I am just back from an incredible adventure in London where I attended The Fertility Show with Dr. Dave Kreiner, the Founder of East Coast Fertility , his wife Robin Kreiner, and Amy Demma, Esq, the Founder of Prospective Families.
I should have known that this trip would forever live in my memory as the start of something big when a piece of magnificently prepared giant prawn got lodged in my throat the first night. I will never forget Robin Kreiner, chatting with her son on the cell phone letting him know that we had just arrived safely in London as she gave commentary on the unfolding action at the dinner table. “I think Pamela is choking and Daddy is giving her the Heimlich Maneuver.” She calmly described as I gasped for air, felt Dr. Kreiner smoothly perform the maneuver and felt the offending prawn “pop” out of my throat! I think it was the start of many “firsts” for all of us!
First off, I have never been at a fertility conference this large directed at consumers interested in fertility. At the height of my day at The American Fertility Association, if we counted every breathing head we might have hit 1000 people in one room. And while The Fertility Fair promised 4000 attendees they might have delivered close to 3000 – still an amazing number.
The booths were set up professional conference style – and if I didn’t know better, I might have thought that I was in the convention center at the annual meeting of ASRM.
Live educational seminars were taking place all around us on every subject possible including what patients should know about seeking fertility care abroad. It was amazing listening in on this workshop from the perspective of someone offering treatment aboard to patients, instead of counseling patients about going abroad for treatment as a patient advocate representing a patient organization.
I heard a lot of the same messages about why UK consumers should not leave their country to seek fertility treatment. Many of them were messages that I used to give to American consumers myself as a warning to stay in the United States for fertility care such as:
- differences in the culture
- lack of emotional support
Now that I offering care to patients who live outside of the United States at the highest level of quality and care – what I heard sounded an awful lot like fear mongering to me. I found myself feeling rather insulted! Of course, we offered the highest levels of medical care, emotional support and created systems of follow up medical care for our patients. No one is going to deny that it adds an additional level of stress for patients to leave their home land for medical treatment, and there certainly will be culturally differences. After all, even for us as Americans in Britain we struggled with menu selections that featured “Spotted Dick and Jugged Hare”!
Hearing that talk on seeking care abroad in many ways embarrassed me as I knew that I had given many such talks myself in the past. Perhaps we need to develop a “Questions to Ask If You are Seeking Treatment Abroad” rather than assume that patients will have a horrific experience if they dare to leave their borders for treatment.
We also had a few lessons in what “Free Access” to fertility treatment looks like; how it works and how it doesn’t work. I have never met so many people who knew that they need fertility care, but had yet to see a doctor and had no idea where in the process that they fell. They were on wait lists to see clinicians for the initial diagnosis process and they had come to The Fertility Fair to gather up every piece of information that they could in case they would need it in the future. In the public system in the UK – many would be eligible for free IVF – but they needed to wait their turn. While this worked very well for many – others were frightened of long wait lists because of their age and were exploring traveling abroad not only for hard to get services such as egg donation, but for standard IVF out of fear being aged out of being able to use their own eggs.
Many were seeking care outside of the UK because they were concerned over issues of disclosure. In the UK, all of the laws in regard to assisted conception are written with the child first in mind. And in the UK, that means that there is really no completely anonymous egg donation because at age 18 the child has access to the donor’s information. This was very concerning to many of the couples that were seeking information egg donation in the United States. They wanted to make sure that if they traveled to the US to do egg donation, that they would be assured of completely an anonymous egg donation experience.
Yes, there are differences in legal systems all over the world. And this is something to be mindful of. On my second to last night in the UK – an intruder kicked down my door early in the morning at my hotel room. I was terrified. So this was how it was all going to end for me? Dr. Kreiner had save me from a shrimp all for nothing? Instead it was going to be rape and murder in my little hotel room in London?
I think not.
I screamed, and pushed whileobscenities were directed my way as I fled under the very tall, very aggressive and very big man’s arm. Thank goodness he was drunk and I know how to move quickly. I ran screaming down the halls begging for help – and of course that landed me at Dave and Robin Kreiner’s room! The police were called, and they found the man asleep in my bed. The English police asked me to come up to the room to identify the man who was now hand cuffed and struggling wildly with two or three officers. The next thing I will never forget is Robin Kreiner, Amy Demma and I turning on our heels and running frantically away down the stairs back to safety.
As for me, I am none the worse for wear except for a bit of trauma, and hurting in places I don’t remember hurting pushing my way out of that room. And I got to learn a bit more about the British legal system that had nothing to do with egg donation and fertility care.
So that is what London, The Fertility Show, Jugged Hare, Spotted Dick, Access to health care, the Heimlich Maneuver, fear mongering and handcuffs have in common! It all happened in four days on my very first trip to London!
I can’t wait to go back.
Posted under "Cross Border Fertility Treatment", Dave Kreiner, Dr. Dave Kreiner, East Coast Fertility, Egg Donation, The Fertility Show
This post was written by pmadsen on November 10, 2009
Tags: Amy Demma, Assisted Conception, David Kreiner, East Coast Fertility, Egg Donation, Heimlich Maneuver, Jugged Hare, London, MD, Prospective Families, Spotted Dick, The Fertility Show