How was your experience with Nam Tran at Spring Fertility?
Dr. Tran is an excellent clinician and scientist. He is well-informed in his craft, careful, and practices strong, evidence-based medicine. I trust him completely to get the best outcome for us, and I feel very secure that I'm getting the best treatment I can from him. I also think he is sensitive to patients' resources, and doesn't recommend a lot of extra bells and whistles if he doesn't think they're necessary. That said, he is lukewarm about newer treatments (ERA, HGH) because they don't have as much evidence behind them, and if you're looking for a kitchen-sink approach, he may not give you what you want (or he may only do so after you do some convincing of him yourself). He is not the strongest on bedside manner (which doesn't matter to me), but if you're looking for a warm-and-fuzzy doctor type, you might consider one of the other doctors at the practice. He is also incredibly busy, so don't expect him to spend a ton of time with you. That said, I felt like I got all the time I needed to have good care (just not one second more).
What's one piece of advice would you give a prospective patient of Nam Tran at Spring Fertility?
Go in to appointments with a list of questions ready. He will answer them, but you need to be prepared to know what you want out of the visit. I even went into monitoring appointments with a single question on a post-it so I could be ready to ask him as I was getting an ultrasound!
During treatment, were you treated like a number or a human with Nam Tran at Spring Fertility?
Tran is not a touchy-feely type, but I still always felt like he was giving me care directed at me, specifically. He is very aware of the extreme fertility hardships faced by me and and my husband (azoospermia), and is sensitive to that and tailors his recommendations to our specific situation. He remembered what it is I do for work, my thoughts on my particular diagnosis, and even that I like to see the follicle measurements on the screen after a scan-- small things that make me feel like he cares about me, even if he is very, very, very busy and moving very fast.
Describe the protocols Nam Tran used in your cycles at Spring Fertility and their degree of success.
Dr. Tran started me with a mid-luteal start antagonist protocol, which he seems to really like, especially for DOR patients. This involves having a baseline 5 days after you ovulate, then you do a standard antagonist protocol (Gonal-F and Menopur, with Cetrotide added 5-7 days in). The rationale behind this protocol, as I understand it, is to catch the antral follicles before they start to develop at the beginning of your next cycle. I had expected results for my biology, and I am using the exact same protocol for my second cycle, but with a controlled start after a short course (10-day) of birth control.
Describe your experience with your nurse at Spring Fertility. (Assigned nurse: Onjira)
Spring has an excellent nursing staff. They are very communicative, and respond quickly to my calls and emails with the information I need. I sometimes worry they're a little overworked, because I've had a few completely inconsequential errors happen (calling the same birth control prescription into my local pharmacy twice because she forgot she did it the first time). However, anything that was important was handled flawlessly, and it seems like they've been adding staff to deal with demand.
Describe your experience with Spring Fertility.
Spring has a lot going for it. Excellent doctors. Top-notch staff. Gorgeous clinics. Maybe the best lab in California, if not the entire west. I trust them with the most important medical care I've ever received in my life, and that is saying something. They're open seven days a week, and nearly always available (I honestly don't know how they do it!). My only complaint is that they seem almost too busy. Doctors are often rushed (for example, my doctor didn't have time to come back and check on me for even a second after my egg retrieval, which would have been a nice sign of compassion). Occasionally the waiting room is so crowded there is nowhere to sit. Non-urgent appointments can sometimes take a while to schedule. That said, once you're getting treatment from Spring, if you need an appointment, they will make it happen. I just hope they continue to add staff to meet demand, and that they don't take more patients than they can handle.
Describe the costs associated with your care under Nam Tran at Spring Fertility.
Egg Cryo Cycle (2018 price) - $8,750; subsequent cycles are 10% off.
Describe Nam Tran's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Spring Fertility.
Dr. Tran strongly prefers a eSET for me, due to previous surgery on my cervix. He has encouraged us to do PGS testing and to transfer one embryo at a time, when we get there.