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"A Healthy Disregard for the Impossible"

Arizona Center for Fertility Studies - Medical Team

Dr. Jay Nemiro

Jay S. Nemiro, M.D.

Medical Director

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An infertility practice is more than statistics, procedures, or the latest technological advancement; it is about helping women become pregnant when they want to become pregnant- plain and simple. With the explosion of fertility awareness over the past decades in the medical community and the media, the emphasis has been on what is the best way, the newest technology, the "surefire" solution (or who's the "best doctor"), for getting patients pregnant; which, I feel is missing the point entirely. I tell my patients, getting you pregnant is the easy part. The hard part is "keeping you in the game". That's because the heart and soul of an infertility practice is the service- not the technology. The emotional component of the fertility process is more complex and demanding than any procedure- and that's the part that's getting overlooked. While a procedure-centered, rather than a patient-centered, approach could be described as a characteristic flaw of western medicine in general, and certainly not limited to infertility practice, infertility specialists have a unique opportunity to empower women in ways that other physicians do not. It doesn't matter whether you have a 19 year old who's never tried to have a baby or a 43 year old who's spent year after heartbreaking year trying. The despair that comes with not being able to get pregnant is not definable by any one age or situation, which is why I feel as though my job is not, just to help these women get pregnant, but to treat them like I would my sister, my daughter, my best friend. To respect them, but most importantly, to listen, not just to what they are saying, but to what they're not saying, the silence. It is only by listening and hearing, that you are able to be effective and offer treatment options that are best suited for each individual couple. It is not until you fully understand all the pros and cons of each treatment option, that you can choose the best option. Treatment options are a couple's choice, not the clinic's choice. I look forward to meeting and working with you and your partner to achieve a successful outcome.

Dr. Shane Lipskind

Shane Lipskind, M.D.

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Hi, my name is Shane Lipskind. As a board certified obstetrician-gynecologist and a fellowship-trained subspecialist in Reproductive Endocrinology and Infertility, I feel incredibly fortunate to have gravitated toward one of the most dynamic and compelling fields in all of medicine. If you’re reading this page, you may understand why. While the science of reproductive medicine is absolutely fascinating in its own right, it was the promise of helping patients to fulfill their dreams of family and a better quality of life that inspired to become a reproductive endocrinologist. I ultimately completed a 3-year fellowship in Reproductive Endocrinology and Infertility at Brigham and Women’s Hospital of Harvard Medical School and devoted myself to acquiring the skills and expertise necessary to provide the highest level of reproductive care. There, I gained broad and in-depth first-hand experience in the evaluation and treatment of infertility and reproductive disorders. I developed special interests in endometriosis, fibroids, premature ovarian insufficiency/failure, polycystic ovarian syndrome, hypothalamic amenorrhea, preimplanation genetic diagnosis and screening, and advanced laparoscopic, hysteroscopic and computer-assisted (robotic) surgery. As a consultant at our partner hospitals, Boston Children’s Hospital and the Dana Farber Cancer Institute, I also learned to care for pediatric and adolescent girls in need of specialized gynecologic care and to deliver emergency fertility preservation services to patients facing a diagnosis of cancer.

I am now thrilled to return to the Phoenix Valley to join the outstanding team at Arizona Center for Fertility Studies in providing some of the best reproductive surgery and assisted reproductive technologies services in the world. ACFS strives to stay on the cutting edge of our field and is always seeking to integrate scientific discovery with the practice of everyday medicine. Moreover, I am sure that you will find, as I did, that ACFS is a practice that truly cares about its patients. It was that special blend of empathy and medical excellence that made me a believer in this amazing practice. I would be honored and delighted to carry that tradition forward with you and hope to meet with you soon.

Dr. Robert McGaughey

Robert W. McGaughey, Ph.D.

ART Laboratory Director

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I met Dr. Jay Nemiro twenty-six years ago, when we got together to discuss the potential startup of a program for assisted reproduction. After a few short meetings, we organized and set up the program within a relatively short period, beginning the ongoing odyssey. We shared very similar philosophies on how assisted reproduction should work and that our number one goal was to treat our patients with utmost respect, with understanding of the difficulties relating to infertility and with the highest standards of medical/laboratory care. Those philosophies have been applied unwaveringly throughout the many years we have worked together. The greatest joy in our works has come with the knowledge that so many families have been established over the years, families that we helped through the laboratory, surgical and endocrinological methods we have applied to achieve successful pregnancies. I have lost count now of the numbers but know there are thousands of babies who were born through our assistance and through the continued persistence and commitment of our patients. My pleasure in working with our patients, with the people at the Arizona Center for Fertility Studies and especially with Dr. Nemiro has been immense. The patients have always come first in our program. Modern science and medicine have developed to nearly unbelievable levels in recent years. We have continuously upgraded, updated and improved our procedures as the field has undergone tremendous growth and sophistication during the past quarter century.

Drew Barker

Andrew (Drew) Barker, B.S. M.S., T.S. (ABB)

ART-IVF Laboratory Supervisor

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Hi, my name is Andrew (Drew) Barker. I am a board certified Technical Supervisor in the areas of embryology and andrology by the American Association of Bioanalysts. Growing up in the Midwest and attending the University at Northern Illinois, I earned a Bachelor of Science degree in Biology and a Master of Science degree in Evolutionary Biology. I have over 10 years extensive hands on experience in human embryology including intracytoplasmic sperm injection (ICSI), assisted hatching (AZH), biopsying embryos (polar body, blastomere and trophectoderm), and oocyte/embryo cryopreservation. I have published in peer review journals on vitrification (rapid freezing) of human blastocyst embryos.

Over the years, I have traveled extensively, and I am actively committed to continuing to improve ACFS already excellent IVF success rates and bringing Arizona Center for Fertility Studies to the cutting edge of modern technology through the utilization of blastocysts culture, vitrification and micro-array analysis for PGD/PGS. I routinely attend continuing medical education activities and committed to remaining at the forefront of ART and the continuing technological challenges and advances the field offers.

When not in the lab, I can be found at a local golf course or in the air; as I am an avid pilot and actively involved in promoting general aviation. I am always happy to answer any questions you may have and, along with Dr. Nemiro, actively involved in the treatment decisions of the valued patients at Arizona Center for Fertility Studies. I look forward in meeting you and to having a successful outcome.

Kyler Swanson

Kyler Swanson, B.S.

Andrologist

Hi, my name is Kyler and joining ACFS medical team was an opportunity of a lifetime that could not be ignored. Combining the medical field's science and gratification of changing individuals' lives for the better, perfectly illustrates my ideal work environment; which is exactly what I accepted here at ACFS. I graduated with a biological sciences degree (BS) and a concentration in nano-science from the University of Calgary in the spring of 2011. After 4 years of biology under my belt, it was clear that being involved in medicine was inevitable. Since graduation, I have worked in genetics and animal science in Canada, until an opportunity presented itself to work at ACFS. I was so excited about this opportunity that I decided to "take a chance", packed up and moved to Arizona on short notice. After getting a social security number, driver's license, apartment and a old blue mustang, I was excited and ready to start on my new life course. I am very pleased to be involved in reproductive medicine at Arizona Center for Fertility Studies.

Being from Canada, I of course enjoy hockey and winter in general; but being able to golf year round sure has its perks. When not playing or watching sports, I can be found hanging out with friends and taking weekend trips exploring Arizona. I sincerely hope you choose to work with Dr. Nemiro and the team at ACFS and allow us to help build your family.

Giana Caiazza

Gina M. Caiazza, R.N., R.N.F.A.

Program Coordinator

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As program coordinator and RN First Assistant at the Arizona Center for Fertility Studies, my days are very busy. Although I enjoy spending time with all of my coworkers, my favorite part about working at the ACFS, are the people I meet and have the opportunity to care for and help in their journey to becoming parents. Since 1996, there have been a countless number of patients who have touched my life with their strength, courage, and determination in pursuing their dreams. We have shared laughter, joy, and tears while riding a sometimes "emotional roller coaster." Their joys have been my joys. Their sorrows are my sorrows. A successful outcome makes the sacrifice and hard work by all definitely worth it. Personally for me, there is no greater thanks than that which is expressed by the "look" I see when we are able to view your baby for the first time on the ultrasound screen. It still takes my breath away each and every time. I have learned from working with thousands of patients that each conception is "truly a miracle" and it is certainly not taken for granted. I hope that in this journey, my expertise, compassion and commitment to all of you will somehow make this process a little bit easier. Whether you are attending one of my classes, undergoing a surgery, or participating in a procedure, I look forward to the opportunity to participate in your care. Good luck and God bless. Gina

Jennifer Singleton, RN

Jennifer Singleton, RN, BSN

Hi, my name is Jennifer, and I am one of the RN’s to join the ACFS team. I have been in the medical field for over 20 years in women’s health and fertility. I come to ACFS with 5 years of reproductive medicine experience, as this sub-specialty is my passion. I was an infertility patient myself, so I understand what you might be going through. As a patient myself, I understand all the trials and tribulations that one goes through and the myriad of emotions that you may be experiencing. At other clinics, I was seen as a number and not a patient. Here at ACFS, we all put our passion towards your journey and make sure that each of you are treated with care, compassion and respect. This is one of the many reasons I joined this amazing group and look forward to being part of your successful treatment. The field of reproductive medicine is constantly growing and I love to learn; and will do whatever I can to help you achieve your goal. I am very excited to be part of the ACFS team and here to make your journey special and a little less stressful. I look forward to meeting and working with you.

Michelle Christie

Michelle Christie

Practice Manager

For the past 11 + years at ACFS, I have had the pleasure of working with an amazing doctor that I believe in as well as a wonderful healthcare team that I consider my family. I continue to admire how each team member acknowledges and encourages the skills and contributions of one another, as together we strive to treat each patient with individuality, commitment, encouragement, honesty, and compassion. Additionally, working with a team that understands the emotional and financial sacrifices patients endure is a key component, as the quality of our staff represents the quality of ACFS as a whole. I am both honored and humbled to be a part of each patient's journey to fulfill their dreams of becoming a parent. I feel I am privileged to have experienced many rewarding moments, sharing in the happiness and excitement with our patients and their successful outcomes. The gift of a child is precious and being a part of a team that can help provide such a special gift is priceless.

Janet Tibbets

Janet Tibbets

Front Office / Billing

Hi, my name is Janet. Prior to joining ACFS, I worked with infertility patients for over two years. In addition to being the front office manager, I coordinated and helped develop and run the donor egg program for the practice. This was truly the most rewarding employment I ever had. I found great joy in meeting the new additions to the families that we helped.

In my prior position in the front office, I performed all aspects related to a medical practice including insurance billing and checking eligibility, scheduling appointments and greeting patients, answering phones, and coordinating the conversion to electronic medical records.

The compassion I see here at ACFS is what made me join this practice. Helping couples achieve their goal of having a child is their main focus. My expertise at the front office will help guide you throughout your experience here, hopefully making it bit easier and less stressful. Whether you are a new patient or an already established one, I really enjoy getting to know you and helping you through what can sometimes be an overwhelming and confusing process. With a genuine smiling face, I look forward to meeting you.

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