1 00:00:06,280 --> 00:00:09,760 Speaker 1: On the morning of Friday, April fifth, twenty twenty four, 2 00:00:10,160 --> 00:00:13,440 Speaker 1: Mary Shaker walks into the Center for Reproductive Health and 3 00:00:13,560 --> 00:00:16,680 Speaker 1: takes a seat in the waiting room. It's the same 4 00:00:16,800 --> 00:00:19,959 Speaker 1: day as Sydney's appointment, though the two women don't know 5 00:00:20,040 --> 00:00:24,040 Speaker 1: each other. Like Sydney, Mary is also getting ready for 6 00:00:24,079 --> 00:00:27,600 Speaker 1: an embryo transfer. For the past few weeks, she's been 7 00:00:27,640 --> 00:00:31,319 Speaker 1: taking fertility drugs and coming into the clinic regularly for 8 00:00:31,400 --> 00:00:33,000 Speaker 1: blood work and ultrasounds. 9 00:00:33,200 --> 00:00:36,159 Speaker 2: I always have to take time off to go and 10 00:00:36,200 --> 00:00:38,800 Speaker 2: do all these appointments off work, and so I always 11 00:00:38,800 --> 00:00:40,680 Speaker 2: picked the earliest appointment possible. 12 00:00:41,760 --> 00:00:45,159 Speaker 1: Mary's transfer is about a week away, and she's counting 13 00:00:45,200 --> 00:00:46,120 Speaker 1: down the days. 14 00:00:46,479 --> 00:00:48,720 Speaker 2: I'm like just hoping that things are looking good and 15 00:00:48,720 --> 00:00:51,760 Speaker 2: we're progressing forward. I mean, I just remember being excited 16 00:00:51,800 --> 00:00:56,240 Speaker 2: that we were in the process of starting another transfer 17 00:00:56,280 --> 00:00:57,800 Speaker 2: that could lead to having a family. 18 00:00:58,560 --> 00:01:02,240 Speaker 1: Mary and Sydney's appointment and are the same morning, and 19 00:01:02,320 --> 00:01:06,560 Speaker 1: yet they're very different. Sydney leaves the clinic in a 20 00:01:06,640 --> 00:01:10,880 Speaker 1: panic with her world turned upside down, but Mary's appointment 21 00:01:11,280 --> 00:01:13,360 Speaker 1: isn't particularly notable at all. 22 00:01:15,440 --> 00:01:19,120 Speaker 3: So at eight am, I show up and reception is 23 00:01:19,160 --> 00:01:22,400 Speaker 3: acting normal. I got my blood drawn. It was a 24 00:01:22,440 --> 00:01:25,800 Speaker 3: different lady than the normal forbotomist, but I didn't think 25 00:01:25,800 --> 00:01:28,240 Speaker 3: anything of it because I figured it seems like it 26 00:01:28,280 --> 00:01:30,240 Speaker 3: was like kind of a contracting company where it was 27 00:01:30,280 --> 00:01:34,240 Speaker 3: like they sent nurses to different areas anyway. So and 28 00:01:34,280 --> 00:01:37,200 Speaker 3: then I went and got my ultrasound, the ultrafound nurse 29 00:01:37,440 --> 00:01:42,039 Speaker 3: technician through my measurements, got dressed, and I left like 30 00:01:42,120 --> 00:01:45,720 Speaker 3: it was just the normal, checking like it was just normal. 31 00:01:46,240 --> 00:01:48,760 Speaker 1: Mary finishes up and goes to her job as a 32 00:01:48,840 --> 00:01:53,880 Speaker 1: veterinary technician. Nothing seems out of the ordinary until later 33 00:01:53,960 --> 00:01:54,760 Speaker 1: that afternoon. 34 00:01:55,200 --> 00:01:57,200 Speaker 3: That's when I got a phone call at four pm 35 00:01:57,720 --> 00:02:02,200 Speaker 3: from my IVS nurse same you know, I'm so sorry 36 00:02:02,240 --> 00:02:04,840 Speaker 3: to tell you this, but you're transferred being pushed to 37 00:02:04,880 --> 00:02:08,359 Speaker 3: the following month. I'm livid at that point because I'm 38 00:02:08,360 --> 00:02:11,560 Speaker 3: already on the drugs, so I am I'm asking questions 39 00:02:11,560 --> 00:02:14,280 Speaker 3: like what are you talking about? Like my did everything 40 00:02:14,320 --> 00:02:16,320 Speaker 3: look okay with my blood work? Like is there anything 41 00:02:16,320 --> 00:02:18,480 Speaker 3: wrong with my ulstreet sound? Like why am I getting pushed? 42 00:02:18,960 --> 00:02:21,440 Speaker 3: And she just kept saying, you know, we're gonna have 43 00:02:21,480 --> 00:02:24,880 Speaker 3: a meeting next week. I'll know more next week. 44 00:02:25,440 --> 00:02:28,560 Speaker 1: The only explanation she gets is that the center is 45 00:02:28,600 --> 00:02:32,000 Speaker 1: short stuffed, but the nurse instructs her to keep taking 46 00:02:32,040 --> 00:02:36,400 Speaker 1: the medication she's on, including loupron, a drug that, among 47 00:02:36,480 --> 00:02:40,359 Speaker 1: other things, stops you from ovulating. You have to inject it, 48 00:02:40,639 --> 00:02:44,440 Speaker 1: and there are a lot of side effects like joint pain, nausea, 49 00:02:44,800 --> 00:02:48,600 Speaker 1: hot flashes, and on top of that, it's expensive. 50 00:02:49,440 --> 00:02:53,400 Speaker 3: Lupron is like one thousand dollars a vile if you 51 00:02:53,440 --> 00:02:55,640 Speaker 3: don't have insurance, maybe even more it might be like 52 00:02:55,680 --> 00:02:59,919 Speaker 3: twelve hundred dollars a bio. You know, I just kept thinking, Okay, 53 00:03:00,080 --> 00:03:02,519 Speaker 3: well I'll just keep taking my leopron, but like update 54 00:03:02,560 --> 00:03:03,960 Speaker 3: me and like tell me what's going on. I'm like, 55 00:03:04,240 --> 00:03:06,520 Speaker 3: but I am. I am kissed and care OFFU at 56 00:03:06,520 --> 00:03:09,560 Speaker 3: this point because I knew something was wrong, Like I 57 00:03:09,639 --> 00:03:13,440 Speaker 3: knew something was not right with this claim. 58 00:03:13,480 --> 00:03:17,519 Speaker 1: Mary spends the weekend in anger and confusion. She's gone 59 00:03:17,560 --> 00:03:19,880 Speaker 1: through a lot to get her body ready for the 60 00:03:19,880 --> 00:03:25,840 Speaker 1: embryo transfer, and now another setback. Monday morning comes and goes, 61 00:03:26,080 --> 00:03:30,440 Speaker 1: and Mary hears nothing from the clinic that evening, more 62 00:03:30,480 --> 00:03:33,760 Speaker 1: than seventy two hours since she spoke with her IVF nurse. 63 00:03:34,320 --> 00:03:37,760 Speaker 1: Mary's coworker calls her and tells her to turn on 64 00:03:38,000 --> 00:03:42,240 Speaker 1: the local news now they're airing a piece about the 65 00:03:42,280 --> 00:03:43,880 Speaker 1: Center for Reproductive Health. 66 00:03:44,120 --> 00:03:47,400 Speaker 4: For the past two years, the couple's driven to midtown 67 00:03:47,480 --> 00:03:52,480 Speaker 4: Nashville for fertility treatments at the Center for Reproductive Health. Unexpectedly, 68 00:03:52,520 --> 00:03:56,440 Speaker 4: at Friday's appointment, a receptionist shared bad news. The staff 69 00:03:56,520 --> 00:03:59,880 Speaker 4: just received a letter reading, unforeseen circumstances have led to 70 00:03:59,920 --> 00:04:04,800 Speaker 4: a financial deficit. Regrettably, you will not receive your paychecks tomorrow. 71 00:04:05,360 --> 00:04:07,640 Speaker 4: As a result, people walked off the job. 72 00:04:08,000 --> 00:04:08,280 Speaker 3: There. 73 00:04:08,440 --> 00:04:12,120 Speaker 1: On news Channel five in Nashville is Sydney and her 74 00:04:12,200 --> 00:04:13,200 Speaker 1: husband Austin. 75 00:04:13,640 --> 00:04:20,080 Speaker 5: I'm having to feel grief, almost grieving the plans that 76 00:04:20,160 --> 00:04:23,640 Speaker 5: I had made him, grieving the life that I thought 77 00:04:23,640 --> 00:04:24,919 Speaker 5: I was going to have this summer. 78 00:04:25,000 --> 00:04:26,520 Speaker 4: In Nashville news Channel five. 79 00:04:28,560 --> 00:04:32,320 Speaker 1: Mary is stunned. If this is true, if the clinic 80 00:04:32,440 --> 00:04:36,280 Speaker 1: is going under, it means her embryo transfer is probably 81 00:04:36,320 --> 00:04:39,440 Speaker 1: not going to happen either. She doesn't know what to do. 82 00:04:40,200 --> 00:04:44,560 Speaker 6: I was so confused and scared and sad, and just 83 00:04:44,720 --> 00:04:50,960 Speaker 6: like angry. It felt like another lost chance to start 84 00:04:51,000 --> 00:04:51,440 Speaker 6: a family. 85 00:04:54,160 --> 00:04:58,920 Speaker 1: The next morning, Tuesday, April ninth, Mary's husband decides to 86 00:04:58,960 --> 00:05:02,120 Speaker 1: go to the Center for Reproductive Health himself to see 87 00:05:02,120 --> 00:05:06,000 Speaker 1: what's going on. The news report was concerning, but maybe 88 00:05:06,040 --> 00:05:09,320 Speaker 1: there was some kind of misunderstanding, or maybe the financial 89 00:05:09,360 --> 00:05:10,599 Speaker 1: issues have been worked out. 90 00:05:11,080 --> 00:05:13,559 Speaker 6: He wanted to just talk to somebody, like you wanted 91 00:05:13,600 --> 00:05:16,560 Speaker 6: to know there are somebody there and see if he 92 00:05:16,600 --> 00:05:19,520 Speaker 6: could get any information, you know, not just from the news, 93 00:05:19,560 --> 00:05:21,080 Speaker 6: but from somebody at the clinic. 94 00:05:21,200 --> 00:05:21,360 Speaker 7: Right. 95 00:05:22,160 --> 00:05:25,640 Speaker 1: Mary's husband says that when he arrives, the clinic doors 96 00:05:25,680 --> 00:05:31,240 Speaker 1: are unlocked. He walks in and what he sees confirms 97 00:05:31,279 --> 00:05:34,920 Speaker 1: the couple's fears. There's no one behind the front desk, 98 00:05:35,480 --> 00:05:38,880 Speaker 1: and the room is quiet except for the phones, which 99 00:05:38,880 --> 00:05:42,880 Speaker 1: are ringing NonStop. It feels like a ghost town or 100 00:05:42,920 --> 00:05:45,800 Speaker 1: a scene from one of those disaster movies where everyone's 101 00:05:45,839 --> 00:05:49,599 Speaker 1: picked up and left mid sentence. On the reception counter 102 00:05:49,839 --> 00:05:52,279 Speaker 1: is a set of keys with a sticky note that 103 00:05:52,400 --> 00:05:54,320 Speaker 1: reads thanks for the opportunity. 104 00:05:55,640 --> 00:05:58,640 Speaker 6: Any bad person could have just literally crawled over the 105 00:05:58,680 --> 00:06:02,400 Speaker 6: counter and gotten people well medical records. Could have walked 106 00:06:02,400 --> 00:06:04,920 Speaker 6: around the clinic like there's just nobody there. 107 00:06:13,480 --> 00:06:17,760 Speaker 1: I'm Melissa Jelson from School of Humans and iHeart Podcasts. 108 00:06:18,240 --> 00:06:27,440 Speaker 1: This is what happened in Nashville Episode two. The stakeout. 109 00:06:28,920 --> 00:06:32,200 Speaker 1: Mary isn't the only patient who learns that the Center 110 00:06:32,279 --> 00:06:36,320 Speaker 1: for Reproductive Health is closing from the news. In the 111 00:06:36,400 --> 00:06:41,680 Speaker 1: hours after Sydney's news report airs, panic spreads. Patients report 112 00:06:41,800 --> 00:06:45,360 Speaker 1: calling the clinic and no one picks up. Many send 113 00:06:45,440 --> 00:06:50,000 Speaker 1: emails to the patient portal with frantic questions. Some request 114 00:06:50,040 --> 00:06:54,200 Speaker 1: their medical records and get them. Others get no response 115 00:06:54,279 --> 00:06:59,200 Speaker 1: at all. Even the clinic's website remains unchanged, as if 116 00:06:59,240 --> 00:07:03,760 Speaker 1: nothing's happened. Sydney, it seems, is the only person with 117 00:07:03,960 --> 00:07:09,280 Speaker 1: any information, and even hers is limited. Desperate for answers, 118 00:07:09,520 --> 00:07:13,040 Speaker 1: patients begin tracking her down on social media, flooding her 119 00:07:13,080 --> 00:07:17,040 Speaker 1: with messages. Is the clinic going to reopen? How did 120 00:07:17,080 --> 00:07:21,320 Speaker 1: you get your embryos out? What should we do? Sydney 121 00:07:21,360 --> 00:07:25,280 Speaker 1: can't offer much. She was simply lucky tipped off just 122 00:07:25,360 --> 00:07:28,440 Speaker 1: before the doors were shut, but she wants to help. 123 00:07:29,520 --> 00:07:30,800 Speaker 8: I looked at my husband and I was like, I 124 00:07:30,800 --> 00:07:33,160 Speaker 8: think I'm going to make a Facebook page for all 125 00:07:33,480 --> 00:07:36,880 Speaker 8: the families that are going through this, because that way 126 00:07:36,960 --> 00:07:39,880 Speaker 8: we can all just kind of have each other. I 127 00:07:39,920 --> 00:07:42,160 Speaker 8: don't have the answers, but maybe like all together we 128 00:07:42,200 --> 00:07:44,960 Speaker 8: can kind of figure out what's going. 129 00:07:44,720 --> 00:07:48,520 Speaker 1: On Mary quickly joins the group. Even if no one 130 00:07:48,560 --> 00:07:52,000 Speaker 1: knows much yet, at least they can compare notes, share 131 00:07:52,040 --> 00:07:55,240 Speaker 1: scraps of intel, and try to piece together what's happening. 132 00:07:55,720 --> 00:07:59,360 Speaker 6: Everyone's kind of posting, trying to get information, seeing if 133 00:07:59,360 --> 00:08:03,120 Speaker 6: anybody's gotten through the phone lines, if anyone's gotten an email, 134 00:08:03,400 --> 00:08:05,760 Speaker 6: because the phone line's just ring and ring and ring. 135 00:08:06,240 --> 00:08:09,360 Speaker 1: There are patients like Mary and Sidney who have been 136 00:08:09,400 --> 00:08:13,520 Speaker 1: taking hormonal medications for weeks, preparing their bodies for an 137 00:08:13,520 --> 00:08:18,520 Speaker 1: embryo transfer. They've already paid for the procedures, procedures now 138 00:08:18,680 --> 00:08:23,560 Speaker 1: indefinitely on hold. There are patients who aren't actively in treatment, 139 00:08:23,960 --> 00:08:28,000 Speaker 1: but are storing their embryos there for future use, trusting 140 00:08:28,160 --> 00:08:30,840 Speaker 1: that they are safe and will be available when they 141 00:08:30,880 --> 00:08:34,680 Speaker 1: need them. And then there are people like Taylor Turner, 142 00:08:35,120 --> 00:08:38,280 Speaker 1: whose window to have a child had already been narrowing. 143 00:08:40,320 --> 00:08:43,719 Speaker 9: You're taught so long, like don't touch another person, or 144 00:08:43,760 --> 00:08:46,160 Speaker 9: you're going to get pregnant. Like growing up, it was 145 00:08:46,240 --> 00:08:49,200 Speaker 9: like it's, you know, don't get pregnant, don't get pregnant. 146 00:08:50,320 --> 00:08:52,599 Speaker 9: So I think I just thought it was going to 147 00:08:52,640 --> 00:08:53,480 Speaker 9: be an easy. 148 00:08:53,240 --> 00:08:54,520 Speaker 7: Thing to do. 149 00:08:55,880 --> 00:08:58,440 Speaker 1: Taylor and her husband had been trying for a few 150 00:08:58,520 --> 00:09:01,520 Speaker 1: years to get pregnant before they became patients at the 151 00:09:01,559 --> 00:09:03,480 Speaker 1: Center for Reproductive. 152 00:09:02,800 --> 00:09:06,520 Speaker 9: Health, seeing people around you getting pregnant, and you know, 153 00:09:06,600 --> 00:09:10,400 Speaker 9: it feels like every time you open up a social 154 00:09:10,440 --> 00:09:15,760 Speaker 9: media platform, it's in your face someone's getting pregnant, having 155 00:09:15,800 --> 00:09:20,199 Speaker 9: their second, their third kid. So it just it's tough. 156 00:09:22,600 --> 00:09:26,079 Speaker 1: Taylor had just started the fertility process when she got 157 00:09:26,120 --> 00:09:31,680 Speaker 1: a devastating diagnosis a brain tumor. She needed surgery immediately. 158 00:09:32,360 --> 00:09:37,000 Speaker 1: Everything else was put on pause. The recovery process was long, 159 00:09:37,480 --> 00:09:40,280 Speaker 1: but as soon as she was able, Taylor began an 160 00:09:40,360 --> 00:09:43,680 Speaker 1: egg retrieval cycle. If there was any chance she could 161 00:09:43,720 --> 00:09:46,680 Speaker 1: have a child using her own eggs, she needed to 162 00:09:46,720 --> 00:09:49,760 Speaker 1: do this immediately before undergoing radiation. 163 00:09:50,520 --> 00:09:55,440 Speaker 9: They retrieved nine eggs, five I believe got to the 164 00:09:55,679 --> 00:09:59,520 Speaker 9: blast desist stage. I maybe butchering that name. I'm sorry 165 00:09:59,559 --> 00:10:01,199 Speaker 9: if I am. 166 00:10:01,559 --> 00:10:01,679 Speaker 3: So. 167 00:10:01,800 --> 00:10:04,120 Speaker 9: Five of them got to that stage, and then we 168 00:10:04,240 --> 00:10:06,640 Speaker 9: sent them off to get tested. 169 00:10:07,320 --> 00:10:11,880 Speaker 1: After testing, Taylor ended up with one genetically normal embryo. 170 00:10:12,440 --> 00:10:16,880 Speaker 9: We have a highly graded boy embryo that we lovingly 171 00:10:16,960 --> 00:10:18,119 Speaker 9: call five double. 172 00:10:17,880 --> 00:10:21,679 Speaker 8: A, so we always referred to him as that. 173 00:10:22,200 --> 00:10:26,600 Speaker 1: This one embryo five double A, which is in storage 174 00:10:26,720 --> 00:10:30,520 Speaker 1: at the Center for Reproductive Health. Is her only chance 175 00:10:30,720 --> 00:10:32,200 Speaker 1: for a biological child. 176 00:10:32,800 --> 00:10:36,760 Speaker 9: I do have a progesterone receptive tumor, and I can't 177 00:10:37,000 --> 00:10:40,360 Speaker 9: do IVF again. We have a lot banking on the 178 00:10:40,400 --> 00:10:41,600 Speaker 9: one embryo that we have. 179 00:10:44,880 --> 00:10:48,800 Speaker 1: Taylor's situation was unique, but the fear and uncertainty she 180 00:10:48,840 --> 00:10:53,240 Speaker 1: felt wasn't. One patient described that stretch of chaos, not 181 00:10:53,360 --> 00:10:55,840 Speaker 1: knowing what to do or how to do it, or 182 00:10:55,880 --> 00:10:59,400 Speaker 1: whether their eggs and embryos were being protected as quote 183 00:10:59,440 --> 00:11:03,720 Speaker 1: one of the worst experiences of her life. Across the 184 00:11:03,760 --> 00:11:07,440 Speaker 1: Facebook group, patients were in different stages of treatment, but 185 00:11:07,600 --> 00:11:11,120 Speaker 1: nearly all were bound by the same anxiety that what 186 00:11:11,240 --> 00:11:15,000 Speaker 1: they had stored inside the clinic might be lost. For many, 187 00:11:15,320 --> 00:11:19,760 Speaker 1: those embryos weren't just biological material. They were the result 188 00:11:19,960 --> 00:11:24,720 Speaker 1: of years of hope, effort, and sacrifice. Patients didn't know 189 00:11:24,800 --> 00:11:28,000 Speaker 1: what was going on behind the scenes, if doctor Vascuz 190 00:11:28,120 --> 00:11:30,880 Speaker 1: was working to keep the embryos safe or trying to 191 00:11:30,880 --> 00:11:33,240 Speaker 1: set up a way for patients to transition care to 192 00:11:33,320 --> 00:11:37,559 Speaker 1: another clinic. From their perspective, they were on their own. 193 00:11:39,559 --> 00:11:45,160 Speaker 8: I think me and a couple others realized this is bad. 194 00:11:45,679 --> 00:11:49,200 Speaker 8: This is not normal. They were just going to ignore us. 195 00:11:49,240 --> 00:11:50,920 Speaker 8: They weren't gonna write us back, they weren't going to 196 00:11:50,960 --> 00:11:54,959 Speaker 8: answer us. They had truly closed their clinic. I think 197 00:11:55,000 --> 00:11:56,880 Speaker 8: that's when we realized, like, we're going to have to 198 00:11:57,280 --> 00:12:01,760 Speaker 8: do something because they're not going to basically help. 199 00:12:02,840 --> 00:12:07,240 Speaker 1: The clinic doesn't release a statement until April sixteenth, a 200 00:12:07,280 --> 00:12:11,520 Speaker 1: full week after Sydney goes public. It assures patients that 201 00:12:11,559 --> 00:12:15,200 Speaker 1: they have and will continue to quote, maintain the safety 202 00:12:15,240 --> 00:12:19,120 Speaker 1: and integrity of your embryos, eggs and sperm samples, and 203 00:12:19,160 --> 00:12:22,400 Speaker 1: that they will assist patients in getting medical records and 204 00:12:22,480 --> 00:12:25,800 Speaker 1: in transferring their embryos, eggs and sperm to another clinic. 205 00:12:26,640 --> 00:12:30,720 Speaker 1: But for some patients, this delayed statement brings little solace. 206 00:12:31,600 --> 00:12:34,720 Speaker 8: With IVF, you already struggle with not having controlled the situation, 207 00:12:34,920 --> 00:12:38,440 Speaker 8: but with this, I truly felt like I couldn't even 208 00:12:38,559 --> 00:12:39,760 Speaker 8: figure out what was going on. 209 00:12:46,080 --> 00:12:50,040 Speaker 3: I've been dealing with impertility for over five years. All 210 00:12:50,080 --> 00:12:52,480 Speaker 3: of the testing we had done, there's not a single 211 00:12:52,559 --> 00:12:54,680 Speaker 3: test to this day that they can show why I 212 00:12:54,720 --> 00:12:59,360 Speaker 3: have impertility. I'm just the couple that have unexplained impertility, 213 00:12:59,360 --> 00:13:02,600 Speaker 3: which is twenty five five percent of Apple with in pavilion. 214 00:13:03,559 --> 00:13:07,160 Speaker 1: This is Mary again, the veterinary technician who had an 215 00:13:07,200 --> 00:13:10,080 Speaker 1: appointment at the clinic on its very last day of operation. 216 00:13:10,760 --> 00:13:14,000 Speaker 1: Even though she didn't know it then. By the time 217 00:13:14,080 --> 00:13:16,880 Speaker 1: she arrived at the Center for Reproductive Health that morning, 218 00:13:17,320 --> 00:13:21,520 Speaker 1: her fertility journey had been long and exhausting. She and 219 00:13:21,559 --> 00:13:24,120 Speaker 1: her husband started trying for a baby when she was 220 00:13:24,320 --> 00:13:28,480 Speaker 1: just twenty six, early by most standards, but by her 221 00:13:28,559 --> 00:13:32,440 Speaker 1: late twenties it was clear she needed help. She had 222 00:13:32,480 --> 00:13:36,559 Speaker 1: started treatment elsewhere with a series of what's called intrauterine 223 00:13:36,600 --> 00:13:41,559 Speaker 1: insemination or iuis. This is a procedure where sperm is 224 00:13:41,600 --> 00:13:45,319 Speaker 1: placed directly into the uterus to increase the chances of fertilization. 225 00:13:46,280 --> 00:13:50,400 Speaker 1: It's less invasive and less expensive than IVF and often 226 00:13:50,440 --> 00:13:55,480 Speaker 1: the first step in fertility care. Mary tried one, then another, 227 00:13:56,160 --> 00:14:01,200 Speaker 1: and another five In total. She got pregnate twice, but 228 00:14:01,400 --> 00:14:06,960 Speaker 1: both ended in miscarriage. None of them led to a baby. Eventually, 229 00:14:07,200 --> 00:14:09,640 Speaker 1: she and her husband decided to move on to IVF, 230 00:14:10,280 --> 00:14:13,360 Speaker 1: but there was a problem. The veterinary hospital where Mary 231 00:14:13,440 --> 00:14:17,199 Speaker 1: worked didn't offer insurance coverage for it, and paying out 232 00:14:17,200 --> 00:14:20,800 Speaker 1: of pocket for IVF can cost tens of thousands of dollars. 233 00:14:21,480 --> 00:14:24,200 Speaker 1: Many people pursuing IVF in the US are in the 234 00:14:24,240 --> 00:14:27,200 Speaker 1: same position, shouldering the cost on their own. 235 00:14:28,840 --> 00:14:31,840 Speaker 3: We, of course, were just running out of money. I'm 236 00:14:31,840 --> 00:14:35,080 Speaker 3: pretty sure our credit cards had plenty on them, and 237 00:14:35,800 --> 00:14:39,520 Speaker 3: so we had to kind of walk away for a 238 00:14:39,560 --> 00:14:44,280 Speaker 3: little while. And then my hospital got new benefits kind Body, 239 00:14:45,040 --> 00:14:48,760 Speaker 3: meaning I thought I finally won the jackpot. 240 00:14:49,440 --> 00:14:52,920 Speaker 1: Kind Body is a fertility service that some employers offer 241 00:14:53,040 --> 00:14:56,600 Speaker 1: as part of their health care benefits, allowing access to 242 00:14:56,640 --> 00:15:01,640 Speaker 1: a variety of fertility care providers. Full disclosure. I also 243 00:15:01,800 --> 00:15:06,520 Speaker 1: use kind Body for fertility treatments. In Mary's case, only 244 00:15:06,600 --> 00:15:10,480 Speaker 1: one clinic in Nashville accepted kind Body, the Center for 245 00:15:10,560 --> 00:15:12,160 Speaker 1: Reproductive Health, As. 246 00:15:11,960 --> 00:15:14,360 Speaker 3: Soon as the benefits hit of January twenty twenty three, 247 00:15:14,400 --> 00:15:15,479 Speaker 3: I was in their office. 248 00:15:16,080 --> 00:15:22,120 Speaker 1: Mary's first IVF cycle and egg retrieval resulted in ten eggs. 249 00:15:21,400 --> 00:15:26,000 Speaker 3: But only four for life that turned into embryos. And 250 00:15:26,040 --> 00:15:29,520 Speaker 3: then after we sent those four off to testing, we 251 00:15:29,600 --> 00:15:33,600 Speaker 3: only got one viable embryo that really sucked. 252 00:15:36,640 --> 00:15:42,480 Speaker 1: The results were disappointing, but also fairly typical. There's this 253 00:15:42,600 --> 00:15:47,080 Speaker 1: stereotype that fertility doctors or mad scientists trying to get 254 00:15:47,120 --> 00:15:51,120 Speaker 1: a monstrous number of eggs just because when in fact, 255 00:15:51,680 --> 00:15:54,720 Speaker 1: in most cases, you need to start with a large 256 00:15:54,800 --> 00:15:57,640 Speaker 1: number of eggs in order to end up with enough 257 00:15:57,680 --> 00:16:02,280 Speaker 1: embryos for one or two live births. When I started IVF, 258 00:16:02,560 --> 00:16:05,080 Speaker 1: I was told to expect that about half of the 259 00:16:05,160 --> 00:16:09,040 Speaker 1: eggs retrieved could be lost at each step of the process, 260 00:16:09,960 --> 00:16:13,640 Speaker 1: during fertilization, during the weight to see if they grew 261 00:16:13,680 --> 00:16:18,960 Speaker 1: into embryos, and after genetic testing. So if you start 262 00:16:19,000 --> 00:16:22,520 Speaker 1: with twenty mature eggs, you might end up with four 263 00:16:22,640 --> 00:16:27,360 Speaker 1: or five viable embryos, and that might only end in one, 264 00:16:27,880 --> 00:16:33,880 Speaker 1: maybe two pregnancies, and that's if you're really lucky. Still, 265 00:16:34,120 --> 00:16:37,520 Speaker 1: no matter how much Mary might have prepared for this reality, 266 00:16:38,160 --> 00:16:41,840 Speaker 1: seeing her numbers diminish from ten to one felt like 267 00:16:41,880 --> 00:16:42,600 Speaker 1: a gut punch. 268 00:16:43,120 --> 00:16:45,760 Speaker 3: I was super devastated, but. 269 00:16:45,760 --> 00:16:50,080 Speaker 1: She still had one healthy embryo, and in June twenty 270 00:16:50,120 --> 00:16:54,080 Speaker 1: twenty three, doctor Hime Vasquez performed the transfer. 271 00:16:54,720 --> 00:16:58,360 Speaker 3: I remember crying really hard after they said they were 272 00:16:58,400 --> 00:17:02,880 Speaker 3: all done, because I think the moment of leading up 273 00:17:03,120 --> 00:17:05,800 Speaker 3: had finally hit me that like, Okay, this is you 274 00:17:05,960 --> 00:17:09,680 Speaker 3: or die, Like this this is it. Your one embryo 275 00:17:09,800 --> 00:17:12,280 Speaker 3: is in and in ten days, you're going to find 276 00:17:12,320 --> 00:17:14,000 Speaker 3: out if you're going to be a mom or not. 277 00:17:14,840 --> 00:17:17,960 Speaker 1: Eager to see if it worked. Mary took a home 278 00:17:18,040 --> 00:17:21,439 Speaker 1: pregnancy test and it was positive. 279 00:17:21,280 --> 00:17:23,919 Speaker 3: And I was seen the line get darker, so I 280 00:17:23,960 --> 00:17:28,600 Speaker 3: was like, oh my gosh, this is it. And then 281 00:17:29,280 --> 00:17:32,080 Speaker 3: the day before I was supposed to go in to 282 00:17:32,160 --> 00:17:37,280 Speaker 3: do blood work, the line was lighter and I dark 283 00:17:37,320 --> 00:17:41,640 Speaker 3: to panic. And then the next morning it was even 284 00:17:41,720 --> 00:17:46,640 Speaker 3: lighter again. Like I just remember, I couldn't. 285 00:17:46,280 --> 00:17:48,919 Speaker 6: Even hardly work. I was so distracted. 286 00:17:49,240 --> 00:17:51,000 Speaker 3: And then I went in for my blood work and 287 00:17:51,040 --> 00:17:54,680 Speaker 3: it showed HPV of like twenty, which is not good. 288 00:17:55,760 --> 00:17:59,760 Speaker 1: Mary was having a chemical pregnancy, which is a very 289 00:18:00,359 --> 00:18:06,000 Speaker 1: miscarriage that occurs shortly after the embryo implants. Chemical pregnancies 290 00:18:06,119 --> 00:18:09,520 Speaker 1: may account for fifty to seventy five percent of all miscarriages, 291 00:18:09,960 --> 00:18:12,520 Speaker 1: though many people don't even know they're pregnant, as it 292 00:18:12,560 --> 00:18:14,840 Speaker 1: happens so early on in the process. 293 00:18:15,320 --> 00:18:16,399 Speaker 10: You just not okay. 294 00:18:16,440 --> 00:18:19,240 Speaker 3: Act that for a while. I went to counseling. I 295 00:18:19,400 --> 00:18:22,760 Speaker 3: joined the support group that I found for women that 296 00:18:22,800 --> 00:18:25,119 Speaker 3: had been the IDF. I mean, I just had to 297 00:18:25,800 --> 00:18:29,359 Speaker 3: build up my hope again because we would have to 298 00:18:29,359 --> 00:18:31,760 Speaker 3: go through another round of IVF to try and have 299 00:18:31,800 --> 00:18:35,280 Speaker 3: a baby, and so we were back at square one. 300 00:18:36,560 --> 00:18:39,760 Speaker 1: Mary went through another egg retrieval, but it was even 301 00:18:39,840 --> 00:18:43,680 Speaker 1: less successful than her first. This time she only got 302 00:18:43,720 --> 00:18:47,560 Speaker 1: a single egg and it didn't fertilize. That's when doctor 303 00:18:47,640 --> 00:18:52,560 Speaker 1: Vaskez suggested she consider a new path using donor eggs, 304 00:18:53,200 --> 00:18:56,160 Speaker 1: and he had a way to make that happen. Outside 305 00:18:56,160 --> 00:19:00,240 Speaker 1: of his medical practice, Vazquez ran a separate business called 306 00:19:00,359 --> 00:19:06,880 Speaker 1: the American Embryo Adoption Agency or AEAA. Through AEAA, patients 307 00:19:06,880 --> 00:19:10,000 Speaker 1: who are struggling to conceive with their own eggs could 308 00:19:10,080 --> 00:19:14,720 Speaker 1: purchase donated eggs or embryos, often the leftovers from other 309 00:19:14,880 --> 00:19:16,680 Speaker 1: couples IVF cycles. 310 00:19:17,040 --> 00:19:20,720 Speaker 3: I had to finally give up on that they would 311 00:19:20,720 --> 00:19:22,840 Speaker 3: be a fifty percent me running around in this world, 312 00:19:25,240 --> 00:19:28,040 Speaker 3: and that I wanted I wanted to be a mom 313 00:19:28,080 --> 00:19:33,600 Speaker 3: more than I wanted to just have a genetically binded child. 314 00:19:33,960 --> 00:19:37,960 Speaker 1: Using a Christmas bonus, Mary and her husband purchased ten 315 00:19:38,040 --> 00:19:41,960 Speaker 1: donor eggs for ten thousand dollars. They were fertilized with 316 00:19:42,040 --> 00:19:45,880 Speaker 1: her husband's sperm at the Center for Reproductive Health. Of 317 00:19:45,920 --> 00:19:52,359 Speaker 1: the ten, two developed into genetically normal embryos. Mary is 318 00:19:52,400 --> 00:19:55,520 Speaker 1: about to transfer one of these embryos when the clinic 319 00:19:55,560 --> 00:20:02,240 Speaker 1: shuts down. Now her embryos are locked inside. On Friday, 320 00:20:02,359 --> 00:20:06,879 Speaker 1: April twelfth, exactly one week from her last appointment, Mary 321 00:20:06,960 --> 00:20:10,240 Speaker 1: sees a Facebook post from another patient with an urgent 322 00:20:10,280 --> 00:20:15,520 Speaker 1: announcement Doctor Vaskaz is in the office right now for 323 00:20:15,640 --> 00:20:18,000 Speaker 1: patients who are desperately trying to get a hold of 324 00:20:18,040 --> 00:20:22,359 Speaker 1: someone at the clinic. This feels at least promising. Maybe 325 00:20:22,400 --> 00:20:25,960 Speaker 1: doctor Vaskeez can help. Mary jumps into action. 326 00:20:26,640 --> 00:20:29,040 Speaker 6: At that point, everyone is just like, oh my god, 327 00:20:29,080 --> 00:20:30,920 Speaker 6: we have to get down there. Like people started showing 328 00:20:31,000 --> 00:20:33,160 Speaker 6: up at this point because we want answers, we want 329 00:20:33,160 --> 00:20:36,560 Speaker 6: to know what's going on, pretty much anyone that didn't 330 00:20:36,560 --> 00:20:38,200 Speaker 6: have to be like at a cropt in jodge of 331 00:20:38,280 --> 00:20:41,240 Speaker 6: down there. We were thinking he would recognize as and 332 00:20:41,320 --> 00:20:44,639 Speaker 6: he would want to as a decent physician, Like he 333 00:20:44,680 --> 00:20:46,680 Speaker 6: would be like, hey, this is just like a misunderstanding, 334 00:20:46,800 --> 00:20:49,720 Speaker 6: or like he would talk to you, you would think. 335 00:20:52,880 --> 00:20:55,960 Speaker 1: As Mary steps off the elevator onto the fourth floor, 336 00:20:56,320 --> 00:21:00,040 Speaker 1: her heart is pounding. She sees seven other women and 337 00:21:00,280 --> 00:21:04,119 Speaker 1: already gathered in the hallway outside the clinic through the 338 00:21:04,160 --> 00:21:08,440 Speaker 1: glass doors. The waiting room looks the same, just empty, 339 00:21:09,240 --> 00:21:13,600 Speaker 1: and today the doors are locked. They don't see doctor Vaskez, 340 00:21:13,960 --> 00:21:17,399 Speaker 1: so it's unclear if he's even still there, But on 341 00:21:17,440 --> 00:21:21,399 Speaker 1: the off chance that he is, they wait. The patients 342 00:21:21,480 --> 00:21:25,040 Speaker 1: want to talk to him if he won't answer their questions. 343 00:21:25,400 --> 00:21:27,920 Speaker 1: At the very least, they're hoping they can get copies 344 00:21:27,960 --> 00:21:33,000 Speaker 1: of their medical records. Documentation that shows their fertility history, 345 00:21:33,480 --> 00:21:38,000 Speaker 1: improves their legal claim to what remains inside their embryos, 346 00:21:38,240 --> 00:21:42,520 Speaker 1: eggs and sperm, what the industry refers to more vaguely 347 00:21:42,800 --> 00:21:47,840 Speaker 1: as genetic material. Without these records, they can't just move 348 00:21:47,880 --> 00:21:51,959 Speaker 1: to another clinic for care. They can't transport their embryos, 349 00:21:52,680 --> 00:21:55,320 Speaker 1: they can't even begin to try to get pregnant. 350 00:21:56,480 --> 00:21:58,159 Speaker 6: We're just all trying to figure out, like how do 351 00:21:58,200 --> 00:21:59,480 Speaker 6: we get him to come out, Like how do we 352 00:21:59,480 --> 00:22:01,280 Speaker 6: get him to know so that we don't mean any harm. 353 00:22:01,760 --> 00:22:03,280 Speaker 6: We just want our medical records. 354 00:22:05,119 --> 00:22:09,560 Speaker 1: As they're waiting, the elevator doors open and another woman emerges, 355 00:22:09,920 --> 00:22:13,639 Speaker 1: heading towards the clinic. She walks up to the glass door, 356 00:22:14,040 --> 00:22:17,080 Speaker 1: shakes the handle, and the pier is confused that the 357 00:22:17,119 --> 00:22:18,080 Speaker 1: door won't open. 358 00:22:18,640 --> 00:22:20,880 Speaker 6: She thinks she's coming by just to pick up a script. 359 00:22:21,200 --> 00:22:25,040 Speaker 6: She has no idea that the clinic clothes. I'm like, hey, 360 00:22:25,280 --> 00:22:27,359 Speaker 6: you know what's going on, and she's like, no, i 361 00:22:27,400 --> 00:22:29,880 Speaker 6: just got back into town from vacation. I'm just to 362 00:22:29,920 --> 00:22:33,720 Speaker 6: start my IVS this week. And I was like, I 363 00:22:33,720 --> 00:22:35,760 Speaker 6: think you should watch this news report that came out. 364 00:22:37,280 --> 00:22:39,400 Speaker 6: It's going to be a lot of information, and we're 365 00:22:39,440 --> 00:22:41,040 Speaker 6: all kind of in limbo, like we all don't know 366 00:22:41,040 --> 00:22:44,119 Speaker 6: what's really going on. And she starts crying and she's like, 367 00:22:44,240 --> 00:22:48,120 Speaker 6: I just gave this man thirty thousand dollars in cash 368 00:22:48,560 --> 00:22:53,000 Speaker 6: two weeks ago to start this IBS. It shouldn't have 369 00:22:53,000 --> 00:22:55,800 Speaker 6: been left on the patients to tell other patients about 370 00:22:55,960 --> 00:22:58,720 Speaker 6: the horrific event. Yeah, I felt like I had just 371 00:22:59,840 --> 00:23:02,080 Speaker 6: like crushed a woman's soul. 372 00:23:03,680 --> 00:23:06,600 Speaker 1: An hour or two goes by, no one comes to 373 00:23:06,640 --> 00:23:09,600 Speaker 1: the door, and then a couple of nurses get off 374 00:23:09,600 --> 00:23:14,920 Speaker 1: the elevator. They're not employees of the Center for Reproductive Health. Instead, 375 00:23:15,119 --> 00:23:18,640 Speaker 1: judging by their lab coats, they work for Ovation, an 376 00:23:18,640 --> 00:23:23,280 Speaker 1: independent embryology lab that partners with another nearby fertility clinic. 377 00:23:24,080 --> 00:23:26,320 Speaker 1: It seems that they came to CRH just. 378 00:23:26,280 --> 00:23:29,359 Speaker 6: To help out, and we're like, what are you guys 379 00:23:29,400 --> 00:23:31,240 Speaker 6: doing here, Like are you checking on the embryos, And 380 00:23:31,240 --> 00:23:33,480 Speaker 6: they're like, yeah, we are just here to check on 381 00:23:33,520 --> 00:23:35,840 Speaker 6: the embryos to make sure the tanks have nitrogen. 382 00:23:36,520 --> 00:23:39,840 Speaker 1: The women start begging the nurses to help, to check 383 00:23:39,960 --> 00:23:43,600 Speaker 1: if doctor Vazquez is inside and if so, tell him 384 00:23:43,600 --> 00:23:44,840 Speaker 1: to please come out. 385 00:23:45,720 --> 00:23:48,520 Speaker 6: It was such a horrific thing to see. Women were 386 00:23:48,560 --> 00:23:53,240 Speaker 6: all crying because if this is closing, nobody doctors were 387 00:23:53,280 --> 00:23:55,680 Speaker 6: gonna they're gonna repeat yests. They're gonna not know what's 388 00:23:55,720 --> 00:23:58,520 Speaker 6: gone on, Like we need our medical records. They felt 389 00:23:58,680 --> 00:24:01,800 Speaker 6: so bad for us, they were fugging us. They apologize. 390 00:24:02,200 --> 00:24:05,000 Speaker 1: The Ovation nurses tell the women to write down their 391 00:24:05,080 --> 00:24:08,120 Speaker 1: names and they will search for their medical records while 392 00:24:08,119 --> 00:24:11,440 Speaker 1: they're inside. They make their way through the clinic doors 393 00:24:11,560 --> 00:24:13,000 Speaker 1: and disappear into the back. 394 00:24:13,400 --> 00:24:17,000 Speaker 6: An hour goes by and the women come out and 395 00:24:17,000 --> 00:24:21,440 Speaker 6: they're like, you guys were trying, but everything is so unorganized. 396 00:24:21,920 --> 00:24:24,680 Speaker 6: We can't find a lot of your guys' stuff. Half 397 00:24:24,720 --> 00:24:28,119 Speaker 6: of it's in a paper form, half of it's on digital, 398 00:24:28,359 --> 00:24:31,119 Speaker 6: half of it's not uploaded. I just remember all this 399 00:24:31,600 --> 00:24:33,320 Speaker 6: shaking and scared. 400 00:24:34,080 --> 00:24:38,040 Speaker 1: The Ovation nurses are able to pass along some medical records, 401 00:24:38,520 --> 00:24:39,680 Speaker 1: but not Mary's. 402 00:24:40,200 --> 00:24:42,439 Speaker 6: She just kept saying, I just can't find the proof 403 00:24:42,520 --> 00:24:46,280 Speaker 6: of the embryos information for you. Like I was terrified. 404 00:24:46,520 --> 00:24:48,520 Speaker 1: I was, Oh my god, it. 405 00:24:48,520 --> 00:24:51,840 Speaker 6: Was the out of all of our journey. That was 406 00:24:51,880 --> 00:24:54,600 Speaker 6: the worst moment ever. I was scared there was a 407 00:24:54,640 --> 00:24:57,160 Speaker 6: proof that I owned my embryos, that they were mine. 408 00:25:00,000 --> 00:25:02,760 Speaker 1: Salvation nurses can't stay for long. They have to get 409 00:25:02,800 --> 00:25:06,040 Speaker 1: back to work. But on their way out, they mentioned 410 00:25:06,040 --> 00:25:10,240 Speaker 1: that doctor Vasquez is actually there in the office. He 411 00:25:10,320 --> 00:25:13,520 Speaker 1: doesn't emerge from the back, but Mary isn't ready to 412 00:25:13,560 --> 00:25:14,720 Speaker 1: give up, not. 413 00:25:14,720 --> 00:25:18,199 Speaker 6: Yet, and I was like, I'm not leaving. Then all 414 00:25:18,200 --> 00:25:20,440 Speaker 6: of a sudden, we hear the elevator open up again 415 00:25:21,000 --> 00:25:24,080 Speaker 6: and we hear this woman in Highfields and she walks 416 00:25:24,280 --> 00:25:26,760 Speaker 6: right into the clinic like she owns the place, like 417 00:25:26,800 --> 00:25:28,719 Speaker 6: a woman in a suit. One of the girls I 418 00:25:28,760 --> 00:25:32,159 Speaker 6: was there with, Megan, literally yells across the lobby and 419 00:25:32,200 --> 00:25:34,880 Speaker 6: she goes, hey, who are you, And she goes, I'm 420 00:25:34,920 --> 00:25:38,320 Speaker 6: his attorney. Her name was Dixie, and she looks like it, 421 00:25:38,400 --> 00:25:42,520 Speaker 6: let me tell you. And that's when Megan's like, please, 422 00:25:42,600 --> 00:25:45,959 Speaker 6: you have to help us, Like Mary needs her medical records, 423 00:25:46,080 --> 00:25:48,040 Speaker 6: she needs proof of that she has embryos in there. 424 00:25:48,720 --> 00:25:52,680 Speaker 1: Dixie is empathetic to her plight. She lets Mary inside 425 00:25:52,680 --> 00:25:54,800 Speaker 1: the clinic and tells her to take a seat in 426 00:25:54,880 --> 00:25:59,520 Speaker 1: the lobby. Dixie heads off to search for Mary's records, warning, 427 00:26:00,240 --> 00:26:01,360 Speaker 1: take a while, she. 428 00:26:01,359 --> 00:26:02,320 Speaker 6: Would be nice. 429 00:26:02,320 --> 00:26:02,600 Speaker 7: She was. 430 00:26:02,640 --> 00:26:05,439 Speaker 6: Actually, she was trying to defend him to me. She 431 00:26:05,640 --> 00:26:08,960 Speaker 6: was like, you know, his staff walcked out. We want 432 00:26:09,000 --> 00:26:11,679 Speaker 6: to help the patients, and like at that point I 433 00:26:11,720 --> 00:26:15,320 Speaker 6: was like, I don't care. I was like, to please 434 00:26:15,520 --> 00:26:16,679 Speaker 6: find my medical record. 435 00:26:17,440 --> 00:26:21,640 Speaker 1: Mary sits alone in the empty waiting room. It's strange. 436 00:26:22,119 --> 00:26:26,280 Speaker 1: There's no receptionist tapping on her keyboard, no other patients 437 00:26:26,359 --> 00:26:31,080 Speaker 1: chatting in hushed tones, no movement at all. The normal 438 00:26:31,160 --> 00:26:33,960 Speaker 1: rhythm of the clinic, which is so familiar to her, 439 00:26:34,680 --> 00:26:42,280 Speaker 1: is absent. The quiet makes her uncomfortable. More time passes, 440 00:26:43,240 --> 00:26:46,919 Speaker 1: Dixie finds some paperwork, but it's not what Mary needs. 441 00:26:47,680 --> 00:26:50,720 Speaker 1: Then Dixie calls an it person on the phone to help, 442 00:26:51,320 --> 00:26:55,080 Speaker 1: and finally Mary gets an email with a thousand pages 443 00:26:55,119 --> 00:26:58,760 Speaker 1: of documents attached. She quickly forwards it to her husband. 444 00:26:59,280 --> 00:27:00,720 Speaker 6: Then I'm like, I need I start looking to this 445 00:27:00,760 --> 00:27:02,919 Speaker 6: email right now before I leave. I need you to 446 00:27:03,040 --> 00:27:07,320 Speaker 6: find in a thousand pages proof that the embryos are 447 00:27:07,560 --> 00:27:12,159 Speaker 6: genetically like half you, we own them, and that they 448 00:27:12,200 --> 00:27:15,000 Speaker 6: are store here at this lab. I just needed that 449 00:27:15,040 --> 00:27:17,840 Speaker 6: proof before I walked up, because I know, thank God, 450 00:27:18,000 --> 00:27:19,280 Speaker 6: I knew that would be the last time I would 451 00:27:19,280 --> 00:27:20,199 Speaker 6: ever be in that lobby. 452 00:27:20,800 --> 00:27:25,280 Speaker 1: Soon, Mary's husband texts her that he's found the needed documents. 453 00:27:25,840 --> 00:27:27,840 Speaker 1: Just as a couple of new women show up at 454 00:27:27,880 --> 00:27:29,840 Speaker 1: the glass door and rattle the handle. 455 00:27:30,480 --> 00:27:32,359 Speaker 6: I'm thinking, oh my god, it's going to be more patient. 456 00:27:32,400 --> 00:27:34,440 Speaker 6: They're going to see me in here. I'm going to 457 00:27:34,480 --> 00:27:37,200 Speaker 6: get their hopeful. They start pounding on the glass door 458 00:27:37,200 --> 00:27:39,119 Speaker 6: and they look at me and they point at the knob, 459 00:27:39,920 --> 00:27:41,760 Speaker 6: and that's when the attorney showed back up. So the 460 00:27:41,760 --> 00:27:44,960 Speaker 6: attorney Lesson opens the door and is like, we're not 461 00:27:45,080 --> 00:27:47,560 Speaker 6: open right now. We will contact. They're like, no, we 462 00:27:47,720 --> 00:27:51,080 Speaker 6: are here from the state of Tennessee. And then the 463 00:27:51,119 --> 00:27:53,720 Speaker 6: attorney literally she looked at me and she said, do 464 00:27:53,760 --> 00:27:55,840 Speaker 6: you have everything? And I said, yes, I do, and 465 00:27:55,880 --> 00:27:57,720 Speaker 6: that was it. I walked out of there. 466 00:28:03,600 --> 00:28:07,000 Speaker 1: As Mary leaves the Center for Reproductive Health, the new 467 00:28:07,080 --> 00:28:11,840 Speaker 1: women enter the clinic. They aren't patients though they're inspectors 468 00:28:11,960 --> 00:28:15,919 Speaker 1: from the Tennessee Health Facilities Commission. Their job is to 469 00:28:15,960 --> 00:28:21,560 Speaker 1: investigate complaints about healthcare providers. They received reports that patients 470 00:28:21,600 --> 00:28:24,520 Speaker 1: have been unable to contact anyone at the clinic, and 471 00:28:24,560 --> 00:28:30,200 Speaker 1: they're there for an unannounced inspection Dixie, Doctor Vasquez's lawyer 472 00:28:30,720 --> 00:28:34,800 Speaker 1: brings them back into the office. An affidavit by one 473 00:28:34,880 --> 00:28:38,800 Speaker 1: of the inspectors, Deborah Verna, lays out exactly what they saw. 474 00:28:39,800 --> 00:28:43,120 Speaker 1: The Tennessee Health Facilities Commission declined to make her available 475 00:28:43,160 --> 00:28:46,360 Speaker 1: for an interview, but here are parts of her affidavit 476 00:28:46,400 --> 00:28:49,040 Speaker 1: and the resulting report read by a voice actor. 477 00:28:50,680 --> 00:28:54,600 Speaker 11: I observed that there were no staff members present besides 478 00:28:54,640 --> 00:28:59,320 Speaker 11: doctor him Vaskez. Doctor Vasquez told us that the clinic 479 00:28:59,400 --> 00:29:02,920 Speaker 11: was not closed posed, it was just experiencing low volume. 480 00:29:03,760 --> 00:29:07,400 Speaker 1: Doctor Vazquez gives the inspectors a tour of the facility. 481 00:29:08,080 --> 00:29:11,400 Speaker 1: They are very eager to check on the cryogenic tanks, 482 00:29:11,800 --> 00:29:14,720 Speaker 1: as a number of patients had expressed worry that their 483 00:29:14,760 --> 00:29:17,600 Speaker 1: embryos might not be receiving adequate care. 484 00:29:18,520 --> 00:29:22,920 Speaker 11: We asked doctor Vasquez how many embryos were currently being stored. 485 00:29:23,480 --> 00:29:26,960 Speaker 11: At first, he said he didn't know. He later stated 486 00:29:27,000 --> 00:29:30,000 Speaker 11: there were between eight hundred to one thousand embryos. 487 00:29:30,840 --> 00:29:34,360 Speaker 1: Court documents later show there were one thousand, one hundred 488 00:29:34,400 --> 00:29:37,960 Speaker 1: and eighty eight frozen embryos at the clinic, several hundred 489 00:29:38,040 --> 00:29:41,760 Speaker 1: more than his estimate. Doctor Vazquez leads them to the 490 00:29:41,800 --> 00:29:45,880 Speaker 1: cryo tank storage room. Just outside the door, the inspectors 491 00:29:45,880 --> 00:29:49,920 Speaker 1: spot a tank without an alarm system. It's labeled both 492 00:29:50,120 --> 00:29:54,680 Speaker 1: backup storage and mice embryos. As they prepare to enter 493 00:29:54,680 --> 00:29:57,560 Speaker 1: the room, the inspectors ask if they should put on 494 00:29:57,680 --> 00:30:03,760 Speaker 1: personal protective equipment. Doctor Vazquez tells them it's not necessary. Then, 495 00:30:03,920 --> 00:30:06,640 Speaker 1: in front of them, he begins opening the tanks. 496 00:30:07,480 --> 00:30:12,280 Speaker 11: I observed doctor Vasquez opening embryo and sperm cryogenic storage 497 00:30:12,320 --> 00:30:16,800 Speaker 11: tanks without using personal protective equipment, which is a violation 498 00:30:16,960 --> 00:30:20,840 Speaker 11: of infection control protocols. When I raised the issue with 499 00:30:20,920 --> 00:30:24,720 Speaker 11: doctor Vasquez, he stated he did not need to use PPE. 500 00:30:25,400 --> 00:30:29,120 Speaker 1: The inspectors watch as doctor Vasquez removes the plug from 501 00:30:29,160 --> 00:30:32,240 Speaker 1: a cryogenic tank and places it on a stainless steel 502 00:30:32,360 --> 00:30:36,680 Speaker 1: rolling cart. The cart is visibly soiled, covered in an 503 00:30:36,760 --> 00:30:42,239 Speaker 1: unknown sticky substance, use tweezers, broken class laboratory straws, and 504 00:30:42,280 --> 00:30:46,760 Speaker 1: a wadded up paper towel. The investigators also take a 505 00:30:46,800 --> 00:30:50,560 Speaker 1: closer look at the tanks themselves. They had been tipped 506 00:30:50,560 --> 00:30:53,880 Speaker 1: off by the clinic's former embryologist that one of the 507 00:30:53,920 --> 00:30:57,440 Speaker 1: tanks might be leaking, they wanted to see for themselves. 508 00:30:59,560 --> 00:31:03,080 Speaker 11: I did not observe a puncture, but I was unable 509 00:31:03,120 --> 00:31:06,280 Speaker 11: to fully determine if the tank had developed a leak 510 00:31:06,520 --> 00:31:10,440 Speaker 11: because there were no documented temperature readings of any of 511 00:31:10,480 --> 00:31:12,719 Speaker 11: the storage tanks since April fifth. 512 00:31:14,200 --> 00:31:18,040 Speaker 1: As the inspector wrote in her report, any facility with 513 00:31:18,120 --> 00:31:22,640 Speaker 1: cryogenic storage tanks is federally mandated to monitor and document 514 00:31:22,680 --> 00:31:28,400 Speaker 1: their temperatures regularly, but there was no temperature documentation since Friday, 515 00:31:28,480 --> 00:31:33,200 Speaker 1: April fifth, a full week before. When Verna asked doctor 516 00:31:33,280 --> 00:31:39,000 Speaker 1: Vasquez about the missing paperwork, he has no explanation. Inspectors 517 00:31:39,040 --> 00:31:43,000 Speaker 1: asked doctor Vasquez to demonstrate the procedures for servicing the tanks, 518 00:31:43,920 --> 00:31:46,719 Speaker 1: but when he goes to measure the liquid nitrogen, the 519 00:31:46,760 --> 00:31:52,040 Speaker 1: inspectors say he's off by seven centimeters. Verner questions Vasquez 520 00:31:52,040 --> 00:31:55,200 Speaker 1: about it, but he doubles down and insists he's right. 521 00:31:55,880 --> 00:32:00,200 Speaker 11: Doctor Vazkez appeared to be unable to accurately measure the 522 00:32:00,240 --> 00:32:02,840 Speaker 11: liquid nitrogen and record the measurements. 523 00:32:03,640 --> 00:32:06,760 Speaker 1: They asked doctor Vazkez for a copy of the facility's 524 00:32:06,800 --> 00:32:11,800 Speaker 1: written policies, but he can't find them. Verna finds something, though, 525 00:32:12,000 --> 00:32:14,920 Speaker 1: when she checks out a binder laying on the countertop 526 00:32:14,960 --> 00:32:19,360 Speaker 1: in the lab. It's filled with old documents dated two 527 00:32:19,440 --> 00:32:23,120 Speaker 1: thousand and one. The Health Department later notes in its 528 00:32:23,160 --> 00:32:28,200 Speaker 1: report that crh's policies and procedures had not been updated 529 00:32:28,240 --> 00:32:32,880 Speaker 1: to reflect current professionally recognized standards of practice for over 530 00:32:33,000 --> 00:32:38,440 Speaker 1: two decades. The inspectors conclude their visit and leave the 531 00:32:38,520 --> 00:32:42,440 Speaker 1: Center for Reproductive Health, but the investigation is not over. 532 00:32:43,200 --> 00:32:46,760 Speaker 1: They call an embryologist who had recently worked at the clinic, 533 00:32:47,080 --> 00:32:50,880 Speaker 1: now living in Florida. She tells them that she's owed 534 00:32:51,120 --> 00:32:54,920 Speaker 1: more than fifty thousand dollars for past services and shares 535 00:32:54,960 --> 00:32:59,760 Speaker 1: her concerns about the embryos. The embryologists declined to speak 536 00:32:59,760 --> 00:33:03,400 Speaker 1: on the record with me, so here's what she told investigators. 537 00:33:03,800 --> 00:33:07,680 Speaker 1: According to their report, again read by a voice actor. 538 00:33:08,000 --> 00:33:11,520 Speaker 10: His behavior is like a caged animal and he's dissociated 539 00:33:11,520 --> 00:33:13,920 Speaker 10: from reality. He'll be talking with each hip or like 540 00:33:13,960 --> 00:33:15,440 Speaker 10: everything is great and it's not. 541 00:33:16,360 --> 00:33:21,040 Speaker 1: The clinic's former embryologist begs someone to intervene. 542 00:33:21,080 --> 00:33:24,160 Speaker 10: He's not set up for an emergency. Someone needs to 543 00:33:24,160 --> 00:33:26,400 Speaker 10: take care of it. If something goes wrong with one 544 00:33:26,440 --> 00:33:28,960 Speaker 10: of the tanks, he doesn't know what to do, and 545 00:33:29,040 --> 00:33:31,520 Speaker 10: he has no one now that can do this. All 546 00:33:31,640 --> 00:33:35,280 Speaker 10: of his staff is gone. 547 00:33:35,360 --> 00:33:39,600 Speaker 1: I asked doctor Vazquez's lawyer, Dixie Cooper, about the claims 548 00:33:39,600 --> 00:33:42,800 Speaker 1: that he was unable to tend to the cryogenic tanks properly. 549 00:33:43,640 --> 00:33:46,800 Speaker 1: She said the inspectors were incorrect and that he was 550 00:33:46,840 --> 00:33:51,640 Speaker 1: in the clinic every day checking them regardless. On April 551 00:33:51,680 --> 00:33:56,120 Speaker 1: twenty six, exactly three weeks after the clinic's final day 552 00:33:56,120 --> 00:33:59,560 Speaker 1: in operation, someone else does step in to take over, 553 00:34:00,000 --> 00:34:01,120 Speaker 1: I said, breaking news to. 554 00:34:01,040 --> 00:34:01,480 Speaker 6: Tell you about. 555 00:34:01,560 --> 00:34:05,880 Speaker 1: Tennessee's attorney general is suing a Nashville doctor. Doctor Vazquez 556 00:34:06,080 --> 00:34:09,560 Speaker 1: and the businesses tied to his fertility clinic are sued 557 00:34:09,600 --> 00:34:13,360 Speaker 1: by the Tennessee Attorney General. It's not a criminal case 558 00:34:13,880 --> 00:34:18,600 Speaker 1: or even a medical malpractice suit. Instead, Vazqaz is accused 559 00:34:18,800 --> 00:34:23,319 Speaker 1: of violating the Tennessee Consumer Protection Act, which prohibits false 560 00:34:23,400 --> 00:34:28,440 Speaker 1: advertising and misrepresentation about goods and services. The gist of 561 00:34:28,440 --> 00:34:33,920 Speaker 1: the lawsuit is this, the patients considered consumers paid for 562 00:34:34,040 --> 00:34:37,399 Speaker 1: services and a certain level of care they didn't get. 563 00:34:38,040 --> 00:34:43,680 Speaker 1: The clinic's promotional material boasted that patients would receive consistent, personalized, 564 00:34:43,920 --> 00:34:47,600 Speaker 1: high quality care, and if they ultimately decided to switch 565 00:34:47,680 --> 00:34:51,480 Speaker 1: to another fertility clinic, the Center for Reproductive Health would 566 00:34:51,560 --> 00:34:55,319 Speaker 1: facilitate the transfer of care to ensure an easy and 567 00:34:55,400 --> 00:35:00,080 Speaker 1: seamless transition. Obviously, when the clinics shut down, that's not 568 00:35:00,160 --> 00:35:05,279 Speaker 1: what many patients experienced. The state estimated that doctor Vazquez's 569 00:35:05,320 --> 00:35:08,759 Speaker 1: patients had paid him tens of thousands of dollars for 570 00:35:08,880 --> 00:35:10,840 Speaker 1: services that they had not received. 571 00:35:11,200 --> 00:35:12,920 Speaker 8: The way that they do it is you pay for 572 00:35:13,000 --> 00:35:16,800 Speaker 8: your transfer before the cycle, before they even start you 573 00:35:16,840 --> 00:35:18,960 Speaker 8: on the medicine line. You have to pay for your transfer. 574 00:35:19,280 --> 00:35:21,879 Speaker 8: We had already paid for the transfer. We already pay 575 00:35:22,000 --> 00:35:23,839 Speaker 8: for all of the stuff that goes with it. 576 00:35:24,760 --> 00:35:29,560 Speaker 1: The Attorney General's office also obtains a temporary restraining order, 577 00:35:29,960 --> 00:35:34,520 Speaker 1: freezing Vazquez's assets and effectively removing him from control. The 578 00:35:34,600 --> 00:35:38,759 Speaker 1: court quickly appoints a third party, called a receiver, to 579 00:35:38,920 --> 00:35:42,720 Speaker 1: manage the closure and oversee the clinic storage tanks until 580 00:35:42,719 --> 00:35:47,480 Speaker 1: they can be moved elsewhere. Tennessee Attorney General Jonathan Scrimmatti 581 00:35:47,680 --> 00:35:50,400 Speaker 1: gives an interview with news Channel five to address the 582 00:35:50,440 --> 00:35:55,120 Speaker 1: immediate concerns of the patients, namely if their genetic material 583 00:35:55,360 --> 00:35:57,200 Speaker 1: stored at the clinic is okay. 584 00:35:59,120 --> 00:36:03,000 Speaker 12: The tanks are top off to the best of my knowledge, 585 00:36:03,040 --> 00:36:06,400 Speaker 12: They've been kept to an adequate level throughout the transition, 586 00:36:06,960 --> 00:36:09,799 Speaker 12: but that's only because a lot of people worked very 587 00:36:09,840 --> 00:36:12,880 Speaker 12: hard to make sure that they were as this thing collapsed. 588 00:36:12,920 --> 00:36:15,920 Speaker 12: That was a priority for everybody. They wanted to be 589 00:36:16,000 --> 00:36:21,280 Speaker 12: sure that there was not some failure of the cooling system. 590 00:36:21,920 --> 00:36:26,200 Speaker 1: For patients, it feels like a turning point. With Vasquez 591 00:36:26,239 --> 00:36:30,200 Speaker 1: out and someone new in charge, surely things will start moving. 592 00:36:30,760 --> 00:36:33,759 Speaker 1: They just need their medical records. They just need to 593 00:36:33,760 --> 00:36:37,400 Speaker 1: get access to their embryos. It seems like it should 594 00:36:37,400 --> 00:36:41,280 Speaker 1: be straightforward, but anyone who's dealt with the government knows 595 00:36:41,719 --> 00:36:46,120 Speaker 1: everything moves at a sluggish pace. For these patients who 596 00:36:46,160 --> 00:36:49,959 Speaker 1: are raising the clock to get pregnant, any delay could 597 00:36:49,960 --> 00:36:53,799 Speaker 1: mean the difference between having a child or not. 598 00:36:54,640 --> 00:36:57,680 Speaker 2: For us, we just can't get started without our embryos, 599 00:36:57,840 --> 00:37:00,840 Speaker 2: so we're literally just stuck. It feels like I just 600 00:37:00,920 --> 00:37:03,399 Speaker 2: keep getting older and my embryos keep sitting at. 601 00:37:03,360 --> 00:37:20,200 Speaker 8: A tage. 602 00:37:13,440 --> 00:37:18,800 Speaker 1: Next time on what Happened in Nashville. On the Facebook group, 603 00:37:19,080 --> 00:37:22,640 Speaker 1: the women are talking to each other, sharing their experiences 604 00:37:22,680 --> 00:37:26,360 Speaker 1: at the clinic, and as they compare notes and research, 605 00:37:26,800 --> 00:37:31,480 Speaker 1: they discover what appears to be another bombshell about someone 606 00:37:31,520 --> 00:37:34,280 Speaker 1: else working at doctor Vasquez's clinic. 607 00:37:34,840 --> 00:37:38,239 Speaker 3: There's no mention of him with the board, there's no 608 00:37:38,280 --> 00:37:40,240 Speaker 3: mention of him with a license in the state of Tennessee. 609 00:37:40,600 --> 00:37:41,400 Speaker 8: There's nothing. 610 00:37:42,040 --> 00:37:45,560 Speaker 1: The Metro Nashville Police Department and the Department of Health 611 00:37:45,800 --> 00:37:47,160 Speaker 1: launch investigations. 612 00:37:47,600 --> 00:37:49,319 Speaker 7: I don't want anybody touching me. I don't want my 613 00:37:49,360 --> 00:37:52,480 Speaker 7: own husband touching me like. You just feel disgusting, you 614 00:37:52,520 --> 00:37:57,440 Speaker 7: feel violated, you feel manipulated, like all of the emotions. 615 00:37:57,520 --> 00:37:59,040 Speaker 7: You know at that point you're deceived. 616 00:38:02,640 --> 00:38:05,120 Speaker 1: What Happened in Nashville is a production of School of 617 00:38:05,200 --> 00:38:09,200 Speaker 1: Humans and iHeart Podcasts, written, reported, and hosted by me 618 00:38:09,200 --> 00:38:14,280 Speaker 1: Melissa Jelson. Our producer is Etily's Perez. Our senior producer 619 00:38:14,360 --> 00:38:18,200 Speaker 1: is Amelia Brock, with additional production by Emily Seiner and 620 00:38:18,280 --> 00:38:23,040 Speaker 1: Carl Catle. Theme song by Jesse Nice Swanger, Sound design, 621 00:38:23,160 --> 00:38:26,719 Speaker 1: scoring and mixing by Jeremy Thal and Jesse Nye Swanger. 622 00:38:27,400 --> 00:38:31,160 Speaker 1: Fact checking by Savannah hug Lee and Austin Thompson. Our 623 00:38:31,200 --> 00:38:36,080 Speaker 1: production manager is Daisy Church. Executive producers are Jason English, 624 00:38:36,200 --> 00:38:41,040 Speaker 1: Virginia Prescott, Brandon Barr, and Elsie Crowley. If you're enjoying 625 00:38:41,080 --> 00:38:43,600 Speaker 1: the show, tell everyone you know and don't forget to 626 00:38:43,680 --> 00:38:46,759 Speaker 1: leave a rating in your favorite podcast app. Tune in 627 00:38:46,800 --> 00:38:53,160 Speaker 1: again next week for what happened in Nashville