Palo Alto Medical Foundation

5 doctors work here

Rated 7.8
Strongly recommend: 63%Neutral: 14%Don't recommend: 23%7.8
63% strongly recommend
37 reviews
Operations
8.8
8.8
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
8.6
8.6
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
7.4
7.4
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
9
9
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

Attention to Detail
7.2
7.2
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Annual Cycles
1,007
National Avg
738
This Clinic
National Avg
00%
20%
40%
60%
<35
35-37
38-40
>40

Available Resources

Genetic counseling
Genetic counseling
Acupuncture
Acupuncture
Mental health counseling
Mental health counseling
Nutrition counseling
Nutrition counseling
Administration of shots
Administration of shots
Coordinating at-home nursing
Coordinating at-home nursing
Selling medication is not offered
Selling medication is not offered
Providing backup medication
Providing backup medication

This clinic has 4 offices

East Palo Alto - University
1950 University Ave
East Palo Alto, CA 94303
800-597-2234
Fremont
3200 Kearney Street
Fremont, CA 94538
800-597-2234
Palo Alto - El Camino (closed)
795 El Camino Real
Palo Alto, CA 94301
(650) 853-2200
San Jose
2581 Samaritan Dr.
San Jose, CA 95124
(800) 597-2234
Show 2 more

37 patient reviews

2018 - 2020, Unsuccessful
7
8
Age 39 - 41
1 IUI
1 IVF
Diminished Ovarian Reserve
Poor Egg Quality
Recurrent Pregnancy Loss
East Asian
Income $200K - $499K
Only Doc Seen
Neutral
Neutral
Unsuccessful
Dr. Abusief is very patient and understanding. She always gives me the time to ask questions and takes her time to explain anything I don't understand...We wanted to try non-invasive protocols first so we spent couple more cycles with injectable medication with IUI before moving to IVF. Dr. Abusief was considerate about the cost of the procedure and our past history of natural pregnancy, so she didn't order anything that wasn't necessary.
It is sometimes hard to get a hold of my primary coordinator [at Palo Alto Medical Foundation], but typically someone will get back to me within a day. I'd say in terms of coordinating treatment, prescription, and insurance, I couldn't completely rely on the coordinator to provide all the information...so far the cost of one IVF cycle including retrieval, but NOT including genetic testing and transfer, is about $23K.
How was your experience with Mary Abusief at Palo Alto Medical Foundation?
Dr. Abusief is very patient and understanding. She always gives me the time to ask questions and takes her time to explain anything I don't understand. At one point I was considering doing IVF overseas for significant less cost (prior to having IVF covered under my insurance) and Dr. Abusief was very supportive and offered her care that I might need before and after the actual IVF procedure. I've experienced several setbacks during my IVF treatment and Dr. Abusief was very sympathetic during it all. One minor drawback with Dr. Abusief is that her office is in Palo Alto, while all other doctors from the clinic are based in San Jose. So during the IVF cycle where I needed to get an ultrasound every other day, I saw 4 different doctors in the San Jose but not Dr. Abusief. There just wasn't enough appointment slots with her being the only doctor in the PA office. In hindsight I might have gone with a doctor located in the San Jose office, purely for convenience and greater chance that I would actually see the doctor during the IVF cycle.
What's one piece of advice would you give a prospective patient of Mary Abusief at Palo Alto Medical Foundation?
Dr. Abusief seems to have limited appointment slots so while it is normally fine during the consultation phase to schedule appointments further out, during the later part of the IVF cycle where ultrasound is taken every other day, most of the available appointments are with other doctors located in San Jose. So I would advise those who live/work in the San Jose/South Bay area to choose doctor based in San Jose, and those who live/work in Peninsula to expect to have to travel to San Jose as there are more doctors available.
Describe the protocols Mary Abusief used in your cycles at Palo Alto Medical Foundation and their degree of success.
We started easy with oral medication and timed intercourse, as I have had one natural pregnant/birth before. But after two miscarriages, Dr. Abusief strongly encouraged us to consider IVF with genetic testing. We wanted to try non-invasive protocols first so we spent couple more cycles with injectable medication with IUI before moving to IVF. Dr. Abusief was considerate about the cost of the procedure and our past history of natural pregnancy, so she didn't order anything that wasn't necessary. In the end, based on my age, my body responded relatively well to the IVF protocols and produced acceptable # of eggs. Unfortunately all of the embryos have shown chromosomal abnormalities and are not viable for transfer.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Naria)
It is sometimes hard to get a hold of my primary coordinator, but typically someone will get back to me within a day. I'd say in terms of coordinating treatment, prescription, and insurance, I couldn't completely rely on the coordinator to provide all the information. I spent hours and hours on the phone with my insurance company and pharmacies to follow up on varies items, and I had to tell the coordinator what to do (i.e. send prescription order, proper documents) in order to get things approved. I do very much like Dr. Abusief's nursing staff. All of them are very friendly and super helpful in answering my questions There is a good energy between Dr. Abusief and her nurses and that made the office visit positive and comfortable.
Describe your experience with Palo Alto Medical Foundation.
There are a lot of doctors in this clinic and I am able to schedule an appointment very quickly, as long as I'm not picking with which doctor I see. And I like most of the doctors I've seen in this clinic. Most of the doctors in the clinic are friendly, patient, and sympathetic, and even though they are not my primary doctors, I feel comfortable being cared by them. The Palo Alto office where Dr. Abusief is based is brand new, while the San Jose office is showing its age. But the San Jose office has its own lab and is on the same floor as the surgical center, and you can't beat the convenience of that.
Describe the costs associated with your care under Mary Abusief at Palo Alto Medical Foundation.
So far the cost of one IVF cycle including retrieval, but NOT including genetic testing and transfer, is about $23K. Genetic testing is done by a 3rd party lab. Transfer is estimated to be around $4,000. These are billable costs, and may not reflect actual "out-of-pocket" cost if going through insurance or any cast discount if not covered by insurance.
What specific things went wrong at Palo Alto Medical Foundation?
  • Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Palo Alto Medical Foundation.
The prescription was sent to a pharmacy that was not approved by my insurance. I had called 10 pharmacies to get the cheapest "cash price" only to find out that there is only 1 approved pharmacy that I'm allowed to use, and had to ask my coordinator to resend the prescriptions.
7
Doctor
Mary Abusief
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Palo Alto Medical Foundation
East Palo Alto - University
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2016, Unsuccessful
7
5
Age 29
3 IUI
3 IVF
Diminished Ovarian Reserve
Male Factor
European
Income $200K - $499K
Nurse or HC Services
2nd of 4 Docs
Neutral
Doesn't Recommend
Unsuccessful
We loved working with Dr. Abusief. The only downside is that since it's a large practice there were appointments where I saw one of her colleagues instead. She did not perform my egg retrievals or transfers because she was not "on-call" that day. She took over as the medical director and seemed stretched a little thin. I would have liked it more if there were less doctors involved and I was able to work with Dr. Abusief more exclusively.... She called me personally to check on me when I was diagnosed with a chemical pregnancy and took time to check in with me when I came in just for labs.
I bought a package through ARC that covered one retrieval and fresh transfer and one frozen transfer [at Palo Alto Medical Foundation]. The package was around $12-13,000 and did not cover ICSI or more than a set number of ultrasounds in a cycle. I paid extra for needing extra monitoring appointments as well as a whole lot of blood work, ultrasounds, and endometrial pipelle procedure for a chemical pregnancy...This clinic's strength is that the doctors meet daily for rounds so everyone is up to date on all of the patients who are in-cycle. The weakness is that there are so many doctors involved that you will likely be seen by multiple different doctors over the course of several days and may receive different information.
How was your experience with Mary Abusief at Palo Alto Medical Foundation?
We loved working with Dr. Abusief. The only downside is that since it's a large practice there were appointments where I saw one of her colleagues instead. She did not perform my egg retrievals or transfers because she was not "on-call" that day. She took over as the medical director and seemed stretched a little thin. I would have liked it more if there were less doctors involved and I was able to work with Dr. Abusief more exclusively.
What's one piece of advice would you give a prospective patient of Mary Abusief at Palo Alto Medical Foundation?
Be prepared for the fact that even if you like her a lot, you may not enjoy her colleagues as much and will often be in their direct care instead of hers. Although she was my primary RE, I was seen by many other doctors during my cycles with her.
During treatment, were you treated like a number or a human with Mary Abusief at Palo Alto Medical Foundation?
She takes a lot of time with her clients and is very warm and personable. She is incredibly intelligent and up to date, but communicates her knowledge in a way that is not intimidating. She called me personally to check on me when I was diagnosed with a chemical pregnancy and took time to check in with me when I came in just for labs.
Describe the protocols Mary Abusief used in your cycles at Palo Alto Medical Foundation and their degree of success.
It was my first IVF cycle and we used a standard long-lupron down regulation protocol. They retrieved 9 eggs, however only 6 were mature. No human growth hormone was used, just the lupron, gonal-f, and menopur. She stated that she started me on a higher dose of gonadotropins due to my low AMH, however I've always had an even higher dose with subsequent cycles with other doctors.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Nancy)
Nancy was in touch with me constantly during my cycle and extremely helpful. For my second cycle I was assigned a different nurse. I don't remember much about her.
Describe your experience with Palo Alto Medical Foundation.
This clinic's strength is that the doctors meet daily for rounds so everyone is up to date on all of the patients who are in-cycle. The weakness is that there are so many doctors involved that you will likely be seen by multiple different doctors over the course of several days and may receive different information. One doctor I met with had incredibly awful bedside manner and I refused to be seen by him again, which meant that I had to drive to another clinic to see a different doctor. The clinic I primary visited was very private and peaceful, however some of the clinics that I had to drive to for my appointments were located inside of a larger medical facility. I had to sit in a waiting room that was shared with regular OBGYN patients who were pregnant- not great when you are going through fertility treatments.
Describe the costs associated with your care under Mary Abusief at Palo Alto Medical Foundation.
I bought a package through ARC that covered one retrieval and fresh transfer and one frozen transfer. The package was around $12-13,000 and did not cover ICSI or more than a set number of ultrasounds in a cycle. I paid extra for needing extra monitoring appointments as well as a whole lot of blood work, ultrasounds, and endometrial pipelle procedure for a chemical pregnancy.
Describe Mary Abusief's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
They will only transfer 2 embryos if you use day 3 embryos for my age bracket (Under 30). If you are using day 5 embryos, they will only transfer 1.
7
Doctor
Mary Abusief
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
5
Clinic
Palo Alto Medical Foundation
East Palo Alto - University
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2014 - 2016, 16 Eggs Frozen
7
7
Age 39 - 41
2 Egg Freezing
Income $500K
Business Executive
Only Doc Seen
Neutral
Neutral
Success w/ Doc Too early to know
I felt they [Dr Abusief and team] were professional and the actual surgical experience was amazing. Best procedure I ever had- I was alone, going through a divorce and a scary procedure with no one there for me. but I had a heated bed, kind words etc. It was great.
[The nurses at PAMF were] compassionate. the main scheduling nurse was v. organized and clear. Also the PAMF clinic on fertility treatments SC injection was excellent...The clinic is fine. They were less hard to get an appointment for then some others in the area. Since they are now part of PAMF it was sometimes hard to figure who to talk to for what (billing etc).
How was your experience with Mary Abusief at Palo Alto Medical Foundation?
I felt they were professional and the actual surgical experience was amazing. Best procedure I ever had- I was alone, going through a divorce and a scary procedure with no one there for me. but I had a heated bed, kind words etc. It was great.
What's one piece of advice would you give a prospective patient of Mary Abusief at Palo Alto Medical Foundation?
The desk staff and phone systems are a huge labyrinth of confusion. Just persevere and you will get through.
During treatment, were you treated like a number or a human with Mary Abusief at Palo Alto Medical Foundation?
While they were very respectful kind and gentle, ultimately they refused to help me conceive until my divorce was complete because their lawyers advised them that the law was murky. My divorce is now approaching 2 years in limbo and I'm am just waiting to use my frozen eggs. It would have been much easier to use sperm but now I'm over 40 and clock is ticking away- all because of lawyers and a stupid law that says it's husbands kid even if biology proves it's someone else's sperm. dumb. not a humane choice.
Describe the protocols Mary Abusief used in your cycles at Palo Alto Medical Foundation and their degree of success.
Both were to freeze eggs: First Cycle which only yielded 4 frozen eggs lupron 10 then Gonal F300 +minopur then HCG trigger Second Cycle yielded 12 frozen eggs: GonalF300 + minopur+dexameth pill Ganriliex HCG trigger
Describe your experience with the nursing staff at Palo Alto Medical Foundation.
Compassionate. the main scheduling nurse was v. organized and clear. Also the PAMF clinic on fertility treatments SC injection was excellent
Describe your experience with Palo Alto Medical Foundation.
The clinic is fine. They were less hard to get an appointment for then some others in the area. Since they are now part of PAMF it was sometimes hard to figure who to talk to for what (billing etc).
Describe the costs associated with your care under Mary Abusief at Palo Alto Medical Foundation.
I was self pay. The fees are pretty set and standard. The fee for the full egg retrieval process was about 10K plus I had insurance for the drugs part so I'm not sure how much that was.
7
Doctor
Mary Abusief
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
7
Clinic
Palo Alto Medical Foundation
East Palo Alto - University
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
9
9
Age 41
IVF
Poor Egg Quality
Immunological
Recurrent Pregnancy Loss
Unexplained
Other
European
Income $100K - $199K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Mary is kind and compassionate. She spent good time reviewing our case and created a clear plan going forward. She has been available for communication thus far and has not run over 20 minutes late for any of our appointments. ... The plan so far is: estrogen priming followed by a lupron downreg protocol. St in meds include: Follistim or Gonal-F and menopur. We will use conventional fertilization.
Staff [Palo Alto Medical Foundation] seems accessible and there has been a good response time for all questions we've asked. ... We haven't been able to see our RE for all appointments. ... All the staff so far have been wonderful, kind and accessible. I've received responses from my RE in a timely manner both email and voicemail. ... We've only met with her [nurse] once so far. She was timely, clear, thorough and answered all our questions. We did not feel rushed.
How was your experience with Mary Abusief at Palo Alto Medical Foundation?
Dr. Mary is kind and compassionate. She spent good time reviewing our case and created a clear plan going forward. She has been available for communication thus far and has not run over 20 minutes late for any of our appointments.
What's one piece of advice would you give a prospective patient of Mary Abusief at Palo Alto Medical Foundation?
You may not be able to see Dr. Mary for each treatment. She acknowledged that she does not specialize in autoimmune infertility, but makes appropriate referrals to a clinic nearby that does with whom she works closely.
During treatment, were you treated like a number or a human with Mary Abusief at Palo Alto Medical Foundation?
All the staff so far have been wonderful, kind and accessible. I've received responses from my RE in a timely manner both email and voicemail.
Describe the protocols Mary Abusief used in your cycles at Palo Alto Medical Foundation and their degree of success.
The plan so far is: estrogen priming followed by a lupron downreg protocol. St in meds include: Follistim or Gonal-F and menopur. We will use conventional fertilization.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Justine Law as, RN)
We've only met with her once so far. She was timely, clear, thorough and answered all our questions. We did not feel rushed.
Describe your experience with Palo Alto Medical Foundation.
It's far away from us. We chose this clinic as it is in network work our insurance. Because we had to stay in network due to insurance coverage, we researched all the doctors to find the best fit for us. They have clinics all over the SF Bay area, which can be convenient or tricky. We haven't been able to see our RE for all appointments. Staff seems accessible and there has been a good response time for all questions we've asked.
Describe the costs associated with your care under Mary Abusief at Palo Alto Medical Foundation.
We're still figuring this out. Estimated to be $15,000 for IVF. Additional for our FET.
Describe Mary Abusief's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
With PGS testing , the recommendation is a single embryo transfer
9
Doctor
Mary Abusief
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
9
Clinic
Palo Alto Medical Foundation
East Palo Alto - University
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2018 - 2019, Unsuccessful
9
10
Age 34 - 35
4 IUI
Endometriosis
Recurrent Pregnancy Loss
Unexplained
Ashkenazi Jewish
Engineer
Only Doc Seen
Strongly Recommends
Strongly Recommends
Unsuccessful
[Dr. Abusief] has been amazing. She always stops and listens to all my concerns and thoroughly and thoughtfully answers every question. She responds to e-mail and phone messages quickly. Dr. A has been willing to work with me and factor in what I am comfortable with, rather than just telling me what to do. She is right there on our team with us...was incredibly understanding and supportive of me going at my own pace. I never felt pressured or like a number in any way. A year ago I would have never believed that I would be brave enough to undergo a hysteroscopy and do 4 medicated Luis. Dr. Abusief's support all the way through was really key in helping me overcome my fear.
I saw the doctors [at PAMF] much more than the nursing staff. My interactions with the nursing staff were brief but positive. They were helpful reaching out and making sure everything was scheduled...There are multiple doctors you may see, which I actually saw as a strength. You can also to try to schedule things so you can see your own doctor as much as possible. They are open every single day, which makes scheduling so much easier.
How was your experience with Mary Abusief at Palo Alto Medical Foundation?
Dr. A told us what the normal protocols were, but was also flexible and patient when I asked about possible deviations. It took a lot of effort for me to go to a fertility doctor, and at first I was very scared. Dr. A was incredibly understanding and supportive of me going at my own pace. I never felt pressured or like a number in any way. A year ago I would have never believed that I would be brave enough to undergo a hysteroscopy and do 4 medicated Luis. Dr. Abusief's support all the way through was really key in helping me overcome my fear.
What's one piece of advice would you give a prospective patient of Mary Abusief at Palo Alto Medical Foundation?
Be honest and ask a lot of questions.
During treatment, were you treated like a number or a human with Mary Abusief at Palo Alto Medical Foundation?
Dr. A has been amazing. She always stops and listens to all my concerns and thoroughly and thoughtfully answers every question. She responds to e-mail and phone messages quickly. Dr. A has been willing to work with me and factor in what I am comfortable with, rather than just telling me what to do. She is right there on our team with us.
Describe the protocols Mary Abusief used in your cycles at Palo Alto Medical Foundation and their degree of success.
Letrozole, progesterone, orvidrel
Describe your experience with your nurse at Palo Alto Medical Foundation.
I saw the doctors much more than the nursing staff. My interactions with the nursing staff were brief but positive. They were helpful reaching out and making sure everything was scheduled.
Describe your experience with Palo Alto Medical Foundation.
There are multiple doctors you may see, which I actually saw as a strength. You can also to try to schedule things so you can see your own doctor as much as possible. They are open every single day, which makes scheduling so much easier.
9
Doctor
Mary Abusief
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
East Palo Alto - University
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Successful
7
7
Age 35 - 36
3 IUI
1 IVF
Diminished Ovarian Reserve
Endometriosis
Income $200K - $499K
Marketer or PR
Only Doc Seen
Neutral
Neutral
Successful
The Dr [Abusief] has great bedside manner and seems to care for her patients. She's a good first RE for couples new to fertility clinics as she is very good at sympathizing with you. At times I felt my underlying issues weren't consider in deciding on a protocol and that the team was taking more of a blanket approach to my care.... [Eset Approach] The office has a policy to only transfer one but on occasion they may make an exception but it had to be a team decision.
Staff [PAMF] are great, and it's easy to get last-minute appointments. You often need to remind staff of existing conditions to make sure a procedure or medication won't interfere. It would be nice to be able to access the IVF coordinators directly but currently you have to go through the phone operators and leave a message.... [Cost Of Treatment] $16,000 fresh IVF with ICSI, $5000 for medications $1500 for IUI (I think)...
How was your experience with Mary Abusief at Palo Alto Medical Foundation?
The Dr has great bedside manner and seems to care for her patients. She's a good first RE for couples new to fertility clinics as she is very good at sympathizing with you. At times I felt my underlying issues weren't consider in deciding on a protocol and that the team was taking more of a blanket approach to my care.
What's one piece of advice would you give a prospective patient of Mary Abusief at Palo Alto Medical Foundation?
Get a consultation but also speak with 1-2 other clinics before jumping in as it's hard to jump ship later on.
During treatment, were you treated like a number or a human with Mary Abusief at Palo Alto Medical Foundation?
The Dr is very warm, thoughtful and engaging.
Describe your experience with the nursing staff at Palo Alto Medical Foundation.
Good group, kind and follow up as they say they will.
Describe your experience with Palo Alto Medical Foundation.
Staff are great, and it's easy to get last-minute appointments. You often need to remind staff of existing conditions to make sure a procedure or medication won't interfere. It would be nice to be able to access the IVF coordinators directly but currently you have to go through the phone operators and leave a message.
Describe the costs associated with your care under Mary Abusief at Palo Alto Medical Foundation.
$16,000 fresh IVF with ICSI, $5000 for medications $1500 for IUI (I think)
Describe Mary Abusief's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
The office has a policy to only transfer one but on occasion they may make an exception but it had to be a team decision.
What specific things went wrong at Palo Alto Medical Foundation?
  • Failed to call with results
  • Provided conflicting information
  • Failed to convey critical information
  • Failed to consider drug intolerance
  • Scheduled the wrong procedure
Describe the specific things that went wrong at Palo Alto Medical Foundation.
Early on an HCG was scheduled too close to ovulation. Another time I thought I came in for an ultrasound but it was actually for an SHG. Haven't had issues like that in the past 6 months.
7
Doctor
Mary Abusief
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
7
Clinic
Palo Alto Medical Foundation
East Palo Alto - University
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020, Unknown Success
6
3
Age 39
1 IUI
Poor Egg Quality
Unexplained
Other
South Asian
Income $200K - $499K
Engineer
Only Doc Seen
Doesn't Recommend
Doesn't Recommend
Success w/ Doc Too early to know
Dr Dobson is a very capable fertility physician. At our first appointment, he went into great detail about the factors affecting fertility and conception, hormonal changes during each cycle, potential timing problems, possible points of intervention etc. He also explained age-related factors, chromosomal abnormalities and probabilities...I found myself having to make rushed choices, while filling out forms with the NP / patient coordinator. Likely due to time constraints, the doctor would often only review charts during the appointments, and have to be reminded about findings, NP's suggestions etc. The plan of treatment for the next cycle, was also communicated on-the-fly, and it seemed without much analysis of prior data
PAMF-REI (like other PAMF specialties), is a practice designed for high patient-throughput. This invariably results in treatments feeling impersonal. Doctors rotate, case specifics have to be recalled, treatment coordination is left to non-medical staff...The visit with the NP was long and detailed. She reviewed all hormone tests, looked for the trends in fertility, and changes in cycle...Diagnostics (SHG ~ $1204 , some ultrasounds $322) were covered by my insurance. Fertility treatments were not (IUI without medication ~$1384).
How was your experience with Anthony Dobson at Palo Alto Medical Foundation?
Dr Dobson is a very capable fertility physician. At our first appointment, he went into great detail about the factors affecting fertility and conception, hormonal changes during each cycle, potential timing problems, possible points of intervention etc. He also explained age-related factors, chromosomal abnormalities and probabilities. This was very informative, and helpful in understanding why conception at advanced maternal age gets harder. He also asked relevant questions about our overall health, as it pertained to ability to conceive, and reviewed some issues from a previous pregnancy. With this backdrop, we expected to have specific troubleshooting, cycle monitoring and diagnoses, of whether there were the aforementioned issues. However, aside from an SHG - there wasn't much effort spent, on trying to determine the rootcause of our failure to conceive (presumed to be chromosomal abnormalities due to advanced maternal age). Overall, the approach was to follow established protocol of (possibly several) cycles of treatment, with hormone supplementation / injection as part of protocol (regardless of need), and without necessarily customizing it to each couple's circumstances. While this might actually be the most efficient path to achieve pregnancy, it wasn't necessarily what we were looking for. Too often, it seemed to us that the treatment was shooting in the dark. Dr Dobson was willing to work with our reservations about extensive interventions, refusal to consider IVF and PGT-A. He was understanding and respectful, and suggested instead to proceed with IUI cycles. As the cycles proceeded, it would have been better to have a consultation where the plan of treatment was clearly discussed, chances of success for various alternatives explained, and a recommendation made. I found myself having to make rushed choices, while filling out forms with the NP / patient coordinator. Likely due to time constraints, the doctor would often only review charts during the appointments, and have to be reminded about findings, NP's suggestions etc. The plan of treatment for the next cycle, was also communicated on-the-fly, and it seemed without much analysis of prior data. This is likely an artifact of the oversubscribed PAMF-REI practice. Other than that, Dr Dobson had good bedside manner, compassion and a great sense of humour, which was a relief during otherwise awkward procedures.
What's one piece of advice would you give a prospective patient of Anthony Dobson at Palo Alto Medical Foundation?
If you want to get more information - ask questions. The doctor is knowledgeable, but doesn't necessarily explain the tradeoffs, and calculations behind making informed choices. (Again, not every couple may want to know those details, but we did). When we did, we got detailed, accurate and honest answers.
During treatment, were you treated like a number or a human with Anthony Dobson at Palo Alto Medical Foundation?
We actually went into this, with an intention to make data-driven decisions. So we sought information about age-related fertility statistics, success rates of procedures etc., and these were provided (both by the Dr & the genetic counselor), in detail - which we appreciated. The PAMF-REI practice is set up in a way, that there isn't continuity of care between multiple doctors, who rotate at different PAMF clinic locations. Overall, the number of patients each doctor sees is likely so high, that the doctor may not remember the specifics of each case, until they look at the patient charts. That made the treatment feel somewhat impersonal. Communication between nurse practitioners, doctors and coordinators could also be better. It seems that treatment plans, prescriptions and issues/concerns, were not reviewed/understood by the entire team.
Describe the protocols Anthony Dobson used in your cycles at Palo Alto Medical Foundation and their degree of success.
IUI with Clomid, progesterone supplementation.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Terri Stewart)
The visit with the NP was long and detailed. She reviewed all hormone tests, looked for the trends in fertility, and changes in cycle. Her suggestion of possible luteal phase insufficiency was plausible. However, wasn't communicated to the Dr. The care coordinator, wasn't aware of medication protocol (e.g. Ovidrel injection was not needed in IUI cycles without Clomid).
Describe your experience with Palo Alto Medical Foundation.
PAMF-REI (like other PAMF specialties), is a practice designed for high patient-throughput. This invariably results in treatments feeling impersonal. Doctors rotate, case specifics have to be recalled, treatment coordination is left to non-medical staff. (I overheard so many phone conversations while waiting in the lobby, where the appointment staff was having to explain the treatment steps to patients, so they could schedule dates!) Specifically for the EPA clinic, the doctor isn't available all 5 days. If you want to see the same doctor, you will have to trek to another faraway location (Fremont, San Jose). If your cycle days are on a weekend, ditto for treatment at the SJ clinic. Logistically, that is a nightmare. My OB-GYN is also in the PAMF system - that helped to get the data from previous tests, and case specifics about some other relevant medical issues were reviewed easily.
Describe the costs associated with your care under Anthony Dobson at Palo Alto Medical Foundation.
Diagnostics (SHG ~ $1204 , some ultrasounds $322) were covered by my insurance. Fertility treatments were not (IUI without medication ~$1384).
What specific things went wrong at Palo Alto Medical Foundation?
  • Failed to call in prescriptions to pharmacy
  • Failed to inform you of changes in protocol
Describe the specific things that went wrong at Palo Alto Medical Foundation.
Minor things: * NP didn't put in an order for antibiotic before SHG (the doctor promptly put it in). * IUI with/without Clomid - protocol change meant certain medications were not needed. Prescription was put in anyway.
6
Doctor
Anthony Dobson
Humanity
Communication
Frequency Seen
Compassion
Explained risks
Adaptability
3
Clinic
Palo Alto Medical Foundation
Fremont
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2017, Successful
9
10
Age 29 - 31
6 IUI
1 IVF
Anovulation
PCOS
Recurrent Pregnancy Loss
European
Income $50K - $99K
Teacher
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
When beta was confirmed, he [Dr. Anthony Dobson] started me on lovonox for 12 weeks. This resulted in my 5 month old daughter...I was on low dosages of each because of my PCOS and I could be easily over stimulated. I stimmed for two and a half weeks. I had 44 eggs, and did an ICSI split. 19 fertilized with ICSI and 1 the traditional way. I ended up with 9 day 5 blasts...He takes the time to talk about treatment, next steps, and what each step will entail. My first visit, he spent 2 hours talking through IVF and what I could expect. He took the time to answer my messages at 10:30 at night and was always willing to talk when I had questions.
They [Palo Alto Medical Foundation] were great. They always were able to find me an appointment, whether it was with my dr or not. They were flexible in scheduling me as early as possible because of my work. The secretaries were very responsive. They are a very busy practice, so it was sometimes hard to get squeezed in, but they did it!...She [the nurse] was amazing. She called me back after ever question, guided me through each of the transfers, and called me the minute my beta was availible.
How was your experience with Anthony Dobson at Palo Alto Medical Foundation?
He is kind and caring. He takes the time to talk about treatment, next steps, and what each step will entail. My first visit, he spent 2 hours talking through IVF and what I could expect. He took the time to answer my messages at 10:30 at night and was always willing to talk when I had questions.
What's one piece of advice would you give a prospective patient of Anthony Dobson at Palo Alto Medical Foundation?
Get on his list! He cares deeply about each of his patients. I would also recommend asking as many questions as you feel you need to understand the process. He’s willing to answer them
During treatment, were you treated like a number or a human with Anthony Dobson at Palo Alto Medical Foundation?
He took great interest in our case. When we had several miscarriages, he really took the time to find out why, and recommend a course of treatment that might fix the issue and it did. He was just as excited as me when the heartbeat appeared on my last ultrasound.
Describe the protocols Anthony Dobson used in your cycles at Palo Alto Medical Foundation and their degree of success.
For my retrieval, they used ganarelix, follistom, and menopure. I was on low dosages of each because of my PCOS and I could be easily over stimulated. I stimmed for two and a half weeks. I had 44 eggs, and did an ICSI split. 19 fertilized with ICSI and 1 the traditional way. I ended up with 9 day 5 blasts. We transfered one fresh on day 3. This did not result in a pregnancy. My first FET we did oral estrace 3 Times a day and then vaginal estrace after 10 days to increase lining. Also used Lupron for two weeks. PIO shots began 5 days before transfer. This resulted in a blighted ovum at 7 weeks. Since this protocol was successful in getting me pregnant, we used the same protocol with the addition to estrogen patches for lining support. This resulted in a miscarriage at 5 weeks. My final FET was similar with the addition of baby aspirin and 2 estrogen patches. When beta was confirmed, he started me on lovonox for 12 weeks. This resulted in my 5 month old daughter
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Kim Haas)
She was amazing. She called me back after ever question, guided me through each of the transfers, and called me the minute my beta was availible.
Describe your experience with Palo Alto Medical Foundation.
They were great. They always were able to find me an appointment, whether it was with my dr or not. They were flexible in scheduling me as early as possible because of my work. The secretaries were very responsive. They are a very busy practice, so it was sometimes hard to get squeezed in, but they did it!
Describe the costs associated with your care under Anthony Dobson at Palo Alto Medical Foundation.
Initial cost for retrieval, fresh transfer, and one FET was $14565. Cost of meds was $1500. For each FET after that, it was approx 4,500 and meds were $400-500.
Describe Anthony Dobson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
He suggested because I was 29/30 at the age of transfers, one embryo was our best shot because I had a high chance of multiples with more than one embryo
9
Doctor
Anthony Dobson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
Fremont
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2016, Successful
10
9
Age 32
3 IUI
1 IVF
Endometriosis
East Asian
Income $200K - $499K
Doctor
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
PAMF Infertility Group is a collection of REIs, so expect to see her [Dr. Mary Abusief's] colleagues along the way. The good news is that you have many people thinking about your case, the bad news is that you won't see her every time...very kind and compassionate. She even called me the night that my fresh transfer did not work to make sure that we had a plan I felt comfortable with going forward. She goes above and beyond.
I think this is hit or miss [with the nurses at Palo Alto Medical Foundation]. I had two coordinators. The first was not so good and not communicating well - hard to ask questions when I needed it. The second was much better and more responsive...Expect to see multiple providers - not just your primary REI. My first coordinator was not that good. Second was much better. Sometimes hard to get on the calendar and have to push to move forward. Also I found the billing department confusing.
How was your experience with Mary Abusief at Palo Alto Medical Foundation?
Dr. Abusief was very kind and compassionate. She even called me the night that my fresh transfer did not work to make sure that we had a plan I felt comfortable with going forward. She goes above and beyond.
What's one piece of advice would you give a prospective patient of Mary Abusief at Palo Alto Medical Foundation?
PAMF Infertility Group is a collection of REIs, so expect to see her colleagues along the way. The good news is that you have many people thinking about your case, the bad news is that you won't see her every time. I didn't mind because I understand that she has a family too and cannot be there every day.
During treatment, were you treated like a number or a human with Mary Abusief at Palo Alto Medical Foundation?
Very compassionate and warm.
Describe the protocols Mary Abusief used in your cycles at Palo Alto Medical Foundation and their degree of success.
Don't remember the details.
Describe your experience with your nurse at Palo Alto Medical Foundation.
I think this is hit or miss. I had two coordinators. The first was not so good and not communicating well - hard to ask questions when I needed it. The second was much better and more responsive.
Describe your experience with Palo Alto Medical Foundation.
Expect to see multiple providers - not just your primary REI. My first coordinator was not that good. Second was much better. Sometimes hard to get on the calendar and have to push to move forward. Also I found the billing department confusing.
Describe the costs associated with your care under Mary Abusief at Palo Alto Medical Foundation.
Covered by insurance, except meds.
Describe Mary Abusief's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
PAMF's primary goal is a single healthy delivery as this is the healthiest for baby and mommy. I did only single embryo transfers.
What specific things went wrong at Palo Alto Medical Foundation?
  • Lost appointments
Describe the specific things that went wrong at Palo Alto Medical Foundation.
When scheduling my frozen transfer, I had to call 3 times before the coordinator returned my call. Turns out my old coordinator left and I was not assigned a new one.
10
Doctor
Mary Abusief
Humanity
Communication
Frequency Seen
Compassion
Adaptability
9
Clinic
Palo Alto Medical Foundation
Fremont
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2019, Unknown Success
9
N/A
Age 30
IUI
Diminished Ovarian Reserve
Prefer not to answer
Income $50K - $99K
Only Doc Seen
Strongly Recommends
Success w/ Doc Too early to know
With my DOR- she [Dr. Ijeoma Okeigwe] wanted to start with iui with clomid and fsh injections...Doctor was very hopeful and confident in her ability to give us the results we want. She was very informative and answered every question I had. I wish she was more compassionate and gentle upfront, but was once I expressed my concerns and fear with her...
[Palo Alto Medical Foundation's] strengths is they work with your schedule and trust you to know what is going on with your own body. The nurses are pleasant and straight to the point. I wish the waiting room was more relaxing and less chaotic...With my DOR- she [Dr. Ijeoma Okeigwe] wanted to start with iui with clomid and fsh injections...Doctor was very hopeful and confident in her ability to give us the results we want. She was very informative and answered every question I had. I wish she was more compassionate and gentle upfront, but was once I expressed my concerns and fear with her...
How was your experience with Ijeoma Okeigwe at Palo Alto Medical Foundation?
Doctor was very hopeful and confident in her ability to give us the results we want. She was very informative and answered every question I had. I wish she was more compassionate and gentle upfront, but was once I expressed my concerns and fear with her.
What's one piece of advice would you give a prospective patient of Ijeoma Okeigwe at Palo Alto Medical Foundation?
Ask tons of questions!
Describe the protocols Ijeoma Okeigwe used in your cycles at Palo Alto Medical Foundation and their degree of success.
With my DOR- she wanted to start with iui with clomid and fsh injections.
Describe your experience with Palo Alto Medical Foundation.
Clinics strengths is they work with your schedule and trust you to know what is going on with your own body. The nurses are pleasant and straight to the point. I wish the waiting room was more relaxing and less chaotic.
9
Doctor
Ijeoma Okeigwe
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
Operations
Scheduling
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2015, Consult
10
10
Age 31
2 IUI
1 IVF
Diminished Ovarian Reserve
Unexplained
Income $100K - $199K
1st of 3 Docs
Strongly Recommends
Strongly Recommends
Successful
she [Dr. Salli Tazuke] recommended 3-4 rounds of IUI with injectables...was warm, wonderful, kind, and gave me ample time in every visit. She made sure she answered all my questions and told me she would be happy to further answer mine or my partner's questions via email. Once my test results were in, she gave me a very clear idea of the road ahead, including IUIs, IVF, the egg retrieval process, ET, selective reduction (if reqd), etc. One time the clinic miscommunicated my appointment timing to me and Dr. Tazuke was kind enough to apologise in person, along with her head nurse, the receptionist, and the clinic manager. They also arranged for me to have lunch in the clinic, paid for my gas, and made time to see me on the same day. I am completely satisfied with PAMF as well as Dr. Tazuke.
The wait time to get seen for the first time at PAMF was about 4-8 weeks (in 2015). Other than this, I have no really major complaints - the clinic is accessible and well-run. The web interface is a big help in getting access to test results or doctors' instructions. Nursing staff and doctors answer emails within one working day...The nursing staff were always friendly and organized. My appointments happened on time and the nurses were aware of the further instructions they had to give me.
How was your experience with Salli Tazuke at Palo Alto Medical Foundation?
Although I was with Dr. Salli Tazuke from an initial consult until before the first IUI (at which point we moved to another country), I felt that Dr. Salli Tazuke was very considerate and intelligent, and gave me a very accurate picture of the road ahead. She fully informed me of my diminished ovarian reserve, and said that we should do only 3-4 IUIs instead of the recommended 6. She also recommended starting IUIs directly, instead of timed intercourse with Clomid/injectables. She gave me plenty of reading material and was always available to meet me, and to answer my questions directly or via email. She was up to date with my test results and sent me notes on what the results meant, through the hospital's web interface.
What's one piece of advice would you give a prospective patient of Salli Tazuke at Palo Alto Medical Foundation?
Book an appointment well in advance. All the doctors at PAMF's fertility practice were booked solid for 4-8 weeks at any given time.
During treatment, were you treated like a number or a human with Salli Tazuke at Palo Alto Medical Foundation?
Dr. Tazuke was warm, wonderful, kind, and gave me ample time in every visit. She made sure she answered all my questions and told me she would be happy to further answer mine or my partner's questions via email. Once my test results were in, she gave me a very clear idea of the road ahead, including IUIs, IVF, the egg retrieval process, ET, selective reduction (if reqd), etc. One time the clinic miscommunicated my appointment timing to me and Dr. Tazuke was kind enough to apologise in person, along with her head nurse, the receptionist, and the clinic manager. They also arranged for me to have lunch in the clinic, paid for my gas, and made time to see me on the same day. I am completely satisfied with PAMF as well as Dr. Tazuke.
Describe the protocols Salli Tazuke used in your cycles at Palo Alto Medical Foundation and their degree of success.
I did not get to the treatment stage with Dr. Tazuke (I moved before then) - but she recommended 3-4 rounds of IUI with injectables, which is what my next doctor started me on.
Describe your experience with the nursing staff at Palo Alto Medical Foundation.
The nursing staff were always friendly and organized. My appointments happened on time and the nurses were aware of the further instructions they had to give me.
Describe your experience with Palo Alto Medical Foundation.
The wait time to get seen for the first time at PAMF was about 4-8 weeks (in 2015). Other than this, I have no really major complaints - the clinic is accessible and well-run. The web interface is a big help in getting access to test results or doctors' instructions. Nursing staff and doctors answer emails within one working day.
Describe the costs associated with your care under Salli Tazuke at Palo Alto Medical Foundation.
None. Our insurance covered all of it.
10
Doctor
Salli Tazuke
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
Palo Alto - El Camino (closed)
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2015, Unsuccessful
8
8
Age 31
6 IUI
Donor Sperm
Male Factor
European
Income $100K - $199K
Teacher
1st of 2 Docs
Neutral
Neutral
Unsuccessful
She [Dr. Swiersz] was a good doctor. We didn’t go past the first cycle because we wanted to do IUI with donor Sperm... Of course my husbands numbers were too low so it was turned into a chlomid and time intercourse cycle...The doctor is caring and personable. She also was knowledgeable. I don’t recommend for heterosexual couples interested in donor sperm. .. Of course my husbands numbers were too low so it was turned into a chlomid and time intercourse cycle.
If you plan to do standard IUI or IVF you will probably be fine with this clinic [PAMF]. ..I don’t recommend for heterosexual couples interested in donor sperm. Since this clinic is on PAMF campus the waiting room is shared with obgyn and there are lots of pregnant people around which is hard to see when you are going through infertility...we wanted to try donor sperm we were turned off by the clinics response and lack of support in that area. They just pushed for IVF which we weren’t ready for at the time.
How was your experience with Lillian Swiersz at Palo Alto Medical Foundation?
She was a good doctor. We didn’t go past the first cycle because we wanted to do IUI with donor Sperm and the clinic had rediculous rules around using donor sperm. So we switched doctors but it wasn’t due to her.
What's one piece of advice would you give a prospective patient of Lillian Swiersz at Palo Alto Medical Foundation?
Let her know yours plans up front.
During treatment, were you treated like a number or a human with Lillian Swiersz at Palo Alto Medical Foundation?
She was very warm and caring
Describe the protocols Lillian Swiersz used in your cycles at Palo Alto Medical Foundation and their degree of success.
We were diagnosed with male factor infertility. The initial plan was to try a chlomid IUI cycle. Of course my husbands numbers were too low so it was turned into a chlomid and time intercourse cycle. The cycle failed and when we wanted to try donor sperm we were turned off by the clinics response and lack of support in that area. They just pushed for IVF which we weren’t ready for at the time.
Describe your experience with the nursing staff at Palo Alto Medical Foundation.
Nursing staff really pushed us for IVF which we weren’t ready for at the time.
Describe your experience with Palo Alto Medical Foundation.
If you plan to do standard IUI or IVF you will probably be fine with this clinic. The doctor is caring and personable. She also was knowledgeable. I don’t recommend for heterosexual couples interested in donor sperm. Since this clinic is on PAMF campus the waiting room is shared with obgyn and there are lots of pregnant people around which is hard to see when you are going through infertility.
Describe the costs associated with your care under Lillian Swiersz at Palo Alto Medical Foundation.
We only did one cycle and initial diagnosis with Dr. Swiersz. We don’t have any insurance coverage and paid a couple thousand dollars out of pocket. It was very expensive.
8
Doctor
Lillian Swiersz
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Palo Alto Medical Foundation
Palo Alto - El Camino (closed)
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2008 - 2011, Unsuccessful
0
3
Age 33 - 36
5 IUI
5 IVF
Donor Eggs
Surrogacy
Diminished Ovarian Reserve
Unexplained
European
Income $200K - $499K
1st of 4 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
She [Dr. Lillian Swiersz] did baseline bloodwork and then used Clomid with a trigger shot for timed intercourse...We didn't feel as though Dr. Swiersz was interested in understanding why we were failing to conceive. When a FSH test came back high (likely due to acupuncture-related chinese herbs), she showed incredible lack of compassion and told us we were very unlikely to ever have children. We promptly found a new doctor...She was very by the book - I felt like she wanted to move us further down the ART process without understanding why we were failing to conceive.
It didn't feel as though PAMP had a specialized clinic at all - very baseline services, and nothing that was pushing the boundaries of current science...We didn't feel as though Dr. Swiersz was interested in understanding why we were failing to conceive. When a FSH test came back high (likely due to acupuncture-related chinese herbs), she showed incredible lack of compassion and told us we were very unlikely to ever have children. We promptly found a new doctor...Dr. Swiersz was the first RE we met with. She did baseline bloodwork and then used Clomid with a trigger shot for timed intercourse. She did do an ultrasound to check follicle development before the trigger shot.
How was your experience with Lillian Swiersz at Palo Alto Medical Foundation?
We didn't feel as though Dr. Swiersz was interested in understanding why we were failing to conceive. When a FSH test came back high (likely due to acupuncture-related chinese herbs), she showed incredible lack of compassion and told us we were very unlikely to ever have children. We promptly found a new doctor.
What's one piece of advice would you give a prospective patient of Lillian Swiersz at Palo Alto Medical Foundation?
Don't choose Dr. Swiersz if you prioritize bedside manner.
During treatment, were you treated like a number or a human with Lillian Swiersz at Palo Alto Medical Foundation?
She was very by the book - I felt like she wanted to move us further down the ART process without understanding why we were failing to conceive.
Describe the protocols Lillian Swiersz used in your cycles at Palo Alto Medical Foundation and their degree of success.
Dr. Swiersz was the first RE we met with. She did baseline bloodwork and then used Clomid with a trigger shot for timed intercourse. She did do an ultrasound to check follicle development before the trigger shot.
Describe your experience with Palo Alto Medical Foundation.
It didn't feel as though PAMP had a specialized clinic at all - very baseline services, and nothing that was pushing the boundaries of current science.
Describe the costs associated with your care under Lillian Swiersz at Palo Alto Medical Foundation.
Insurance covered our diagnostic workup and treatment.
Describe Lillian Swiersz's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
n/a - we didn't do IVF with her.
0
Doctor
Lillian Swiersz
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
3
Clinic
Palo Alto Medical Foundation
Palo Alto - El Camino (closed)
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2010 - 2011, Unsuccessful
2
1
Age 34 - 35
6 IUI
IVF
Egg Freezing
Diminished Ovarian Reserve
European
Income $200K - $499K
1st of 2 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
She wasn't there most of the time, seemed distracted when she was there. Not aggressive enough... She was always on the phone, seemed over worked.
They were disorganized, always late. Getting the correct prescription seems like a crap shoot.
How was your experience with Lillian Swiersz at Palo Alto Medical Foundation?
She was nice but seemed distracted and naive
What's one piece of advice would you give a prospective patient of Lillian Swiersz at Palo Alto Medical Foundation?
be an advocate for yourself
During treatment, were you treated like a number or a human with Lillian Swiersz at Palo Alto Medical Foundation?
She wasn't there most of the time, seemed distracted when she was there. Not aggressive enough
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Karen)
She was always on the phone, seemed over worked.
What specific things went wrong at Palo Alto Medical Foundation?
  • Failed to call in prescriptions to pharmacy
  • Failed to inform you of changes in protocol
  • Provided conflicting information
Describe the specific things that went wrong at Palo Alto Medical Foundation.
They were disorganized, always late. Getting the correct prescription seems like a crap shoot
2
Doctor
Lillian Swiersz
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
1
Clinic
Palo Alto Medical Foundation
Palo Alto - El Camino (closed)
Operations
Scheduling
Billing Department
Nursing Staff
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2019, Successful
9
8
Age 35 - 37
5 IUI
1 IVF
Unexplained
European
Ashkenazi Jewish
Income $200K - $499K
Investor
2nd of 2 Docs
Strongly Recommends
Neutral
Successful
We have always felt that we were in very good hands [with Dr. Ezzati], understood our treatment plans ,and were able to ask questions...He is in different offices on different days, so be prepared to be flexible if you need to see him on a certain day...He gave us a very good explanation of PGS and ICSI, and ultimately we decided to do both. Our daughter was born the next year after an FET, and we are now preparing for our third FET (our second - last month - was not successful).
$4500 for FET $20000 for IVF stimulation, retrieval, ICSI, and PGS Medications additional [at Palo Alto Medical Foundation]...The number of locations is both a strength and a weakness - they provide flexibility, but if one location is preferred (as it was for us), the number of available appointments are limited. The on-site labs are convenient and I never had to wait long for blood work. The Fremont office is co-located with an OB/GYN office, and it can be difficult sitting in a waiting room with pregnant women, so I tended to avoid scheduling appointments at that office. Front desk staff are all nice and helpful.
How was your experience with Max Ezzati at Palo Alto Medical Foundation?
Dr. Ezzati is warm and capable, and we've been very happy with him. We haven't always been able to see him, but the clinic tries hard to schedule me with him as often as possible, and always for surgical procedures. He usually does not respond to emails personally, but his nurses respond from his account quickly and satisfactorily. He is clearly invested in our success without crossing any boundaries or making any promises (he has always been very professional). We have always felt that we were in very good hands, understood our treatment plans ,and were able to ask questions.
What's one piece of advice would you give a prospective patient of Max Ezzati at Palo Alto Medical Foundation?
He is in different offices on different days, so be prepared to be flexible if you need to see him on a certain day (you may need to drive to an office farther away from you) or in a certain location (you may need to wait a week or two for an appointment).
During treatment, were you treated like a number or a human with Max Ezzati at Palo Alto Medical Foundation?
Doctor Ezzati's clinic is efficient and I often saw different physicians, but it meant that appointments were easy to schedule and moved quickly. I don't mind feeling "like a number" in exchange for efficient service and clear instructions. Our consultations with Dr. Ezzati were personal and valuable, and didn't feel rushed. He remembers our daughter's name and age when we see him now (trying for our second child), and is reassuring and available for questions.
Describe the protocols Max Ezzati used in your cycles at Palo Alto Medical Foundation and their degree of success.
We did a stimulation and egg retrieval in 2016. I don't remember the details of the protocol, but I do remember that he introduced a growth hormone partway through that helped a number of additional follicles develop. He noted that if we ever did another stimulation, he would include this from the start. He gave us a very good explanation of PGS and ICSI, and ultimately we decided to do both. Our daughter was born the next year after an FET, and we are now preparing for our third FET (our second - last month - was not successful).
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Justine Lawas)
Justine is reliable (she always calls when she says she will), clear (our medication schedule is easy to understand and she spends time reviewing it with us), and efficient. She isn't particularly warm or compassionate, but I haven't minded that.
Describe your experience with Palo Alto Medical Foundation.
The number of locations is both a strength and a weakness - they provide flexibility, but if one location is preferred (as it was for us), the number of available appointments are limited. The on-site labs are convenient and I never had to wait long for blood work. The Fremont office is co-located with an OB/GYN office, and it can be difficult sitting in a waiting room with pregnant women, so I tended to avoid scheduling appointments at that office. Front desk staff are all nice and helpful.
Describe the costs associated with your care under Max Ezzati at Palo Alto Medical Foundation.
$4500 for FET $20000 for IVF stimulation, retrieval, ICSI, and PGS Medications additional
Describe Max Ezzati's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
Our doctor's preference - and ours - was to transfer a single embryo, given that we had undiagnosed infertility, and had never experienced any pregnancy loss or complications.
What specific things went wrong at Palo Alto Medical Foundation?
  • Failed to call in prescriptions to pharmacy
  • Provided conflicting information
Describe the specific things that went wrong at Palo Alto Medical Foundation.
Neither were huge problems: During a recent cycle, there was a discrepancy in my medication schedule on two different documents (which day to drop from 6mg of Estrace to 2mg). I wrote to my coordinator - on a weekend - and she wrote back to clarify within two hours. We did back-to-back FETs and needed to reorder some medications for the second cycle, but others we had leftover from the first. It wasn't clear to us when these would be called in for us to pick-up, and when we went to the pharmacy, the order hadn't been placed and we had to wait.
9
Doctor
Max Ezzati
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2020, Successful
9
9
Age 32 - 35
6 IUI
4 IVF
4 Egg Freezing
Poor Egg Quality
Unexplained
European
Income $200K - $499K
Lawyer
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
It was a very long journey but Dr. Kim and his team ultimately delivered (I graduated from the clinic after my fifth transfer which resulted in a pregnancy). Dr. Kim is kind, calm and patient. He has a really steady and gentle hand in procedures - other doctors will ram a probe painfully but Dr. Kim avoids that. He takes the time to explain things too. He doesn’t over promise and is science based. What I appreciate about him is that he doesn’t push outlandish IVF add-ons, but he is still willing to try things when you specifically request it (for example, I asked to do karyotype testing even though it wouldn’t be super helpful or didn’t seem particularly needed, and he was willing to let me do it upon request). At many points during the process, I wanted to change things up or do things a certain way, and while Dr. Kim indicated that we didn’t have to do things that way but was willing to accommodate, a lot of his advice (especially around luck of the draw) ended up being true in the end. One thing that I appreciated too was that given some of my complicated history, he made it a point to see me every time, even on his surgery days and for basic monitoring. (That is pretty rare at other clinics.) I was happy in the end with my treatment.
If you are a hard case, it may be harder to find the cause quickly because PAMF doesn’t automatically do things like DNA fragmentation tests, karyotype testing, ERAs, Receptiva testing, etc. You have to be an advocate for stuff like that. But if you raise it, PAMF will entertain the request but discuss the facts and science with you (and if the benefit is only marginal, they may be discouraging of pursuing it)...Honestly, PAMF isn’t the sexy clinic around here (unlike CCRM, Spring or Dr. Aimee) but don’t let that stop you from considering PAMF. Sure, you won’t have star VIP treatment, but after talking to other people who visit other local clinics here, I have grown to appreciate PAMF’s quiet but solid approach. PAMF runs smoothly. You don’t have ridiculously long waits (unlike Kaiser). PAMF stays focused on the proven science. I think some of the bad reviews of this practice were from a long time ago, but I think PAMF must have made a lot of progress since then in improving their services because a lot of the criticism seems unfair.
How was your experience with Alexis Kim at Palo Alto Medical Foundation?
It was a very long journey but Dr. Kim and his team ultimately delivered (I graduated from the clinic after my fifth transfer which resulted in a pregnancy). Dr. Kim is kind, calm and patient. He has a really steady and gentle hand in procedures - other doctors will ram a probe painfully but Dr. Kim avoids that. He takes the time to explain things too. He doesn’t over promise and is science based. What I appreciate about him is that he doesn’t push outlandish IVF add-ons, but he is still willing to try things when you specifically request it (for example, I asked to do karyotype testing even though it wouldn’t be super helpful or didn’t seem particularly needed, and he was willing to let me do it upon request). At many points during the process, I wanted to change things up or do things a certain way, and while Dr. Kim indicated that we didn’t have to do things that way but was willing to accommodate, a lot of his advice (especially around luck of the draw) ended up being true in the end. One thing that I appreciated too was that given some of my complicated history, he made it a point to see me every time, even on his surgery days and for basic monitoring. (That is pretty rare at other clinics.) I was happy in the end with my treatment.
What's one piece of advice would you give a prospective patient of Alexis Kim at Palo Alto Medical Foundation?
Dr. Kim is solid if you fit in a box or are an easy case. If you are a hard case, it may be harder to find the cause quickly because PAMF doesn’t automatically do things like DNA fragmentation tests, karyotype testing, ERAs, Receptiva testing, etc. You have to be an advocate for stuff like that. But if you raise it, PAMF will entertain the request but discuss the facts and science with you (and if the benefit is only marginal, they may be discouraging of pursuing it).
During treatment, were you treated like a number or a human with Alexis Kim at Palo Alto Medical Foundation?
My doctor always remembered my name and history. He always was very patient and kind.
Describe the protocols Alexis Kim used in your cycles at Palo Alto Medical Foundation and their degree of success.
Ultimately what worked was antagonist and Day 5 transfer with no PGS testing.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Kristi )
I bombarded my coordinator with a gabillion questions and requests. She or another team member never forgot to respond or help. Everything was timely. I have witnessed no major mistakes. The group operates very well. I did talk to another local clinic since I was going to be forced to switch clinics due to an insurance change had my last FET not worked, and I was surprised at how much more disorganized this other famous clinic was. It made me miss PAMF - the Sutter Health app makes communication so easy. The PAMF nurses were also very kind about me graduating and asked me to stay in touch and send pictures. Some of the OR nurses are sweethearts - one day when I went for a transfer, I learned that there was nothing to transfer and burst out in tears, and a kind nurse offered me a hug which I really needed. I really appreciated her compassion.
Describe your experience with Palo Alto Medical Foundation.
Honestly, PAMF isn’t the sexy clinic around here (unlike CCRM, Spring or Dr. Aimee) but don’t let that stop you from considering PAMF. Sure, you won’t have star VIP treatment, but after talking to other people who visit other local clinics here, I have grown to appreciate PAMF’s quiet but solid approach. PAMF runs smoothly. You don’t have ridiculously long waits (unlike Kaiser). PAMF stays focused on the proven science. I think some of the bad reviews of this practice were from a long time ago, but I think PAMF must have made a lot of progress since then in improving their services because a lot of the criticism seems unfair.
Describe the costs associated with your care under Alexis Kim at Palo Alto Medical Foundation.
I had unlimited IVF coverage through my employer so I have no idea what anything cost. But I was impressed that they processed my insurance efficiently and never tried to unfairly bill me for things covered by insurance.
Describe Alexis Kim's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
PAMF is pretty strict if you are under 35 with single embryo transfers.
9
Doctor
Alexis Kim
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
9
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020, Unknown Success
10
10
Age 36
IVF
Male Factor
PCOS
Tubal Blockage
South Asian
Black or African-American
Income $50K - $99K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Kim took time to address every possible step we may have to take and then went into elaborate detail regarding each option. He was sensitive to our concerns and needs. I never felt rushed or like I was just another patient on the schedule...He took time to develop the rapport we needed. As I stated previously he was upfront about everything from the process, options, labs, and even costs. I have yet to feel alone or lost in this process.
They [Palo Alto nurses] addressed every concern within their scope of practice and offered a reassurance presence...This clinic is designed with privacy and confidentiality as a top priority. The clinic has taken time to ensure that the members of its team are compassionate and supportive. My only wish is that there was a location closer to where I live. We live an hour away so the commute can be a bit much. (Before anyone asks, we are military and referred to PAMF. The distance is a small sacrifice in the grand scheme of things.)
How was your experience with Alexis Kim at Palo Alto Medical Foundation?
I went into this like most women in this situation: excited, anxious, and a bit scared of what lies ahead. From the first visit and so far throughout this process Dr. Kim has been more than reassuring and honest about what to expect. He took time to develop the rapport we needed. As I stated previously he was upfront about everything from the process, options, labs, and even costs. I have yet to feel alone or lost in this process.
What's one piece of advice would you give a prospective patient of Alexis Kim at Palo Alto Medical Foundation?
I would say, “you made it this far, keep going!” I know the frustration of trying to conceive and feeling unheard, but Dr. Kim will help alleviate that as much as he can. I don’t profess him to be able to resolve all issues, but he is in the business of helping give others miracles in form of humans. Come with your questions and be open to what you may hear from any provider.
During treatment, were you treated like a number or a human with Alexis Kim at Palo Alto Medical Foundation?
Dr. Kim took time to address every possible step we may have to take and then went into elaborate detail regarding each option. He was sensitive to our concerns and needs. I never felt rushed or like I was just another patient on the schedule.
Describe the protocols Alexis Kim used in your cycles at Palo Alto Medical Foundation and their degree of success.
I’m currently awaiting my cycle review for my injection schedule. However I had a lot of the imaging and labs completed from my previous doctor. My husband and I had to have a new set of labs completed, I required a SHG to assess my uterine wall/cavity, and the plan is for IVF. I have a blocked fallopian tube and my spouse’s sperm motility is low so we have to have the sperm injected into the egg for fertilization, hence the only reason IVF is our only option.
Describe your experience with the nursing staff at Palo Alto Medical Foundation.
The nursing staff was very attentive and welcoming. They are definitely an extension of Dr. Kim! They addressed every concern within their scope of practice and offered a reassurance presence.
Describe your experience with Palo Alto Medical Foundation.
This clinic is designed with privacy and confidentiality as a top priority. The clinic has taken time to ensure that the members of its team are compassionate and supportive. My only wish is that there was a location closer to where I live. We live an hour away so the commute can be a bit much. (Before anyone asks, we are military and referred to PAMF. The distance is a small sacrifice in the grand scheme of things.)
Describe the costs associated with your care under Alexis Kim at Palo Alto Medical Foundation.
The IVF estimate is $10k the medication/lab estimate is $5k. The labs and test so far have been covered by my insurance.
10
Doctor
Alexis Kim
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2020, Successful
10
10
Age 40 - 42
3 IUI
3 IVF
3 Embryo Freezing
Uterine Fibroids
Unexplained
European
Engineer
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
He [Dr. Max Ezzati] explains odds and use analogies and visuals to explain things better. I never felt rushed during our appointments...He has been curious about us and kept in touch even now 7+ month pregnant. He has gone out of his way to accommodate us when treatments were not going right but ovulation was happening. Helping with a unscheduled ultrasound and guidance for timing...after a couple of miscarriages we got two successful IVFs with genetic testing. 1xday5 embryo and came back genetically good but turned into a chemical pregnancy and the other one with 4xday5 embryos (2 bad dna, 1 good and 1 inconvlusive). I’m pregnant (7+mo) with the good e
[The nurse at Palo Alto Medical Foundation is] very attentive and responsive. Really cares for us. Really knowledgeable and organized!!...The whole staff at this clinic is great. Never waited too long in the waiting room. Love that the lab is right there! Gentle phlebotomists. Easy parking. It is great the the clinic is working with a app/system where you can ask question, see lab results, book appointments... so easy to use and save so much time. The main strength of the clinic is it’s people : all doctors, nurses and staffs are caring and attentive.
How was your experience with Max Ezzati at Palo Alto Medical Foundation?
From our first appointment dr Ezzati was very good at explaining fertility and the process. He was very patient and easy to understand and follow. He explains odds and use analogies and visuals to explain things better. I never felt rushed during our appointments. He was genuinely happy and sad with us throughout the va process. He has been curious about us and kept in touch even now 7+ month pregnant. He has gone out of his way to accommodate us when treatments were not going right but ovulation was happening. Helping with a unscheduled ultrasound and guidance for timing.
What's one piece of advice would you give a prospective patient of Max Ezzati at Palo Alto Medical Foundation?
Ask questions and mention your fears and worries to Dr Ezzati. The will be able to explains things to you to keep your optimism up.
During treatment, were you treated like a number or a human with Max Ezzati at Palo Alto Medical Foundation?
It really shows that Dr Ezzati care A LOT! Always felt like he has time for us and our questions. Never felt rushed during our visits. He was on the same roller coaster than us with the ups and downs of fertility treatments. Always trying to accommodate us and remove any stress factors.
Describe the protocols Max Ezzati used in your cycles at Palo Alto Medical Foundation and their degree of success.
I don’t remember all protocols. I know with the first IVF treatment some eggs were growing too fast and about to ovulate so it got switched into an IUI. Dr Ezzati then changed the treatment so I do stimulate my eggs too fast. This resulted in 5 5-day embryos with 2 fresh transfer and 3 frozen embryos. Unfortunately this pregnancy didn’t work out. Because of timing we got another IVF turned into IUI and we also got an impromptu IUI because I was ovulating at the right time... after a couple of miscarriages we got two successful IVFs with genetic testing. 1xday5 embryo and came back genetically good but turned into a chemical pregnancy and the other one with 4xday5 embryos (2 bad dna, 1 good and 1 inconvlusive). I’m pregnant (7+mo) with the good embryo now. Things are a bit blurry with all the treatments and ups and downs now.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Lauren Garrett)
Very attentive and responsive. Really cares for us. Really knowledgeable and organized!!
Describe your experience with Palo Alto Medical Foundation.
The whole staff at this clinic is great. Never waited too long in the waiting room. Love that the lab is right there! Gentle phlebotomists. Easy parking. It is great the the clinic is working with a app/system where you can ask question, see lab results, book appointments... so easy to use and save so much time. The main strength of the clinic is it’s people : all doctors, nurses and staffs are caring and attentive.
Describe the costs associated with your care under Max Ezzati at Palo Alto Medical Foundation.
Don’t know, insurance covered most of it. Used HSA for drugs but can’t really remember the cost. Genetic was expensive too but can’t remember the final cost.
Describe Max Ezzati's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
Dr Ezzati talked to us about the benefits and risks of multiple transfers. Our first IVF we transfer 2 (untested). I always felt confident with the proposed transfer.
10
Doctor
Max Ezzati
Humanity
Communication
Frequency Seen
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2018 - 2020, Successful
10
10
Age 45 - 47
4 IUI
5 IVF
Unexplained
European
Income $50K - $99K
Teacher
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Dobson is excellent. He is caring, thorough, honest, straightforward, and experienced. He takes his time, explains everything, and answers all questions. Thanks to him, we have six frozen embryos using our own eggs and sperm waiting for transfer, nearly impossible given our age...His colleagues are equally outstanding...They work as a team...[Eset approach] He was open to both, and we chose to go with his recommendations each cycle
The clinic [at Palo Alto Medical Foundation] is excellent. There are three locations with an incredible team of doctors, nurses, and staff working together. Dr. Dobson was our doctor, but we did see all the other doctors as well. They are all excellent...Aside from our particular coordinator, everyone is fantastic. Our coordinator made some mistakes that we had to keep an eye on, but were always corrected
How was your experience with Anthony Dobson at Palo Alto Medical Foundation?
Dr. Dobson is excellent. He is caring, thorough, honest, straightforward, and experienced. He takes his time, explains everything, and answers all questions. Thanks to him, we have six frozen embryos using our own eggs and sperm waiting for transfer, nearly impossible given our age. His colleagues are equally outstanding: Dr. Abusief, Dr. Ezzati, Dr. Okeigwe and Dr. Kim. They work as a team.
What's one piece of advice would you give a prospective patient of Anthony Dobson at Palo Alto Medical Foundation?
He is truly one of the best. With each cycle, he fine-tuned our protocol resulting in more embryos with each retrieval, beating the odds at my age.
During treatment, were you treated like a number or a human with Anthony Dobson at Palo Alto Medical Foundation?
Dr. Dobson and the whole team were outstanding. Everyone was caring, thorough, and honest.
Describe the protocols Anthony Dobson used in your cycles at Palo Alto Medical Foundation and their degree of success.
For all cycles, we did Estrace 6 mg priming. For IUIs, we used Clomid, Follistim, stims and progesterone after. For IVF, the first round included aggressive protocol with micro Lupron, Follistim, Menopur, Dexamethasone, Prednisone, and prog in ethyl oleate. For all other IVF rounds, Clomid, Follistim, Menopur, Ganirelix, Omnitrope, Dexamethasone, Prednisone, and progesterone in ethyl oleate. This change in protocol increased eggs retrieved and embryos with each round.
Describe your experience with your nurse at Palo Alto Medical Foundation.
Aside from our particular coordinator, everyone is fantastic. Our coordinator made some mistakes that we had to keep an eye on, but were always corrected.
Describe your experience with Palo Alto Medical Foundation.
The clinic is excellent. There are three locations with an incredible team of doctors, nurses, and staff working together. Dr. Dobson was our doctor, but we did see all the other doctors as well. They are all excellent. I wouldn't have wanted to go anywhere else, and there are a few well-known clinics in the area. I can't speak highly enough of Dr. Dobson and his colleagues.
Describe your experience with your monitoring appointments at Palo Alto Medical Foundation.
Appointments were fine.
Describe the costs associated with your care under Anthony Dobson at Palo Alto Medical Foundation.
Unfortunately our insurance didn't cover treatment. We used two ARC Fertility packages for six rounds of IVF. We were also provided with several specialty pharmacies, and two were incredible with lower prices and special discounts.
Describe Anthony Dobson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
He was open to both, and we chose to go with his recommendations each cycle.
What specific things went wrong at Palo Alto Medical Foundation?
  • Failed to call in prescriptions to pharmacy
  • Provided conflicting information
Describe the specific things that went wrong at Palo Alto Medical Foundation.
Our particular coordinator made some mistakes prescriptions and protocols. We were able to get them all corrected with no further issues.
10
Doctor
Anthony Dobson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unknown Success
10
10
Age 32
2 IUI
IVF
Unexplained
European
East Asian
Income $200K - $499K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
He took the time to explain everything to us fully and answered all of our questions. He always greets us with a smile and puts us at ease during our treatment by explaining things to us in layman’s terms. ... Unfortunately, the second cycle also did not work. He recommended continuing with iui for 1-4 more cycles, but I wanted to proceed with ivf ... He is very empathetic and that makes a difference in our care.
This clinic [Palo Alto Medical Foundation] has staff working everyday of the week to accommodate all cycles and timing of procedures and appointments. It was easy to get an appointment with an iui coordinator, but took a little bit longer to get an appointment with the ivf coordinator (~3 weeks). ... The entire staff is caring, kind, and discreet. I have not encountered any rude staff members. They all provide great care for their patients.
How was your experience with Max Ezzati at Palo Alto Medical Foundation?
From our first meeting with Dr Ezzati, we felt confident that we picked the right doctor. He took the time to explain everything to us fully and answered all of our questions. He always greets us with a smile and puts us at ease during our treatment by explaining things to us in layman’s terms. It feels great to know what’s going on through every phase of treatment instead of going in blind.
What's one piece of advice would you give a prospective patient of Max Ezzati at Palo Alto Medical Foundation?
Don’t be afraid to ask Dr Ezzati your questions. He is more than happy to explain things to you and give you the time you need and deserve.
During treatment, were you treated like a number or a human with Max Ezzati at Palo Alto Medical Foundation?
Dr. Ezzati took the time to explain everything to me and always recommend his expert opinion, but still took the time to listen to our thoughts and opinions. He is very empathetic and that makes a difference in our care.
Describe the protocols Max Ezzati used in your cycles at Palo Alto Medical Foundation and their degree of success.
I’ve tried two cycles of clomid with my obgyn (which were unsuccessful) before I started seeing Dr Ezzati. Dr Ezzati wanted to track my baseline measures with clomid and iui before adding any other medications. We used 100 mg of clomid days 3-7, which produced two dominant follicles, but the iui was unsuccessful. The second cycle he added gonal-f injections in addition to the clomid and made sure to track my progress. Unfortunately, the second cycle also did not work. He recommended continuing with iui for 1-4 more cycles, but I wanted to proceed with ivf, which after explaining the risks and benefits, he agreed to if we were ready. I am currently in the middle of my ivf cycle and am happy with the care that I am receiving.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Lauren Garrett )
The entire staff is caring, kind, and discreet. I have not encountered any rude staff members. They all provide great care for their patients.
Describe your experience with Palo Alto Medical Foundation.
This clinic has staff working everyday of the week to accommodate all cycles and timing of procedures and appointments. It was easy to get an appointment with an iui coordinator, but took a little bit longer to get an appointment with the ivf coordinator (~3 weeks). I am also an inpatient person, so that may not be long in other people’s opinion.
Describe the costs associated with your care under Max Ezzati at Palo Alto Medical Foundation.
I do not remember
Describe Max Ezzati's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
Dr Ezzati and the other PAMF Doctors are all about single embryo transfers and making a single healthy baby. He understands that there are increased risk with multiples, which could be a danger to both mom and the babies, and does not want to take any risks. There are exceptions including age that might change that, but generally they seem to aim for one healthy baby at a time.
10
Doctor
Max Ezzati
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017, Unsuccessful
0
0
Age 47
IVF
Donor Eggs
Donor Sperm
European
Income $50K - $99K
Nurse or HC Services
Only Doc Seen
Doesn't Recommend
Doesn't Recommend
Unsuccessful
He [Dr. Dobson] walked into the room, never having met me, on the most important day of my life, embryo transfer day, and did not even say, "Hi" or introduce himself...During the embryo transfer, with me strapped into stir-ups and nervous... He roughly shoved a size 20 catheter into me and I screamed. He proceeded to fill up my bladder, yanked it out and I screamed again. He made no apologies, and proceeded with the transfer...I am afraid the damage done to my urethra is permanent.
The nursing staff [at PAMF] made mistakes on several instances and asked me about my "husband." I am single and intend to single parent....Also, they require a psychological evaluation, but you must use one of their 4 psychologists who charge $250 instead of a psychologist you already have a relationship with or one that is covered by your insurance...15,000 donor eggs, 1,000 donor sperm, 10,000 for attempted embryo transfer...You think you are choosing your doctor, but they will pull the old "switcheroo" on you at the last minute.
How was your experience with Anthony Dobson at Palo Alto Medical Foundation?
During the embryo transfer, with me strapped into stir-ups and nervous, he asked me if he could fill up my bladder. I was thinking that I had just had 3 full glasses of water, couldn't he just wait? I hesitantly asked if it was necessary. He answered that if I wanted a successful result I would have to. He roughly shoved a size 20 catheter into me and I screamed. He proceeded to fill up my bladder, yanked it out and I screamed again. He made no apologies, and proceeded with the transfer. To make a long story short, he denied responsibility later for my urethral damage. I continue to have constant pain, and have to pee every 10 minutes or less, every couple of hours all night long. I am still out of work due to constant pain and urination and am awaiting my pregnancy test.
What's one piece of advice would you give a prospective patient of Anthony Dobson at Palo Alto Medical Foundation?
Unless you are into medical rape, avoid this doctor at all costs.
During treatment, were you treated like a number or a human with Anthony Dobson at Palo Alto Medical Foundation?
He walked into the room, never having met me, on the most important day of my life, embryo transfer day, and did not even say, "Hi" or introduce himself. He immediately turned his back to me and looked at my chart for a long time before turning around and saying anything to me at all.
Describe the protocols Anthony Dobson used in your cycles at Palo Alto Medical Foundation and their degree of success.
I had never met him on the day of embryo transfer. He had one simple but very important job to do and he messed it up.
Describe your experience with the nursing staff at Palo Alto Medical Foundation.
The nursing staff made mistakes on several instances and asked me about my "husband." I am single and intend to single parent.
Describe your experience with Palo Alto Medical Foundation.
You think you are choosing your doctor, but they will pull the old "switcheroo" on you at the last minute. Also, they require a psychological evaluation, but you must use one of their 4 psychologists who charge $250 instead of a psychologist you already have a relationship with or one that is covered by your insurance.
Describe the costs associated with your care under Anthony Dobson at Palo Alto Medical Foundation.
15,000 donor eggs, 1,000 donor sperm, 10,000 for attempted embryo transfer
Describe Anthony Dobson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
I was not offered the option of multiple embryo transfer.
What specific things went wrong at Palo Alto Medical Foundation?
  • Failed to convey critical information
Describe the specific things that went wrong at Palo Alto Medical Foundation.
I am afraid the damage done to my urethra is permanent. All Dr. Dobson had to do was wait for the water that went down my throat to reach my bladder. I think of him every time I pee. I was not told ahead of time that if I did not arrive with a full bladder, I would be injured. When confronted later with his mistake, he lacked compassion and denied responsibility, saying it was standard practice to use a urinary catheter to fill the bladder during embryo transfer, when that is false.
0
Doctor
Anthony Dobson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
0
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
2014 - 2015, Unsuccessful
8
8
Age 24 - 25
2 IUI
IVF
Endometriosis
European
Income $100K - $199K
2nd of 2 Docs
Neutral
Neutral
Unsuccessful
He spent 2 hours looking through all of mine and my husband's health history... I'm glad we have stuck with him.
The PAMF office in Fremont is a better. The San Jose office has lost an appt for me before, ordered the wrong lab test, and the front desk ladies are not as friendly.
How was your experience with Anthony Dobson at Palo Alto Medical Foundation?
Dr. Dobson has overall been a good doctor; I'm glad we have stuck with him; he is the head of the PAMF-FPNC department, so he has a lot of knowledge and experience. In my very first visit with him, he spent 2 hours looking through all of mine and my husband's health history, and gave us insight/ideas for moving forward, and let me know if I disagreed with any suggestions along the way that I could let him know and we would compromise. So far, although we have not gotten pregnant yet, they have done everything well as far as treating us and starting with least invasive first (my request). The only reservations I have are that; 1) PAMF is one of the more expensive facilities, 2) It can be hard to get a hold of them by phone/make appts when you want due to them being busy and closing at 3:30pm, 3) They are not too keen on natural treatment such as vitamins/supplements (unless labs show they are needed), 4) They tend to ask me a lot of the same questions each time I am seen. With all of that being said, they do their best to make you comfortable and you won't get tossed around to different providers each visit.
What's one piece of advice would you give a prospective patient of Anthony Dobson at Palo Alto Medical Foundation?
If you are wanting to go a more natural route with fertility treatment, I would suggest seeing a different provider, as he is a provider that tends to treat patients that need more aggressive treatment.
During treatment, were you treated like a number or a human with Anthony Dobson at Palo Alto Medical Foundation?
For the most part, they get to know you as an individual; you can't expect to not feel like a number sometimes, as they see so many patients. I really felt like the MA's and IUI/IVF coordinators do a great job communicating with you and making you feel comfortable.
What specific things went wrong at Palo Alto Medical Foundation?
  • Lost appointments
  • Failed to order appropriate test
Describe the specific things that went wrong at Palo Alto Medical Foundation.
The PAMF office in Fremont is a better run clinic; the receptionists are friendlier, and they seem to know more about what they are doing. The San Jose office has lost an appt for me before, ordered the wrong lab test, and the front desk ladies are not as friendly.
8
Doctor
Anthony Dobson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unsuccessful
10
10
Age 47 - 48
1 IVF
Diminished Ovarian Reserve
Poor Egg Quality
European
Income $50K - $99K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Strongly Recommends
Unsuccessful
We used estrace priming protocol [with Dr. Max Ezzati] due to low ovarian reserve. We did a 3 day transfer...I will be trying donor eggs moving forward. I was monitored heavily to see if follicles where ready for egg retrieval. 3 of the six eggs retrieved where immature and 3 were fertilized. Only 2 fertilized correctly...He was very clear on his expectations and spent a lot of time explaining everything to me so that I felt confident in what I was doing
This clinic [Palo Alto Medical Foundation] was wonderful. From the front desk to the lab people, they get to know you and are on your side...Everyone was very kind and welcoming. My chances of success was so low it was hard to face everyone. They maintained their support...$10,000 without meds...We used estrace priming protocol due to low ovarian reserve. We did a 3 day transfer....I will be trying donor eggs moving forward. I was monitored heavily to see if follicles where ready for egg retrieval. 3 of the six eggs retrieved where immature and 3 were fertilized. Only 2 fertilized correctly..
How was your experience with Max Ezzati at Palo Alto Medical Foundation?
He is intelligent and sincerely wants to help me with my end result. Sometimes I didnt want to hear what he was saying; he was caring and compassionate and kind. This was reassuring. If I had questions he was patient and took the time to listen to me. I was very appreciative!
What's one piece of advice would you give a prospective patient of Max Ezzati at Palo Alto Medical Foundation?
He is honest and direct yet kind and supportive. Listen and ask question even if you feel the questions will are a repeat of what was discussed earlier.
During treatment, were you treated like a number or a human with Max Ezzati at Palo Alto Medical Foundation?
He was very clear on his expectations and spent a lot of time explaining everything to me so that I felt confident in what I was doing
Describe the protocols Max Ezzati used in your cycles at Palo Alto Medical Foundation and their degree of success.
We used estrace priming protocol due to low ovarian reserve. We did a 3 day transfer.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Kristen)
Everyone was very kind and welcoming. My chances of success was so low it was hard to face everyone. They maintained their support
Describe your experience with Palo Alto Medical Foundation.
Relationships are formed and I think that is very important when going through something that is so emotional like this. It's a journey and we need positivity and support. This clinic was wonderful. From the front desk to the lab people, they get to know you and are on your side
Describe the costs associated with your care under Max Ezzati at Palo Alto Medical Foundation.
$10,000 without meds
Describe Max Ezzati's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Palo Alto Medical Foundation.
I will be trying donor eggs moving forward. I was monitored heavily to see if follicles where ready for egg retrieval. 3 of the six eggs retrieved where immature and 3 were fertilized. Only 2 fertilized correctly.
10
Doctor
Max Ezzati
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020, Unknown Success
9
9
Age 32
European
Income $100K - $199K
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Ezatti truly took the time to walk through the whole IVF process and it was clear how important it is to him that his patients understand each step of the way...We’ve only gone through consultation and baseline testing with Dr. Ezatti but he has done a great job explaining every step of the process, thoroughly reviewing our test results, and setting expectations and timelines for next steps...Would highly recommend him. He is caring and compassionate and wants to do everything to ensure treatment works for you.
The clinic [Palo Alto Medical Foundation] seems to be efficient and usually on-time. We have had some issue where they scheduled us for two appointments in one day to reduce the number of times we would have to take off work (we live over an hour away) and then cancelled one the day before because we had not completed all the prerequisites needed for that specific appointment. This seemed to be an honest mistake as they always do what they can to accommodate us.
How was your experience with Max Ezzati at Palo Alto Medical Foundation?
We’ve only gone through consultation and baseline testing with Dr. Ezatti but he has done a great job explaining every step of the process, thoroughly reviewing our test results, and setting expectations and timelines for next steps.
What's one piece of advice would you give a prospective patient of Max Ezzati at Palo Alto Medical Foundation?
Would highly recommend him. He is caring and compassionate and wants to do everything to ensure treatment works for you.
During treatment, were you treated like a number or a human with Max Ezzati at Palo Alto Medical Foundation?
Dr. Ezatti truly took the time to walk through the whole IVF process and it was clear how important it is to him that his patients understand each step of the way.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Amy )
She was running behind one day that we were there but apologized profusely and it was obvious how much she cared. She was thorough in reviewing steps and protocols.
Describe your experience with Palo Alto Medical Foundation.
The clinic seems to be efficient and usually on-time. We have had some issue where they scheduled us for two appointments in one day to reduce the number of times we would have to take off work (we live over an hour away) and then cancelled one the day before because we had not completed all the prerequisites needed for that specific appointment. This seemed to be an honest mistake as they always do what they can to accommodate us.
Describe the costs associated with your care under Max Ezzati at Palo Alto Medical Foundation.
~$25k for IVF with PGT
What specific things went wrong at Palo Alto Medical Foundation?
  • Provided conflicting information
Describe the specific things that went wrong at Palo Alto Medical Foundation.
Scheduling issue where appointment was cancelled two days prior due to us not having completed prerequisites we were not aware of
9
Doctor
Max Ezzati
Humanity
Communication
Trustworthiness
Compassion
Explained risks
9
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020, Successful
10
10
Age 39
1 IUI
European
Latinx
Native American
Income $50K - $99K
Teacher
2nd of 2 Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Ezzati was excellent, very thorough and kind.He explained everything and was realistic and optimistic at the same time. He answered all my questions. He put me at ease and made me feel comfortable...I am still in the IVF process using frozen eggs. We discussed the reality and cost of doing another IVF round with my own eggs but ultimately the donor eggs are a better fit for me. Right now everything is on hold due to Covid 19 but once things reopen we'll proceed to the embryo implantation step.
[My nurse at Palo Alto Medical Foundation] is absolutely wonderful and very experienced...This is a great clinic in comparison to the others nearby. Particularly because there is more than one doctor to choose from and the team is well staffed and educated. The wait time is small and everyone shows you respect and dignity...This doctor [Dr. Ezzati] performed a saline ultra sound on me and was so gentle, explaining everything. I had a terrible experience with HSG test before a d he made sure I did not have pain for this procedure. His assistant was also very good.
How was your experience with Max Ezzati at Palo Alto Medical Foundation?
Dr. Ezzati was excellent, very thorough and kind.He explained everything and was realistic and optimistic at the same time. He answered all my questions. He put me at ease and made me feel comfortable.
What's one piece of advice would you give a prospective patient of Max Ezzati at Palo Alto Medical Foundation?
I would recommend seeing him. He's a good doctor.
During treatment, were you treated like a number or a human with Max Ezzati at Palo Alto Medical Foundation?
This doctor performed a saline ultra sound on me and was so gentle, explaining everything. I had a terrible experience with HSG test before a d he made sure I did not have pain for this procedure. His assistant was also very good.
Describe the protocols Max Ezzati used in your cycles at Palo Alto Medical Foundation and their degree of success.
I am still in the IVF process using frozen eggs. We discussed the reality and cost of doing another IVF round with my own eggs but ultimately the donor eggs are a better fit for me. Right now everything is on hold due to Covid 19 but once things reopen we'll proceed to the embryo implantation step.
Describe your experience with your nurse at Palo Alto Medical Foundation. (Assigned nurse: Amy Solis)
Any is absolutely wonderful and very experienced.
Describe your experience with Palo Alto Medical Foundation.
This is a great clinic in comparison to the others nearby. Particularly because there is more than one doctor to choose from and the team is well staffed and educated. The wait time is small and everyone shows you respect and dignity.
Describe the costs associated with your care under Max Ezzati at Palo Alto Medical Foundation.
16,000 for frozen eggs , 13,000 IVF treatment without insurance.
10
Doctor
Max Ezzati
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Palo Alto Medical Foundation
San Jose
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources