he [Dr. Sami Jabara] didnt want to hyperstimulate me. I recall him being very cautious about the protocols because I had a history of blood clot...He gave the pros and cons [at Eset] with each cycle, his recommendation, the clinic's recommendation, and let me decide. The first transfer was two embryos and subsequent transfers were single embryo...always treated us with familiarity and compassion. He took the time to get to know us as people, rather than just patients with a chart. He interacted with us with cheer during the good moments, and with sincere empathy during those not-so-good moments. His care and concern always felt real and genuine. He was always there for us.
I chose the clinic [USC] only because of Dr. Jabara being there. The clinic was good. I was pleased with the affiliation with USC Keck. My frustrations with the clinic had to do with being able to reach someone when needed; the main reception number went to voicemail more often than I liked. I also think billing could have been more straightforward, but my questions in that regard were always answered to my satisfaction.
How was your experience with Sami Jabara at USC (closed)?
I felt in good hands with Dr. Jabara from the very beginning. Before our first consult, I had researched his other patient reviews and success rates and felt optimistic. That actual first meeting with him left me feeling hopeful. As we began testing and started treatments, I felt respected and heard as a real person with each interaction. He's a genuinely nice person. That goes a long way when it comes to such a deeply personal and emotional experience as fertility treatment. Throughout my 6+ years as his patient, he was always available and went out of his way to show concern on more than one occasion. I trust his medical expertise and skill, and I value the kindness he always showed me. Through my major surgery with complications, two IVF cycles, and many other intricacies on my journey, Dr. Jabara never let me down.
What's one piece of advice would you give a prospective patient of Sami Jabara at USC (closed)?
Trust him. He knows what he is taking about. And he wants you to become a parent as much as you do.
During treatment, were you treated like a number or a human with Sami Jabara at USC (closed)?
Dr. Jabara always treated us with familiarity and compassion. He took the time to get to know us as people, rather than just patients with a chart. He interacted with us with cheer during the good moments, and with sincere empathy during those not-so-good moments. His care and concern always felt real and genuine. He was always there for us.
Describe the protocols Sami Jabara used in your cycles at USC (closed) and their degree of success.
I have put away the specifics in a special place in my brain I don't want to go back to for self-preservation. But what I do recall from the treatment strategies and protocols was that he didnt want to hyperstimulate me. I recall him being very cautious about the protocols because I had a history of blood clot.
Describe your experience with your nurse at USC (closed). (Assigned nurse: There was a different nurse for each cycle (Darlene, Terri, then Elena))
The nurses were great
Describe your experience with USC (closed).
I chose the clinic only because of Dr. Jabara being there. The clinic was good. I was pleased with the affiliation with USC Keck. My frustrations with the clinic had to do with being able to reach someone when needed; the main reception number went to voicemail more often than I liked. I also think billing could have been more straightforward, but my questions in that regard were always answered to my satisfaction.
Describe your experience with your monitoring appointments at USC (closed).
It was as efficient as it could be I suppose. Being in the waiting area was always awkward with the other patients, but I'm not sure how the clinic could get around that. The waiting area was full only on one occasion, which is good. I recall the wait time for being called back always felt long, but that could have been the early hour and the anticipation.
Describe the costs associated with your care under Sami Jabara at USC (closed).
The costs were less than I anticipated given the discount. Still tremendously high, but less than expected nevertheless.
Describe Sami Jabara's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at USC (closed).
He gave the pros and cons with each cycle, his recommendation, the clinic's recommendation, and let me decide. The first transfer was two embryos and subsequent transfers were single embryo.
[Dr. Jabara] will guide you step by step through the process and will be cheering you on every step of the way...will also go out of his way to personally relay information to you himself. For example, the hospital is going through renovations, so he called me the day before my appointment to give me a heads up about the terrible traffic and to account for time to find a parking spot...very mindful of others.
greeted upon arrival, people are smiling, they try to get you seen ASAP, and they always end your appointment with well wishes...nurses [at Kaiser Permanente SoCal] always make sure that you understand your next steps...Appointments can run longer than you expected...I underestimated the amount of appointments I would need to go to, and ended up taking quite a few half days off from work.
How was your experience with Sami Jabara at Kaiser Permanente SoCal?
Dr. Jabara is one of the most kind and compassionate doctors I have ever met and have the pleasure to work with. He is honest with you but also he will guide you step by step through the process and will be cheering you on every step of the way! One can tell that he enjoys the work that he does, cares about his patients, and very much wants them to success in building their family. He will also go out of his way to personally relay information to you himself. For example, the hospital is going through renovations, so he called me the day before my appointment to give me a heads up about the terrible traffic and to account for time to find a parking spot. I have never had previous doctors give me this type of courtesy call, so I know he is very mindful of others, thanks Dr. J!!!
What's one piece of advice would you give a prospective patient of Sami Jabara at Kaiser Permanente SoCal?
If you are on the fence about seeing “one more doctor”, schedule a consult with him and meet with him in-person (if possible). You will find him knowledgeable, pragmatic, realistic, funny, and compassionate. I know my husband and I did!
During treatment, were you treated like a number or a human with Sami Jabara at Kaiser Permanente SoCal?
The office staff, nurses, nurse practitioner, and the doctors were all very kind and compassionate. I never felt rushed and always had my questions answered.
Describe the protocols Sami Jabara used in your cycles at Kaiser Permanente SoCal and their degree of success.
My “cocktail” consisted of clomid and menopur. My first round of IUI was with another RE who came up with this combination, and we conceived; however it resulted in a missed miscarriage. Dr. Jabara feels that I have been responsive to this and should continue with this protocol due to my diminished ovarian reserve.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Aura Marroquin)
Everyone at Team Kaiser Woodland Hills is wonderful! You are greeted upon arrival, people are smiling, they try to get you seen ASAP, and they always end your appointment with well wishes. In addition, the nurses always make sure that you understand your next steps after that visit.
Describe your experience with Kaiser Permanente SoCal.
Make sure you have an appointment! Be prepared to be there for awhile. Appointments can run longer than you expected. During our first cycle, I underestimated the amount of appointments I would need to go to, and ended up taking quite a few half days off from work.
Describe the costs associated with your care under Sami Jabara at Kaiser Permanente SoCal.
Under my insurance, we paid 50% per cycle.
Describe Sami Jabara's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
He [Dr. Jabara] was saddened along side me when a cycle failed. He spent a lot of time talking with me and going through options (sometimes more than once)... could not ask for a more knowledgeable and caring doctor on this journey. Dr. Jabara is factual and supportive. He was encouraging when I needed and said things that I didn’t know I needed to hear until our conversations. He was straightforward in discussing potential outcomes and was up to date on current research. He is collaborative with colleagues and sought out other options on my behalf. I tried another doctor and clinic and came back to Dr. Jabara to continue the pursuit of my dream to have a child.
Third IVF cycle [at Reproductive Fertility Center] used antagonist protocol with poor response so converted to IUI. Fourth cycle routine protocol with increased Gonal F. Retrieved 13 eggs, 9 fertilized, 6 blasts all had multiple complex abnormalities On PGS...Lizette [nurse] was excellent. She always followed through and did what she said she would do. She responded in a timely manner and was kind
How was your experience with Sami Jabara at Reproductive Fertility Center?
I could not ask for a more knowledgeable and caring doctor on this journey. Dr. Jabara is factual and supportive. He was encouraging when I needed and said things that I didn’t know I needed to hear until our conversations. He was straightforward in discussing potential outcomes and was up to date on current research. He is collaborative with colleagues and sought out other options on my behalf. I tried another doctor and clinic and came back to Dr. Jabara to continue the pursuit of my dream to have a child.
During treatment, were you treated like a number or a human with Sami Jabara at Reproductive Fertility Center?
He was saddened along side me when a cycle failed. He spent a lot of time talking with me and going through options (sometimes more than once).
Describe the protocols Sami Jabara used in your cycles at Reproductive Fertility Center and their degree of success.
I did 5 IUIs with Clomid and later injectable hormones resulting in one chemical pregnancy and the rest negative. Moved onto IVF, two cycles with routine protocol, donor sperm, ICIS, and PGS. First cycle resulted in one PGS normal embryo, frozen transfer and negative pregnancy test. Did a hysteroscopy and antibody testing all normal. Second cycle adjusted start of progesterone and took corticosteroids. Frozen transfer of one PGS tested embryo resulting in a negative pregnancy test. Third IVF cycle used antagonist protocol with poor response so converted to IUI. Fourth cycle routine protocol with increased Gonal F. Retrieved 13 eggs, 9 fertilized, 6 blasts all had multiple complex abnormalities On PGS.
Describe your experience with your nurse at Reproductive Fertility Center. (Assigned nurse: Lizette )
Lizette was excellent. She always followed through and did what she said she would do. She responded in a timely manner and was kind
Describe your experience with Reproductive Fertility Center.
The clinic had early morning appointment before work, which was very helpful. The clinic was easy to communicate with. Mostly went in the early mornings when I did go later it was much busier and other nursing staff was not as responsive as the head coordinator.
Describe the costs associated with your care under Sami Jabara at Reproductive Fertility Center.
While I’ve only seen Dr. Jabara twice, he has always demonstrated kindness and positivity. It feels like he’s on your side. But he’s also direct and I appreciate that. I get my questions answered and know all of the statistics and risks. I appreciate feeling knowledgeable when I leave every visit...He appreciates when patients are their own advocate and know that they want to partner with him...It’s been explained to us that we have a 2% chance of conceiving naturally each month and a 15% with each IUI cycle. I will complete one more cycle, and then if no success, my husband and I will meet with Dr. Jabara and see what our next step is.
Nurse Aura [at Kaiser Permanente SoCal] is wonderful! She’s actually the one who’s treated me for my last two cycles...She answers my questions, has a positive attitude and makes me feel comfortable...$550 per IUI cycle with Clomid and trigger shot...I love how the front desk team always greets you with a smile and positive attitude. They make the payment and account process very easy. They communicate effectively and kindly. I don’t have any constructive criticism for them because they’re the best.
How was your experience with Sami Jabara at Kaiser Permanente SoCal?
While I’ve only seen Dr. Jabara twice, he has always demonstrated kindness and positivity. It feels like he’s on your side. But he’s also direct and I appreciate that. I get my questions answered and know all of the statistics and risks. I appreciate feeling knowledgeable when I leave every visit.
What's one piece of advice would you give a prospective patient of Sami Jabara at Kaiser Permanente SoCal?
Ask all the questions that you have—he’ll answer all of the them. He appreciates when patients are their own advocate and know that they want to partner with him.
During treatment, were you treated like a number or a human with Sami Jabara at Kaiser Permanente SoCal?
From the moment I walked into the Kaiser Fertility Clinic, I am greeted with kindness and positivity. The nurses when taking my vitals are patient. The nurse practitioner who actually has treated me answers all of my questions and explains things very thoroughly.
Describe the protocols Sami Jabara used in your cycles at Kaiser Permanente SoCal and their degree of success.
I’m in the middle of my protocol treatment which is three IUI cycles with 100mg of Clomid. I completed two which resulted in negative pregnancy tests. I’ve responded well to the medication—feeling only a bit more irritable and some hot flashes. It’s been explained to us that we have a 2% chance of conceiving naturally each month and a 15% with each IUI cycle. I will complete one more cycle, and then if no success, my husband and I will meet with Dr. Jabara and see what our next step is.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Nurse Aura )
Nurse Aura is wonderful! She’s actually the one who’s treated me for my last two cycles. She’s the best. She answers my questions, has a positive attitude and makes me feel comfortable.
Describe your experience with Kaiser Permanente SoCal.
I love how the front desk team always greets you with a smile and positive attitude. They make the payment and account process very easy. They communicate effectively and kindly. I don’t have any constructive criticism for them because they’re the best.
Describe the costs associated with your care under Sami Jabara at Kaiser Permanente SoCal.
I did three IUIs with 5 days of clomid [with Dr. Jabara]. I got 2-3 eggs each cycle. The last IUI I did a combo of menopur and clomid. Still only got 2 eggs. Chemical pregnancy on 2nd IUI and negative all others...I did feel like I was not educated along the way...I wish he had given us resources to learn more about IVF due to my age...I also wish he had reevaluated me after three IUIs rather than wasting time, money, and emotions on a fourth IUI. Now, I am almost 41 and just starting IVF. Overall, I think he is a good doctor but if you are looking for bedside manner, he may not be for you.
I felt like Dr. Jabara and his staff [at Kaiser Permanente] treated me very well. I did feel like I was not educated along the way about certain things like side effects of medications and what to look for when I got the pregnancy test results...Aura [nurse] was amazing and compassionate. She did three of my IUIs.I had a bad experience at my last IUI. Aura had a hard time getting through my cervix. Which was of no fault of hers.
How was your experience with Sami Jabara at Kaiser Permanente SoCal?
Overall, my experience was not bad but there are things I think could have been better. During the consultation, Dr. Jabara was honest and positive and I was optimistic. He respected that we couldn't afford IVF and worked with us as much as possible to keep the costs down. I really appreciated this. After this, I only saw Dr. Jabara one or two more times. He had to do one of my IUIs as there were issues getting through my cervix. In hindsight, I wish he had given us resources to learn more about IVF due to my age so we could have made a more educated decision. I also wish he had reevaluated me after three IUIs rather than wasting time, money, and emotions on a fourth IUI. Now, I am almost 41 and just starting IVF. Overall, I think he is a good doctor but if you are looking for bedside manner, he may not be for you.
What's one piece of advice would you give a prospective patient of Sami Jabara at Kaiser Permanente SoCal?
Educate yourself about the process, the medications, etc... Advocate for yourself.
During treatment, were you treated like a number or a human with Sami Jabara at Kaiser Permanente SoCal?
I felt like Dr. Jabara and his staff treated me very well. I did feel like I was not educated along the way about certain things like side effects of medications and what to look for when I got the pregnancy test results.
Describe the protocols Sami Jabara used in your cycles at Kaiser Permanente SoCal and their degree of success.
I did three IUIs with 5 days of clomid. I got 2-3 eggs each cycle. The last IUI I did a combo of menopur and clomid. Still only got 2 eggs. Chemical pregnancy on 2nd IUI and negative all others.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Aura)
The staff was really good. Aura was amazing and compassionate. She did three of my IUIs. Beverly was also amazing educating me about the medications and such. The only negatives were that there were some side effects from medications that I wish they had given me a heads up about so I wasn't googling "Is this normal" in the middle of the night and I had a bad experience at my last IUI. Aura had a hard time getting through my cervix. Which was of no fault of hers. She finally did and they sent me on my way as normal. I went to the pharmacy and started having bad cramping. I went back the the office and told the front staff of the pain. They went back and asked the nurses and they said "tell her that it is normal." I knew it wasn't, I couldn't even stand up. I sat in the waiting room and finally after about 5 minutes when I walked to the bathroom, a nurse saw me and said, "are you ok, you are pale." I said no and they finally helped me. I rested and they gave me orange juice and after about 15 minutes, I felt better. After this, I still had cramping for the next three days. This was the emotional and physical tipping point that pushed me to stop trying and I wasn't able to consider going back again for another year and a half. Despite this incident, for the most part, the nursing staff and everyone in the office are wonderful.
Describe your experience with Kaiser Permanente SoCal.
The clinic is really good. Parking is a bit stressful depending on the time of day. Of course, as this is a Kaiser medical center and hospital, it sucks to see all the pregnant ladies walking around. But, overall, they do a good job.
Describe the costs associated with your care under Sami Jabara at Kaiser Permanente SoCal.
Since we opted for IUIs, our insurance covered 50%. I estimated it to cost us around $1000 per round with all the medications and visits.
Has the personal touch! Calls you directly. You can feel that he [Dr. Jabara] feels your pain. When we miscarried he cried and was as upset as we were. He doesn't talk down to you. He gives you all the time in the world so you must be patient. But you're entrusting your future children in his hands so get to know him. He provides you his cell phone and answers your calls!! Weekends as well. He is a great communicator via text, email and calls.
Clean and classy location. Parking can be tricky but with early 6:45a appointments it isn't too bad. They [Reproductive Fertility Center] offer water and coffee and the restrooms offer feminine supplies that are much needed during treatment.... They have a big caseload and office to manage. Sometimes you have to remind them of what you need.... Surgery center for egg collection was around $42,000 and doctor costs were around $10,000. FET was $4000. Assisted hatching is $600.
How was your experience with Sami Jabara at Reproductive Fertility?
Has the personal touch! Calls you directly. You can feel that he feels your pain. When we miscarried he cried and was as upset as we were. He doesn't talk down to you. He gives you all the time in the world so you must be patient. But you're entrusting your future children in his hands so get to know him. He provides you his cell phone and answers your calls!! Weekends as well. He is a great communicator via text, email and calls. I tell everyone about him and encourage people to switch to him.
What's one piece of advice would you give a prospective patient of Sami Jabara at Reproductive Fertility?
Be patient as he does run behind but he's worth it!!
During treatment, were you treated like a number or a human with Sami Jabara at Reproductive Fertility?
Remembers you and your history. Speaks to you like an adult and not a child. Always is warm and kind and doesn't rush you.
Describe the protocols Sami Jabara used in your cycles at Reproductive Fertility and their degree of success.
Dr Jabara took everything into consideration when making our plan. He just didn't give us the cookie cutter plan and send us on our way. He talked things out with you and gave you choices. He admits when things didn't go as planned. He didn't back down on stims since he knew we had a once per lifetime coverage. I was safe the entire time but we baked as many eggs as we could.
Describe your experience with the nursing staff at Reproductive Fertility.
They have a big caseload and office to manage. Sometimes you have to remind them of what you need.
Describe your experience with Reproductive Fertility.
Clean and classy location. Parking can be tricky but with early 6:45a appointments it isn't too bad. They offer water and coffee and the restrooms offer feminine supplies that are much needed during treatment.
Describe the costs associated with your care under Sami Jabara at Reproductive Fertility.
Surgery center for egg collection was around $42,000 and doctor costs were around $10,000. FET was $4000. Assisted hatching is $600.
What specific things went wrong at Reproductive Fertility?
Failed to call in prescriptions to pharmacy
Provided conflicting information
Describe the specific things that went wrong at Reproductive Fertility.
As mentioned before the nursing staff are overwhelmed and need reminding sometimes. I've had to call twice for medication refills and also call twice to speak with the billing department
He [Dr. Sami Jabara] does give me in depth explanations about my care, and makes me feel a part of it...He's a very busy doctor, he tries to see as many people as he can in one day. It feels like he wants to help as many people as possible. But that means that many times he is in a rush, and that doesn't feel very comforting in such an emotional time. But when he has a moment he is encouraging and positive, but realistic about the goals.
The senior staff [at Kaiser Permanente] was pleasant, knowledgeable and supportive, the newer staff do not know what resources are at their disposal, so are not as effective at problem solving, or solving those problems in a timely fashion. But all are sincere and kind...Need a bigger office, more staff, because Kaiser has a very large population of infertile patients. The nurses are nice, they are compassionate. The main branch of Kaiser's infertility clinic at LAMC has its own social worker to emotionally support the patients and have a really knowledgeable RN case manager to assist with resources and support groups.
How was your experience with Sami Jabara at Kaiser Permanente SoCal?
Strengths- Positive energy, encouraging, very knowledgeable.
Weaknesses- Can be a little scatterbrained, spread thin seeing so many patients that it can border on impersonal. Does not make eye contact often.
What's one piece of advice would you give a prospective patient of Sami Jabara at Kaiser Permanente SoCal?
Try to slow down and make patients feel like you are invested, know their care like the back of your hand.
During treatment, were you treated like a number or a human with Sami Jabara at Kaiser Permanente SoCal?
He's a very busy doctor, he tries to see as many people as he can in one day. It feels like he wants to help as many people as possible. But that means that many times he is in a rush, and that doesn't feel very comforting in such an emotional time. But when he has a moment he is encouraging and positive, but realistic about the goals. He does give me in depth explanations about my care, and makes me feel a part of it.
Describe the protocols Sami Jabara used in your cycles at Kaiser Permanente SoCal and their degree of success.
When I first encountered Dr. Jabara, I had ovarian cysts, I was given estrogen to removed them but then it took me two to three months to ovulate. Then we tried clomid, the doctor said I didn't respond very well to it. Ovidrel and natural attempt. No pregnancy this trial. Next visit I saw the NP, was prescribed double the dose of clomid and started on Menopur 75mg. I came in weekly for estrogen monitoring and ultrasounds.I resulted in one follicle at 12, the other at 18mm. Ovidrel admin. My first IUI followed, negative pregnancy test. The third attempt I received 2 clomids and 150mg Menopur, resulting in two follicles final measurments of 10 and 16mm. Ovidrel administered.Second IUI performed, negative pregnancy test. Had a break one month. Then 2 months with no period, return of menses in December no treatment with return of period due to office policy not to start treament during the holidays. January natural cycle with ovidrel 1 follicle seen at 16mm. Negative pregnancy. Last cycle natural with 2 follicles at 15mm and 18mm. Ovidrel administered. Third IUI performed, chemical pregnancy with serum HCG 4, first ultrasound showed 45mm corpus luteum, and 6 cysts of varying degrees all >20mm. Estrogen initiated on this 10 day long menstruation. No treatment this month, to return in April when next menstruation due. It is Dr.Jabara's thought that I have better responses to natural methods best, he suggested we may try Femara my next cycle. The pressure is on because he will no longer treat me after my 44th birthday.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
The senior staff was pleasant, knowledgeable and supportive, the newer staff do not know what resources are at their disposal, so are not as effective at problem solving, or solving those problems in a timely fashion. But all are sincere and kind.
Describe your experience with Kaiser Permanente SoCal.
Need a bigger office, more staff, because Kaiser has a very large population of infertile patients. The nurses are nice, they are compassionate. The main branch of Kaiser's infertility clinic at LAMC has its own social worker to emotionally support the patients and have a really knowledgeable RN case manager to assist with resources and support groups.
Describe the costs associated with your care under Sami Jabara at Kaiser Permanente SoCal.
I think Dr. Jabara tried to do everything he could to give us a baby. He really took the time to explain everything and answer all of our questions. I never felt like he was rushing through my appointment. Also the fact that he was mindful of the cost of the treatment and gave us advice on grants, loans, and discount program was really helpful.... I started with the lupron micro flair protocol. So, I took a double dose of birth control for a week and then started on lupron with menopur in the morning and follistim in the evening. I also took baby aspirin for the first part of my cycle. I don't know the rationale but I believe this is the preferred protocol for older women with diminished ovarian reserve.
I loved my care team [at Reproductive Fertility Center]. Lizette was my nurse and Ami was an ultrasound tech. They both were very helpful and compassionate. They called me and emailed me with follow up information often the same day and were always available to answer my questions.... There was the cost of the IVF cycle which included the consultation, ultrasounds, and lab costs. In addition, there were separate charges for Anesthesia, Operating room/embryologist, ICSI, Egg Hatching, egg-freezing and first year storage, and subsequent year storage.
How was your experience with Sami Jabara at Reproductive Fertility?
I think Dr. Jabara tried to do everything he could to give us a baby. He really took the time to explain everything and answer all of our questions. I never felt like he was rushing through my appointment. Also the fact that he was mindful of the cost of the treatment and gave us advice on grants, loans, and discount program was really helpful. We didn't get the outcome we wanted but I don't feel like it was because Dr. Jubara didn't do a good job.
What's one piece of advice would you give a prospective patient of Sami Jabara at Reproductive Fertility?
He is a Kaiser doctor that sees IVF patients in an outside clinic. I don't think it's quite the same relationship as seeing a doctor that works solely in the clinic. Also, I decided to switch my insurance from Kaiser before I started my 2nd round of IVF. This became complicated because he get ordering my prescriptions through Kaiser even though I no longer had that insurance. I would also advise any prospective patients to ask for Dr. Jabara's cell phone number so you don't have to go through Kaiser or the clinic to ask him questions.
During treatment, were you treated like a number or a human with Sami Jabara at Reproductive Fertility?
Dr. Jabara always treated us with compassion. He genuinely wanted to give us our baby. He always greeted us with a smile and a hug. Every visit he asked about our son and if my husband wasn't present Dr. Jabara would ask about him.He was honest with us about our option and took into account the cost of treatment. If there was a lower cost option with similar chance of success he recommended we try that first. When I had a miscarriage, Dr. Jabara wasn't told by his staff but when we came in to meet with him a few months later he offered a shoulder to cry on.
Describe the protocols Sami Jabara used in your cycles at Reproductive Fertility and their degree of success.
I started with the lupron micro flair protocol. So, I took a double dose of birth control for a week and then started on lupron with menopur in the morning and follistim in the evening. I also took baby aspirin for the first part of my cycle. I don't know the rationale but I believe this is the preferred protocol for older women with diminished ovarian reserve. In my second IVF cycle, I produced more eggs that I ever had in any of my cycles. So, I think it achieved the desired results. Unfortunately, the all of the embryos were not viable on the day of transfer and therefore we ended up having to use a frozen embryo.
Describe your experience with your nurse at Reproductive Fertility. (Assigned nurse: Lizette Vasquez and Ami Patel)
I loved my care team. Lizette was my nurse and Ami was an ultrasound tech. They both were very helpful and compassionate. They called me and emailed me with follow up information often the same day and were always available to answer my questions.
Describe your experience with Reproductive Fertility.
I think the clinic was well organized. I don't really have any complaints. There is a lab onsite and the surgery center is right downstairs. Parking can be tricky if you have an early morning appointment since there is no attendant on duty. Also, twice the lab sent me a bill when I had already paid my lab fees directly to the clinic. I had to submit the bill to the clinic which they took care of right away but it was just annoying.
Describe the costs associated with your care under Sami Jabara at Reproductive Fertility.
There was the cost of the IVF cycle which included the consultation, ultrasounds, and lab costs. In addition, there were separate charges for Anesthesia, Operating room/embryologist, ICSI, Egg Hatching, egg-freezing and first year storage, and subsequent year storage.
Describe Sami Jabara's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Reproductive Fertility.
In the first round of IVF, Dr. Jabara only transferred 2 embryos. The reason is because it was a day 5 transfer and that is standard protocol. Both embryos ended up implanting so I believe that was the right choice. However, I ended up miscarrying both. In the 2nd IVF cycle, Dr. Jabara was planning to transfer 4 embryos if they had been viable and should they all implant we would have done selective reduction. Because of my history my husband and I would not have been happy if he had insisted on only transferring one embryo and we were comfortable with the possibility of twins. So, we were on the same page which was good.
What specific things went wrong at Reproductive Fertility?
Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Reproductive Fertility.
There was one medication that was not ordered. When I received my medications I went through everything and noticed the missing medication. I immediately called the clinic and they ordered the medication.
Also, my protocol was changed slightly after the medication was ordered so I ended up paying for a prescription I didn't need by the clinic was able to refund me and use the medication for someone else.
First time meeting Dr. Jabara, he was able to order different test in order to diagnose me properly. Also, he would explain the results of the tests to me properly and tell me the implications and the procedures. He was straightforward in regards to my situation, but also able to deliver the message with compassion, straight facts, without making me feel uncomfortable. Also, he would spend time to discuss different options and explain very detail on the results/expectations for each choice.
I would totally recommend the clinic. You just have to be organized and also not to be afraid to ask questions. One thing is that most of the doctors have other positions, therefore, all of my appointments started at 6a.m. Typically, each appointment last 15-30 minutes...All the nurses and staff were very helpful. Can tell they are very compassionate about their job and try to help people to achieve goals....Going through the whole IVF cycle with embryo implementation is about $15,000. Eggs freezing procedures is about $12,000
How was your experience with Sami Jabara at USC (closed)?
Very knowledgeable and helpful. Set appropriate expectation while remaining neutral to do his job. Willing to respond to all of my questions to make sure that I understand the implications and procedures. Make me very comfortable to ask questions and share communication with him
What's one piece of advice would you give a prospective patient of Sami Jabara at USC (closed)?
Make sure you know what you want and ask questions.
During treatment, were you treated like a number or a human with Sami Jabara at USC (closed)?
Always spend time with me and make sure that my questions are answered. Also Dr. Jabara is very knowledgeable, and supportive. Good bed side manner and go out his way to do his best to accomplish the goal. Set the right expectation, but still being hopeful and helpful.
Describe the protocols Sami Jabara used in your cycles at USC (closed) and their degree of success.
Had been trying to get pregnant with my significant other for over 3 years. As I was approaching the age of 40, started seeing a fertility dr to find out the I have multiple issues. First time meeting Dr. Jabara, he was able to order different test in order to diagnose me properly. Also, he would explain the results of the tests to me properly and tell me the implications and the procedures. He was straightforward in regards to my situation, but also able to deliver the message with compassion, straight facts, without making me feel uncomfortable. Also, he would spend time to discuss different options and explain very detail on the results/expectations for each choice.
Describe your experience with your nurse at USC (closed). (Assigned nurse: Darlene)
All the nurses and staff were very helpful. Can tell they are very compassionate about their job and try to help people to achieve goals.
Describe your experience with USC (closed).
I think Dr. Jabara is no longer working with USC. However, based on my experience with the other doctors, nurses, and staff. I would totally recommend the clinic. You just have to be organized and also not to be afraid to ask questions. One thing is that most of the doctors have other positions, therefore, all of my appointments started at 6a.m. Typically, each appointment last 15-30 minutes. If you are working, it's perfect so you don't have to miss too much time at work. However, if you are not working, it may be tough to get up so early and get your blood work and everything else done.
Describe the costs associated with your care under Sami Jabara at USC (closed).
Going through the whole IVF cycle with embryo implementation is about $15,000. Eggs freezing procedures is about $12,000
Describe Sami Jabara's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at USC (closed).
He followed the medical guideline to transfer the max. embryos based on my age, even though I was reluctant to do it.
Dr. Jabara always made time for me and addressed my needs. Even if he couldn’t call back right away, someone from the office was always in touch within a few hours.... Dr. Jabara knew I had been through so many rounds of treatment and he was aggressive when he needed to be to get the outcome we were seeking. He didn’t hesitate or cancel my cycles with unnecessary nonsense. I appreciate that he was willing to be so aggressive and fight for my quest to be a parent.
I love that they [USC] had my estradiol levels ready before leaving each follicle scan so we knew exactly what the next step was in the protocol before leaving. I didn’t like that they did not do IUIs on Sundays.... She [nurse] was my main contact. I had her direct phone and email. She was a total support system for me and if I couldn’t speak directly to Dr. Jabara, she would always be sure to reach out and let me know if she was able to speak to him for me. I never waited longer than 2-3 hours for a response!
How was your experience with Sami Jabara at USC (closed)?
Dr. Jabara knew I had been through so many rounds of treatment and he was aggressive when he needed to be to get the outcome we were seeking. He didn’t hesitate or cancel my cycles with unnecessary nonsense. I appreciate that he was willing to be so aggressive and fight for my quest to be a parent. He’s attentive and responsive. We had to adjust medication a few times so once we found the proper cocktail, I was grateful he didn’t waste even more time trying meds that we knew I didn’t respond to.
What's one piece of advice would you give a prospective patient of Sami Jabara at USC (closed)?
If you’re weary and tired, go see this man.
During treatment, were you treated like a number or a human with Sami Jabara at USC (closed)?
Dr. Jabara always made time for me and addressed my needs. Even if he couldn’t call back right away, someone from the office was always in touch within a few hours.
Describe the protocols Sami Jabara used in your cycles at USC (closed) and their degree of success.
We initially started with menopur injections and I would only get one follicle every time we tried. No matter what my dose was, menopur only gave me one follicle. He then switched me to follistim and I started at 225iu. Doseage gradually decreased over 9 days and I triggered with ovidrel on CD 11 with 5 mature follicles and IUI 36 hours later. BFP on 11 dpiui!
Describe your experience with your nurse at USC (closed). (Assigned nurse: I can’t remember her name!)
She was my main contact. I had her direct phone and email. She was a total support system for me and if I couldn’t speak directly to Dr. Jabara, she would always be sure to reach out and let me know if she was able to speak to him for me. I never waited longer than 2-3 hours for a response!
Describe your experience with USC (closed).
I love that they had my estradiol levels ready before leaving each follicle scan so we knew exactly what the next step was in the protocol before leaving. I didn’t like that they did not do IUIs on Sundays.
Describe the costs associated with your care under Sami Jabara at USC (closed).
Thankfully, I had 50% coverage so I was able to save a lot on medication and care.
He [Dr. Sami Jabara] was quirky and direct with a good sense of humor. He gave the sense of trying to feed his patients good/positive energy. My main issues w my experience w him was that he split his time between usc and kaiser and seemed overworked and that it was a difficult pace to maintain...He seemed very attentive to me when we interacted....Go with the flow with his sense of humor...Poor communication between lab/nurse/doctor.
Poor communication [at USC Fertility] between lab/nurse/doctor. Still were using paper systems which led to errors in my care...Was told incorrect number of embryos after first frozen embryo transfer and then given incorrect info one more time after that!!...[Nurse] Darlene was cold and gave me incorrect information about the number of embryos I had left. I really disliked the way she talked to me and she never apologized... I was seen within 20 minutes of my time
How was your experience with Sami Jabara at USC (closed)?
He was quirky and direct with a good sense of humor. He gave the sense of trying to feed his patients good/positive energy. My main issues w my experience w him was that he split his time between usc and kaiser and seemed overworked and that it was a difficult pace to maintain. I also got really frustrated by his nurse when I came back for an attempt at a second child. It was a new nurse and she was cold and gave me incorrect information about how many embryos I had left, which ultimately led to my trying a new clinic.
What's one piece of advice would you give a prospective patient of Sami Jabara at USC (closed)?
Go with the flow with his sense of humor.
During treatment, were you treated like a number or a human with Sami Jabara at USC (closed)?
He seemed very attentive to me when we interacted. However I felt the clinic was not as good as the specific doctor
Describe the protocols Sami Jabara used in your cycles at USC (closed) and their degree of success.
I was on bcps for suppression pre-cycle then gonal-f, menopur and ganirelix. I responded super well and got lots of eggs. No major adjustments were necessary!
Describe your experience with your nurse at USC (closed). (Assigned nurse: Lauren Garbutt and Darlene Estrada)
Lauren was great but the. She moved to Portland. Darlene was cold and gave me incorrect information about the number of embryos I had left. I really disliked the way she talked to me and she never apologized.
Describe your experience with USC (closed).
Poor communication between lab/nurse/doctor. Still were using paper systems which led to errors in my care
Describe your experience with your monitoring appointments at USC (closed).
It was usually fine and I was seen within 20 minutes of my time
Describe the costs associated with your care under Sami Jabara at USC (closed).
I paid out of pocket for an Ivf icsi cycle that included all monitoring but excluded pre treatment testing. It was around 10k. Plus then paid for meds separately. I had no insurance coverage at the time.
Describe Sami Jabara's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at USC (closed).
I transferred two day 3 embryos initially. When I came. Ack for frozen embryo transfers we strongly wanted eSet. He seemed to push for multiple but we said no and he didn't bring it up again.
What specific things went wrong at USC (closed)?
Lost paperwork
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at USC (closed).
Was told incorrect number of embryos after first frozen embryo transfer and then given incorrect info one more time after that!!
My doctor [Dr. Sami Jabara] always explained what to expect in my specific situation. For example he went over all the embryo grades/quality and pgs testing to help me determine which was the best chance in getting a positive outcome for my transfers. He helped guide me in this very complicated process. He has the best bedside demeanor that many other doctors just don’t. He calls timely and calls if he’s running late. He takes time to explain results and changes med routines for the best outcome.
RMA Los Angeles has a great lab. Other staff should smile more so you can feel a bit more comfortable. Dr. Jabara is a great communicator and has the best bedside manner. I went through 3 rounds of frozen transfers and all ended with pregnancies. Dr. Jabara knows what he’s doing and has extensive experience...He [Dr. Sami Jabara] has great bedside manner and would call me if he was running late instead of leaving this to his nurses.
How was your experience with Sami Jabara at Kaiser Permanente SoCal?
My doctor always explained what to expect in my specific situation. For example he went over all the embryo grades/quality and pgs testing to help me determine which was the best chance in getting a positive outcome for my transfers. He helped guide me in this very complicated process. He has the best bedside demeanor that many other doctors just don’t. He calls timely and calls if he’s running late. He takes time to explain results and changes med routines for the best outcome.
What's one piece of advice would you give a prospective patient of Sami Jabara at Kaiser Permanente SoCal?
Be ready to listen and follow his instructions because he has your best interest in mind.
During treatment, were you treated like a number or a human with Sami Jabara at Kaiser Permanente SoCal?
He has great bedside manner and would call me if he was running late instead of leaving this to his nurses.
Describe the protocols Sami Jabara used in your cycles at Kaiser Permanente SoCal and their degree of success.
I did 3 IUI’s first with clomid. Second with menopur injectable & 3rd with menopur but higher doses from what I can remember. That one was successful but I had a miscarriage. I had first IVF frozen transfer but miscarried. Second IVF transfer was a success with my baby. Third IVF frozen transfer I am currently pregnant.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Shelly, Kelly @ Quiana)
Shelly doesn’t work there anymore but always called and I appreciated that. Very communicative.
Describe your experience with Kaiser Permanente SoCal.
RMA Los Angeles has a great lab. Other staff should smile more so you can feel a bit more comfortable. Dr. Jabara is a great communicator and has the best bedside manner. I went through 3 rounds of frozen transfers and all ended with pregnancies. Dr. Jabara knows what he’s doing and has extensive experience.
Describe the costs associated with your care under Sami Jabara at Kaiser Permanente SoCal.
RMA total cost around 25k
Describe Sami Jabara's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
RMA does not allow multiple embryo transfer due to risks.
Dr Jabara has such a kind heart and is very compassionate, he cares for his patients genuinely and wants them to get the end result they are trying to achieve...I am so happy I met him and was lucky enough to have him as my doctor. He spoke to me with care, honesty, and knowledge...He always goes above and beyond to explain the process in detail until you understand and are comfortable with the information. I felt a feeling of trust with him and knew I didn't have to worry or second guess anything he advised me on my treatment. I saw him at Reproduction Fertility on Sunset not USC.
Jackie [nurse at Reproductive Fertility Center] was awesome. She was always on top of my treatment plan/appointments. My medications were always ordered and delivered on time. She was extremely positive, optimistic, and happy during the process which helps a lot because so many mixed emotions come with the treatment process...The clinic is awesome, the staff who works there was amazing. Every person I dealt with in associate with the clinic was great and easy to work with. I would suggest getting an email address especially if your appointments are early in the morning to have a method of communication in case you can't reach someone by phone.
How was your experience with Sami Jabara at Reproductive Fertility Center?
I am so happy I met him and was lucky enough to have him as my doctor. He spoke to me with care, honesty, and knowledge. He truly cares about his patients and is very compassionate, empathetic, and considerate. He always goes above and beyond to explain the process in detail until you understand and are comfortable with the information. I felt a feeling of trust with him and knew I didn't have to worry or second guess anything he advised me on my treatment. I saw him at Reproduction Fertility on Sunset not USC.
What's one piece of advice would you give a prospective patient of Sami Jabara at Reproductive Fertility Center?
Go see him ASAP!!
During treatment, were you treated like a number or a human with Sami Jabara at Reproductive Fertility Center?
Dr Jabara has such a kind heart and is very compassionate, he cares for his patients genuinely and wants them to get the end result they are trying to achieve.
Describe the protocols Sami Jabara used in your cycles at Reproductive Fertility Center and their degree of success.
I don't remember the exact medications and dosages by name but we did one treatment cycle.
Describe your experience with your nurse at Reproductive Fertility Center. (Assigned nurse: Jackie)
Jackie was awesome. She was always on top of my treatment plan/appointments. My medications were always ordered and delivered on time. She was extremely positive, optimistic, and happy during the process which helps a lot because so many mixed emotions come with the treatment process.
Describe your experience with Reproductive Fertility Center.
The clinic is awesome, the staff who works there was amazing. Every person I dealt with in associate with the clinic was great and easy to work with. I would suggest getting an email address especially if your appointments are early in the morning to have a method of communication in case you can't reach someone by phone.
From day one, he [Dr. Sami Jabara] carefully analyzed our data and gave us options. He educated us, kept us informed, and recommended proper dosage of medications. Most importantly, he listened to us: Our hopes, fear, and apprehension.... Dr Jabara always took the time to talk to me and address me by name. He was warm and encouraging.... He and his wonderful staff at Kaiser Sunset were professionals, knowledgeable and respected our privacy.
The nurses [at Kaiser Sunset] were all very nice and accommodating. They would schedule my ultrasounds early in the morning so that I would not have to miss a lot of work. The department also had procedures done on Saturdays.... He and his wonderful staff at Kaiser Sunset were professionals, knowledgeable and respected our privacy.
How was your experience with Sami Jabara at Kaiser Permanente SoCal?
Dr. Jabara has been with us throughout our journey of infertility from start to finish.
We started this adventure with him seven years ago. We came to him with a positive attitude, optimism, and hope to one day start our family.
From day one, he carefully analyzed our data and gave us options. He educated us, kept us informed, and recommended proper dosage of medications. Most importantly, he listened to us: Our hopes, fear, and apprehension.
He and his wonderful staff at Kaiser Sunset were professionals, knowledgeable and respected our privacy. We are highly confident in his level of expertise that we have recommended him to family and friends. In closing, we look forward to adding a photo of our son on his wall of babies.
What's one piece of advice would you give a prospective patient of Sami Jabara at Kaiser Permanente SoCal?
Be patient and don’t give up. Dr. Jabara will help you add a little bundle of joy to your family.
During treatment, were you treated like a number or a human with Sami Jabara at Kaiser Permanente SoCal?
Dr Jabara always took the time to talk to me and address me by name. He was warm and encouraging.
Describe the protocols Sami Jabara used in your cycles at Kaiser Permanente SoCal and their degree of success.
Menopur, gonal-f, ovidrel
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
They all recognized me and greeted me warmly.
Describe your experience with Kaiser Permanente SoCal.
I was treated at Kaiser Sunset. The nurses were all very nice and accommodating. They would schedule my ultrasounds early in the morning so that I would not have to miss a lot of work. The department also had procedures done on Saturdays.
Describe the costs associated with your care under Sami Jabara at Kaiser Permanente SoCal.
$15 copay for office visits. Medications less than $100 per cycle. $700 donor sperm per cycle.
Dr. Jabara, although no longer at USC Fertility, was wonderful. He is very direct, and doesn't sugarcoat much, but at the same time he is compassionate and very confident in the plan he lays out for your treatment. He explained everything in a way so that we felt comfortable with what the next steps and plans were going to be in order to conceive. You can tell he is passionate about his work, and while at time I could tell he was busy with lots of other patients or with teaching his residents, when it was time to meet with us, he gave us his full attention...
I have nothing but good things to say [about USC Fertility] ; the financial coordinator could have been a little quicker to respond via email to my questions, but she did get back to me within 3 business days usually...Come with all your questions written down on paper when you meet with him. We did this and he spent time going through each question, one by one with us...
How was your experience with Sami Jabara at USC (closed)?
Dr. Jabara, although no longer at USC Fertility, was wonderful. He is very direct, and doesn't sugarcoat much, but at the same time he is compassionate and very confident in the plan he lays out for your treatment. He explained everything in a way so that we felt comfortable with what the next steps and plans were going to be in order to conceive. You can tell he is passionate about his work, and while at time I could tell he was busy with lots of other patients or with teaching his residents, when it was time to meet with us, he gave us his full attention. We did 4 IUI's (4 negative pregnancy tests) with him at Kaiser, and one (successful) round of IVF with him at USC Fertility.
What's one piece of advice would you give a prospective patient of Sami Jabara at USC (closed)?
Come with all your questions written down on paper when you meet with him. We did this and he spent time going through each question, one by one with us.
Describe the protocols Sami Jabara used in your cycles at USC (closed) and their degree of success.
4 IUI's - 2 with clomid only, 2 with clomid and Menopur.
1 round of IVF (Gonal F, Menopur, Boost, Cetrotide)
Describe your experience with your nurse at USC (closed). (Assigned nurse: Darlene Chavez)
From what I know, Darlene Chavez is no longer with USC Fertility.
Describe your experience with USC (closed).
I have nothing but good things to say; the financial coordinator could have been a little quicker to respond via email to my questions, but she did get back to me within 3 business days usually.
Describe the costs associated with your care under Sami Jabara at USC (closed).
one IVF cycle, with medications, was just under $20,000 approximately.
He [Dr Jabara] is very sensitive and encouraging...Very thorough and knows his field...Make sure you come up with specific questions when visit[ing]....Darlene [nurse at USC Fertility] was very responsive and detail oriented. Always answered my questions and helped me through the process. Cynthia was also very helpful and supportive. They were part of my family during the process
Darlene [nurse at USC Fertility] was very responsive and detail oriented. Always answered my questions and helped me through the process. Cynthia was also very helpful and supportive. They were part of my family during the process
How was your experience with Sami Jabara at USC (closed)?
Very thorough and knows his field
What's one piece of advice would you give a prospective patient of Sami Jabara at USC (closed)?
Make sure you come up with specific questions when visit
During treatment, were you treated like a number or a human with Sami Jabara at USC (closed)?
He is very sensitive and encouraging
Describe the protocols Sami Jabara used in your cycles at USC (closed) and their degree of success.
12 eggs retrieved, 9 was matured to fertilized, 4 embryos and implanted with one survived for 6 weeks then miscarriage due to maternal chromosome adnormality
Describe your experience with your nurse at USC (closed). (Assigned nurse: rn lauren then rn Darlene Estrada)
Darlene was very responsive and detail oriented. Always answered my questions and helped me through the process. Cynthia was also very helpful and supportive. They were part of my family during the process
Describe the costs associated with your care under Sami Jabara at USC (closed).
Dr. Jabara is very thorough and kind. He made sure that we understood each step of the process fully and even wanted to make sure my husband (who was not allowed in to my appointments due to COVID19 restrictions) was fully informed...He even gave us his personal phone number to contact him after our miscarriage for follow up questions...
Kaiser referred IVF services out to RMA Southern California. I appreciated the lengths to which RMA SoCal took for COVID19 safety protocols and felt like a priority patient every visit. I also appreciated their ability to see me earlier in the morning to avoid traffic and accommodate my work schedule...
How was your experience with Sami Jabara at Kaiser Permanente SoCal?
Dr. Jabara is very thorough and kind. He made sure that we understood each step of the process fully and even wanted to make sure my husband (who was not allowed in to my appointments due to COVID19 restrictions) was fully informed. He answered our questions and made us very comfortable with each step of this oftentimes difficult process. He is a very busy man, however i always felt like i was a priority. He even gave us his personal phone number to contact him after our miscarriage for follow up questions.
What's one piece of advice would you give a prospective patient of Sami Jabara at Kaiser Permanente SoCal?
Dr. Jabara is very direct and does not sugar coat diagnoses/news/next steps. I appreciated this greatly as it helped me to understand what was our most important focus. Come prepared with questions and he will answer right away. Otherwise, questions will be communicated with the nurse who will then pass information along. The answers were always timely.
During treatment, were you treated like a number or a human with Sami Jabara at Kaiser Permanente SoCal?
Dr. Jabara was kind and treated me like family. He was just as upset as my husband and I when our first transfer failed and again when we learned of our miscarriage. He even offered to continue to support us as we moved across the country in the midst of our miscarriage to make sure we got the answers we were looking for and to assist in recommending care in our new state. We both felt that Dr Jabara truly cared for us and not just the success of our IVF cycles/pregnancy.
Describe the protocols Sami Jabara used in your cycles at Kaiser Permanente SoCal and their degree of success.
My retrieval cycle included a mixture of injectable Menopur (150 mg) and Gonal F (225mg), Clomid pills (100 mg), baby aspirin (81mg), injectable Cetrotide, and Novarel 10K IU Trigger shot. This led to a retrieval of 10 eggs, 8 of which were fertilized, and 5 made it to 5-day blastocysts. 4 embryos tested PGS normal.
My transfer cycles included IM progesterone in oil, Endometrin vaginal suppositories, oral estradiol pills and a estrogen patch (which we soon discontinued as the patch did not work with my skin). Our first transfer was unsuccessful at Beta (negative pregnancy test). Our second transfer about 6 weeks later used the same protocol, without the estrogen patches. We were successful with this round, however unfortunately experienced a missed miscarriage at 8 weeks.
Describe your experience with Kaiser Permanente SoCal.
Kaiser referred IVF services out to RMA Southern California. I appreciated the lengths to which RMA SoCal took for COVID19 safety protocols and felt like a priority patient every visit. I also appreciated their ability to see me earlier in the morning to avoid traffic and accommodate my work schedule.