Ten Years Later

Ten Years Later by Hoda Kotb

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Authors: Hoda Kotb
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launched with five areas to advance: awareness, education, financial
     assistance, research, and support. Lindsay knew they could not achieve them all at
     once and that each one would lead to the next with fund-raising as fuel for the forward
     movement. She was speaking all over the country, but mostly to fertility doctors.
     The reproductive world took quickly to the idea of Fertile Hope: new patients, new
     money, and a way to advance the technology of egg freezing. But the cancer world was
     not as receptive, an issue she hadn’t anticipated.
    “Fertile Hope became the darling of the reproductive industry very quickly,” she explains,
     “but the cancer industry was so hard to penetrate, it was shocking. And that was hard
     for me, and frustrating. We had to really think harder. Every pharmaceutical company
     in the world was trying to do the same thing: How do you change physician practice?
     How do you integrate what you want into their day-to-day checklist? And here little
     Fertile Hope was trying to do that. We ended up doing it in six years, which is faster
     than most people can, but I expected from my dot-com glory days that that would happen
     in six months or a year.”
    A breakthrough came in fall 2002 after Fertile Hope sent out fifty thousand brochures,
     one to every cancer doctor and nurse in the country. A follow-up focus group helped
     the foundation to gather feedback and measure the impact of the mailing. What was
     the most effective way to get oncologists to refer their patients to Fertile Hope?
     Lindsay listened in as the focus group leader spoke with an anonymous doctor over
     the phone. His response proved to be a game changer for the foundation.
    “He said, ‘I am busy and I am not going to go to a meeting about fertility. I go to
     meetings about how to best treat my patients and do my job, and even if I’m at a conference
     where fertility is being discussed, it would probably coincide with another class
     that’s more important to my patient’s survival, so I won’t go to it. But I am interestedand I want to do right by my patient and do think this is important, but bring the
     information to me. Don’t make me find you.’ The leader followed up with, ‘How do we
     get to you?’ ”
    The doctor explained that every major hospital in the country does something called
     grand rounds, most often on a weekly basis. Presenters are brought in, and the goal
     is to help doctors and other health care professionals stay current on evolving areas
     that may be outside of their core practice; the newest research and treatments. The
     doctor said, “If you can penetrate that, you’re in.”
    Lindsay immediately developed a business model for physician education via grand rounds.
    “Our goal for the first year was to do ten major cancer centers and ten community
     hospitals,” she says. “We blew those numbers out of the water.”
    Then came another creative idea: a way to get the local fertility doctors into grand
     rounds.
    “Let’s say we had a talk in Connecticut. So, we’re going to go to Yale and do grand
     rounds at the cancer center with all the oncologists. We would call the local reproductive
     doctor there at Yale and say, ‘Hey, we’re doing grand rounds. Do you want to come
     and do the presentation with us?’ Uh, yeah. Of course you do. So they would come and
     we wouldn’t even give them an honorarium. ‘We’re not paying for anything. You come.
     It’s a huge opportunity for you that you wouldn’t have without us.’ We would give
     a one-hour presentation and then all the oncologists would have the information they
     needed, all because that one doctor in that one focus group said, ‘Come to me.’ ”
    Blending the two worlds of oncology and reproduction was finally happening. Lindsay
     says a particular grand rounds session exposed the disconnect that was right before
     the medical community’s eyes.
    “I’ll never forget this. We were at the Cleveland

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