How was your experience with Arthur Castelbaum at RMA of Philadelphia?
As stated before, RMA is fine if you have an easily fixable problem. Otherwise, RMA, and especially Castlebaum are content to just go through the motions and then immediately move to IVF when the typical treatments don't work. Our least personal experience was with Castlebaum.
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Philadelphia?
Expect blunt information and insensitive jokes if you are sensitive . Do your research beforehand and have questions prepared. Question the statistics of treatments.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Philadelphia?
Dr. Castlebaum immediately suggested IVF after we had gotten pregnant with our most recent IVF. The manner in which he discussed it was very cavalier and detached. When we finally asked about IVF packages and what he suggested for our situation, his response was "I always like a money back plan, " as if we were purchasing material goods. This was a huge turnoff and a big reason for leaving RMA altogether.
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Philadelphia and their degree of success.
Castlebaum basically told us to request what we wanted if we weren't going to do IVF. He did not think outside the box or offer alternate options. We tried 3 IUIs with progesterone as this had worked (though resulted in miscarriage) with our 4th IUI. On the final IUI ,I asked if there was anything else and he said we could perhaps try Follistim (no real explanation why). We also added Ovidrel, and he told us it was up to us which day we used it rather than monitoring and figuring out the most optimal time. All 3 IUIs resulted in negative tests.
Describe your experience with the nursing staff.
Nurses provided basic information but didn't offer helpful suggestions or further explanation. Really just felt as though they read from a script.
Describe your experience with RMA of Philadelphia.
We really felt like a number there. This is something we've realized more as time goes on, especially with our current RE who is so specific and personal. A strength would be that overall,RMA is very successful. However, this is only true if you have an easily fixable issue. Friends have gotten pregnant there within only a few cycles. But with us, they seemed content to just "go through the motions," and when the typical methods didn't work, they went right to IVF as though it was no big deal. Everything seemed "scripted" in a way, without really trying to look for an issue and individualize our care.
Describe the costs associated with your care under Arthur Castelbaum at RMA of Philadelphia.
Copays for office visits were $20.
Describe Arthur Castelbaum's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Philadelphia.
What specific things went wrong at RMA of Philadelphia?
- Failed to call with results
- Failed to inform you of changes in protocol
- Failed to convey critical information