The Last Day — Nashville E1

39m

Sydney McDowell walks into her Nashville fertility clinic expecting a routine appointment. Instead, devastating news sends her scrambling to get her embryos out before they’re trapped inside.

See omnystudio.com/listener for privacy information.

Press play and read along

Runtime: 39m

Transcript

This is an iHeart podcast.

Guaranteed human.

The only thing between you and your best self is a start button. This Cyber Monday, explore the world with Nordic Track.

From the peaks of Peru to the streets of Paris, every workout moves you somewhere new with iFit trainers leading the way.

The equipment's amazing, smooth, quiet, and those screens make it all feel real. Ready to start your next workout adventure with the number one treadmill brand in the U.S.?

Shop NordicTrack.com for Cyber Monday savings. Nordic Track.
Train anywhere, explore everywhere.

Meet Lisa, a mom of two who loves the holidays, but not the endless to-do list. So she turned to Airtasker.
Local taskers help decorate, wrap gifts, even build a cardboard sleigh for the school play.

Download the Airtasker app or go to Airtasker.com. Airtasker, get anything done.

Mic check, one, two,

are we recording.

Hi, I'm Michelle Brunstein, an award-winning chef, restaurateur, and mom. I have a lot on my plate, including my psoriatic arthritis symptoms.
That's why I was prescribed Cosentix.

It helps me move better. Cosentix Seccukenumab is prescribed for people two years of age and older with active psoriatic arthritis.
Don't use if you're allergic to Cosentix.

Before starting, get checked for tuberculosis. An increased risk of infections and lowered ability to fight them may occur, like tuberculosis or other serious bacterial, fungal, or viral infections.

Some were fatal. Tell your doctor if you have an infection or symptoms like fevers, sweats, chills, muscle aches, or cough.

Had a vaccine or plan to, or if inflammatory bowel disease symptoms develop or worsen. Serious allergic reactions and severe eczema-like skin reactions may occur.

Learn more at 1-844-COSENTIX or COSENTIX.com. Ask your rheumatologist about COSENTIX.

So, let me get this straight. Your company has data here, there, and everywhere.
But your AI can't use the data because it's here, there, and everywhere?

Seems like something's missing. Every business has unique data.
IBM helps your AI access your data wherever it lives to change how you do business.

Let's create Smarter Business, IBM.

There's a kind of fairy tale that I remember from growing up. You've probably heard a version of it.
In the story, a woman longs for a child. She's a woodsman's wife or a queen desperate for an heir.

No matter what she does, she can't conceive.

And so, she turns to the witch next door, the toad in the pond, the nymph with the silver tongue, any mystical figure willing to make a deal, the woman's sacrifice in return for a child.

The bargain is made. The woman follows their orders, eats herbs from a secret garden, plants magic seeds deep in the earth.
She offers pieces of her life, her soul, in exchange for a dream.

The thing is, for anyone who's ever struggled with fertility, these ancient tales might sound eerily familiar. I have been this woman.
Maybe you have too.

The difference is today, the bargain isn't made with a witch or a toad. It's with a doctor at a fertility clinic, one that you've chosen to trust with your future.

IVF, in vitro fertilization, is a deal made out of necessity and the price is steep. You swallow pills and inject drugs that change your body and your mind in unpredictable ways.

You spend your life savings on tests and procedures and appointments.

You embark on long repetitive voyages back and forth to the the clinic without knowing how long the journey will ultimately take or where you'll end up, all for the chance to hold a child in your arms.

Which is why when I heard about this story, about what happened in Nashville, I couldn't look away.

A Nashville fertility clinic abruptly shut down, putting patients and their embryos in limbo. We have some breaking news to tell you about.
Tennessee's attorney general is suing a Nashville doctor.

Just shock and disbelief from former patients at the Center for Reproductive Health.

A fertility clinic closed overnight without warning or explanation, leaving patients stranded and their embryos locked inside. This was our last chance, like the last of everything.

The dream was over.

As a reporter, I've spent much of my career documenting women's experiences with violence. You may have heard my earlier true crime podcasts.

what happened to Sandy Beale, what happened to Libby Caswell, what happened to Talina Czar,

investigations into women failed by the people and systems meant to protect them. Those failures cost women their lives.

This story is different. Here, these women are fighting for their futures, for the chance to become parents.
And yet, they still find themselves left behind, abandoned and vulnerable.

not just by police and prosecutors, but by doctors, legislators, and the very business of fertility.

The cost is different, but the betrayal cuts just as deep.

It doesn't matter how much I fight. It doesn't matter how sad I get.
It doesn't matter how much I cry over all of this. It doesn't matter how much justice we get.

None of it's going to get me pregnant.

This is a story about what happens when a clinic entrusted with people's most fragile hopes simply collapses, leaving them with questions, debt, and heartbreak.

This is the case of cases, and they haven't even cracked the lid yet. It's also about what happens when an industry operates without real oversight.

IVF today is far less regulated than virtually any comparable part of medical practice in the United States. And the secrets and scandals discovered behind the clinic walls.

I was scared there wasn't proof that I owned my embryos, that they were mine.

At its core, this story is about what it means to create a family in a precarious system that can take that chance away in an instant.

You're not going into fertility treatment from any position of strength. It's a uniquely vulnerable kind of health care, creating new life.

We're still not parents, by the way.

And the hope that still prevails, despite the overwhelming setbacks. We're going to be moms one day.

I'm Melissa Jeltson from School of Humans and iHeart Podcasts. This is what happened in Nashville.

Episode 1: Collapse.

The part that these fairy tales about fertility always skip through is what comes before the desperate visit to the witch or the fairy begging for a miracle.

It can take months, years of dashed hopes and inexplicable losses to even realize you need help getting pregnant before your IVF story even begins.

And for many people, it's not a path they imagined they'd ever need to take. I truly did not know what to expect walking into a fertility clinic.
Anybody that's been there knows that it's scary.

Just walking in there, you kind of feel helpless, you know, like my body's not doing what it needs to. So here I am.
This is Sidney McDowell.

She's in her late 20s with honey blonde hair and a naturally sunny disposition.

She lives just outside Nashville, where she runs a small embroidery business from home, stitching custom designs for strangers on Etsy. I have two daughters.

I had one when I was 19 and the other when I was 22. So I was really young,

young and dumb, as I'd say, but they saved my life. And I raised them as a single mom until my oldest was six and my youngest was three.

And then I got married to my high school best friend and they love him so much. We have the sweetest, splendid family.

But we want so badly to just have a baby to kind of bring us all together. Sydney and her husband, Austin, got married in 2023 and started trying for a baby soon after.

A few months in, it happened. Sidney saw a faint positive line on a pregnancy test.
But at just seven weeks, she began having intense, painful cramps.

At the time, Sidney was working at a local hospital as an ultrasound tech.

It felt like I was giving birth and in the middle of my shift, I collapsed because I couldn't couldn't stand up anymore and that's when my ectopic just completely ruptured.

An ectopic pregnancy, a nightmare most women don't think about until it happens to them.

Sidney's embryo had implanted in her fallopian tube instead of her uterus, which meant she needed emergency surgery at the very hospital where she worked.

The operation saved her life, but the damage to her fallopian tube was irreversible.

My life changed that day pretty much. At her follow-up appointment, her surgeon gently delivered more difficult news.

Looking in her remaining fallopian tube, she had found signs of endometriosis, a chronic condition where tissue similar to the lining of the uterus grows outside it, often causing pain and fertility issues.

I remember walking out of that appointment and I sat in my car and I just bawled. I was only 25 at the time.
I didn't expect anything like this to happen.

Sydney's doctor suggested she speak with a reproductive endocrinologist, a dedicated fertility doctor, who could give her a clearer picture of what her future might look like.

She wanted me to receive the best care that I could get, so she sent me a referral to the Center for Reproductive Health. Welcome, welcome to the Center for Reproductive Health.

You may be wondering, what will your first visit be like. You'll find our staff to be highly personable and eager to assist you for your plan.

The Center for Reproductive Health is a small family-run fertility clinic in Nashville, Tennessee, tucked away on the fourth floor of a medical building. Easy to miss if you aren't looking for it.

Inside, the waiting room is simply decorated, with floral upholstered chairs circling a wooden coffee table. The space feels slightly dated, but clean and warm.

When Sydney and her husband walk in for their first appointment in early 2023, they don't know yet how much they'll come to associate that room with hope, anxiety, and everything in between.

Your nurse will obtain a complete medical history as well as check your vital signs. Then it's the time you've been looking forward to the most, your time with Dr.
Vasquez.

He will perform a physical examination and then you'll sit down with him to review your case and review recommendations for next steps.

The clinic is run by Dr. Jaime Vasquez, a licensed board-certified OBGYN.

He's originally from Chile, where he also received his medical degree before completing his residency and fellowship in the U.S.

His resume looks impressive.

He had published peer-reviewed research, authored medical textbooks, and held faculty positions at Vanderbilt, Thomas Jefferson University in Philadelphia, and the University of Wisconsin Hospital in Madison before eventually opening his own fertility clinic in Nashville.

When you look around, you see all the other couples. And in that moment, I was just curious, like, what point of their journey are they in?

I wasn't in Sydney's waiting room at the Center for Reproductive Health that day. but I have spent a lot of time in similar waiting rooms at other IVF clinics.

And I can tell you that while none of our stories are identical, the big emotions that arise inside these rooms are pretty universal. It's a complicated mix of anxiety, fear, and excitement.

With fertility, you're told from the get-go that like

we really don't know a lot about it. It's all just kind of a shot in the dark.
And you're like, all right, well, I guess I'll pay you to keep shooting.

We were, of course, as I was approaching 40, starting to feel the pressure a little bit more and trying to say, okay, what is the fastest route? To some degree, the cheapest route.

First, we started off pretty excited. We were like, they're going to offer more testing.
They're going to research a little bit more than what I already have. Because right now we don't have anything.

You know, right now we're considered unexplained in fertility.

They don't know why you're not conceiving. I have been married to my wife for

seven years now, and we wanted to grow our family. And obviously, we required assisted reproductive technology.
We were just so hopeful.

We looked into all the different fertility centers here in Nashville and landed on Center for Reproductive Health.

Sidney doesn't know the other women, the other couples who have passed through this waiting room before her, but she feels a connection with them.

While their fertility journeys are individual, they're all entrusting the Center for Reproductive Health with their futures.

And for that reason, she feels a flicker of optimism, like she's in the right place. I was also hopeful still that, you know, it would just be, oh, a quick, easy fix.

You know, we'll come here and do this and we'll have a baby. At Sydney's first appointment, Dr.

Jaime Vasquez explains that he'd need to perform a laparoscopic surgery to examine her remaining fallopian tube, the one not damaged by her ectopic pregnancy.

The surgery confirms severe endometriosis throughout her reproductive organs. He'd had to cauterize her remaining fallopian tube.

If Sydney wants to get pregnant again, she will have to undergo in vitro fertilization.

It was extremely hard to say, okay, I feel like that took me probably six months to wrap my head around and be able to accept the reality of the situation. IVF is a foreign concept to Sydney.

She'd heard of it, of course, seen it dramatized on TV, mentioned in passing by acquaintances, but it had always belonged to someone else's story, not hers.

IVF, she soon learns, will not be an easy or quick fix. Instead, it will require months of injections, tests, appointments, and a mountain of hope.
All of it is a gamble.

a deal with a doctor she barely knows. I was extremely naive.
IVF is one of those things that you you don't truly understand the magnitude of it or what goes into it unless it's your reality.

A quick primer, trying to conceive the old-fashioned way hinges on timing and luck. After sexual intercourse, sperm must find the egg at exactly the right moment.

And everything inside your body, from hormone levels to the condition of your reproductive organs, has to be just right for fertilization to happen.

If you've ever seen Look Who's Talking, the 1989 comedy starring John Travolta and Kirsty Alley, that opening scene where sperm race to the egg as the Beach Boys' I Get Around plays, it's silly but also pretty accurate.

In IVF, there's no blind race, no sperm frantically trying to find the egg like a shot in the dark.

Instead, patients take medication that stimulates the ovaries to produce multiple eggs, which doctors then retrieve in a procedure called an egg retrieval.

Then, the sperm is combined with the eggs directly in the lab.

That's the in vitro part of IVF, Latin for in glass, because eggs are fertilized and develop into embryos in a lab dish instead of inside the body.

From there, embryos can be frozen for later or transferred into the uterus, offering a more controlled approach.

Sidney would soon find herself in a cycle of daily pills and injections in preparation for an egg retrieval.

I remember just coming home with my large box of medicine and sitting it down on my bathroom counter.

And you see all the shark containers, you see all the needles, you see all the medicine that you're going to have to draw up yourself and do at home.

And it was just the thought of like, okay, like, am I going to be able to do this? I had the same question Sidney had when I went through fertility treatments.

IVF is unusual in that, as expensive, complex medical treatments go, it's surprisingly DIY.

To get ready for an egg retrieval, you need to take injectable drugs every day, sometimes twice a day, for about two weeks.

Due to the frequency of the shots, it's too time consuming to travel into a clinic to receive them. So instead, patients are instructed to do their injections themselves at home.

There's no nurse guiding you through each step, just you, a pile of needles, a YouTube video, and the hope that you're doing it right. Beyond the pain of the shots, the side effects are not fun.

You spend two weeks feeling swollen, bruised, and incredibly emotional. The medicine makes you want to lay in bed all day.

When people say that IVF takes over your life, it does in a sense because that's what I had to do every single day.

And I knew that if I didn't do that, then that would change the outcome of my future babies. In February 2024, a few weeks after Sidney begins her daily injections, Dr.

Vazquez performs her egg retrieval. He takes 25 eggs from her ovaries.

In a lab just down the hall, an embryologist, someone trained in the science of reproduction, fertilizes the eggs with Sidney's husband's sperm. And then the couple waits.

For the next week, the embryologist watches closely to see which of their embryos will grow and which ones won't make it.

So when they originally had told me that they harvested 25 eggs, like I was like, oh wow, like this is a great number. You know, I didn't realize at the time

how

few make it past each stage. In the end, six embryos develop and are sent off for genetic testing.
The test, called PGTA, isn't required, but it's commonly used.

It screens for chromosomal abnormalities that could lead to miscarriage or failed implantation, helping patients avoid the heartbreak of transferring an embryo unlikely to thrive.

Two weeks later, they called us and told us that we had three healthy embryos that had made it past the PGT testing and they were all girls. The next step is the embryo transfer, when Dr.

Vasquez will place one of the embryos into Sydney's uterus. If all goes well, the embryo will implant, begin to grow, and eventually become a healthy pregnancy.
A baby.

We had the date on our calendar. Like, this is our transfer day.
We were counting down the date, but it's kind of the light at the end of the tunnel because you know this is your chance.

Like, this is your chance that you can get pregnant.

The only thing between you and your best self is a start button. This Cyber Monday, explore the world with Nordic Track.

From the peaks of Peru to the streets of Paris, every workout moves you somewhere new with iFit trainers leading the way.

The equipment's amazing, smooth, quiet, and those screens make it all feel real. Ready to start your next workout adventure with the number one treadmill brand in the U.S.?

Shop NordicTrack.com for Cyber Monday savings. Nordic Track.
Train anywhere, explore everywhere.

The holidays get hectic fast. That's why I use Airtasker, where you can get anything done, from decorating to gift wrapping.
I even got someone to dress up as Santa for my dog's photo shoot.

Download the Airtasker app or go to AirTasker.com. Airtasker, get anything done.

Mic check, one, two,

are we recording?

Hi, I'm Michelle Bernstein, an award-winning chef, restaurateur, and mom. I have a lot on my plate, including my psoriatic arthritis symptoms.
That's why I was prescribed Cosentix.

It helps me move better. Cosentix Seccukenumab is prescribed for people two years of age and older with active psoriatic arthritis.
Don't use if you're allergic to Cosentix.

Before starting, get checked for tuberculosis. An increased risk of infections and lowered ability to fight them may occur, like tuberculosis or other serious bacterial, fungal, or viral infections.

Some were fatal. Tell your doctor if you have an infection or symptoms like fevers, sweats, chills, muscle aches, or cough.

had a vaccine or planned to, or if inflammatory bowel disease symptoms develop or worsen. Serious allergic reactions and severe eczema-like skin reactions may occur.

Learn more at 1-844-COSENTIX or COSENTIX.com. Ask your rheumatologist about Cosentics.

So you're telling me that the AI that's meant to make everyone's job easier to manage just adds more to manage on top of the thousands of apps the department already manages.

Funny how that works.

Any business can add AI. IBM helps you scale and manage AI to change how you do business.
Let's create Smarter Business, IBM.

Your baby sister is frozen. Well,

I

she's in a tube.

What those clues have? She's like frozen. In a tube.
In a big giant refrigerator.

I'm so serious. Get you really, weirdos.

That's Sydney explaining IVF to her young daughter. She posts the video of them talking to TikTok.

And then one day the doctor's going to get her out of the tube and he's going to put her in my belly. Who's going to break the ice though?

The doctor.

Is he going to hurt the baby's hand?

He's going to keep her safe. Sidney shared some of her IVF process online as a way to feel less alone.
And by March 2024, it feels like the finish line is near. Her embryo transfer is coming up.

So when you're going through IVF, the transfer, that's the big part. It's like we've worked this hard.

Anybody in their IVF journey, like the word transfer is just like they know what that word stands for.

Just like the egg retrieval, getting ready for the embryo transfer involves taking specific drugs at specific times of the day for a few weeks and regular check-ins at the clinic.

It's basically doing everything so that your body is just 100% ready to get pregnant, keep a pregnancy. I was taking

shots and I was wearing three or four patches a day on my stomach. I

was so tired, I didn't hardly get out of bed. Embryo transfers aren't guaranteed.
Success rates depend on the quality of the embryo and a range of other factors.

But Sydney has a good shot and she's hopeful.

On April 5th, 2024, she goes to the Center for Reproductive Health for a routine monitoring appointment. It's just two weeks from her embryo transfer and she arrives around 9.30 a.m.

for her ultrasound and work today is a little special though because her mom's with her i was actually so excited my mom lives in kentucky which is where austin and i are originally from so she's about a two and a half hour drive from me so i don't get to see her as much as i'd love to since we were going to be in nashville we were just going to make a day of it we were going to go get my levels checked and we plan to get lunch go to the malls Honestly, just have a girl's day.

I was really looking forward to it because

you just enjoy that time with your mom. We were just talking the whole way up to the office, having a good time.
Got on the elevator, hopeful. We were talking about how close my transfer actually was.

And like she was just giving me reassurance like, you know, you've came this far. It's going to go great.

Based on previous visits, Sidney knows how it's supposed to go. First, a phlebotomist will take her blood.

Then, a tech will perform a transvaginal ultrasound, looking inside her uterus to see if it's an ideal environment for an embryo. At this point, Sydney could go through the rigor-marole in her sleep.

Check in, pay the receptionist, sleeve up for lab work, Undy's down for ultrasound, and done. See you again soon.

But when she walks into the clinic this time,

The typical routine is off-kilter.

To start, the receptionist doesn't seem to want to charge her for the visit. I did pay out of pocket for all of my fertility costs because our insurance doesn't cover any of it.

So I knew when I showed up that day that I owed them $275. That would cover my lab work and my ultrasound for the day.
So when I walked in, I already had my debit card out.

And she looked at me and just kind of looked back down. And she was like, actually,

Just wait a second. Let me go see and I'll see if you owe anything today.
You know, just go have a seat and they'll come get you in a minute.

My mom asked what just happened and I said they didn't want my money, but I don't really understand. She said they'll be out here.
Maybe it's just a miscommunication. Sidney and her mom wait.

I was getting antsy because I was hungry. I hadn't ate before I went and I was kind of just...

That's when it started feeling weird. Like, why is it taking so long? Again, I just kind of brushed it off to they're busy.
I've worked at a hospital before. I know how it's like to get behind.

You know, it's okay. They're my fertility clinic.
They're going to give me a baby. I'll be patient.
Something feels off, though. And it isn't just that day.
The clinic had started to feel different.

In the last few weeks, Sydney had started noticing small changes. The friendly nurses and assistants she'd come to know had quietly disappeared.

When you go to a fertility clinic all the time, you become like family to these people. So there were multiple workers who had been added on Facebook because they were following me.

I was following them. Well, I started to realize that they weren't working there anymore.
Like the faces, the medical assistants and nurses, they were different.

Sidney had told herself it was normal. Clinics get busy.
Doctors retire. Staff move on to new jobs.
It didn't mean anything.

I worked in a small hospital, so I was wondering if maybe he was getting bought out.

I knew that he was older, so in my head, I was trying to rationalize it that he might be selling his practice to, you know, somebody else. Still, today is taking a long time.

Finally, a woman Sidney doesn't recognize comes out and calls her name. Sydney? Sidney and her mom both follow the woman down the hall.

I just thought it would be neat for my mom to see kind of what we go through because she's never dealt with infertility or anything. So this is all new to her too.

And she kind of wants to be able to understand it more to be there for me. I'm literally just excited.
So I'm almost skipping down the hallway behind her.

But then we don't even make it three rooms down the hallway and she stops and she opens this old door.

And when she opens it, it's like this dim-lit office with a bunch of papers. The room that the woman ushers Sidney and her mom into appears to be some sort of storage space with a desk in it.

And I like looked at her because at this point, I'm like, this is really weird. I've been going here for two years.
I've never been in this office.

She just tells me and my mom to sit down.

And she then proceeds to grab a chair and pull it up in front of me and my mom and just sits there for a second and like crosses her legs with her hand on her lap.

And like you, I could tell at that point that like she was anxious, that she

she was freaking out. And of course, in my mind, I'm like, what in the world is, I couldn't, I didn't grasp what the possibilities could be.
She's like, I don't know how to tell you this.

Our clinic is closing. We'll be closing.
We won't be here after today.

I felt like I was on punked for a second, not going to lie. I literally feel my heart just dropping.

And I'm in tears at this point. You have to keep in mind, too, I'm two weeks away from a transfer, so my hormones were extremely high.

Sydney is spiraling, but she forces herself to concentrate on what the employee is saying about Dr. Vasquez and the clinic.

The woman explains that the staff hasn't been paid and the clinic is apparently trying to come up with the money to keep operations going.

She starts to go into detail that they had received an email from Elena Vasquez that morning, which is his daughter, stating that he did not have the funds to pay them and that they would not receive a paycheck for the previous two weeks that they had already worked.

And that he also not only owes his employees now, but he owes the embryologist money. He never paid her for making our embryos.
She had the worst look of fear on her face.

Sidney tries to make sense of it all, but the information is coming fast and it's overwhelming.

I felt like at that moment, like everything in the past two years that I had been working so hard for and I was so excited, like, I felt in that moment that the carpet was just pulled completely out from underneath me.

My mom finally looked up at her and said, So now, like, what do we need to do? And so, she said, if I was you, I would get everything I could out of this office today.

The woman goes on to tell Sidney that if she was in her shoes, her first priority would be to get her medical records, as complete, accurate records would be essential in transitioning to another fertility clinic.

So Sidney rushes back to the front desk and starts filling out the paperwork. The girl at the front desk released my medical records right there.

And then Sidney's mother asks the big question, the million-dollar question. The one that Sidney, in her state of shock, never thought to ask.

My mom's like, well, what about your embryos?

10 athletes will face the toughest job interview in fitness that will push past physical and mental breaking points.

You are the fittest of the fit. Only one of you will leave here with an IFIT contract for $250,000.
This is where mindset comes in. Someone will be eliminated.
Pressure is coming down.

This is Trainer Game. Watch it on Prime Video starting January 8th.
Meet Lisa, a mom who starts the holidays full of cheer until the to-do list takes over.

Untangling lights, prepping for the class party, wrapping gifts. She was running out of time and energy.
Then Lisa discovered Air Tasker.

She posted her tasks, set her budget, and local taskers helped with everything. Lights, strung, cupcakes, baked, gifts, wrapped.
Even a cardboard sleigh for the school play.

Suddenly, her holiday spirit was back. Now she spends less time scrambling and more time making memories.
Download the AirTasker app or go to airtasker.com. Airtasker, get anything done.

Mic check, one, two,

are we recording.

Hi, I'm Michelle Bernstein, an award-winning chef, restaurateur, and mom. I have a lot on my plate, including my psoriatic arthritis symptoms.
That's why I was prescribed Cosentix.

It helps me move better. Cosentix Seccukenumab is prescribed for people two years of age and older with active psoriatic arthritis.
Don't use if you're allergic to Cosentix.

Before starting, get checked for tuberculosis. An increased risk of infections and lowered ability to fight them may occur, like tuberculosis or other serious bacterial, fungal, or viral infections.

Some or fatal. Tell your doctor if you have an infection or symptoms like fevers, sweats, chills, muscle aches, or cough.

Add a vaccine or plan to, or if inflammatory bowel disease symptoms develop or worsen. Serious allergic reactions and severe eczema-like skin reactions may occur.

Learn more at 1-844-COSENTIX or COSENTIX.com. Ask your rheumatologist about Cosentix.

So, let me get this straight. Your company has data here, there, and everywhere.
But your AI can't use the data because it's here, there, and everywhere?

Seems like something's missing. Every business has unique data.
IBM helps your AI access your data wherever it lives to change how you do business.

Let's create Smarter Business, IBM.

Standing in the waiting room at the Center for Reproductive Health, Sidney is struck by a new realization.

She now has her medical records, which she'll absolutely need to have any chance of changing to a new clinic. But to perform an embryo transfer, you need an embryo.

In that moment, I was so worried about the cycle. Like I didn't think for a second that this clinic is also the one that my embryos are being stored at.
This clinic doesn't have an off-site storage.

These embryos are stored in their facility there.

Sydney's three embryos are inside a cryogenic tank at the clinic. Right now, they're submerged in liquid nitrogen, stored at negative 321 degrees Fahrenheit.
She can't just walk out with them.

One of the girls that had been up front, she came back with a post-it note and it said fertility couriers and it had a number on it. And she said, there's a guy named Ty.

He is who we use at Center for Reproductive Health to move our embryos. So he's familiar with us.
You need to call him.

And I'm like, okay,

and say what? Like, what am I supposed to say? Sidney goes to her car and calls the courier, Ty, explaining what she has just learned, that the Center for Reproductive Health is collapsing.

And if she wants access to her embryos, she needs to get them out ASAP. At first, I think he thought I was crazy.

Honestly, he probably thought I was insane because I was like, please go get my embryos now. They're closing.
And then he said his first answer was, so who's watching the tanks?

And so that part hadn't even crossed my mind. And so then that hits me that if adult staff walks out, who is watching the tanks?

The tanks that embryos are stored in don't run on autopilot. They need to be monitored regularly by trained staff.
Temperatures must be checked and locked. Liquid nitrogen must be replenished.

If the tanks are neglected, the embryos can be lost and all the possibility that they carried gone. Ty tells Sidney he'll do whatever he can to get her embryos out.

And then Ta says, so where are we taking them to? And I'm like, I don't know. I'm still in the parking lot in my car.
And I said, I don't know.

And I'm like, well, where do you like, you know, do you have a suggestion? And he said, well, I actually know that Nashville Fertility Clinic is right down the road from where you're at right now.

So I said, okay,

let me see what I can do. At this point, my mom and I walk to Nashville Fertility Clinic from the Center for Reductive Health with my medical records.
And

I'm bawling.

With tears running down her face, Sidney explains her predicament to the Nashville Fertility Clinic.

The employees seem as shocked as she is, but they quickly confirm they will store her embryos as soon as Ty the Courier can physically get them to the clinic.

Still, the front desk person needs her to understand. Sidney won't be able to do her embryo transfer in two weeks as planned.
In fact, it could take months before she can try again.

And she said, Now, let me tell you, we will be more than happy to take you as a patient, but

we aren't going to just do your transfer. We are going to have to assign you to a doctor, and you're going to have to

go from there with what they want to do. So, I kind of realized in that second, like, I'm starting over essentially.
So, then I just started crying again because I was like, I felt so close.

And then, all of a sudden, I'm so far away again. I have my daughters to explain this to.
I have my husband's family. Like everybody's like ready for us to have this transfer.

And now I don't even have a doctor.

Sidney and her mom go home and try to digest the turn of events. There will be no embryo transfer anytime soon.
Sidney has to start again as a new patient at a different clinic.

A baby is now even further out of reach.

Over the weekend, Sydney keeps waiting for some kind of acknowledgement from the clinic that something is wrong, that what the employee told her was true, that staff hadn't been paid, that they were planning to stay home.

But online, the Center for Reproductive Health is presenting as business as usual. I am checking their website, you know, I'm like, did I miss something? I look on their website and nothing's updated.

In fact, around the same time as Sidney's appointment, they post a cheerful message on Facebook congratulating an ultrasound tech on her three-year work anniversary.

So then at that point, I was like, okay, maybe it's maybe I'm blowing this out of proportion. This is not actually happening.
Like, nobody's actually talked to Dr. Vasquez.

We don't even know if this is really going on. Sidney wants to be wrong.
She really does. But things aren't adding up.

And so, unsure of what else to do, she posts about it on TikTok, hoping someone somewhere might know more.

Okay,

so I normally don't get on here and talk or anything because I'm slightly awkward, and I have been sharing my IVF journey thus far.

At this point, having a mental breakdown because I am approximately two and a half weeks from when I should be having a transfer. I'm just trying to stay positive because

what else is there to do at this point?

Hopefully, my body reacts well to just cutting off these fertility medicines. I know it's not really healthy.
That's kind of the update for now. No IVF right now.
Working on a new doctor.

Sidney doesn't have a big following on TikTok, but suddenly her videos are getting attention. Other patients from the Center for Reproductive Health start finding her.

People who are just as confused and just as in the dark. I've realized that people had appointments on Friday and they weren't told.

They were seen, they were given blood work, they had ultrasounds done, and they were sent home. They had no idea.

And something Ty the courier said when she first called him keeps running through her mind. He started, he'd say, well, this is a big deal.
Like your embryos aren't the only ones there.

What are they doing with the rest of them?

It is slowly dawning on Sidney that despite the terrible situation she's in, she's actually really lucky.

It seems she may be the only patient who got this quiet tip-off and the only one who got a head start at moving her embryos to a new clinic. But she still has to get them out.

Over the weekend, she remains in constant contact with Ty to coordinate the move. So he texted me that morning and said, you know, today's the day.
This is the time we plan to pick them up.

This is how long it takes to get there. I sat and stared at my phone for the entire two and a half hour window.

Ty arranges for an employee of the Center for Reproductive Health to grant access to the closed clinic. The handoff goes as planned, and Sidney's embryos are whisked away in a mini freezer tank.

And as soon as they were accepted to Nashville Fertility, he did text me and let me know like they've made it safely. I've, you know, they've arrived, everything's good.

That was the biggest relief for me me was just knowing that I got them out.

Despite wondering if her doubts and urgency were really necessary, Sydney is ultimately right. The clinic never opens again.
Sydney's embryos are safe.

But there are still roughly 1,200 others stored inside the now-shuttered clinic. For the patients who own them, they will determine how many kids they have, if they have kids at all.

Their future families hinge on those embryos.

What's going to happen to them?

At that point, it didn't occur to me what fight was going to come to follow.

This season on what happened in Nashville, everything in IVF is a gamble. We took this gamble.
Then while the wand is inside of me, she goes, I, do you think that's your ovary?

Me and a couple others realized this is bad. This is not normal.
It was like, okay, like, there's not going to be anybody left to hold this clinic up. Like, it's going to fall.

And I immediately was like, holy shit, like, that is my biggest fear confirmed now.

So I just had zero trust that this was right. Like you just feel disgusting, you feel violated, you feel manipulated, like all of the emotions.
You know, at that point, you're deceived.

We would just never accept this in other areas of medicine. Unfortunately, people have figured out that this group of people are easy to take advantage of because we're desperate.

What happened in Nashville is a production of School of Humans and iHeart podcasts. Written, reported, and hosted by me, Melissa Joltson.
Our producer is Edelise Perez.

Our senior producer is Amelia Brock. With additional production by Emily Siner and Carl Cadel.
Theme song by Jesse Nye Swanger. Sound design, scoring, and mixing by Jeremy Thal and Jesse Nye Swanger.

Fact-checking by Savannah Hughley and Austin Thompson. Our production manager is Daisy Church.
Executive producers are Jason English, Virginia Prescott, Brandon Barr, and Elsie Crowley.

If you're enjoying the show, tell everyone you know and don't forget to leave a rating in your favorite podcast app.

10 athletes will face the toughest job interview in fitness that will push past physical and mental breaking points.

You are the fittest of the fit. Only one of you will leave here with an IFIT contract for $250,000.
This is when mindset comes in. Someone will be eliminated.
Pressure is coming down.

This is Trainer Game. Watch it on Prime Video starting January 8th.
The busiest time of the year, it's here. You've got parties to go to, work to wrap up, and a house to decorate.

But who has the time? With Air Tasker, finding help is easy. Post your task, set your budget, and let local taskers handle the rest.
Party planning? Done. Lights? Hung.
Stress? Reduced.

You can even get someone to build a gingerbread house that doesn't collapse this time. Download the Airtasker app or go to AirTasker.com for a season with less stress, less mess, and a lot more fun.

Airtasker, get anything done. Get ready for your next TV obsession, All's Fair.
Starring Kim Kardashian, Naomi Watts, Nisi Nash Betts, Tiana Taylor with Sarah Paulson, and Glenn Close.

A team of fierce female divorce attorneys leave a male-dominated firm to start their own. Filled with scandalous secrets and shifting allegiances both in the courtroom and within their own ranks.

These ladies know that lawyers are a girl's best friend. Don't miss the two-part season finale of All's Fair on December 9th on Hulu and Hulu on Disney Plus for bundle subscribers.
Terms apply.

The Colgate Total Active Prevention System is for you.

Cono pasta rental reformulada, unse pio de dientes y innovor y un en cuage bucal antibacterial diseñados para trabajar juntos y cerquín se eses más 5ases al reducir el crecimento de bacterias in just six weeks, starting from week one.

Compared to a non-antibacterial fluoride toothpaste and flat-trim toothbrush, helping you prevent oral health problems like cavities and gingivitis before they start.

Compa lo en shop punto colgate punto com, yagunal todo and be dentist ready.

She'd throw things, wander, and started hoarding.

Mom's Alzheimer's was already so hard, but then we found out she had something called agitation that may happen with dementia due to Alzheimer's disease. And that was a different kind of difficult.

So we asked her doctor for more help.

Seeing symptoms like these in a loved one, it could be time to ask their doctor about Rexulti, Rexpiprazole 2 milligrams, the only FDA-approved treatment proven to reduce the symptoms of this condition.

Rexulte should not be used as an as-needed treatment.

Elderly people with dementia-related psychosis have increased risk of death or stroke, report fever, stiff muscles, and confusion, which can be life-threatening, or uncontrolled muscle movements, which may be permanent.

High blood sugar can lead to coma or death, weight gain, increased cholesterol, unusual urges, dizziness on standing, falls, seizures, trouble swallowing, or sleepiness may occur.

Learn more about these and other side effects at RickSulty.com. Tap ad for PI.
I'm glad her doctor recommended Rick Sulti. Talk to your loved ones, doctor.
Moments matter. This is an iHeart podcast.

Guaranteed human.