Kimberly Keefe Smith

Brigham & Women's Hospital

Rated 9.5
Strongly recommend: 100%9.5
100% strongly recommend
2 reviews
Humanity
9
9
Humanity

Ratings of 1 mean patients felt this doctor treated them as "a number."

Ratings of 10 mean patients felt this doctor treated them as "a human."

Communication
10
10
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
7
7
Frequency Seen

Ratings of 1 mean patients only saw this doctor once or twice during treatment.

Ratings of 10 mean patients saw this doctor at every appointment.

Responsiveness
8
Good
Responsiveness

Scale is "poor, ok, good, excellent" and measures how responsive a care team was when patients needed to speak to them.

Education

Medical School
NYU
Residency
Yale-New Haven Hospital
Fellowship
Brigham & Women's Hospital

How Doctor Communicates

not available by email
nurse available by directline
nurse available by directline
not available by personal cell phone
not available by personal cell phone
Kimberly Keefe Smith works in 1 office at

Brigham & Women's Hospital
Rated 8.8
Strongly recommend: 80%Neutral: 11%Don't recommend: 8%8.8

Explore Clinic
Boston
75 Francis Street
Boston, MA 02115

2 patient reviews

Verified
Verified

This patient has provided documentation of treatment at this clinic.

2021 - 2022, Successful
NPS
10
NPS
9
Age 34 - 35
1 IUI
4 IVF
Diminished Ovarian Reserve
Male Factor
European
Income $200K - $499K
Doctor
1st of 2 Docs
2 IVF With Other Docs
Strongly Recommends
Strongly Recommends
Successful
Dr. Keefe Smith really got to know me and thought deeply about my case and cared a lot about my outcome...She often runs a few minutes late but thats just because she is so thorough and takes her time with her patients (even when she's running behind you never ever feel rushed)...Antagonist protocol did not work well for me. I had the most success with the very low dose lupron (VLDL) and ultra low dose lupron (ULDL) protocols (this one is BWH-specific)...
BWH is a big clinic with a lot of providers and a lot of patients, but you still get excellent personalized care. I think the major strengths are that it is an academic center that uses evidence based medicine and there is a whole team of REIs who will meet to review difficult cases, so you feel like you are getting the input of many experts (not just your individual doctor)...I didn't love that the lab/ultrasounds are in a different part of the hospital and I wish my own doctor could have done my scans after my successful transfer, but on the whole the strengths significantly outweigh the weaknesses...
How was your experience with Kimberly Keefe Smith at Brigham & Women's Hospital?
Dr. Keefe Smith is an exceptional doctor. She does an excellent job of communicating her thought process and really felt like a partner throughout our whole time working together. She listened to what was important to us and happily answered all of our questions. She never rushed us or made us feel bad for asking (a lot of) questions. Most importantly, I felt so cared for during a very difficult IVF journey. After two failed rounds we did seek a second opinion at another clinic (which she was completely understanding about!) but the experience there was much worse and we went back to Dr. Keefe Smith. I just felt that I could trust her to be honest with us and I knew she always had our best interest in mind. I knew if we had success, I wanted it to be with her and if we didn't, I also knew we could count on her to be compassionate and help guide us through next steps. We ultimately did have a successful FET, but I would write the same review even if we hadn't had success.
What's one piece of advice would you give a prospective patient of Kimberly Keefe Smith at Brigham & Women's Hospital?
She often runs a few minutes late but thats just because she is so thorough and takes her time with her patients (even when she's running behind you never ever feel rushed). So it's worth it (but maybe plan ahead for that).
During treatment, were you treated like a number or a human with Kimberly Keefe Smith at Brigham & Women's Hospital?
I felt like Dr. Keefe Smith really got to know me and thought deeply about my case and cared a lot about my outcome. I didn't at all feel like just a number.
Describe the protocols Kimberly Keefe Smith used in your cycles at Brigham & Women's Hospital and their degree of success.
Antagonist protocol did not work well for me. I had the most success with the very low dose lupron (VLDL) and ultra low dose lupron (ULDL) protocols (this one is BWH-specific).
Describe your experience with your nurse at Brigham & Women's Hospital. (Assigned nurse: Ellen)
My nurse was amazing-she was good about communicating instructions both verbally (and written when they were important). I did not like it when I had to communicate with other nurses in the practice which did happen on occasion.
Describe your experience with Brigham & Women's Hospital.
BWH is a big clinic with a lot of providers and a lot of patients, but you still get excellent personalized care. I think the major strengths are that it is an academic center that uses evidence based medicine and there is a whole team of REIs who will meet to review difficult cases, so you feel like you are getting the input of many experts (not just your individual doctor). The egg retrieval experience at BWH is also much better than at CCRM Boston (much more professional nursing and anesthesia staff, I felt better being in a real hospital). Like most other Boston-area clinics, they use a doctor of the day model, so you aren't guaranteed to have your own doctor do your retrievals or transfers. I didn't love that the lab/ultrasounds are in a different part of the hospital and I wish my own doctor could have done my scans after my successful transfer, but on the whole the strengths significantly outweigh the weaknesses.
Describe the costs associated with your care under Kimberly Keefe Smith at Brigham & Women's Hospital.
Mostly covered by insurance, we paid out of pocket for PGT-A.
Describe Kimberly Keefe Smith's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Brigham & Women's Hospital.
strong preference for eSET
10
Doctor
Kimberly Keefe Smith
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
9
Clinic
Brigham & Women's Hospital
Boston
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
7 of 5
Verified
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2022, Unknown Success
NPS
9
NPS
9
Age 35 - 38
4 IVF
European
East Asian
Income $100K - $199K
Doctor
1st of 2 Docs
3 IUI With Other Docs
Strongly Recommends
Strongly Recommends
Success w/ Doc Too early to know
[Dr. Kimberly Keefe-Smith was] Compassionate, able to explain the process, options, risks and benefits clearly. Willing to do additional research and consider alternatives when treatment was not proceeding as hoped. When we raised some concerns and interest in seeking a second opinion (actually more related to the facility than to her), she was understanding and helped to make a referral. In the end, although we had a consultation with another physician, we ended up continuing out treatment with the same clinic and with her.
Fairly convenient. Once you are familiar with the location [of Brigham & Women's Hospital] I think it's easy to get in and out, and even with COVID, the procedures were straightforward. I had a bit of a negative experience with one of the phlebotomists during my very first cycle, but I think someone might have spoken to her about being more understanding/compassionate because I have seen her many times since and she is much better now.
How was your experience with Kimberly Keefe Smith at Brigham & Women's Hospital?
Compassionate, able to explain the process, options, risks and benefits clearly. Willing to do additional research and consider alternatives when treatment was not proceeding as hoped. When we raised some concerns and interest in seeking a second opinion (actually more related to the facility than to her), she was understanding and helped to make a referral. In the end, although we had a consultation with another physician, we ended up continuing out treatment with the same clinic and with her.
What's one piece of advice would you give a prospective patient of Kimberly Keefe Smith at Brigham & Women's Hospital?
Don't be afraid to ask questions!
Describe the protocols Kimberly Keefe Smith used in your cycles at Brigham & Women's Hospital and their degree of success.
We started with Clomid and IUI with close monitoring (US and labs). Dr. Keefe-Smith discussed with us at each stage when we were ready to proceed with IUI (each time there was more than one leading follicle, so discussed potential risk of multiples). When we started IVF, I started a pretty standard antagonist protocol with FSH and menopur and Lupron trigger. I had high ovarian reserve, with numbers bordering PCOS territory, so wanted to avoid ovarian hyperstimulation. Had a good response, but no balanced embryos. Used same protocol next cycle, but had to increase med doses part way, with similar results (although fewer viable embryos). 3rd cycle tried VLDL cycle (low dose lupron prior, then FSH/menopur and HCG trigger). Really no better with ~same # eggs and viable embryos. 4th cycle went back to the original protocol with thought that I had responded best during that cycle. Also added ICSI after discussion (and additional research) to suggest this might be helpful. Had great response, slightly more viable embryos, and 1 euploid. Now just awaiting FET
Describe your experience with your nurse at Brigham & Women's Hospital. (Assigned nurse: Ellen)
Generally good. Occasionally there could be some communication issues, and in general I would have preferred that they provide written communication (especially for meds, labs, etc.) than just over the phone.
Describe your experience with Brigham & Women's Hospital.
Fairly convenient. Once you are familiar with the location I think it's easy to get in and out, and even with COVID, the procedures were straightforward. I had a bit of a negative experience with one of the phlebotomists during my very first cycle, but I think someone might have spoken to her about being more understanding/compassionate because I have seen her many times since and she is much better now.
Describe the costs associated with your care under Kimberly Keefe Smith at Brigham & Women's Hospital.
Most of my costs were covered by insurance. I had to pay out of pocket for a lot of the genetic testing, but the clinic was helpful in getting this partially covered.
Describe Kimberly Keefe Smith's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Brigham & Women's Hospital.
Provider had strong preference for eSET, but I think this was mostly due to my age and the much higher risk of pregnancy complications.
What specific things went wrong at Brigham & Women's Hospital?
  • Failed to call with results
  • Failed to convey critical information
Describe the specific things that went wrong at Brigham & Women's Hospital.
Once, when having labs on a weekend, I was not called back about the results and plan for retrieval and instructions for taking my trigger shot. I saw the lab results myself through the online portal, and knew that I should be ready for retrieval, and eventually saw a pre-procedure COVID test appointment appear in the portal, but had not been called. Ultimately had to call the on-call fellow for instructions.
9
Doctor
Kimberly Keefe Smith
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
5 of 5
9
Clinic
Brigham & Women's Hospital
Boston
NPS
Operations
4 of 5
Scheduling
4 of 5
Billing Department
4 of 5
Nursing Staff
4 of 5
Clinic Atmosphere
4 of 5
Educational Resources
7 of 5