How was your experience with Daniel Kaser at RMA of Northern California?
Dr. Kaser was a great doctor to guide us through the ups and downs of IVF, and during COVID no less. He explained everything thoroughly and was extremely patient in every conversation, whether it was in the Spruce app, on the phone/video chat, or in person. He's also extremely positive and supportive. He recognized that I was nerding out on all the science and took extra time to talk through details during ultrasounds. He's everything you'd want in a doctor. I wish he could be my OB!
We had our first consult in early February, and at the end of July I'm 8 weeks pregnant. And this is considering a 4-week delay when SIP first started and RMA paused new treatment cycles. Also, I elected to immediately go through a 2nd egg retrieval cycle before results from Cycle 1 had been PGS tested, to be on the safe side that I'd have enough embryos frozen for transfer now and in the future. Fairly quick turn of events all in all! Very happy with RMA and Dr. Kaser.
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
I would do your homework before going in for your first consultation. He can talk fairly quickly so it's helpful if you already know the IVF lingo and acronyms. Also, since RMA does give you any written documents, take notes in your talks with him and take photos if he whiteboards the "math" of egg retrieval.
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
Dr. Kaser was personable and warm, starting from our very first consultation. Being able to text him at any time with the Spruce app was so nice. He more often than not responded back to me within an hour - always with warmth and friendliness.
Describe the protocols Daniel Kaser used in your cycles at RMA of Northern California and their degree of success.
Cycle 1: Gonal and Menopur for 8 days, Cetrotide for 5, Lupron, Novarel
Cycle 2: Gonal and Menopur for 9 days, Cetrotide for 4, Clomid pill for 5 days, Lupron, Novarel
Cycle 1 left me with 11 eggs, 9 mature, 7 fertilized, 4 frozen, 3 normal (2 4BB, 1 4CC) -- all 6 day blastocysts
Cycle 2 left me with 19 eggs, 15 mature, 15 fertilized, 9 frozen, 4 normal (2 4AA, 4AB, 5CB) -- all 6 day blastocysts
Describe your experience with the nursing staff.
The nursing staff was warm, competent, organized, and efficient. They were are very supportive.
Describe your experience with RMA of Northern California.
The clinic was top-notch in every way. The doctors are world-class. Nurses are awesome. Office was beautifully decorated and comfortable. The app they use to communicate with you is stellar. Everything about RMA is an operations miracle. The staff is helpful and warm too, always greeting you with a smile. From the very first phone call, I knew we were in good hands. I called to set up appointments with UCSF Fertility and RMA on the same day. RMA could take us for an in-person consult within the week, and UCSF would have been 8 weeks. I am so thankful we went with RMA.
Describe the costs associated with your care under Daniel Kaser at RMA of Northern California.
Egg retrieval - about $16000 for each
Fertility meds for egg retrieval #1: $12000
Fertility meds for egg retrieval #2: $6000 (because some meds left over from #1)
Frozen transfer: $4600
Luckily I have Progyny as a benefit through work, so almost all of it was paid for between them and regular insurance. Insurance paid for some things, like some of the bloodwork, genetic screening, Endometrin, etc. Progyny pays for the rest. I think I paid one or two small co-pays too.
With Progyny I was eligible for 8 "smart cycle segments" or the equivalent of 2 rounds of IVF, plus $15000 toward fertility meds. I ended up using 7 smart cycle segments. The smart cycles only refer to the medical procedures (i.e. egg retrieval, frozen transfer). I did have to pay out of pocket for some of the meds. But...thankfully with Carrot, my husband's fertility benefit, we can expense up to $10000 per year, and this includes out of pocket expenses. So we are VERY VERY lucky that we didn't have to pay for any of it.
Describe Daniel Kaser's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
it was never even discussed to transfer more than 1 embryo. I had the choice to choose the gender, or choose "best quality" and we chose the latter.
What specific things went wrong at RMA of Northern California?
- Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at RMA of Northern California.
There was one instance where a new prescription didn't get called in along with the others. I had missed that Dr. Kaser didn't call this prescription in, so it was my mistake as well. Luckily, it was a prescription I could get at Walgreens so I picked it up late night. All went fine in the end.