@Drongoski
im pretty sure you get
dy/dx = - ( 15x^4 -3x^2 -6(x^2)y -6xy ) / ( 1 + 4y -3x^2 - 2x^3 ) and the point of interest is (1,1)
mmm this is a strange one, you cannot differentiate top and bottom ( and if so , with respect to what, x or y?? ) , because that means will get factors of "dy/dx" on the top from the product rules.
EDIT: ohh dont worry, I figured it out, because then we can sub anywhere we see a dy/dx in the next fraction ( obtained by via La Hopitals ) by the massive expression above for dy/dx