Collin Smikle
Laurel Fertility Care
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Direct line to nurse
Direct line to nurse
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Medical SchoolYale
ResidencyHarvard
FellowshipUCSF
Fresno
1095 East Warner Avenue
Fresno, CA 93710
415-673-9199
Modesto
1400 Florida Ave
Modesto, CA 95350
415-673-9199
San Francisco
1700 California Street
San Francisco, CA 94109
415-673-9199
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21 assessments
7
8
Age
35 - 36
Treated
2019 - 2020
Success with this Doc
?
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Anovulation, Endometriosis, Tubal Blockage, Uterine Fibroids
7
8
Dr Smikle has good bedside manner and seems to genuinely cares about his patients...there were many times information about my health status, were missed. He seems rushed during appointments. Overall, he is very knowledgeable...He also does not perform investigative procedures like ERA and doesn't seem to believe in it. Overall, Dr. Smikle is competent, kind and wants his patients to succeed. But if you are the kind of patients that wants to know every step, you might get frustrated because sometimes he rushes through appointments and not as thorough in explanations.
The clinic [Laural Fertility Care] runs very efficiently, so be on time for appointments. They are located in a busy part of SF, but there are ample street parking. You have to pay before any procedure. All the staff are very nice and friendly...The nursing staff is very orgainized and efficient. They were very efficient with prompt communication. I have no complaints about the nursing staff...18K for eggs retrieval, FET, ICSI,PGT-A to the clinic with a 5% discount for paying cash. 1-2K for the company that performs the PGT-A. 4K for meds. to first cycle costs around 23K. Each FET costs arouns 3.5-4K not including meds.
Age
35 - 36
Treated
2019 - 2020
Success with this Doc
?
Race
East Asian, Other
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Anovulation, Endometriosis, Tubal Blockage, Uterine Fibroids
7
8
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle is approachable and easy to talk to, he seems to genuinely listens and cares about his patients. Though, there are times that he missed important info about my infertility status that I wished he would take more time during my appointments. He also does not perform investigative procedures like ERA and doesn't seem to believe in it. Overall, Dr. Smikle is competent, kind and wants his patients to succeed. But if you are the kind of patients that wants to know every step, you might get frustrated because sometimes he rushes through appointments and not as thorough in explanations.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Be proactive, most of the online communication goes through his nurses rather than him. So if you have questions for Dr. Smikle, he might take a few days to get back to you.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Dr Smikle has good bedside manner and seems to genuinely cares about his patients. Although, I think because of the volume of the clinic, there were many times information about my health status, were missed. He seems rushed during appointments. Overall, he is very knowledgeable.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
I had 1 procedure with progesterone suppositories and estrace and FET transfer which resulted in a chemical pregnancy due to a variety of unforeseen problems ( a degenerative fibroid and fluid in the uterus). Then after we stablized the fibroid and I had surgery to remove my fallopian tubes, I had a stimulated transfer with Gonal-F, PIO and Estrace. The FET failed and we are trying to figureout the reason.
Describe your experience with the nursing staff.
The nursing staff is very orgainized and efficient. They were very efficient with prompt communication. I have no complaints about the nursing staff.
Describe your experience with Laurel Fertility Care.
The clinic runs very efficiently, so be on time for appointments. They are located in a busy part of SF, but there are ample street parking. You have to pay before any procedure. All the staff are very nice and friendly.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
18K for eggs retrieval, FET, ICSI,PGT-A to the clinic with a 5% discount for paying cash. 1-2K for the company that performs the PGT-A. 4K for meds. to first cycle costs around 23K. Each FET costs arouns 3.5-4K not including meds.
Describe Collin Smikle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Laurel Fertility Care.
Dr. Smikle suggested eSet to prevent premature birth. He did agreed to implanting 2 embryos, though we ultimately implanted 1 the 2nd transfer
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10
10
Age
—
Treated
2017 - 2018
Success with this Doc
Yes
Treatment
2 IVF, Surrogacy
Diagnosis
Other
10
10
Dr. Smikle is a very caring doctor, we find him to be very compassionate and understanding. Our situation was very unique, and Dr. Smikle agreed to take on our case. Dr. Smikle made our dream come true, using a gestational surrogate we have achieved a pregnancy. Dr. Smikle was with us every step of the way, there was never another doctor involved in the care.... plans and treatments were altered as necessary.
THE BEST!!! My questions were always promptly and accurately answered. communication between all was great.... We were very pleased with the staff [Laurel Fertility Care]. There was never any confusion relaying messages when I called the clinic for information. The entire staff was always helpful and courteous to us. We were out of state, and when we finally met everyone at the clinic, it was very comfortable and anxiety free feeling.
Age
—
Treated
2017 - 2018
Success with this Doc
Yes
Race
Other
Income
$50K - $99K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IVF, Surrogacy
Diagnosis
Other
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle is a very caring doctor, we find him to be very compassionate and understanding. Our situation was very unique, and Dr. Smikle agreed to take on our case. Dr. Smikle made our dream come true, using a gestational surrogate we have achieved a pregnancy. Dr. Smikle was with us every step of the way, there was never another doctor involved in the care.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
I would advise a prospective patient to stay with Dr. Smikle, he's thorough, and willing to change treatment plans as necessary. Very important this doctor will LISTEN to all your concerns! He will try everything possible to help attain your goal of bringing a baby into your life.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
All the phone conversations we had with Dr. Smikle from the beginning gave us hope we can fulfill our dream. His voice was soft spoken and he made us feel very comfortable. Dr. Smikle was very knowledgeable in all aspects of fertility, answering all questions, and spent all the time with us we needed. We knew we were in the right clinic from the very beginning.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
I can't say specifically the protocols used, but I will say plans and treatments were altered as necessary. Dr. Smikle did not give up... we are expecting our miracle baby in Nov. 2018!!!!!
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Francesca Perrone RN)
THE BEST!!! My questions were always promptly and accurately answered. communication between all was great. E-mails always answered by end of the day. everyone is most polite and helpful.
Describe your experience with Laurel Fertility Care.
Give Laurel Fertility a chance to help you in your journey. We were very pleased with the staff. There was never any confusion relaying messages when I called the clinic for information. The entire staff was always helpful and courteous to us. We were out of state, and when we finally met everyone at the clinic, it was very comfortable and anxiety free feeling.
Describe Collin Smikle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Laurel Fertility Care.
Yes we were fully informed when we needed to make a decision on the number of embryos to transfer, we all were in agreement to transfer one embryo. We did PGS on our embryos before any transfer was done.
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10
10
Age
32
Treated
2017
Success with this Doc
Yes
Treatment
3 IUI, 1 IVF
Diagnosis
—
10
10
Dr. Smikle is amazing. While he is clearly very intelligent, he also has a great bedside manner and explains things in a way that is easy for the layman to understand. When my treatment was done and I had to switch back to my regular OBGYN i was actually sad.... When the first round of IVF didn't work, I felt like everyone involved cared just as much as we did...and the thing I loved most was, after they comforted me, we all went straight back into planning mode. Dr. Smikle wanted to try something a little different, just so we didn't keep doing the same thing with the same result,
The whole time, Dr. Smikle, Donna my nurse, and the rest of the staff [at Laurel Fertility] were always available to answer any questions, fill my prescriptions with the lowest cost possible options, and even give me a shot or 2 when I was initially scared to do it myself. In short, I felt like they treated my like they would a good friend...not just a patient.... Strengths: Personalization. Communication. Staff. Doctors. You definitely never feel like you are just a number and you never feel rushed. They always make you feel special and listened to.
Age
32
Treated
2017
Success with this Doc
Yes
Race
European
Income
$500K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI, 1 IVF
Diagnosis
—
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle is amazing. While he is clearly very intelligent, he also has a great bedside manner and explains things in a way that is easy for the layman to understand. When my treatment was done and I had to switch back to my regular OBGYN i was actually sad.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Come with a list of questions. He will take the time to answer all of them.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
I was referred to Dr. Smikle by my OBGYN after an ultrasound revealed that I had endometriosis that was potentially affecting my fertility. My husband and I had been trying to conceive naturally for about a year with no luck and, while not quite desperate, we were definitely looking for a different and hopefully more successful approach. I actually remember how comforted I felt the first time Dr. Smikle shook my hand...I just knew I was in the right place. At my initial consultation, after the exam, he worked with me to outline a plan on how to proceed. I wasn't quite ready to try IVF, so we started with Chlomid and IUI, but with the knowledge that I would likely have to try IVF if we wanted to have more than one child. After 3 unsuccessful attempts with IUI, we decided to switch to IVF, which is an intimate, intricate and sometimes very difficult process. The whole time, Dr. Smikle, Donna my nurse, and the rest of the staff were always available to answer any questions, fill my prescriptions with the lowest cost possible options, and even give me a shot or 2 when I was initially scared to do it myself. In short, I felt like they treated my like they would a good friend...not just a patient. When the first round of IVF didn't work, I felt like everyone involved cared just as much as we did...and the thing I loved most was, after they comforted me, we all went straight back into planning mode. Dr. Smikle wanted to try something a little different, just so we didn't keep doing the same thing with the same result, and, when my second round of worked, I felt like the whole office was cheering for us. They even asked to see the ultrasound pictures...which I'm sure they have seen a million tiny gray "kidney beans" on a piece of paper...but when it's your "gray kidney bean" it's pretty special.
In short, my experience at Laurel Fertility was exceptional..The service was incredibly personalized and professional and Dr. Smikle and the entire office staff were always available (on the first ring of the phone) to answer any questions I had...I look froward to going back for baby number 2!
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
3 IUI - after 2 negative results he recommended we switch to IVF because he didn't think another IUI would be successful but I asked for one more since I already had enough medicine to move forward.
2 IVF... one with progesterone and estrogen injections and one without. After the first round didn't work, he suggested trying something different. We essentially "tricked" my body into thinking it got pregnant naturally. and it worked
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Donna)
Donna was amazing. She was always available to answer questions and help with the medicine. I couldn't imagine trying this process without her.
Describe your experience with Laurel Fertility Care.
Strengths: Personalization. Communication. Staff. Doctors. You definitely never feel like you are just a number and you never feel rushed. They always make you feel special and listened to.
Weaknesses: Having a doctor who travels between clinics can be hard, especially when you re scheduling a transfer or extraction. But I felt comfortable in everyone's hands and luckily Dr. Smikle was always able to be there for my procedures.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
IUI medicines
IVF medicines
Ultrasound Appointments
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9
9
Age
44
Treated
2017
Success with this Doc
No
Treatment
4 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Recurrent Pregnancy Loss
9
9
Dr. Smikle is compassionate and approachable while being no non-sense. I never felt like a number in his practice. ... Dr. Smikle and the team at Laurel SF all knew me and my husband by name. The team, including Dr. Smikle, were always available by phone even during off hours. ... I was 43 during my embryo transfer and Dr. Smikle advised to transfer multiple embryos ... Monitoring appointments are scheduled at the patient's convenience instead of during windows of time each day.
Laurel SF has all the strengths of a larger clinic while getting much more intimate care. ... The finance team works with your insurance ... Egg retrievals and transfers are done in the clinic and the laboratory is on-site. They are much more progressive with pre-cycle preparation than other clinics. They do recommend supplements and lifestyle changes in preparation for cycles which is different than other conventional IVF clinics. They are also open to working with acupuncturists especially before and after transfer.
Age
44
Treated
2017
Success with this Doc
No
Race
East Asian, South Asian
Income
$200K - $499K
Occupation
Marketer or PR
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
4 IVF
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Recurrent Pregnancy Loss
9
9
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle is compassionate and approachable while being no non-sense. I never felt like a number in his practice. If you are looking for a doctor using the conventional IVF approach with big clinic certification but in a small, intimate clinic, then I would highly recommend Dr. Smikle.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Come to each visit prepared with all of your questions. Dr. Smikle will take the time to answer all of your questions and concerns. During each visit, he will give you all of the information necessary for the next step but may not necessarily paint the full picture with all the details. If you ask, however, he will answer.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Dr. Smikle and the team at Laurel SF all knew me and my husband by name. The team, including Dr. Smikle, were always available by phone even during off hours. Monitoring appointments are scheduled at the patient's convenience instead of during windows of time each day.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
Based on egg yield success at my previous IVF clinic, Dr. Smikle tweaked and added to the estrogen priming protocol. Dr. Smikle added human growth hormone in an effort to enhance egg quality in addition to the potential higher yield. Both egg retrieval rounds did not yield as many eggs as the past, however, more embryos made it further than before.
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Francesca)
My primary nurse and coordinator were always available by phone or through the patient portal. They were always very patient and careful to explain the process step by step. Blood draw, vitals and weight were always performed in a private room rather than in a common area and all attention was focused on the patient.
Describe your experience with Laurel Fertility Care.
Laurel SF has all the strengths of a larger clinic while getting much more intimate care. Egg retrievals and transfers are done in the clinic and the laboratory is on-site. They are much more progressive with pre-cycle preparation than other clinics. They do recommend supplements and lifestyle changes in preparation for cycles which is different than other conventional IVF clinics. They are also open to working with acupuncturists especially before and after transfer. I think that all clinics can use improvement in the area of working with integrative medicine practitioners to improve the general health of the patients and with success rates, but it was a comfort to know that Laurel was open to this course of side-by-side treatment.
This clinic works with health insurance which is a plus for decreasing stress on the finance side of things.
Although, we were not successful with Laurel, our overall experience was very good. There is no regret that we might have had better success at a different facility.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
The finance team works with your insurance which is not always true at clinics and was a nice change from previous experiences.
Describe Collin Smikle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Laurel Fertility Care.
I was 43 during my embryo transfer and Dr. Smikle advised to transfer multiple embryos based on previous results. A multiple pregnancy was not considered a risk in my case.
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2
2
Age
38
Treated
2014
Success with this Doc
No
Treatment
2 IUI, 4 IVF, 2 Embryo Freezing
Diagnosis
—
2
2
When I began to have major side affects to the growth hormone he [Dr. Collin Smikle] didn't seem concerned. When I hyperstimulated he also wasn't too concerned even after I ended up in the emergency room. He was unapologetic when we miscarried. My biggest complaint is the lack of medical information protection we experienced at the clinic. At each appointment the ultrasound screen would show the last patient full name, date of birth and last image taken. They didn't sign out of the machine after each appointment. The front desk area had no privacy, everyone waiting for an appointment can here us verifying our names, date of birth, payment details, at some point I wrote down my social security number so that no one could here it. The positive was I got pregnant, the negative was the OHSS and miscarriage. The nurses were friendly but left the clinic shortly after our cycle ended. Overall it was an awkward cycle and experience.
Things that went wrong [at Laurel Fertility Care] have been described in other areas of this review. In summary, lack of concern with major side affects from injections, failed calls with monitoring hormone levels, hyper stimulation, lack of compassion, and compromised medical data...Parking is costly in the clinics building. The front desk/lobby has no audio privacy, your conversations with the front desk staff is heard by everyone in the lobby. The ultrasound machine has been one of the best (clear imaging) from all clinics. The egg retrieval room doesn't feel like an operation room which is a positive but also concerned me if it was sterile. We did not see the embryology lab therefore cannot comment. The clinic is small, clean and in a nice SF building. The bathroom was equipped with feminine hygiene products (tampons, pads, wipes). I found this really nice after appointments for clean up.
Age
38
Treated
2014
Success with this Doc
No
Race
Latino
Income
$500K
Occupation
Engineer
Order & Number of Docs Seen
3rd of 5 Docs
Treatment
2 IUI, 4 IVF, 2 Embryo Freezing
Diagnosis
—
2
2
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle had no bedside manner and didn't prepare for any appointment. Majority of the time we sat across his desk in silence as he reviewed and typed up our protocol. Very awkward. When I began to have major side affects to the growth hormone he didn't seem concerned. When I hyperstimulated he also wasn't too concerned even after I ended up in the emergency room. He was unapologetic when we miscarried. My biggest complaint is the lack of medical information protection we experienced at the clinic. At each appointment the ultrasound screen would show the last patient full name, date of birth and last image taken. They didn't sign out of the machine after each appointment. The front desk area had no privacy, everyone waiting for an appointment can here us verifying our names, date of birth, payment details, at some point I wrote down my social security number so that no one could here it. The positive was I got pregnant, the negative was the OHSS and miscarriage. The nurses were friendly but left the clinic shortly after our cycle ended. Overall it was an awkward cycle and experience.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Don't expect warm and fuzzy bed side manner. Keep records of all your payments. Demand medical data protection.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Felt like a human because of one nurse who was always happy to see us, responded to my inquires in a timely manner.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
Estrogen primed Antagonist with growth hormone. I do terribly on birth control, Dr. Smikle agreed to work with my natural cycle which other clinics at the time wouldn't. Due to previous miscarriage he had had me on baby aspirin and a steroid as an anti-inflammatory. The growth hormone wasn't explained. The overall result was Pregnancy with hyperstimulation followed by a miscarriage. I was on medical leave for 3 months and it took 1 year to gain my health back. For a year we couldn't do IVF treatment which was super upsetting.
Describe your experience with the nursing staff.
If they were unsure they'd quickly get an answer. They always greeted us with a smile, cared about our cycle and showed compassion with my OHSS symptoms and miscarriage.
Describe your experience with Laurel Fertility Care.
Parking is costly in the clinics building. The front desk/lobby has no audio privacy, your conversations with the front desk staff is heard by everyone in the lobby. The ultrasound machine has been one of the best (clear imaging) from all clinics. The egg retrieval room doesn't feel like an operation room which is a positive but also concerned me if it was sterile. We did not see the embryology lab therefore cannot comment. The clinic is small, clean and in a nice SF building. The bathroom was equipped with feminine hygiene products (tampons, pads, wipes). I found this really nice after appointments for clean up.
What specific things went wrong at Laurel Fertility Care?
- Lost paperwork
- Failed to call with results
- Failed to consider drug intolerance
Describe the specific things that went wrong at Laurel Fertility Care.
Things that went wrong have been described in other areas of this review. In summary, lack of concern with major side affects from injections, failed calls with monitoring hormone levels, hyper stimulation, lack of compassion, and compromised medical data.
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1
1
Age
32
Treated
2014
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Male Factor
1
1
He has a cold and clinical bedside manner. Very much an "I'm the Doctor and you're the patient, so just do what I say because I'm the expert." Needed to ask a lot of questions to get he information I wanted....I was given a treatment plan that seems very "standard"...not tailored specifically to me or my partner's unique situation.
I felt like some nurses [at Laurel Fertility] were good (Meredith was great!) and some were not. Donna seemed inexperienced and often kind of casual about everything...This clinic seems disorganized and impersonal...Often had mix-ups with scheduling. no one had any good concrete information on BASIC questions like: how & when to order meds, how and where to transfer our frozen embryos for long-term storage, no one wakes us through all the legal paperwork, no one ever gave us injection classes, etc. things they must deal with ALL the time!
Age
32
Treated
2014
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Marketer or PR
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Male Factor
1
1
How was your experience with Collin Smikle at Laurel Fertility Care?
He has a cold and clinical bedside manner. Very much an "I'm the Doctor and you're the patient, so just do what I say because I'm the expert." Needed to ask a lot of questions to get he information I wanted.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
This is an emotional journey, if you're looking for reassurance, awarm caring doctor who seems personally invested in you and your spouse and your journey...he is NOT it.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
I was given a treatment plan that seems very "standard"...not tailored specifically to me or my partner's unique situation.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
I did a standard IVF cycle. Lupron, gonal F, etc. halfway through the stimulation phase they measured and saw I had 33 follicles growing. Though I was then at risk of developing OHsS, the protocol was not changed. I went on to harvest 44 eggs - and had extreme OHSS which cause us to freeze-all for that cycle. It took 6 weeks to recover and do a frozen transfer. I think, with more careful monitoring and and adjustment in my mess (reducing the amount) I could have avoided a lot of the suffering the OHSS caused.
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Donna)
I felt like some nurses were good (Meredith was great!) and some were not. Donna seemed inexperienced and often kind of casual about everything. it was all kind of hit or miss. Some were great at drawing blood, others were horrible. Some were kind and warm, others were not. I never really developed a relationship with any of them, which is kind of incredible given the emotional experience that IVF is.
Describe your experience with Laurel Fertility Care.
This clinic seems disorganized and impersonal.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
We were covered by insurance. We had a $30 copay each visit
What specific things went wrong at Laurel Fertility Care?
- Failed to call in prescriptions to pharmacy
- Lost appointments
- Failed to call with results
- Provided conflicting information
Describe the specific things that went wrong at Laurel Fertility Care.
Often had mix-ups with scheduling. no one had any good concrete information on BASIC questions like: how & when to order meds, how and where to transfer our frozen embryos for long-term storage, no one wakes us through all the legal paperwork, no one ever gave us injection classes, etc. things they must deal with ALL the time!
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2
3
Age
31 - 32
Treated
2018 - 2019
Success with this Doc
No
Treatment
2 IUI
Diagnosis
Unexplained
2
3
He [Dr. Collin Smikle] never offered any information, kept things very brief. I had to ask every question in the book in order to get much info from him. He was always somewhat cool, didn't seem to really care at all about whether I achieved pregnancy or not...Educate yourself and ask him every question you can think of. Don't expect a very warm bedside manner...We did a few cycles on Letrozole, as I hve unexplained infertility he wanted to try that first. Later down the road we did discuss doing IVF (after I had done 2 IUIs with a different physician), but never did because we couldn't afford it financially.
Nurse
She [nurse at Laurel Fertility Care] wasn't always the best about getting back to me, didn't seem very invested. Also not very knowledgeable, she was always having to ask Dr. Smikle about questions I asked her...Consults were around $300 if I remember correctly. IVF was going to be around $12,000-$15,000...A somewhat detached clinic, not the warmest patient care. They really don't seem to care much about helping their patients well in achieving their dreams of having a child. Also not the cheapest, so if you can find a more caring clinic for a cheaper price, do so!
Age
31 - 32
Treated
2018 - 2019
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
2 IUI
Diagnosis
Unexplained
2
3
How was your experience with Collin Smikle at Laurel Fertility Care?
He never offered any information, kept things very brief. I had to ask every question in the book in order to get much info from him. He was always somewhat cool, didn't seem to really care at all about whether I achieved pregnancy or not.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
To advocate for yourself. Educate yourself and ask him every question you can think of. Don't expect a very warm bedside manner.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
He only talks to me for a few minutes, gives very little info, next to none. Not very warm or friendly, and acts like he could really care less whether I get pregnant or not.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
We did a few cycles on Letrozole, as I hve unexplained infertility he wanted to try that first. Later down the road we did discuss doing IVF (after I had done 2 IUIs with a different physician), but never did because we couldn't afford it financially.
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Katerina)
She wasn't always the best about getting back to me, didn't seem very invested. Also not very knowledgeable, she was always having to ask Dr. Smikle about questions I asked her.
Describe your experience with Laurel Fertility Care.
A somewhat detached clinic, not the warmest patient care. They really don't seem to care much about helping their patients well in achieving their dreams of having a child. Also not the cheapest, so if you can find a more caring clinic for a cheaper price, do so!
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
Consults were around $300 if I remember correctly. IVF was going to be around $12,000-$15,000.
What specific things went wrong at Laurel Fertility Care?
- Failed to call with results
- Failed to send your chart to another clinic
- Failed to convey critical information
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Verified
This patient has provided documentation of treatment at this clinic.
9
8
Age
32 - 33
Treated
2018 - 2019
Success with this Doc
?
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve
9
8
I switched to seeing dr smikle after an unpleasant experience with a different clinic. I felt very supported and that he took my history of cancer and chemo much in to account. Him and his staff were very helpful in guiding and explaining decisions... Visits were often not as long as i liked but i never felt rushed... We did letrozole and trigger first then 3 IUIs following with same meds. He used letrozole specific due to my history of breast cancer.
The satellite offices [Laurel Fertility Care] are not set up to do as many things. Having to drive to SF for IUIs was the worst part and a lot of work going on in the building. The wait at time in sF office was up to an hour but staff was always very helpful... My insurance doesn’t cover fertility but they have been helpful in billing codes related to my past cancer diagnosis... Always answered all my questions specific to the online portal which i loved and was willing to work with my many questions and concerns
Age
32 - 33
Treated
2018 - 2019
Success with this Doc
?
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve
9
8
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr smikle took my health history in to account and always seemed genuinely happy when i had a good ultrasound or result with medication. Visits were often not as long as i liked but i never felt rushed
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
You can use satellite offices as well which i loved
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
I switched to seeing dr smikle after an unpleasant experience with a different clinic. I felt very supported and that he took my history of cancer and chemo much in to account. Him and his staff were very helpful in guiding and explaining decisions
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
We did letrozole and trigger first then 3 IUIs following with same meds. He used letrozole specific due to my history of breast cancer. He sent me for multiple monitoring appts and was able to send me to ones local and have results sent. He provided me information on how to overcome a clotting disorder to prevent micarriage if i got pregnant
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Katerina)
Always answered all my questions specific to the online portal which i loved and was willing to work with my many questions and concerns
Describe your experience with Laurel Fertility Care.
The satellite offices are not set up to do as many things. Having to drive to SF for IUIs was the worst part and a lot of work going on in the building. The wait at time in sF office was up to an hour but staff was always very helpful
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
Still in progress . My insurance doesn’t cover fertility but they have been helpful in billing codes related to my past cancer diagnosis
Describe Collin Smikle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Laurel Fertility Care.
None
- Read less
8
8
Age
31
Treated
2019
Success with this Doc
No
Treatment
1 IVF
Diagnosis
Unexplained
8
8
[Dr. Smikle is] fine but a bit of flat affect and a bit cold in communication. He was reassuring with his words but the lack of warmth made it still very sad. Unfortunately the results were not what we expected nor what he predicted but he didn’t have a lot to explain for that. I understand that not all medical issues can be explained, however. I am hopeful for our next steps.... They didn’t inform me about my OHSS appropriately even though prior ultrasounds were evident until I asked specifically.
Everything was fine. They [Laurel Fertility Care] were caring but also busy. They spent enough time to educate and see me....Strengths: they’re available, taking new patients, the wait isn’t long, and they’re helpful when you know what questions to ask. Weakness: if you don’t ask questions, sometimes they won’t give you answers. come prepared with questions.... [Dr. Smikle] was reassuring with his words but the lack of warmth made it still very sad. Unfortunately the results were not what we expected nor what he predicted but he didn’t have a lot to explain for that.
Age
31
Treated
2019
Success with this Doc
No
Race
East Asian
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Unexplained
8
8
How was your experience with Collin Smikle at Laurel Fertility Care?
He’s fine but a bit of flat affect and a bit cold in communication. He was reassuring with his words but the lack of warmth made it still very sad. Unfortunately the results were not what we expected nor what he predicted but he didn’t have a lot to explain for that. I understand that not all medical issues can be explained, however. I am hopeful for our next steps.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Be informed before walking in, write down all your concerns and questions, and make sure to communicate clearly all your worries.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Everything was fine. They were caring but also busy. They spent enough time to educate and see me.
Describe your experience with the nursing staff.
The nursing staff is GREAT. They’re very compassionate and warm.
Describe your experience with Laurel Fertility Care.
Strengths: they’re available, taking new patients, the wait isn’t long, and they’re helpful when you know what questions to ask.
Weakness: if you don’t ask questions, sometimes they won’t give you answers. come prepared with questions.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
My insurance covered 80% of it last year. I no longer have insurance.
What specific things went wrong at Laurel Fertility Care?
- Failed to convey critical information
Describe the specific things that went wrong at Laurel Fertility Care.
They didn’t inform me about my OHSS appropriately even though prior ultrasounds were evident until I asked specifically.
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
31
Treated
2016
Success with this Doc
No
Treatment
1 IVF, Donor Sperm
Diagnosis
—
10
10
He [Dr. Smikle] was very kind, heard my concerns and was open and honest.... hes not a man of many words but hes smart, and honest and competent at what he does.i always felt like i was in good hands and that he wanted me to have good results. He very good at responding to calls and emails also and he was good at explaining things i could understand it was a good experience.... he only wanted to transfer one emryo due to my history if premature births he felt twins would increase it.
you will have times that you will have to go to modesto and sf. so please be prepared for travel. their strengths were communicatio and friendliness. they [Laurel Fertility Care- SF] were easy to deal with, very flexible and accomadating to your scheduling needs. they had a ton of information and knew where to direct you if u needed help woth medicines. and other than that it was great... they were outgoing, friendly and communicated well.
Age
31
Treated
2016
Success with this Doc
No
Race
Black or African-American
Income
$0 - $49K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, Donor Sperm
Diagnosis
—
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
hes not a man of many words but hes smart, and honest and competent at what he does.i always felt like i was in good hands and that he wanted me to have good results. He very good at responding to calls and emails also and he was good at explaining things i could understand it was a good experience. hes a bit expensive though
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
have a financial plan
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
He was very kind, heard my concerns and was open and honest.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
he only wanted to transfer one emryo due to my history if premature births he felt twins would increase it. i wish he had done two though
Describe your experience with the nursing staff.
they were outgoing, friendly and communicated well.
Describe your experience with Laurel Fertility Care.
you will have times that you will have to go to modesto and sf. so please be prepared for travel. their strengths were communicatio and friendliness. they were easy to deal with, very flexible and accomadating to your scheduling needs. they had a ton of information and knew where to direct you if u needed help woth medicines. and other than that it was great
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
everything cost
Describe Collin Smikle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Laurel Fertility Care.
he didnt want to do multiples
What specific things went wrong at Laurel Fertility Care?
- Provided conflicting information
Describe the specific things that went wrong at Laurel Fertility Care.
well a few times the burses gave conflicting information but it was resolved immediately
- Read less
5
6
Age
30
Treated
2018
Success with this Doc
?
Treatment
1 IVF
Diagnosis
PCOS
5
6
Dr. Smikle is very clinical and direct. He tends to be a bit late to appointments. You will have to ask a lot of questions to get the information or feedback you need. His communication is a bit lacking but once asked he will give you a full answer.... Answered my questions, knew my history. Would have liked more explanations on protocols.... Make sure to ask questions - he does not elaborate a ton. Frequently late.... Menopur, Gonal F, Metformin for egg retrieval.
Billing [Laurel Fertility Care] is disorganized - you will need to keep on them. The nursing team is great but overwhelmed with patients, especially since Dr. Ekpo is on maternity leave. It is a small clinic so you'll have a personalized experience.... [Nurse] Personalized approach, sometimes confused on information.... $18,000 for IVF/PGS/ICSI/FET... Dr. Smikle is very clinical and direct. He tends to be a bit late to appointments.
Age
30
Treated
2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Sales Representative
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IVF
Diagnosis
PCOS
5
6
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle is very clinical and direct. He tends to be a bit late to appointments. You will have to ask a lot of questions to get the information or feedback you need. His communication is a bit lacking but once asked he will give you a full answer.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Make sure to ask questions - he does not elaborate a ton. Frequently late.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Answered my questions, knew my history. Would have liked more explanations on protocols.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
Menopur, Gonal F, Metformin for egg retrieval.
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Donna)
Personalized approach, sometimes confused on information.
Describe your experience with Laurel Fertility Care.
Billing is disorganized - you will need to keep on them. The nursing team is great but overwhelmed with patients, especially since Dr. Ekpo is on maternity leave. It is a small clinic so you'll have a personalized experience.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
$18,000 for IVF/PGS/ICSI/FET
What specific things went wrong at Laurel Fertility Care?
- Provided conflicting information
Describe the specific things that went wrong at Laurel Fertility Care.
Billing issue - lack of organization
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
9
Age
42
Treated
2012
Success with this Doc
?
Treatment
IVF, Egg Freezing, Donor Eggs, Surrogacy
Diagnosis
Poor Egg Quality
10
9
He was the only point of contact, no shuffling to the Dr. on call. He coordinated with my other doctors since I have other health issues, and he treated me like a WHOLE person. So different than the other places I tried.
It is a smaller, personal office. It does not have the reputation of some of the big SF places, but he was great. Since we were on our 3rd round, and since IVF is pricey and I was a tricky patient, he actually told us upon miscarriage that CCRM would be our best bet. He did not try to oversell us, and he guided us to go there.
Age
42
Treated
2012
Success with this Doc
?
Race
European
Income
$500K
Occupation
Marketer or PR
Order & Number of Docs Seen
3rd of 3 Docs
Treatment
IVF, Egg Freezing, Donor Eggs, Surrogacy
Diagnosis
Poor Egg Quality
10
9
How was your experience with Collin Smikle at Laurel Fertility Care?
It is a smaller, personal office. It does not have the reputation of some of the big SF places, but he was great. Since we were on our 3rd round, and since IVF is pricey and I was a tricky patient, he actually told us upon miscarriage that CCRM would be our best bet. He did not try to oversell us, and he guided us to go there.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Get to know him and understand how the office works- it's closed one week a month and as an impatient ivf client, timing can be everything.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
He was the only point of contact, no shuffling to the dr on call. He coordinated with my other doctors since I have other health issues, and he treated me like a WHOLE person. So different than the other places I tried.
Describe your experience with the nursing staff.
Sadly I dont' remember, but I can tell you that I do remember the negative things at other places so I think all was smooth.
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
32 - 34
Treated
2014 - 2016
Success with this Doc
No
Treatment
3 IUI, 5 IVF
Diagnosis
Male Factor, Unexplained
10
10
Dr. Smikle very much cares about each and every one of his patients. He takes time to meet with his patients and gives out his email so that if there are any concerns that his staff cannot help with, then he will help you to resolve the issue.... He always took time to answer any and all questions I had at all my appointments. Went above and beyond to make me feel like there was still hope and to not give up.
The office staff [Laurel Fertility Care] did change some during the time I was under care there, so sometimes it would get frustrating to deal with people who didn’t know anything about you or your case. The nurses, medical assistants and embryologists were all very knowledgeable and always caring.... Dr. Smikle very much cares about each and every one of his patients.... He always took time to answer any and all questions I had at all my appointments.
Age
32 - 34
Treated
2014 - 2016
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
3 IUI, 5 IVF
Diagnosis
Male Factor, Unexplained
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle very much cares about each and every one of his patients. He takes time to meet with his patients and gives out his email so that if there are any concerns that his staff cannot help with, then he will help you to resolve the issue.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
He always took time to answer any and all questions I had at all my appointments. Went above and beyond to make me feel like there was still hope and to not give up.
Describe your experience with Laurel Fertility Care.
The office staff did change some during the time I was under care there, so sometimes it would get frustrating to deal with people who didn’t know anything about you or your case. The nurses, medical assistants and embryologists were all very knowledgeable and always caring.
- Read less
1
2
Age
38 - 40
Treated
2013 - 2015
Success with this Doc
Yes
Treatment
1 IUI
Diagnosis
PCOS
1
2
Dr Smikle [at Laurel Fertility Care] was competent but not a great communicator. The most frustrating/troubling part of my experience was he heavily relied on his staff for education and scheduling and his staff was completely incompetent, unprofessional and bad communicators. they made many mistakes with me and with 2 people I referred.
Dr Smikle [at Laurel Fertility Care] was competent but not a great communicator. The most frustrating/troubling part of my experience was he heavily relied on his staff for education and scheduling and his staff was completely incompetent, unprofessional and bad communicators. they made many mistakes with me and with 2 people I referred.
Age
38 - 40
Treated
2013 - 2015
Success with this Doc
Yes
Race
Native American
Income
$500K
Occupation
Marketer or PR
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IUI
Diagnosis
PCOS
1
2
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr Smikle was competent but not a great communicator. The most frustrating/troubling part of my experience was he heavily relied on his staff for education and scheduling and his staff was completely incompetent, unprofessional and bad communicators. they made many mistakes with me and with 2 people I referred.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Interview him first about the changes he has made to his staff. Ask what measures are in place to ensure mistakes are not made and to give timely feedback about staff and the experience in general.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Dr Smille is not warm but very direct
What specific things went wrong at Laurel Fertility Care?
- Lost appointments
- Failed to inform you of changes in protocol
- Provided conflicting information
- Failed to convey critical information
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
35
Treated
2015
Success with this Doc
?
Treatment
1 IVF
Diagnosis
Unexplained
10
10
I felt like I was in good hands. He [Dr Smikle] was upfront and explained everything to us regd treatment. When we had questions he was willing go explain in great detail so we felt comfortable. He was open to communicate over email and phone. I had his cell and knew I could call whenever I needed him!
I felt like I was in good hands. He [Dr Smikle] was upfront and explained everything to us regd treatment. When we had questions he was willing go explain in great detail so we felt comfortable. He was open to communicate over email and phone. I had his cell and knew I could call whenever I needed him!
Age
35
Treated
2015
Success with this Doc
?
Race
South Asian
Income
—
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Unexplained
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
I felt like I was in good hands. He was upfront and explained everything to us regd treatment. When we had questions he was willing go explain in great detail so we felt comfortable. He was open to communicate over email and phone. I had his cell and knew I could call whenever I needed him!
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Go with open mind, do your research and ask questions.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Dr Smikle was great! He talked about all the details, why he though we should do ivf. Also took into consideration my health problems. He was kind and considerate in his manner without being condescending - I really loved that.
Describe your experience with Laurel Fertility Care.
It is a great clinic.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
I don't remember as my insurance covered all costs
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
35
Treated
2015
Success with this Doc
Yes
Treatment
3 IUI, Donor Sperm
Diagnosis
PCOS
10
10
[Dr. Smikle was] funny, articulate, straight forward, knowledgable... It is a small office so you get very personalized attention. The staff is wonderful.
[Dr. Smikle was] Funny,articulate, straight forward, knowledgable... It is a small office [at Laurel Fertility] so you get very personalized attention. The staff is wonderful....[The nurse] was very competent and responsive to questions and requests. I never felt rushed and she went out of her way to answer my questions.
Age
35
Treated
2015
Success with this Doc
Yes
Race
Black or African-American
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1st of 3 Docs
Treatment
3 IUI, Donor Sperm
Diagnosis
PCOS
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
Funny,articulate, straight forward, knowledgable,
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
It is a small office so you get very personalized attention. The staff is wonderful
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
IUI 1 Femara 5mg for 5 days + Ovidrel + Prometrium
IUI 2 Femara 7.5mg for 5 days + Ovidrel +Prometrium
IUI 3 5mg 7 days + Bravelle 75 units 7 days +Ganirelix +Ovidrel +Prometrium =bfp
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Francesca )
She was very competent and responsive to questions and requests. I never felt rushed and she went out of her way to answer my questions.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
I have insurance coverage so I paid $200 per IUI Inc all ultrasounds and bloodwork.
What specific things went wrong at Laurel Fertility Care?
- Lost paperwork
Describe the specific things that went wrong at Laurel Fertility Care.
There was an issue with payment but it was resolved
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
—
Treated
—
Success with this Doc
Yes
Treatment
3 IUI, Donor Sperm
Diagnosis
PCOS
10
10
Funny, articulate, straight forward, knowledgable. Dr Smikle is hands on and very present. If he is there he makes time to do your ultrasounds and IUIs himself rather than having a nurse do it....Everyone in the office [at Laurel Fertility Care] is friendly and knows your name...They can be a bit disorganized. It is a small office so you get very personalized attention.
Everyone in the office [at Laurel Fertility Care] is friendly and knows your name...They can be a bit disorganized. It is a small office so you get very personalized attention. The staff is wonderful...She was very competent and responsive to questions and requests. I never felt rushed and she went out of her way to answer my questions.
Age
—
Treated
—
Success with this Doc
Yes
Race
Black or African-American
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1st of 3 Docs
Treatment
3 IUI, Donor Sperm
Diagnosis
PCOS
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
Funny,articulate, straight forward, knowledgable. Dr Smikle is hands on and very present. If he is there he makes time to do your ultrasounds and IUIs himself rather than having a nurse do it.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
It is a small office so you get very personalized attention. The staff is wonderful
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
IUI 1 Femara 5mg for 5 days + Ovidrel + Prometrium
IUI 2 Femara 7.5mg for 5 days + Ovidrel +Prometrium
IUI 3 5mg 7 days + Bravelle 75 units 7 days +Ganirelix +Ovidrel +Prometrium =bfp
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Francesca )
She was very competent and responsive to questions and requests. I never felt rushed and she went out of her way to answer my questions.
Describe your experience with Laurel Fertility Care.
Everyone in the office is friendly and knows your name...They can be a bit disorganized.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
I have insurance coverage so I paid $200 per IUI Inc all ultrasounds and bloodwork.
What specific things went wrong at Laurel Fertility Care?
- Lost paperwork
Describe the specific things that went wrong at Laurel Fertility Care.
There was an issue with payment but it was resolved
- Read less
Verified
This patient has provided documentation of treatment at this clinic.
7
7
Age
35 - 36
Treated
2018 - 2019
Success with this Doc
No
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve
7
7
Straight forward, friendly, little quick, considerate, only saw him [Dr. Smikle] about half the time, explained everything he did or planned to do, welcoming and didnt make it feel like there were any stupid questions, very accomadating with phone calls and insurance... Gave medicine to my wife to get her to produce eggs, trigger shot and iui
Nice decore, [Laurel Fertility is] located in downtown san fran and traffic is terrible, buildings elevators have been broken for months and takes a long time to get up to the top floor, dr office rooms are a little small but very clean and have all the new gizmos... [Nursing Staff] Good and knowledgeable... Just some issues with the clerical staff
Age
35 - 36
Treated
2018 - 2019
Success with this Doc
No
Race
European
Income
$50K - $99K
Occupation
—
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI
Diagnosis
Diminished Ovarian Reserve
7
7
How was your experience with Collin Smikle at Laurel Fertility Care?
Straight forward, friendly, little quick, considerate, only saw him about half the time, explained everything he did or planned to do, welcoming and didnt make it feel like there were any stupid questions, very accomadating with phone calls and insurance
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Be prepared to drive to san francisco
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
He was friendly
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
Gave medicine to my wife to get her to produce eggs, trigger shot and iui
Describe your experience with the nursing staff.
Good and knowledgeable
Describe your experience with Laurel Fertility Care.
Nice decore, located in downtown san fran and traffic is terrible, buildings elevators have been broken for months and takes a long time to get up to the top floor, dr office rooms are a little small but very clean and have all the new gizmos
What specific things went wrong at Laurel Fertility Care?
- Failed to call in prescriptions to pharmacy
- Lost paperwork
- Failed to send your chart to another clinic
Describe the specific things that went wrong at Laurel Fertility Care.
Just some issues with the clerical staff
- Read less
10
10
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
Yes
Treatment
IVF
Diagnosis
Unexplained
10
10
Dr. Smikle is an outstanding and extremely well versed doctor, with a tremendous amount of experience. He listens to your questions, answers every concern, and always considers what is in your best interest. He is an intuitive doctor, whose experiences and training inform his decisions...This is an extremely well run and well organized clinic [Laurel SF] that sees positive results. They are very informative with every step of the process, and help you to understand your options and make informed decisions.
This is an extremely well run and well organized clinic [Laurel SF] that sees positive results. They are very informative with every step of the process, and help you to understand your options and make informed decisions. I would strongly recommend their services for anyone undergoing infertility treatments....Dr. Smikle is an outstanding and extremely well versed doctor, with a tremendous amount of experience.
Age
35 - 36
Treated
2017 - 2018
Success with this Doc
Yes
Race
European
Income
$200K - $499K
Occupation
Sales Representative
Order & Number of Docs Seen
1 Doc Seen
Treatment
IVF
Diagnosis
Unexplained
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle is an outstanding and extremely well versed doctor, with a tremendous amount of experience. He listens to your questions, answers every concern, and always considers what is in your best interest. He is an intuitive doctor, whose experiences and training inform his decisions.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Be patient.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
Excellent care.
Describe your experience with Laurel Fertility Care.
This is an extremely well run and well organized clinic that sees positive results. They are very informative with every step of the process, and help you to understand your options and make informed decisions. I would strongly recommend their services for anyone undergoing infertility treatments.
- Read less
10
10
Age
28
Treated
2020
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Diminished Ovarian Reserve, Male Factor
10
10
Dr. Smikle is very efficient and kind. He doesn't waste time and actually listens to his patients. He understands their concerns and pain and does something about it. I felt very well taken care of during my treatment...He was going to start with IUI, until I said I wanted 6 kids, then he said, "we're going to get you your 6 kids and go straight to IVF" he did not let any time go to waste.
[The staff at Laurel Fertility Care] were available 24/7, they were prompt, efficient, and didn't waste a single second with us. They actually understood when I said we wanted at least 6 kids and wanted to start our big family right away, that we had tried unsuccessfully for a year and wanted something done...Laurel Fertility doesn't have you do any treatment that isn't necessary. I am extremely grateful that they did not force me to continue PIO shots into week 10 like many other clinics do. They truly put the comfort of their patients (and their bank accounts) first and foremost. The best perk were the nurses, all the women who worked with me were the sweetest girls, answered all of my questions, and were so friendly. While I'm thrilled our dream of conceiving came true, I am very sad to say goodbye to them
Age
28
Treated
2020
Success with this Doc
Yes
Race
European
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
1st of 2 Docs
Treatment
1 IVF
Diagnosis
Diminished Ovarian Reserve, Male Factor
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
Dr. Smikle is very efficient and kind. He doesn't waste time and actually listens to his patients. He understands their concerns and pain and does something about it. I felt very well taken care of during my treatment.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Be completely open with your goals. Make sure you are up front with how many children you want and he'll get you to that number. He was going to start with IUI, until I said I wanted 6 kids, then he said, "we're going to get you your 6 kids and go straight to IVF" he did not let any time go to waste.
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
I couldn't have asked for better care. It was a breath of fresh air finding someone who understood what we were going through, kind, compassionate, and answered all of our questions. They were available 24/7, they were prompt, efficient, and didn't waste a single second with us.
They actually understood when I said we wanted at least 6 kids and wanted to start our big family right away, that we had tried unsuccessfully for a year and wanted something done.
Having compared notes to women at other clinics, I can also honestly say that Laurel Fertility doesn't have you do any treatment that isn't necessary. I am extremely grateful that they did not force me to continue PIO shots into week 10 like many other clinics do. They truly put the comfort of their patients (and their bank accounts) first and foremost.
The best perk were the nurses, all the women who worked with me were the sweetest girls, answered all of my questions, and were so friendly. While I'm thrilled our dream of conceiving came true, I am very sad to say goodbye to them until next year when we come back for our little popcicle babies.
They take the most depressing, stressful time of your life, and turn it into a warm, rewarding experience. I absolutely love this clinic, I am so glad I was referred to them, I'll never go to anyone else.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
Egg retrieval, IVF, freeze the rest of the embryos for future transfers. We went for IVF first to reach our goal of 6 children.
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Melissa)
The best perk were the nurses, all the women who worked with me were the sweetest girls, answered all of my questions, and were so friendly, organized, and efficient. While I'm thrilled our dream of conceiving came true, I am very sad to say goodbye to them until next year when we come back for our little popcicle babies.
Describe your experience with Laurel Fertility Care.
I couldn't have asked for better care. After being frustrated with OBGYNs that were the absolute worst, it was a breath of fresh air finding someone who understood what we were going through, kind, compassionate, and answered all of our questions. They were available 24/7, they were prompt, efficient, and didn't waste a single second with us.
They actually understood when I said we wanted at least 6 kids and wanted to start our big family right away, that we had tried unsuccessfully for a year and wanted something done. The other doctors we tried said come back in a year and sent us away without bothering to run tests.
Dr. Smikle immediately started us on an IVF cycle, ran tests to see what was going on, and got us successfully pregnant on the first try within a couple months.
Having compared notes to women at other clinics, I can also honestly say that Laurel Fertility doesn't have you do any treatment that isn't necessary. I am extremely grateful that they did not force me to continue PIO shots into week 10 like many other clinics do. They truly put the comfort of their patients (and their bank accounts) first and foremost.
The best perk were the nurses, all the women who worked with me were the sweetest girls, answered all of my questions, and were so friendly. While I'm thrilled our dream of conceiving came true, I am very sad to say goodbye to them until next year when we come back for our little popcicle babies.
I would 1,000% recommend this clinic to anyone who is struggling with infertility! Not only do they get results, they take the most depressing, stressful time of your life, and turn it into a warm, rewarding experience. I absolutely love this clinic, I am so glad I was referred to them, I'll never go to anyone else.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
Around $22k
Describe Collin Smikle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Laurel Fertility Care.
I was disappointed at first that they went with single transfer rather than multiple embryo transfer, but at the same time, I appreciate that they put the health of me and my baby first. Their reasoning for this was that I am still considered young and we do not need to do multiple transfers at this time.
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Verified
This patient has provided documentation of treatment at this clinic.
10
10
Age
27 - 32
Treated
2015 - 2020
Success with this Doc
Yes
Treatment
3 IVF
Diagnosis
PCOS, Unexplained
10
10
I felt like he [Dr. Collin Smikle] was completely invested in our journey to start a family. He honestly feels like family. I appreciated his knowledge and professionalism- but his bedside manner made me feel like he cared...I felt like he was so knowledgeable and at the top of his field. He is kind, and compassionate but he also tells you the truth about what is going on. I love his positivity and willingness to try different thing until we get a win...I appreciated being educated on why eSET is good for my body and for the baby. I also understand multiple embryos being transferred is smart if they aren’t PGS tested and you have had multiple failures. It truly is a case by case basis.
They [nurses at Laurel Fertility Care] are all amazing. I loved chatting with Katerina on the phone or through patient portal. I also have to give a shout out to Claire the nurse practitioner. She is incredible...It’s was $3200 per frozen cycle. But storage is the killer. $500 a month! I’m going to move my embryos within the next couple months...the office is beautiful and it feels safe and welcoming. No weaknesses in my opinion. I mean it is kind of expensive - but the quality of care matches. It’s not a wal mart clinic- it’s more of a Neiman Marcus. The quality of care is everything. You are treated like a human. I love the staff. You need to take control of your care though. Talk to them. Make calls. They aren’t mind readers.
Age
27 - 32
Treated
2015 - 2020
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
—
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IVF
Diagnosis
PCOS, Unexplained
10
10
How was your experience with Collin Smikle at Laurel Fertility Care?
He is amazing. I felt like he was so knowledgeable and at the top of his field. He is kind, and compassionate but he also tells you the truth about what is going on. I love his positivity and willingness to try different thing until we get a win.
What's one piece of advice would you give a prospective patient of Collin Smikle at Laurel Fertility Care?
Be patient with the process. He is an excellent dr. But people sometimes get frustrated with the IVF process because it doesn’t happen right away. The reality is infertility sucks and even with IVF it might not happen right away, so just be patient Nd don’t take it out on the dr. You will get your baby- you just have to keep pursuing and let dr Smikle do his job
During treatment, were you treated like a number or a human with Collin Smikle at Laurel Fertility Care?
I felt like he was completely invested in our journey to start a family. He honestly feels like family. I appreciated his knowledge and professionalism- but his bedside manner made me feel like he cared.
Describe the protocols Collin Smikle used in your cycles at Laurel Fertility Care and their degree of success.
Most recently:
Metformin 1000 mg 2x a day
Baby aspirin
Estrace pills 2x a day
Estradiol injections 1 every 3 days
Higher dose of progesterone to get levels up for frozen transfer
Transferred 1 frozen hatching blast- PGS tested.
Pregnant.
Describe your experience with your nurse at Laurel Fertility Care. (Assigned nurse: Katerina )
They are all amazing. I loved chatting with Katerina on the phone or through patient portal. I also have to give a shout out to Claire the nurse practitioner. She is incredible.
Describe your experience with Laurel Fertility Care.
They are all kind, the office is beautiful and it feels safe and welcoming. No weaknesses in my opinion. I mean it is kind of expensive - but the quality of care matches. It’s not a wal mart clinic- it’s more of a Neiman Marcus. The quality of care is everything. You are treated like a human. I love the staff. You need to take control of your care though. Talk to them. Make calls. They aren’t mind readers.
Describe the costs associated with your care under Collin Smikle at Laurel Fertility Care.
It’s was $3200 per frozen cycle. But storage is the killer. $500 a month! I’m going to move my embryos within the next couple months.
Describe Collin Smikle's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Laurel Fertility Care.
I appreciated being educated on why eSET is good for my body and for the baby. I also understand multiple embryos being transferred is smart if they aren’t PGS tested and you have had multiple failures. It truly is a case by case basis.
- Read less