. So":1,"#frankness":1,"#the honesty and the":1,"#, nor":1,"#he fact that there’s a computer and an image in a monitor interposed should not change the intensity of the exchange":1,"#and what happened in the consult room across the table. It’s communication and patients should feel free to define exactly what they want.":1,"#patients":1,"#for communication no less intimate are no less revealing than a face-to-face across the table and all of our patients should bring to that consult online those same expectations. There should be no difference between the conversation that takes place as we’re having it now or as I have or any one of us has it with":1,"#elehealth being the broader category with several subdivisions, one of them being telemedicine the idea is to just establish a different venue":1,"#Dr. Philip Chenette, Reproductive Endocrinologist, Pacific Fertility Center,":1,"#elehealth and in particular telemedicine":1,"#I want to go back and just talk about what the cornerstone of a consultation is and that’s communication and establishing a relationship with your provider. And when we talk about":1,"#Thank you for the opportunity to chat with each of the members and thanks for arranging this":1,"#I wondered if you can walk us through typically what’s completed during an initial consultation or diagnostic phase. What are the different parts of that and how long in general does that typically take for your patients getting started?":1,"#And I do like pointing out that we’re seeing that likely start to open up. But for right now we know that there are some services including initial consultations that can be performed via telemedicine. And":1,"#. We know that this these guidelines and these recommendations meant that a lot of practices were closed for treatment and new treatments":1,"#I want to pivot to Dr.":1,"#Dr. Alan Copperman, Reproductive Endocrinologist, RMA, New York, and Medical Director, Progyny":1,"#Thank you. That’s helpful. And":1,"#give local feedback and once again focus on the patients in front of us and that’s going to give to our patients the best and the safest experience.":1,"#That means Telehealth and that also means that during this downtime we can have more communication with our patients rather than less. So I think that ASRM has given us a framework to understand how to safely resume care, but we have to be in touch with them":1,"#that means new technology.":1,"#And over the last couple of weeks and in the upcoming weeks, my sense is that they’re going to become a little bit looser as we all locally realize that our situations between us and our patients are very individual and difficult to legislate on a national level. So here in New York, we believe we’re past the surge and we’re starting to look forward to how we can safely deliver care to patients and that means social distancing,":1,"#so they were fairly strict.":1,"#distancing,":1,"#And at this point they’ve given us some guidance and a framework so that we can decide the locally and regionally and nationally how to manage reproductive care for our patients. Their first attempt was fairly strict. We didn’t understand when the surge was going to be of this pandemic, of covid-19 in each of our local jurisdictions. They didn’t know the capacity of hospitals. They didn’t know the capacity of all of us as citizens of society to flatten the curve through social":1,"#when it’s even time to stop treatment.":1,"#when it’s time to start treatment":1,"#Lissa Kline, LCSW, Vice President, Member and Provider Services, Progyny":1,"#medical issues":1,"#the most complicated issues in that imaginable. They’ve given us guidance on ethical issues":1,"#for organizing today and for giving us all the opportunity to discuss this really important time in our history and the field of Reproductive Medicine. ASRM has given us guidance and some":1,"#Thanks":1,"#your practice and the field as a whole?":1,"#ASRM’s guidelines and what do you think this meant for you":1,"#, I’d love to start by hearing your perspective on":1,"#And so":1,"#everyone knows on March 17thand then again on April 13th, the American Society for Reproductive Medicine or ASRM made recommendations that practices should complete ongoing cycles, but not to initiate new treatment cycles in terms of fertility.":1,"#all in mute mode, and so if you have questions as we go through the webinar. You can enter them in the chat function in a panel on your screen and we’ll get to them towards the end.":1,"#I want to let our viewers know that as you":1,"#welcome everyone before we get started":1,"#is also on our Medical Advisory Board here at Progyny.":1,"#from Reproductive Medicine Associates of Northern California. And in case you hadn’t noticed a pattern":1,"#Telehealth in Your Fertility Journey: Moving Forward During This Time":1,"#is also joining us from the Bay Area":1,"#Kort":1,"#is also a member of Progyny’s Medical Advisory Board and last but certainly not least, Dr. Jonathan":1,"#is joining us from Pacific Fertility Center in San Francisco.":1,"#Chenette":1,"#Washington and is also a member of Progyny’s Medical Advisory Board. Dr. Phillip":1,"#. He’s joining us today from Seattle Reproductive Medicine in Seattle":1,"#Letterie":1,"#r. Gerard":1,"#Although COVID-19 has disrupted or postponed many treatment cycles, with telehealth you can still move forward on your fertility journey. We understand how difficult infertility is—and how frustrating interruptions to treatment can be. That’s why we have put together a webinar with a panel of fertility experts to answer any questions you have. Learn what to expect, how telehealth differs from an in person visit, and how treatment in the clinic will look with new social distancing and safety precautions in place. ":1,"#I think we hearing a story that this isn’t really down time, but this is time for precise encounter for":1,"#nd on the couple side we can help time and do the carrier testing.":1,"#ts. A":1,"#here’s also the opportunity for health and wellness and engagement and they’re even at home sperm ki":1,"#n the male side":1,"#. O":1,"#on the female side, this is eggs and ovaries and hormones and timing and ovulation and preconception counseling":1,"#is that we’re a precise specialty and we have precise recommendations. So":1,"#theme here":1,"#reat questions. I think that the overwhelming":1,"#I’d love to get your perspective on should patients feel safe moving forward now and what do you think that looks like in New York and across the country":1,"#s regions across the country are starting to open back up":1,"#ervices":1,"#been partially open starting to expand":1,"#who have":1,"#linics":1,"#and I like that we have this lens, we’re starting to hear of clinics who were totally closed starting to open up and":1,"#welcome":1,"#you mentioned":1,"#I like that so":1,"#nd something that when visits her in person and harder to get to we may have seen less frequently.":1,"#artners, which is great":1,"#we’re finding that, you know, a lot of our follow-up visits are involving both":1,"#efinitely, you know, a lot of our patients who have partners are both working from home. And":1,"#I think that’s really convenient for a lot of people":1,"#can both join the conference with the position from where you’re sitting.":1,"#via Zoom or other modalities":1,"#elehealth that you know before if I was entering treatment with my partner and we both had pretty hectic work schedules and lived across town San Francisco from each other and it’s hard to both meet up at your clinic":1,"#Medical Advisory Board, welcome. I’d also like to":1,"#, about t":1,"#I like to about telemedicine":1,"#t’s good to have that information before any treatment plan is started.":1,"#and in around 1 percent of couples that information may change the type of treatment that we recommend and so":1,"#And so that’s something that patients can really make the most of this time while they’re actual treatment might be delayed":1,"#ealth visits because if they need to have a counseling with a genetic counselor, they need to discuss those results. It’s very easy to do through a video chat.":1,"#eh":1,"#really lend themselves to tel":1,"#e are and you know those":1,"#is the medical director of RMA of New York and serves as the medical director for Progyny’s":1,"#nd are you continuing that during this time":1,"#do that follow-up testing that you’re talking about and then don’t they usually sit back down with you or one of your colleagues and review those results":1,"#Yeah, and then typically do you see in your practice that that patients will come in and have that initial consult":1,"#n case there are results that may change the type of treatment that is recommended.":1,"#getting that testing done now is a good idea even if you’re not able to start your treatment cycles for another two or three weeks because that information is helpful to have before you start your treatment cycle":1,"#of two or three weeks. And so":1,"#time":1,"#hese tests also have a turnaround time":1,"#And a lot of the testing companies that perform these tests can actually mail a cheek swab to our patients and have that done remotely":1,"#what genetic carrier screening is and why it is worth considering for our patients.":1,"#includes genetic carrier testing and at a minimum at least a discussion of":1,"#consult":1,"#. Yeah, a lot of the testing that we do during the initial":1,"#n fact get started now":1,"#why it’s important that they do":1,"#are thinking that they want to get started":1,"#and why it’s important really for patients who":1,"#tc":1,"#preconception carrier screening":1,"#testing,":1,"#may be genetic":1,"#we know that the initial consult and a follow-up during that diagnostic phase can be done via video. Tell us a little more about other pretreatment services that can be done from home":1,"#were saying":1,"#similar to what":1,"#wanted to ask you":1,"#Yeah, that’s great. Dr.":1,"#and it’ll be a tremendous tool for all of our patients.":1,"#aster":1,"#before we get started, I’d like to introduce our guests today. I’d like to welcome":1,"#will":1,"#. We":1,"#Right and this is one more piece":1,"#We’ve been surfing a wave of technology for the last 25 years.":1,"#ourney. That’s great.":1,"#all of you and your colleagues are helping to adapt so patients aren’t missing out on getting started or continuing their":1,"#is that the community we know is a really resilient and creative community in that the doctors":1,"#said how there’s a silver lining to what Americans and really the world is going through":1,"#I like what you and":1,"#diagnostic tools are going to become a big part of what we do.":1,"#consumer-friendly":1,"#ut absolutely those":1,"#ricks and things like that that we’re bringing into practice. There’s an issue is just to evaluate on those and it’s going to that’s going to take some time.":1,"#of finger":1,"#but not generally in our office. There are mobile blood draw stations that will actually come to your home to do that. And yes, absolutely. There are more user-friendly test":1,"#blood draws and things":1,"#Yes. We’re still doing traditional lab tests":1,"#keep moving forward.":1,"#iagnostics?":1,"#ome into the office or you finding Ways for them to complete those":1,"#LH. Are you having patients today":1,"#so finger prick for estrogen FSH":1,"#for example at home hormonal testing":1,"#I know there are some ways that people can do":1,"#At PFC specifically,":1,"#protecting the clinics in the staff and our patients.":1,"#getting the appropriate treatment in place and this helps with the community needs of social spacing and limiting viral transmission":1,"#we’re going to be talking about how you can get started on your fertility during now or keep moving forward through telehealth. The doctors who have joined us today will give their perspective during this unprecedented time and share how the fertility community is here to help you":1,"#getting you the appropriate treatment plan":1,"#hat enables to us to achieve all of these goals of getting you educated":1,"#help you think about your family building goals and where you want to go with that and then we’ll bring you in for a 15-minute visit for a specific ultrasound or a diagnostic procedure":1,"#review your records":1,"#consultation,":1,"#We’ll do the initial":1,"#n thing.":1,"#ands-":1,"#it’s a":1,"#world":1,"#Kline, Vice President of Member and Provider Services at Progyny. Today":1,"#long ago. We do still some inpatient things. I mean, this is the fertility":1,"#with those resources now and wondering a little bit why we didn’t do this":1,"#I’m really pleased we’re here with this":1,"#hormone levels. We can look at your ultrasound results. I can put them right up here on the screen and let you see what I what I see. It is a tremendous tool":1,"#Mullerian":1,"#your anti-":1,"#m,":1,"#ysterosalpingogra":1,"#esults":1,"#we can show pictures of the embryos that were created in the in vitro fertilization lab. We can look at your test":1,"#expert resources on the outside. I can bring my embryologist online to have a comment on the embryos":1,"#e can bring to bear in an electronic visit than we can with our traditional in-person visits. I can bring":1,"#Telehealth though is helping you achieve your health goals and there’s so many more resources":1,"#edicine is basically just doing what we’ve always done":1,"#Telem":1,"#mentioned is a very important one.":1,"#elehealth and telemedicine is":1,"#hat differentiation between":1,"#ertility Journey. I’m":1,"#by telemedicine":1,"#elehealth":1,"#diagnostic reviews and treatment plans are created by":1,"#totally and now almost all of our normal first patient contacts and advice":1,"#month ago. We were forced to jump into it":1,"#some time":1,"#elehealth resources for quite":1,"#We’ve been developing":1,"#specifically where your patience today in San Francisco in the Bay Area may not be able to travel to see you as they used to do.":1,"#? And then as I said for the for the diagnostics that are happening afterwards":1,"#elehealth for those consult":1,"#, at PFC specifically or what your colleagues are doing. How is your practice using":1,"#That’s great. Dr":1,"#is just to give the patient a sense as to what they can expect in a very visual way.":1,"#HSGs":1,"#images":1,"#decline means overtime":1,"#e AMH":1,"#, what th":1,"#Welcome everyone to our webinar Telehealth in your":1,"#graphs of":1,"#o different. You can share the screen and have a stack of six or eight slides to illustrate for example in the initial consultation what each of the steps means":1,"#is n":1,"#and telemedicine":1,"#that we can supplement the conversation":1,"#whether it’s looking embryos or surgical procedures images":1,"#opening up textbooks":1,"#giving patients notes":1,"#Transcript":1,"#many of us will depend on drawings":1,"#n a face-to-face across the table consult":1,"#t. I":1,"#nice aspect of telemedicine is that you can turn the screen and share it and typically I try to have a series of slides that I can share with the patien":1,"#and then a discussion of the diagnostics":1,"#how that might play into their lives":1,"#Why they might not be getting pregnant or if it’s fertility preservation":1,"#what they want to get out of the consultation trying to stratify their history.":1,"#it’s a review of why they’re here":1,"#If you have any questions or want further emotional support, please contact your dedicated Progyny Patient Care Advocate.":1,"#practices.":1,"#SRM or":1,"#typically is in is involved in that first sort of introduction to your patients whether it’s at":1,"#esides just that first conversation":1,"#I think that’s great to talk about the initial consult and how you’re prepping your patients and what they should expect":1,"#they’re digital natives. This is part of their DNA and I think this is going to be part of our clinical practice up ahead and I’ll stop there.":1,"#Fertility treatment is essential medicine, so physicians are still seeing patients. In order to limit exposure to the virus, any appointments that can be, are now done via telehealth. Please be assured, as your fertility journey progresses and you are required to come into the clinic, providers have implemented strong safety and social distancing practices.":1,"#hose that are coming up":1,"#aradigm":1,"#p":1,"#this is all new. It’s kind of superposed on the learning":1,"#and to us, we’re sometimes referred to as digital immigrants. Everybody on our panel, a lot of the listening audience,":1,"#I consult my 18 year old because this is second nature to her":1,"#technology":1,"#or Zoom. If I have any questions about the":1,"#GotoWebinar":1,"#Fertility Treatment During COVID-19":1,"#lot of the formats, whether that is.":1,"#those who are in their early 20s and transition to late 20s early 30s. This is part of what they do. Talking about a":1,"#elehealth and telemedicine and I think it’s going to become more important as those patients who come up through the ranks and need infertility care":1},"version":22146}]