RMA of Pennsylvania

4 doctors work here

Rated 8.6
Strongly recommend: 71%Neutral: 12%Don't recommend: 16%8.6
71% strongly recommend
142 reviews
LGBTQ+ Competent Care
LGBTQ+ Competent Care

Based on reviews from the LGBTQ+ community.

Operations
9.2
9.2
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
9.5
9.5
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
7.7
7.7
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
9.1
9.1
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

LGBTQ+ Care
10
10
LGBTQ+ Care

Ratings of 1 indicate an unsatisfactory LGBTQ+ care.

Ratings of 10 indicate an excellent LGBTQ+ care.

Attention to Detail
7.9
7.9
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Annual Cycles
1,607
National Avg
738
This Clinic
National Avg
00%
20%
40%
60%
<35
35-37
38-40
>40

Available Resources

Genetic counseling
Genetic counseling
Acupuncture
Acupuncture
Mental health counseling
Mental health counseling
Nutrition counseling
Nutrition counseling
Administration of shots
Administration of shots
Coordinating at-home nursing
Coordinating at-home nursing
Selling medication
Selling medication
Providing backup medication
Providing backup medication

This clinic has 4 offices

Abington
1151 Old York Rd
Abington, PA 19001
King of Prussia
880 E Swedesford Road
Wayne, PA 19087
Langhorne
930 Town Center Dr., Suite G-75
Langhorne, PA 19047
Philadelphia
1015 Chestnut St
Philadelphia, PA 19107
Show 2 more

142 patient reviews

Verified
Verified

This patient has provided documentation of treatment at this clinic.

2015, Unknown Success
NPS
5
NPS
7
Age 38
1 IUI
1 IVF
Uterine Fibroids
Unexplained
European
Income $200K - $499K
Doctor
Only Doc Seen
Doesn't Recommend
Neutral
Success w/ Doc Too early to know
Sometimes I think he knows what we should do next, but almost involves us too much in the decisions, but I am not sure if that is because both my fiancé and I are also doctors!
[The staff] are just very good and are very supportive. They call when they are supposed to and email you if you don't pick up.
How was your experience with Caleb Kallen at RMA of Pennsylvania?
Dr Kallen does allow you to email and he will often return messages directly by phone if it is something pressing or important. He is very much a scientist and thinks about things in terms of percentages. Sometimes I think he knows what we should do next, but almost involves us too much in the decisions, but I am not sure if that is because both my fiancé and I are also doctors!
What's one piece of advice would you give a prospective patient of Caleb Kallen at RMA of Pennsylvania?
Be very very direct with your questions and most important ask at every step how you are expected to feel. Also, ask what is the "usual" experience for a woman with a similar health profile. I was surprised by how I felt after egg retrieval and also how many embryos actually are mature, fertilize, and then grow! There is a drop off at every step and no one explained that to us! We will know better now if we have to do more rounds!
Describe your experience with the nursing staff at RMA of Pennsylvania.
They are just very good and are very supportive. They call when they are supposed to and email you if you don't pick up.
NPS
5
Doctor
Caleb Kallen
NPS
Humanity
5 of 5
Communication
3 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
3 of 5
Explained risks
5 of 5
Adaptability
3 of 5
NPS
7
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
5 of 5
2019, Successful
NPS
10
NPS
10
Age 36
2 IUI
Income $100K - $199K
Teacher
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
I was an IUI patient [with Dr. Gutmann]. We froze my husband’s sperm for convenience, however when round 1 didn’t work...Dr. Gutmann recommended we use a fresh sample and we were pregnant that round!Do you need to know that someone will ALWAYS be there to answer any question you have, no matter how major or minor? If you answered yes, then please, schedule your appointment today. My husband, my newborn son and I wish you and your partner the same experience we had.
flexibility when it comes to making appointments [at RMA of Philadelphia] to work around your families busy schedule...updates and phone calls the same day as your office visits...I was an IUI patient. We froze my husband’s sperm for convenience, however when round 1 didn’t work (I truly think it was me not being relaxed, I was going through a stressful time at work), Dr. Gutmann recommended we use a fresh sample and we were pregnant that round!
How was your experience with Jacqueline Gutmann at RMA of Pennsylvania?
I wish all I had to say was, schedule your appointment. But because of the struggle you and your partner have recently been faced with, I know how serious of a decision this is for you. While choosing a practice to help you start a family, ask yourself the following questions. Is it important that you be treated as a real person and receive personal care? Do you need flexibility when it comes to making appointments to work around your families busy schedule? Do you want updates and phone calls the same day as your office visits? Do you need to know that someone will ALWAYS be there to answer any question you have, no matter how major or minor? If you answered yes, then please, schedule your appointment today. My husband, my newborn son and I wish you and your partner the same experience we had.
What's one piece of advice would you give a prospective patient of Jacqueline Gutmann at RMA of Pennsylvania?
Take a breath, you’re in good, no great hands.
During treatment, were you treated like a number or a human with Jacqueline Gutmann at RMA of Pennsylvania?
I could go on and on. Once you meet her, you’ll understand. I was SO nervous at our first appointment in April of 2019, but the second I sat in her office and she never lost eye contact with me and was clear and calm, I was hooked. The connection was REAL.
Describe the protocols Jacqueline Gutmann used in your cycles at RMA of Pennsylvania and their degree of success.
I know I was an IUI patient. We froze my husband’s sperm for convenience, however when round 1 didn’t work (I truly think it was me not being relaxed, I was going through a stressful time at work), Dr. Gutmann recommended we use a fresh sample and we were pregnant that round!
Describe your experience with the nursing staff at RMA of Pennsylvania.
It’s as simple as this, I cried at my last appointment.
Describe your experience with RMA of Pennsylvania.
You won’t regret this beautiful, personal experience. I’ve got to be honest, my husband sought out the practice, I wanted nothing to do with it. As time went on and I started sharing with friends and colleagues that we hadn’t become pregnant yet, four different (unrelated) people/couples recommended RMA! Now if that doesn’t say something, what does?!
Describe the costs associated with your care under Jacqueline Gutmann at RMA of Pennsylvania.
My insurance covered everything! I had a copay until I became pregnant!
NPS
10
Doctor
Jacqueline Gutmann
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
1 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2019, Unsuccessful
NPS
10
NPS
10
Age 32
Male Factor
Unexplained
Income $100K - $199K
1st of 2 Docs
1 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Unsuccessful
She [Dr. Jacqueline Gutmann] is no nonsense with a huge heart. I went in for My 6 failed round of clomid and one failed IUI and she looked at me and asked what I wanted to do. I started to cry and said I needed a break and she gave me a hug and told me that was a good idea. She cares about her patients and she doesn’t waste your time...She comes off as a no-nonsense, hands off kind of person, but she genuinely cares and treats each of of her patients and staff so well. She never makes you wait. I even left my headphones in her office and she brought them to My IUI which was at KOP.
They [nurses at RMA of Philadelphia] are all amazing, they remember you each time and are quick to respond on the Portal so you don’t have to Call each time you have a question...You have to go a lot and if you drive, there’s a parking garage that can be validated. They may be moving soon so keep an eye out. The current office is hard to find in the building so ask for specific directions...6 rounds of clomid, 3 times with a trigger shot, 4, 3 Times with progesterone, one IUI. No pregnancy.
How was your experience with Jacqueline Gutmann at RMA of Pennsylvania?
She is no nonsense with a huge heart. I went in for My 6 failed round of clomid and one failed IUI and she looked at me and asked what I wanted to do. I started to cry and said I needed a break and she gave me a hug and told me that was a good idea. She cares about her patients and she doesn’t waste your time.
What's one piece of advice would you give a prospective patient of Jacqueline Gutmann at RMA of Pennsylvania?
She comes off as a no-nonsense, hands off kind of person, but she genuinely cares and treats each of of her patients and staff so well. She never makes you wait. I even left my headphones in her office and she brought them to My IUI which was at KOP.
During treatment, were you treated like a number or a human with Jacqueline Gutmann at RMA of Pennsylvania?
Dr. guttman explained everything so i would understand without making it seem “dumbed down”. She listened to my concerns and did whatever i wanted to try.
Describe the protocols Jacqueline Gutmann used in your cycles at RMA of Pennsylvania and their degree of success.
6 rounds of clomid, 3 times with a trigger shot, 4, 3 Times with progesterone, one IUI. No pregnancy.
Describe your experience with the nursing staff at RMA of Pennsylvania.
They are all amazing, they remember you each time and are quick to respond on the Portal so you don’t have to Call each time you have a question
Describe your experience with RMA of Pennsylvania.
You have to go a lot and if you drive, there’s a parking garage that can be validated. They may be moving soon so keep an eye out. The current office is hard to find in the building so ask for specific directions.
Describe the costs associated with your care under Jacqueline Gutmann at RMA of Pennsylvania.
$40 copay, $350 IUI, monitoring was covered by insuranCe
Describe Jacqueline Gutmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
Didn’t Do IVF YET
NPS
10
Doctor
Jacqueline Gutmann
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
2022, Successful
NPS
10
NPS
10
Age 33
5 IUI
PCOS
European
Income $100K - $199K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
he [Dr. Schlaff] took his time to talk with every single patient and provide detailed, tailored information to their treatment plan. He was kind, personable, and truly invested in my success...He has a way of making you feel like his family in the way that he cares and explains things to you. I’m an obese expectant mother and he never made me feel like I wasn’t deserving just because of my weight. He was kind, direct, and thoughtful in his delivery - all the while remaining truthful and frank...
This clinic [RMA of Philadelphia] always kept things moving. Most days I was in and out painlessly. Sometimes I wish I had more direct communication with my physician, rather than having to go through my nurse. But they always got me what I needed...Shannon and the entire nursing staff were amazing. They cried and celebrated with me when we finally had our success story. Shannon was always there for me and always willing to give me advice, especially when I was spiraling. She shared her own experiences and helped me feel less alone.
How was your experience with William Schlaff at RMA of Pennsylvania?
Dr. Schlaff was fantastic. I cried hysterically when I had to leave him. I wish he could follow me everywhere and deliver my current baby. He has a way of making you feel like his family in the way that he cares and explains things to you. I’m an obese expectant mother and he never made me feel like I wasn’t deserving just because of my weight. He was kind, direct, and thoughtful in his delivery - all the while remaining truthful and frank. I’m so lucky to have been cared for by him!
What's one piece of advice would you give a prospective patient of William Schlaff at RMA of Pennsylvania?
Understand that not all the physicians are available every visit - but if you needed something directly from your doctor, your nurse will get an answer for you.
During treatment, were you treated like a number or a human with William Schlaff at RMA of Pennsylvania?
Dr. Schlaff saw patients at RMA on Tuesdays - amongst the staff it was always a running joke that on “Schlaff days”, they were always running behind. This wasn’t because he was disorganized - it’s because he took his time to talk with every single patient and provide detailed, tailored information to their treatment plan. He was kind, personable, and truly invested in my success.
Describe the protocols William Schlaff used in your cycles at RMA of Pennsylvania and their degree of success.
I first tried Clomid with little response, moves to letrozole which worked in stimulating my ovaries (plus trigger shot). We then completed three IUI cycles with no success. Dr. Schlaff then added injectable Gonal-F at low dose to stimulate growth - my fourth IUI cycle ended up in chemical pregnancy - then our fifth with the same protocol ended in our active pregnancy!
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Shannon)
Shannon and the entire nursing staff were amazing. They cried and celebrated with me when we finally had our success story. Shannon was always there for me and always willing to give me advice, especially when I was spiraling. She shared her own experiences and helped me feel less alone.
Describe your experience with RMA of Pennsylvania.
This clinic always kept things moving. Most days I was in and out painlessly. Sometimes I wish I had more direct communication with my physician, rather than having to go through my nurse. But they always got me what I needed.
Describe the costs associated with your care under William Schlaff at RMA of Pennsylvania.
My place of work provides a lifetime limit of fertility coverage - but we stayed well under the limit provided.
NPS
10
Doctor
William Schlaff
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2021, Successful
NPS
10
NPS
10
Age 25
2 IUI
Income $50K - $99K
Only Doc Seen
Strongly Recommends
Strongly Recommends
Successful
Dr. Gutmann was very straight and to the point, but my husband and I really appreciated that. She was always very kind, and made me feel comfortable during the ultrasounds. Even though I know she sees many, many patients, she never rushed or declined answering any questions my husband or I may of had...Dr. Gutmann fully listened to me and my husband and immediately addressed our concerns. She ordered some tests and we found out that I have a Unicornuate Uterus.
The RMA clinic and staff is very friendly , the staff knows you on a first name basis. The waiting room and exam rooms are very clean, organized and “comfortable” given the circumstances. All the staff members are very helpful and will gladly answer any questions you may have...Clomid typically cost $60 and Ovidrel was $170...Seeing a fertility specialist is incredibly scary and intimidating in itself but Dr. Gutmann quickly made me feel very comfortable.
How was your experience with Jacqueline Gutmann at RMA of Pennsylvania?
Seeing a fertility specialist is incredibly scary and intimidating in itself but Dr. Gutmann quickly made me feel very comfortable. My husband and I were trying to conceive for years and with no explanation, we kept getting negative pregnancy tests. Dr. Gutmann fully listened to me and my husband and immediately addressed our concerns. She ordered some tests and we found out that I have a Unicornuate Uterus. Dr. Gutmann explained her treatment plan and explained the pros and cons. Thanks to Dr. Gutmann, my husband and I will be welcoming two babies in March 2022!
What's one piece of advice would you give a prospective patient of Jacqueline Gutmann at RMA of Pennsylvania?
Trust Dr. Gutmann, she is brilliant and truly cares about you. She will do whatever she can to help you achieve your goal.
During treatment, were you treated like a number or a human with Jacqueline Gutmann at RMA of Pennsylvania?
Dr. Gutmann was very straight and to the point, but my husband and I really appreciated that. She was always very kind, and made me feel comfortable during the ultrasounds. Even though I know she sees many, many patients, she never rushed or declined answering any questions my husband or I may of had.
Describe the protocols Jacqueline Gutmann used in your cycles at RMA of Pennsylvania and their degree of success.
For the 1st and 2nd cycle, we followed the same treatment plan. Once I started my menstrual cycle, I came in for baseline ultrasound and lab work. Dr. Gutmann started me on 5 days of Clomid(1st cycle 50 mg and 2nd cycle 100 mg), I would then come in for follicle scans and if the follicle(s) reached 20 mm, I would “trigger” which was one shot, called Ovidrel. And then 36 hours later we would do the IUI.
Describe your experience with RMA of Pennsylvania.
The RMA clinic and staff is very friendly , the staff knows you on a first name basis. The waiting room and exam rooms are very clean, organized and “comfortable” given the circumstances. All the staff members are very helpful and will gladly answer any questions you may have.
Describe the costs associated with your care under Jacqueline Gutmann at RMA of Pennsylvania.
My husband and I only had to pay a $30 copay for each visit, including both IUIs. Clomid typically cost $60 and Ovidrel was $170.
NPS
10
Doctor
Jacqueline Gutmann
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unknown Success
NPS
10
NPS
10
Age 36 - 37
Recurrent Pregnancy Loss
Unexplained
European
Income $50K - $99K
Teacher
1st of 2 Docs
4 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
Dr. Lange, was absolutely phenomenal! I received excellent personal treatment and felt incredibly safe and cared for...Be prepared to get to know several doctors, other than just your primary RE...[she] prescribed thyroid medication, which she periodically adjusted based on my bloodwork. I then had 4 IUI cycles with the plan to move on to IVF after the 4th cycle
[our RMA of Philadelphia] was amazing - she responded to all my questions, spent time explaining different procedures and dug deep into test results to give me a clear understanding...Be prepared to get to know several doctors, other than just your primary RE. This is perfectly normal, because the staff works in a few different locations, but patients have to be seen depending on where they are in their cycle.
How was your experience with Allison Lange at RMA of Pennsylvania?
Dr. Lange, was absolutely phenomenal! I received excellent personal treatment and felt incredibly safe and cared for. After a successful IUI, while I was incredibly excited to get a positive pregnancy test, I was so nervous to be discharged from this practice. If I ever decide to embark on this journey again, I would 100% return to RMA and would recommend anyone else to check them out.
What's one piece of advice would you give a prospective patient of Allison Lange at RMA of Pennsylvania?
Be prepared to get to know several doctors, other than just your primary RE. This is perfectly normal, because the staff works in a few different locations, but patients have to be seen depending on where they are in their cycle.
Describe the protocols Allison Lange used in your cycles at RMA of Pennsylvania and their degree of success.
After my HSG, a polyp was discovered, which was later surgically removed. Then we attempted a few natural cycles with Clomid, one of which resulted in a pregnancy and then another miscarriage. After my miscarriage, Dr. Lange ordered a recurring pregnancy lab panel, which confirmed an underactive thyroid. Dr. Lange prescribed thyroid medication, which she periodically adjusted based on my bloodwork. I then had 4 IUI cycles with the plan to move on to IVF after the 4th cycle. I had an IVF consultation, where the process and all the medication were explained to me, along with a financial consult. The 4th IUI ended up in a successful pregnancy, and I was discharged from RMA after the 9th week of pregnancy. I am now 19 weeks pregnant and progressing!
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Shannon)
Shannon was amazing - she responded to all my questions, spent time explaining different procedures and dug deep into test results to give me a clear understanding.
Describe your experience with RMA of Pennsylvania.
Dr. Lange, Shannon, Dr. Guttman and all the doctors and nurses at RMA are absolutely phenomenal! I received excellent personal treatment and felt incredibly safe and cared for. After a successful IUI, while I was incredibly excited to get a positive pregnancy test, I was so nervous to be discharged from this practice. If I ever decide to embark on this journey again, I would 100% return to RMA and would recommend anyone else to check them out.
What specific things went wrong at RMA of Pennsylvania?
  • Failed to inform you of changes in protocol
Describe the specific things that went wrong at RMA of Pennsylvania.
When COVID hit, the clinics began to provide very limited services, but I feel like they did not communicate these changes clearly and specifically.
NPS
10
Doctor
Allison Lange
NPS
Humanity
4 of 5
Communication
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2018 - 2019, Successful
NPS
8
NPS
9
Age 29 - 30
5 IUI
Unexplained
Income $50K - $99K
Nurse or HC Services
2nd of 2 Docs
1 IUI With Other Docs
Neutral
Strongly Recommends
Successful
I didn’t always see Dr Freedman in person because the Center City office was more convenient for me (he worked out of the suburban offices). Occasionally it seemed like I had to be in charge of knowing what cycle I was on and what the plan was next. However, after several cycles without result I made a consult appointment, and he did take the time to sit down with my husband and I for half an hour to discuss our treatment plan, after which I felt much better. He was also very responsive via phone when on call...is very experienced and respectful of individualized treatment goals/plan but has many patients to manage so you must be your own advocate.
[The nursing staff at RMA of Philiadelphia is] Kind, responsive and rooting for the patients to have success!...when some meds weren’t covered the clinic gave me samples which helped a lot...Felt like a person here, not just a number. Primarily went to Center City office. Annoying that on the weekend you have to go out to KOP to have stuff done. Liked all doctors, nurses and office staff...The office staff were always kind and remembered you personally (especially RMA Center City office where I went most often). Even though I saw multiple doctors through RMA, they were all kind and took the time to talk with you.
How was your experience with Martin Freedman at RMA of Pennsylvania?
I didn’t always see Dr Freedman in person because the Center City office was more convenient for me (he worked out of the suburban offices). Occasionally it seemed like I had to be in charge of knowing what cycle I was on and what the plan was next. However, after several cycles without result I made a consult appointment, and he did take the time to sit down with my husband and I for half an hour to discuss our treatment plan, after which I felt much better. He was also very responsive via phone when on call.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Make sure you are knowledgeable and on top of your treatment plan and goals so you don’t waste any cycles. Dr Freedman is very experienced and respectful of individualized treatment goals/plan but has many patients to manage so you must be your own advocate.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
The office staff were always kind and remembered you personally (especially RMA Center City office where I went most often). Even though I saw multiple doctors through RMA, they were all kind and took the time to talk with you.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
Unexplained infertility, possible diminished ovarian reserve/male factor. Had done 1 IUI and taken clomid x1 at another fertility clinic. Did not want to do IVF for personal reasons. Had 4 IUI w/ letrozole, one IUI w/ injectable and letrozole and took progesterone after- resulted in our daughter.
Describe your experience with the nursing staff at RMA of Pennsylvania.
Kind, responsive and rooting for the patients to have success!
Describe your experience with RMA of Pennsylvania.
Preferred RMA to another large academic fertility clinic in Philly that I went to first. Felt like a person here, not just a number. Primarily went to Center City office. Annoying that on the weekend you have to go out to KOP to have stuff done. Liked all doctors, nurses and office staff.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
Mostly Covered by insurance- when some meds weren’t covered the clinic gave me samples which helped a lot
NPS
8
Doctor
Martin Freedman
NPS
Humanity
4 of 5
Communication
3 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
3 of 5
Explained risks
5 of 5
Adaptability
4 of 5
NPS
9
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
6 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2022, 19 Eggs Frozen
NPS
10
NPS
10
Age 37
19 Egg Freezing
Middle Eastern
Income $100K - $199K
Sales Representative
3rd of 3 Docs
4 Egg Freezing With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Wheeler is very knowledgeable and has a lot of experience. She is very understanding. I was concerned and asked her a question over the portal and she immediately called me as she was leaving the office. She also helped my prior authorization go through...If you have any questions, please ask. She is very responsive. She will address any concerns or questions you have...This is more than a job for her. She wants to help you reach your personal goals of having a family in the future.
I love the [RMA of Philadelphia] clinic’s positive attitude. Everyone who worked there was very helpful and patient. They all worked as a team. They moved fast. They didn’t waste any of my time. They got my blood work and ultrasound quickly...[nurse] Molly...guided me through all the daily steps I needed to take. Molly told me how to use the injections and sent a video to look at when I got home. She also told me what pills I needed to take. Dr. Wheeler and Molly worked like a team.
How was your experience with Karen Wheeler at RMA of Pennsylvania?
Dr. Wheeler is very knowledgeable and has a lot of experience. She is very understanding. I was concerned and asked her a question over the portal and she immediately called me as she was leaving the office. She also helped my prior authorization go through.
What's one piece of advice would you give a prospective patient of Karen Wheeler at RMA of Pennsylvania?
If you have any questions, please ask. She is very responsive. She will address any concerns or questions you have.
During treatment, were you treated like a number or a human with Karen Wheeler at RMA of Pennsylvania?
Dr. Wheeler really cares. This is more than a job for her. She wants to help you reach your personal goals of having a family in the future.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Molly Otremsky)
Molly Otremsky guided me through all the daily steps I needed to take. Molly told me how to use the injections and sent a video to look at when I got home. She also told me what pills I needed to take. Dr. Wheeler and Molly worked like a team.
Describe your experience with RMA of Pennsylvania.
I love the clinic’s positive attitude. Everyone who worked there was very helpful and patient. They all worked as a team. They moved fast. They didn’t waste any of my time. They got my blood work and ultrasound quickly.
Describe your experience with your monitoring appointments at RMA of Pennsylvania.
I was scheduled to come within a certain time the next day. I sat down when I arrived until I was called. I didn’t wait long. I was in and out very soon.
Describe the costs associated with your care under Karen Wheeler at RMA of Pennsylvania.
My insurance covered it all because I already met my out of pocket cost. Dr. Wheeler helped my prior authorization go through and get accepted.
NPS
10
Doctor
Karen Wheeler
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
1 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2020 - 2024, Successful
NPS
9
NPS
8
Age 41 - 45
Donor Eggs
Diminished Ovarian Reserve
Uterine Fibroids
Black or African-American
Income $100K - $199K
1st of 2 Docs
1 IUI With Other Docs
1 IVF With Other Docs
Strongly Recommends
Neutral
Successful
[Dr. Jacqueline Gutmann] was knowledgeable, professional, and transparent about our circumstances, which made us confident in our decision making...completed 2 rounds of IVF. One successful and one unsuccessful...only transfers one embryo at a time. Reasons were explained in detail
RMA has several convenient locations in the Philadelphia area, and flexible hours during the day and weekends for working professionals. Some even provided parking...staff was friendly, and professional. They were prompt, getting you in and out in a speedy manner
How was your experience with Jacqueline Gutmann at RMA of Pennsylvania?
. My husband and I worked with Dr. Gutman to grow our family. She was knowledgeable, professional, and transparent about our circumstances, which made us confident in our decision making. We successfully got pregnant, and I gave birth to our son this Fall! We are forever grateful to RMA!
During treatment, were you treated like a number or a human with Jacqueline Gutmann at RMA of Pennsylvania?
. My husband and I worked with Dr. Gutman to grow our family. She was knowledgeable, professional, and transparent about our circumstances, which made us confident in our decision making.
Describe the protocols Jacqueline Gutmann used in your cycles at RMA of Pennsylvania and their degree of success.
We completed 2 rounds of IVF. One successful and one unsuccessful.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Maureen )
As working professionals, RMA accommodated us with flexible office hours & availability. The staff was caring & friendly. Our test results were reported promptly, and follow up instructions were explained in detail. We were guided every step of the way.
Describe your experience with RMA of Pennsylvania.
RMA has several convenient locations in the Philadelphia area, and flexible hours during the day and weekends for working professionals. Some even provided parking. The staff was friendly, and professional. They were prompt, getting you in and out in a speedy manner. All the local offices were clean inviting and provided confidentiality.
Describe Jacqueline Gutmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
Our clinic only transfers one embryo at a time. Reasons were explained in detail.
NPS
9
Doctor
Jacqueline Gutmann
NPS
Humanity
4 of 5
Communication
4 of 5
Frequency Seen
4 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
5 of 5
Adaptability
4 of 5
NPS
8
Clinic
RMA of Pennsylvania
Philadelphia
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
2018 - 2019, Successful
NPS
9
NPS
9
Age 40 - 41
1 IVF
Tubal Blockage
Recurrent Pregnancy Loss
Unexplained
European
Income $50K - $99K
Accountant
2nd of 2 Docs
1 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Freedman did exactly what he set out to do. ... My protocol was metformin and estrace daily. We added gonal-f and menopur with a lupron trigger. At age 39, we retrieved 35 eggs, 30 were mature. ... We got pregnant with our first transfer (under his care) with a PGS normal Male embryo. He followed our progress daily and called personally to congratulate us! He made sure our questions were answered the same day we asked. You can't ask for much more. ...
Mostly strengths with this clinic [RMA of Philadelphia]....i have never really had an issue that wasn't addressed immediately. They communicate well and make you feel important. The only major weakness is that all surgical and transfer procedures are done in King of Prussia, almost 2 hours away. ... Melissa and Lindsay are top notch. If you call and they aren't available, you WILL get a call back on the same day. If you email, you WILL get a reply. They are super compassionate and are very invested in the care of their patients. Such sweet ladies!
How was your experience with Martin Freedman at RMA of Pennsylvania?
Dr. Freedman did exactly what he set out to do. His role was to help me get pregnant with a healthy baby. We got pregnant with our first transfer (under his care) with a PGS normal Male embryo. He followed our progress daily and called personally to congratulate us! He made sure our questions were answered the same day we asked. You can't ask for much more.
What's one piece of advice would you give a prospective patient of Martin Freedman at RMA of Pennsylvania?
Trust in what he believes...his experience in this process speaks volumes.
During treatment, were you treated like a number or a human with Martin Freedman at RMA of Pennsylvania?
I felt like a human. He is very down to earth and goes out of his way to speak directly with his patients, even on a a weekend.
Describe the protocols Martin Freedman used in your cycles at RMA of Pennsylvania and their degree of success.
My protocol was metformin and estrace daily. We added gonal-f and menopur with a lupron trigger. At age 39, we retrieved 35 eggs, 30 were mature. I ended up with 6 5AA embryos, sent for PGS. After PGS we had 3 normal males and 2 mosaic males. We got pregnant on the first transfer of a 5AA PGS normal male.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Melissa & Lindsay)
Melissa and Lindsay are top notch. If you call and they aren't available, you WILL get a call back on the same day. If you email, you WILL get a reply. They are super compassionate and are very invested in the care of their patients. Such sweet ladies!
Describe your experience with RMA of Pennsylvania.
Mostly strengths with this clinic....i have never really had an issue that wasn't addressed immediately. They communicate well and make you feel important. The only major weakness is that all surgical and transfer procedures are done in King of Prussia, almost 2 hours away.
Describe the costs associated with your care under Martin Freedman at RMA of Pennsylvania.
We had insurance (at the time) with a $6500 deductible. The deductible was met quickly,.then 80 percent was covered. For a full cycle, including monitoring, recurrent loss blood panel, karyotype testing and PGS testing, we paid about $5000 out of pocket.
Describe Martin Freedman's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
He believes in PGS testing with one common goal, which is helping each mom have a healthy pregnancy with a healthy baby. He doesn't transfer multiple embryos if PGS tested.
NPS
9
Doctor
Martin Freedman
NPS
Humanity
4 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
NPS
9
Clinic
RMA of Pennsylvania
Mechanicsburg (closed)
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
3 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
4 of 5
Educational Resources
6 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2018, Unsuccessful
NPS
3
NPS
3
Age 26
1 IUI
Unexplained
European
Income $100K - $199K
1st of 2 Docs
1 Fertility Medications With Other Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
She [Dr. Shalih] was very pleasant and compassionate each time, however she didn't communicate well and never explained each step well or as to why we were doing it. I did like the fact that I saw her each visit and for my procedure. After my failed IUI she didn't seem bothered and basically said let's do it again. We didn't like that approach at all.... I did clomid on it's own 3 times first days 3-7 which resulted in failed cycles. Then for our IUI, we were on 75 of Gonal F
It's a small office [RMA of Philadelphia] and I was seen super quickly and by my doctor- this I loved! But the receptionist was not pleasant or friendly to me at all which made it a little awkward. They always took me on time though which was another plus... The nurse practioner, Melissa was not pleasant at all and quite rude when I had questions about the injections. It was overwhelming to feel stupid for having questions when dealing with infertility itself is already such a tough thing.
How was your experience with Sana Salih at RMA of Pennsylvania?
She was very pleasant and compassionate each time, however she didn't communicate well and never explained each step well or as to why we were doing it. I did like the fact that I saw her each visit and for my procedure. After my failed IUI she didn't seem bothered and basically said let's do it again. We didn't like that approach at all.
What's one piece of advice would you give a prospective patient of Sana Salih at RMA of Pennsylvania?
Ask questions and ask why she is doing things
Describe the protocols Sana Salih used in your cycles at RMA of Pennsylvania and their degree of success.
I did clomid on it's own 3 times first days 3-7 which resulted in failed cycles. Then for our IUI, we were on 75 of Gonal F, 100mg clomid and did the trigger shot. We went in every other day for monitoring
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Melissa )
When explaining the injections she rushed through the directions and when I asked her to repeat, she was quite rude and confused why I didn't get it. Very bad experience.
Describe your experience with RMA of Pennsylvania.
It's a small office and I was seen super quickly and by my doctor- this I loved! But the receptionist was not pleasant or friendly to me at all which made it a little awkward. They always took me on time though which was another plus
Describe the costs associated with your care under Sana Salih at RMA of Pennsylvania.
Clomid was cheap with our insurance but for the IUI package insurance covered nothing so we spent a total of about 2300$ for that cycle
Describe Sana Salih's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
N/A
What specific things went wrong at RMA of Pennsylvania?
  • Lost paperwork
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at RMA of Pennsylvania.
The nurse practioner, Melissa was not pleasant at all and quite rude when I had questions about the injections. It was overwhelming to feel stupid for having questions when dealing with infertility itself is already such a tough thing. She wasn't understanding or compassionate at all. The receptionist wasn't particularly friendly either which was a shame. Lastly, our doctor just didn't communicate well at all and some vital info wasn't told to us until much later
NPS
3
Doctor
Sana Salih
NPS
Humanity
4 of 5
Communication
2 of 5
Frequency Seen
5 of 5
Trustworthiness
5 of 5
Compassion
4 of 5
Explained risks
2 of 5
Adaptability
2 of 5
NPS
3
Clinic
RMA of Pennsylvania
Mechanicsburg (closed)
NPS
Operations
3 of 5
Scheduling
5 of 5
Billing Department
1 of 5
Nursing Staff
3 of 5
Clinic Atmosphere
5 of 5
Educational Resources
1 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Successful
NPS
8
NPS
8
Age 33 - 34
1 IVF
Unexplained
European
Income $100K - $199K
Only Doc Seen
Neutral
Neutral
Successful
Dr. Gutmann and the staff have been great in communicating and answering questions. For our current treatment cycle she has agreed to do a mock Natural FET which is something she normally doesn't do but has agreed to let us try. She is willing to collaborate with us while giving us her professional recommendation.... She is very blunt and straightforward, but underneath there is a wicked sense of humor, which both my husband and I appreciate. Her personality fits well with us and we appreciate her ongoing collaboration in our treatment.
I like that the location [RMA of Phil] I go to is small. I see either the nurse practitioner or doctor every visit. Monitoring on weekends is convenient... For major procedures like egg retrieval, FET, etc we had to travel to the King of Prussia office but other than that all procedures were done locally.... [monitoring] was very smooth, they take patients for sonograms on a first come, first serve basis. Bloodwork can take a bit more time since it is done in the outpatient lab but is not usually too long of a wait. RMA patients are expedited in the outpatient center.
How was your experience with Jacqueline Gutmann at RMA of Pennsylvania?
Dr. Gutmann is very candid and thorough. She is very blunt and straightforward, but underneath there is a wicked sense of humor, which both my husband and I appreciate. Her personality fits well with us and we appreciate her ongoing collaboration in our treatment.
What's one piece of advice would you give a prospective patient of Jacqueline Gutmann at RMA of Pennsylvania?
She is very thorough and knowledgeable. She is a straightshooter and is very clinical in her assessments. Some people not like or appreciate that, but I do.
During treatment, were you treated like a number or a human with Jacqueline Gutmann at RMA of Pennsylvania?
Dr. Gutmann and the staff have been great in communicating and answering questions. For our current treatment cycle she has agreed to do a mock Natural FET which is something she normally doesn't do but has agreed to let us try. She is willing to collaborate with us while giving us her professional recommendation.
Describe the protocols Jacqueline Gutmann used in your cycles at RMA of Pennsylvania and their degree of success.
We started with clomid and timed intercourse. I did not like clomid and the side effects that occurred with it and we quickly moved on to injectable meds with timed intercourse. She was very candid about her treatment plan and why she recommended moving on to IVF when she did.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Melissa)
Melissa is the glue that holds the Mechanicsburg office together. She is extremely knowledgeable, compassionate, and caring.
Describe your experience with RMA of Pennsylvania.
I like that the location I go to is small. I see either the nurse practitioner or doctor every visit. Monitoring on weekends is convenient, I'm lucky to live 10 minutes from the office and hospital (where weekend monitoring appointments are). For major procedures like egg retrieval, FET, etc we had to travel to the King of Prussia office but other than that all procedures were done locally.
Describe your experience with your monitoring appointments at RMA of Pennsylvania.
It was very smooth, they take patients for sonograms on a first come, first serve basis. Bloodwork can take a bit more time since it is done in the outpatient lab but is not usually too long of a wait. RMA patients are expedited in the outpatient center.
Describe the costs associated with your care under Jacqueline Gutmann at RMA of Pennsylvania.
Our treatment leading up to IVF was covered under insurance. I appreciate that she did not recommend IUIs (which would not be covered under my insurance). Stating that they don't produce good outcomes and we would most likely end up needing IVF. Total cost of IVF cycle with medication cost approximately $16k
Describe Jacqueline Gutmann's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
She prefers to transfer one embryo at a time due to the risks multiples create. I wanted to have a discussion about transferring two, which she happily obliged.
NPS
8
Doctor
Jacqueline Gutmann
NPS
Humanity
4 of 5
Communication
4 of 5
Frequency Seen
3 of 5
Trustworthiness
4 of 5
Compassion
4 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
8
Clinic
RMA of Pennsylvania
Mechanicsburg (closed)
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
6 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2016, Unknown Success
NPS
10
NPS
10
Age 38 - 39
2 IUI
Poor Egg Quality
Unexplained
European
Income $50K - $99K
Only Doc Seen
IVF With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
We have been through a lot of ups and downs in Dr. Nguyen's care. On the compassion scale she gets a 10 out of 10 every time. I have needed to seek outside resources to better explain protocols at times, but she does a great job of explaining the basics and nurse consults have always filled in the gaps. She is not one to push for excessive testing when not called for, but does listen and supports patients needs. She is a very scrupulous and skilled provider...
[RMA of Phila - Mechburg] Strengths- small, well managed, concerned about the level of patient care and taking steps to improve patient education over the year and a half I have been there. Weaknesses- have to travel for Egg retrieval and Embryo transfer procedures (although not exceedingly far, but turnpike closed for first Embryo transfer and had to fill my bladder twice! 120oz's over the course of 2hrs!). Sometimes miscommunications happen in the Pinnaclehealth system when testing needs to be done on weekends at Harrisburg hospital, or at outpatient testing clinic in the Fredrickson building during weekday monitoring. Communications seems to have also improved since I first started with Dr. Nguyen, and was not really the fault of RMA...
How was your experience with Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
We have been through a lot of ups and downs in Dr. Nguyen's care. On the compassion scale she gets a 10 out of 10 every time. I have needed to seek outside resources to better explain protocols at times, but she does a great job of explaining the basics and nurse consults have always filled in the gaps. She is not one to push for excessive testing when not called for, but does listen and supports patients needs. She is a very scrupulous and skilled provider.
What's one piece of advice would you give a prospective patient of Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
Don't hesitate to ask questions. They will get answered one way or another in her office. You're in good hands so relax:)
During treatment, were you treated like a number or a human with Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
My "chemical pregnancy" during IUI was actually presumed ectopic and my "miscarriage" from a PGS IVF fresh cycle was unfortunately a termination for medical reason at 21weeks. We received a non-compatible with life fetal diagnosis at our 19 week anatomy scan. I wasn't sure how best to mark this loss on the survey.... My daughter could have survived to full term, but had a prognosis of living for only a few minutes to days at most after birth. Even though I was no longer in Dr. Nguyen's care at the time in my pregnancy, she called me the day after diagnosis as soon as she was informed by Maternal Fetal medicine. My regular OB has not demonstrated the same level of compassion and care that Dr. Nguyen has consistently given me and my husband as we have struggled with infertility and pregnancy loss. It is a small office. Dr. Nguyen is efficient, but always makes sure if she does not have the time to answer your questions at a monitoring appointment, a nurse will follow up before you leave. She has gone out of her way to schedule consults for us when needed and they have always been within a week of our initial request. She and her staff are a big reason my husband and I felt comfortable continuing with FET cycles after the devastating loss of our daughter and why we have not given up on having a biological child altogether.
Describe the protocols Kara Khanh-Ha Nguyen used in your cycles at RMA of Pennsylvania and their degree of success.
Monitoring hours - 7am to 9am, M-Fri STAT blood drawn at onsite clinic, transitioning toward in office blood draws. (I'm a tough blood draw so very happy to go to seasoned phlebotomists;) Weekend monitoring done at Harrisburg Hospital and only time you will have an ultrasound performed by non-RMA staff (between 7am-9:30am) Bloodwork results and medication adjustments provided same day by nursing staff (usually between 2:30 to 3:30). Dr Nguyen will generally call with initial Beta results or if complications occur. IUI 1 & 2- Day 3 baseline u/s & E2, LH & Prog. bloodwork, clomid (can't remember when started, probably Day 2 or 3). Monitoring Day 9 (or perhaps earlier) thru LH surge, Ovidrel trigger night before IUI. Semen sample taken to office 45 minutes prior to IUI procedure for processing. Private room available for men if traveling a distance for procedure. Done during monitoring hours in a relaxing room. Beta hCG, E2 and Progesterone levels tested 9DPO. If positive, Beta and hormone levels taken every two to three day at least twice more. If normal- U/S follow up week 5 or 6 through 9 when referred back to OB. If abnormal- options for termination discussed or consulted through miscarriage. If negative, IUI 2 Beta was positive, but slow rising and indicative of possible ectopic implantation. In addition to Beta monitoring, had a diagnostic transvaginal u/s at 6 weeks, however Beta levels were too low to confirm place of implantation, tubes appeared normal. Pregnancy was terminated with Methotrexate injection and Beta was followed to 0. Liver panel and CBC was monitored prior to and after in office injection by nurse. IVF- estrogen primer protocol for low responders selected due to maternal age and unexplained infertility history (just turned 38 that month). Counseled to have PGS testing also due to age and hx-- Select CCS (Comprehensive Chromosome Screening). Monitored cycle prior to Stims to start estrace a week or two before Day 1. Day 2 AM u/s & bloodwork (E2/LH/Prog./FSH?)/PM first dose Gonal f & low dose hCG subcutaneous injections. Monitoring continued every other day to daily with medication adjustments, cetrotide added sometime around day 7-9 to suppress ovulation, hCG injection trigger 2 nights prior to retrieval with bloodwork monitoring the following AM to confirm it was administered properly. Egg Retrieval and Embryo transfer procedures are preformed at the King of Prussia surgical center NE of Philadelphia (1.5 hr from Harrisburg). ER scheduled generally before 9 am. Given a report of egg count post procedure after anesthesia recovery. Restart estrace (vaginally), start steriod, antibiotic, and crinone (progesterone vaginal gel). Fresh embryo transfer scheduled for same time as ER on Day6 (if embryos make it to blastocyst stage by Day 5 and test euploid). Given report by embryology Day1, Day3 and Day5. Reports- 21 eggs retrieved, 17 fertilized normally by Day1, 10 Day3 with normal cleavage, 3 Day5 blastocyst tested- 1 euploid, 2 Day6 blastocyst tested, both euploid and frozen. Day6 fresh transfer (It's a girl!) (No anesthesia necessary, but have to drink 50-60oz water starting 1.5 hour prior to procedure. Very uncomfortable!) Beta follow up was normal. Embryo measured normal week6Day0 u/s. Heartbeat detected in week 7 Day 0 u/s. Continued monitoring through week9 and referred back to OB. Was told to follow up with NT scan and amniocentesis, but no further genetic screening was necessary due to PGS. We ignored Dr. Nguyen's advice and did not have an NT scan done between 12-14 weeks, thinking we had it covered on the genetic defect front and I was eating well/taking prenatals so not overly concerned about NTD. Unfortunately at our week 19 anatomy scan our daughter was diagnosed with Exencephaly a fatal NTD. Amniocentesis results indicated that karyotype was also normal. It was a "fluke" developmental defect. Follow your RE's advice, get the NT scan. FET cycles- Dr. Nguyen allowed me the choice of having a synthetic or natural cycle (with estrogen primer control of ovulation or without estrogen) I opted both cycles for the greater predictability of synthetic cycle. Estrace started orally Day2 in the PM after AM u/s and bloodwork- taken AM & PM, dose upped then taken back down at ovulation. Progesterone in oil intramuscular shots started evening of ovulation (1/2cc) as well as steroid (7days). Progesterone upped to 1cc until Beta and continued to 10 weeks is positive. Both cycles failed so I discontinued PIO and estrace day of Beta. Have consulted with Dr. Nguyen on next possible steps- Another stim cycle with either same estrogen primer protocol or a lupron microflare with PGS-- both are low responder protocols. My AMH has dropped from 2015 (2.27) to this September (1.32). Egg quality is a major concern, but Dr. Nguyen believes I will have a similar outcome to my first IVF cycle. Genetic screening protocols are changing in their lab, so we will not have the option for fresh cycle transfer, but will have both chromosome and karyotype testing performed for frozen transfer. She is also willing to perform an endo/scratch the cycle prior to our next transfer because we have had two implantation failures with euploid embryos. We may choose to have further immunological testing done prior to our next cycle due to our multiple losses (a blighted ovum- spontaneous conception, a presumed ectopic with IUI and our daughter's NTD, also euploid), and am in the process of looking into reproductive immunologists to work in consult with Dr. Nguyen. We are still unsure if we how far we will pursue further testing.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Melissa Z)
Melissa, Stephanie and the other staff at RMA Central PA (Landy, Jamie and new hire Kristy) are very professional and compassionate. Melissa is the only other staff member who will perform ultrasounds. She handles medication protocols and will go the extra mile to make sure you understand medication changes and administration. Steph is extremely organized, knowledgeable and a calm reassuring presence. They have helped me tremendously through two terminations, and are always improving customer care so that visits are efficient but I never leave without feeling that my needs and concerns have been met.
Describe your experience with RMA of Pennsylvania.
Strengths- small, well managed, concerned about the level of patient care and taking steps to improve patient education over the year and a half I have been there. Weaknesses- have to travel for Egg retrieval and Embryo transfer procedures (although not exceedingly far, but turnpike closed for first Embryo transfer and had to fill my bladder twice! 120oz's over the course of 2hrs!). Sometimes miscommunications happen in the Pinnaclehealth system when testing needs to be done on weekends at Harrisburg hospital, or at outpatient testing clinic in the Fredrickson building during weekday monitoring. Communications seems to have also improved since I first started with Dr. Nguyen, and was not really the fault of RMA.
Describe the costs associated with your care under Kara Khanh-Ha Nguyen at RMA of Pennsylvania.
IUI cycle- $1,200 includes bloodwork through first Beta, u/s monitoring and IUI procedure Does not include medication- Clomid covered by my insurance with copay. Ovidrel- ~ $100 including shipping w/pharmacy discount through RMA (Note: options are changing in 2017 due to new PGS protocols) IVF Multicycle Option w/RMAid 7.5% discount & Select CCS-~ $13,400 includes Dr. & Nurse consults mock embryo transfer (cycle prior to stim), bloodwork through 1st Beta, monitoring, anesthesia, egg retrieval, ICSI, embryo culture/embryologist fees, fresh cycle embryo transfer, also covers one Frozen embryo transfer in the event that fresh cycle transfer cannot be performed, fresh transfer failure or loss of pregnancy if FET can be performed within a 9 month period. (We ended up not having to pay additional fees for our first FET after our loss at 21weeks post fresh transfer). I believe this may have also covered vitrification of frozen embryos. Additional costs- $3,000 genetic testing (covers 10+ (don't remember exact #) of embryo biopsies and can be transferred to multiple stim cycles if you do not meet the maximum number in any given cycle. We had 5 tested from our first IVF cycle, so will most likely not have to pay more for additional preimplantation genetic diagnosis in future cycles. I've talked with finance at RMA and this will be honored with the additional karyotype screening that will be added to the protocol in 2017. (Note- all RMA multi-cycle options will be changing in 2017 due to new PGD protocol. My next stim cycle will likely be a single IVF cycle paid "ala" carte by service since I will not need to pay additionally for PGD. I was quoted and expense of ~$12,000 in expected costs including one FET transfer. Stim cycle medications (gonal-f 900cc injections pens, cetrotide, low dose hCG, hCG trigger shot & pregnancy support (Crinone 8%) through 10 weeks- $~6,000.00 with 25% compassionate care discount through Freedom Pharmacy. I was not aware to shop around for Crinone coupons and additional discount programs. I could have saved more. Co-pay through insurance- ~$30 to 60 for estrace pills, medrol (steroid) and antibiotic FET cycle- $3,500 (without RMAid discount, but possible to qualify for financial aid through practice based on income/insurance coverage). Meds- estrace copay ~$20 -30, progesterone in oil intramuscular injections ~$40.00 for 30 day supply including shipping. Not covered procedures not covered in RMA plans- diagnostic exams and tests like maternal and paternal genetic screens, salinesonograms, hysteroscopy. I've had several genetic screens, (2) salinesonograms, (2) hysteroscopies including (1) endometrial polypectomy performed by Dr. Nguyen and all were covered by insurance. The RMA financial team and staff work hard to code procedures accurately, but in a way that will be accepted by most insurance carriers. I have a very restrictive HMO that does not cover any infertility treatment, but diagnostic screening and tests short of an infertility diagnosis are covered.
NPS
10
Doctor
Kara Khanh-Ha Nguyen
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Mechanicsburg (closed)
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2016, Successful
NPS
10
NPS
10
Age 34
1 IVF
Unexplained
European
Income $200K - $499K
Business Executive
3rd of 3 Docs
2 Fertility Medications With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Nguyen made sure to address all of my concerns without making me feel stupid for asking. She seemed genuinely interested in my feelings throughout the entire process....Dr. Nguyen is a very sweet and kind person. I felt like she was a friend throughout the process and not just my doctor. At my first ultrasound where we saw I was pregnant with twins, she gave me a big hug. I could tell she was genuinely excited for my husband and me.
I felt very comfortable and confident in this office's [RMA of Philadelphia] ability to get me pregnant. I never felt stressed or rushed while I was at the office for my exams. I had seen another doctor prior to this office and it was a huge difference on the good end of the spectrum. I could not have been happier with Dr. Nguyen's office and this includes their staff in King of Prussia. The doctors that did my egg retrieval and transfer were very nice with good bedside manners. The one doctor had me laughing so hard after the retrieval. I'll never forget the wonderful experience I had compared to the other clinic I had gone to.
How was your experience with Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
Dr. Nguyen is a very sweet and kind person. I felt like she was a friend throughout the process and not just my doctor. At my first ultrasound where we saw I was pregnant with twins, she gave me a big hug. I could tell she was genuinely excited for my husband and me.
During treatment, were you treated like a number or a human with Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
Dr. Nguyen made sure to address all of my concerns without making me feel stupid for asking. She seemed genuinely interested in my feelings throughout the entire process.
Describe the protocols Kara Khanh-Ha Nguyen used in your cycles at RMA of Pennsylvania and their degree of success.
I started on 300 IUs of Follistim and low dose hcg. This was decreased around day 3. Ganirelix was added in on day 5. I triggered on day 10 with Lupron and a higher dose of hcg.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Landi)
Landi made it super easy to get updates during my stimulation phase. She emailed me my status along with any medication changes. She was always available to answer my questions and she was always so upbeat and welcoming during my appointments. The day I went to get my beta test (I had already told her that I got a positive home pregnancy test), she ran out into the waiting room and gave me the biggest hug.
Describe your experience with RMA of Pennsylvania.
I felt very comfortable and confident in this office's ability to get me pregnant. I never felt stressed or rushed while I was at the office for my exams. I had seen another doctor prior to this office and it was a huge difference on the good end of the spectrum. I could not have been happier with Dr. Nguyen's office and this includes their staff in King of Prussia. The doctors that did my egg retrieval and transfer were very nice with good bedside manners. The one doctor had me laughing so hard after the retrieval. I'll never forget the wonderful experience I had compared to the other clinic I had gone to.
NPS
10
Doctor
Kara Khanh-Ha Nguyen
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
4 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
NPS
10
Clinic
RMA of Pennsylvania
Mechanicsburg (closed)
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
6 of 5
Educational Resources
7 of 5
LGBTQ+
LGBTQ+
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2017 - 2018, Unknown Success
NPS
9
NPS
9
Age 34 - 35
4 IUI
European
Income $100K - $199K
2nd of 2 Docs
Donor Sperm
LGBTQ+
Strongly Recommends
Strongly Recommends
Success w/ Doc Not sure
He [Dr. Arthur Castelbaum] has been very affirming of LGBTQ+ identified patients and has a great sense of humor...We did 4 rounds of IUI with clomid and an ovidrel trigger for each attempt. I was not diagnosed with any infertility - but since we are a same-sex couple, we went to RMA... the next recommendation is IVF...Dr. Castelbaum has been warm, friendly, kind, and funny. He made a point to ask about what my wife and I did for living and seemed to recognize us and remember us during our meetings. He was also very affirming of us as a same-sex couple.
We live in Central PA - so it’s nice having the clinic [RMA] so close. It was slightly inconvenient that any surgical procedures, as well as anything on the weekend, needs to be done at the King of Prussia office...We did 4 rounds of IUI with clomid and an ovidrel trigger for each attempt. I was not diagnosed with any infertility - but since we are a same-sex couple, we went to RMA. Insurance does not cover any of our treatments, so the next recommendation is IVF.
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
Dr. Castelbaum has a wonderful personality that matched my wife and I so well. He is clearly knowledgeable and was honest with us about his recommendations. He was willing to hear our concerns and seemed to genuinely care about us during the process.
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
He has been very affirming of LGBTQ+ identified patients and has a great sense of humor.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
Dr. Castelbaum has been warm, friendly, kind, and funny. He made a point to ask about what my wife and I did for living and seemed to recognize us and remember us during our meetings. He was also very affirming of us as a same-sex couple.
Describe the protocols Arthur Castelbaum used in your cycles at RMA of Pennsylvania and their degree of success.
We did 4 rounds of IUI with clomid and an ovidrel trigger for each attempt. I was not diagnosed with any infertility - but since we are a same-sex couple, we went to RMA. Insurance does not cover any of our treatments, so the next recommendation is IVF.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Melissa Zegley )
Melissa is the person we saw most often and I cannot say enough about her intelligence, compassion, and care. She’s the best!
Describe your experience with RMA of Pennsylvania.
We live in Central PA - so it’s nice having the clinic so close. It was slightly inconvenient that any surgical procedures, as well as anything on the weekend, needs to be done at the King of Prussia office - but it could be worse!
Describe the costs associated with your care under Arthur Castelbaum at RMA of Pennsylvania.
We had to pay for everything except for diagnostic tests.
NPS
9
Doctor
Arthur Castelbaum
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
4 of 5
NPS
9
Clinic
RMA of Pennsylvania
Mechanicsburg (closed)
NPS
Operations
5 of 5
Scheduling
5 of 5
Billing Department
5 of 5
Nursing Staff
5 of 5
Clinic Atmosphere
5 of 5
Educational Resources
7 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2014 - 2016, Unsuccessful
NPS
10
NPS
8
Age 26 - 28
1 Embryo Freezing
Diminished Ovarian Reserve
Poor Egg Quality
Tubal Blockage
European
Income $50K - $99K
Nurse or HC Services
1st of 2 Docs
Strongly Recommends
Neutral
Unsuccessful
She [Dr. Nguyen] really listened to our struggles and wanted to make a realistic plan for us, not for her or the clinic. She was encouraging each step of the way and even encouraged us to apply for a grant (which we received!)...Dr. Nguyen was very personable...We went for an aggressive egg retrieval protocol due to my infertility issues. All injectables and worked with my insurance to find the best cost sensitive medications... I wish she did the egg retrieval, I didn't care for that physician's personality and approach.
Sometimes phone calls [at RMA of Philadelphia] weren't well timed or communicated...The office is very small and outdated. I also wish I could have stayed local for the egg retrieval rather than drive 2 hours away for a procedure...We went for an aggressive egg retrieval protocol due to my infertility issues. All injectables and worked with my insurance to find the best cost sensitive medications...I wish she [Dr. Nguyen] did the egg retrieval, I didn't care for that physician's personality and approach.
How was your experience with Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
She really listened to our struggles and wanted to make a realistic plan for us, not for her or the clinic. She was encouraging each step of the way and even encouraged us to apply for a grant (which we received!).
What's one piece of advice would you give a prospective patient of Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
Less time with other providers in the office. I wish she did the egg retrieval, I didn't care for that physician's personality and approach.
During treatment, were you treated like a number or a human with Kara Khanh-Ha Nguyen at RMA of Pennsylvania?
Dr. Nguyen was very personable and made plans with me, for my situation, not just regular IVF.
Describe the protocols Kara Khanh-Ha Nguyen used in your cycles at RMA of Pennsylvania and their degree of success.
We went for an aggressive egg retrieval protocol due to my infertility issues. All injectables and worked with my insurance to find the best cost sensitive medications.
Describe your experience with your nurse at RMA of Pennsylvania. (Assigned nurse: Stephanie)
Sometimes phone calls weren't well timed or communicated.
Describe your experience with RMA of Pennsylvania.
The office is very small and outdated. I also wish I could have stayed local for the egg retrieval rather than drive 2 hours away for a procedure.
What specific things went wrong at RMA of Pennsylvania?
  • Provided conflicting information
NPS
10
Doctor
Kara Khanh-Ha Nguyen
NPS
Humanity
5 of 5
Communication
4 of 5
Frequency Seen
4 of 5
Trustworthiness
4 of 5
Compassion
5 of 5
Explained risks
4 of 5
Adaptability
4 of 5
NPS
8
Clinic
RMA of Pennsylvania
Mechanicsburg (closed)
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
2 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
3 of 5
Educational Resources
6 of 5
2017, Successful
NPS
10
NPS
N/A
Age 26
1 Egg Freezing
1 Embryo Freezing
Diminished Ovarian Reserve
Income $50K - $99K
Nurse or HC Services
Only Doc Seen
Strongly Recommends
Successful
He [Dr. Castelbaum] had great bedside manor. He explained everything very well and answered all of questions well. He called with lab results and recommendations. He was very personable. He talked to us like a human and not just another case. He was great!... I was told we would only do single embryo transfer due to my age I am at his risk for complications in multiples.... They [RMA] knew who I was when I was calling. The greeted me by my first name when entering the office. T
They [RMA of Phil] knew who I was when I was calling. The greeted me by my first name when entering the office. They new my case well.... The were kind and respectful. Always called with the next step and explained it well. They were there for my husband when he fainted... He [Dr. Castelbaum] had great bedside manor. He explained everything very well and answered all of questions well. He called with lab results and recommendations.
How was your experience with Arthur Castelbaum at RMA of Pennsylvania?
He had great bedside manor. He explained everything very well and answered all of questions well. He called with lab results and recommendations. He was very personable. He talked to us like a human and not just another case. He was great!
What's one piece of advice would you give a prospective patient of Arthur Castelbaum at RMA of Pennsylvania?
Ask all the questions because he will answer every single one and explain them well.
During treatment, were you treated like a number or a human with Arthur Castelbaum at RMA of Pennsylvania?
They knew who I was when I was calling. The greeted me by my first name when entering the office. They new my case well.
Describe your experience with the nursing staff at RMA of Pennsylvania.
The were kind and respectful. Always called with the next step and explained it well. They were there for my husband when he fainted which he doesn’t like to talk about.
Describe Arthur Castelbaum's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Pennsylvania.
I was told we would only do single embryo transfer due to my age I am at his risk for complications in multiples.
NPS
10
Doctor
Arthur Castelbaum
NPS
Humanity
5 of 5
Communication
5 of 5
Frequency Seen
3 of 5
Trustworthiness
5 of 5
Compassion
5 of 5
Explained risks
5 of 5
Adaptability
5 of 5
Nursing Staff
5 of 5

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