Dr. Best has been very kind and compassionate towards us. She has wanted to see us succeed. With both miscarriages, she was very empathetic. She also wants to make sure we are doing everything we can to bring us home a baby. Sometimes I can get frustrated with the virtual visits, because she tends to run late.
Communication can be off [at RBA]. Sometimes they are great at communicating, and sometimes it’s so hard to get in contact with them. The billing department can be slow and responding and also hard to get in contact with...Dr. Best has always been warm and kind to us. With everything we have been through, she has been understanding and emphatic.
How was your experience with Monica Best at RBA?
Dr. Best has been very kind and compassionate towards us. She has wanted to see us succeed. With both miscarriages, she was very empathetic. She also wants to make sure we are doing everything we can to bring us home a baby. Sometimes I can get frustrated with the virtual visits, because she tends to run late. However, I know she is busy and potentially taking time to be with other patients that need her attention. Overall, I love Dr. Best and would recommend her to others.
What's one piece of advice would you give a prospective patient of Monica Best at RBA?
Advocate for yourself! Do not be afraid to ask questions, she is very good at responding and making sure you understand.
During treatment, were you treated like a number or a human with Monica Best at RBA?
Dr. Best has always been warm and kind to us. With everything we have been through, she has been understanding and emphatic.
Describe the protocols Monica Best used in your cycles at RBA and their degree of success.
I have textbook PCOS, so I was on a pretty basic protocol. For the most part, it all “worked”. For my IUIs, I was in oral letrazole and used an HCG trigger shot. I did end up ovulating both times, so it technically worked even if it did not result in a positive pregnancy test. For egg retrieval I was on HCG, follistim, and ganirelex. These worked great for me and got us 34 eggs! Amazingly, I did not get OHSS. For my first transfer, I was on oral estrogen, baby aspirin, progesterone suppositories 2x daily and PIO (5 days before transfer). I did get a positive result, but my progesterone was low, and my beta did not rise appropriately. We upped the suppositories to 3x daily. Unfortunately, this resulted in an early loss just shy of 5 weeks. With my second transfer I was put on the same protocol, but added in lovenox. This resulted in a positive test as well and my beta numbers rose appropriately this round. However, baby was not growing as they should and we lost them at 9 weeks. The last miscarriage was recent and we have not yet discussed any protocol changes for the 3rd transfer. She does want to do some additional testing and an surgery before this next transfer.
Describe your experience with the nursing staff at RBA.
Started out with a nurse named Lacie, and she was the best. Very sweet and compassionate about our journey. She remembered details about me and my cycle/where we were at in our treatment. Unfortunately she left. Then I mostly spoke to a nurse named Christy. She was very good at her job, organized, and knew what she was doing/talking about. She was not as sweet and compassionate as Lacie, but still a good nurse. Most recently, I have been talking to a nurse named Samantha. I have not had much interaction with her, but she seems to be sweet as well.
Describe your experience with RBA.
Communication can be off. Sometimes they are great at communicating, and sometimes it’s so hard to get in contact with them. The billing department can be slow and responding and also hard to get in contact with.
Describe your experience with your monitoring appointments at RBA.
It was well ran. Did not feel like it was a “cattle call” they are very busy, but not overbooked. The only overbooking they tend to do is bloodwork appointments. I was always able to schedule it at a good time for me, it did not ruin my schedule.
Describe the costs associated with your care under Monica Best at RBA.
In the year 2021, we paid $23k in total to RBA. This was for egg retrieval, and 1 FET. Plus copays.
Describe Monica Best's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RBA.
Basically she told me that the odds only go up slightly on getting pregnant. She also told me that she wants my first pregnant to go as smoothly as it can and that multiples are considered high risk.
What specific things went wrong at RBA?
- Provided conflicting information
Describe the specific things that went wrong at RBA.
Once they forgot to tell me my next steps and to set up an appointment with me. When I knew I needed an appointment, I informed them and they were shocked that I didn’t have it set up already. They then did apologize and set up my appointment, but it was a month later than I felt like it could have been. Another time, my dr was 30 minutes late to a phone call appointment. I had to send the clinic a portal message and less than 5 minutes after I sent it, my dr called.