Describe your experience with Fertility Center of Southern California.
The consultation, where Dr. Hatch and staff, initially explained the reproductive medical assistance was excellent. She spent over an hour going over everything with us. It was like drinking from a fire hose. I did like Dr. Hatch's personality when there were no issues, she was very cheery and has a contagious laugh. Their weaknesses are basically everything else, scheduling, "medical" treatment, explaining the process in a clear and decisive way, billing, empathy.
During treatment, were you treated like a number or a human with Ilene Hatch at Fertility Center of Southern California?
It's common practice to wait at least 45 minutes, often longer, to be seen by Dr. Hatch's PA. The PA usually had to ask where I was in my cycle and/or it would be totally unclear what I was supposed to do at some of the appointments, e.g. just blood work or blood work / ultrasound. I received two, that I recall from memory, incorrect bills that were hundreds of dollars more than they should have been. The final blow, after being told repeatedly by Dr. Hatch that we had an 80% chance of pregnancy- which I knew was inaccurate but desperately wanted to believe, was to receive the negative pregnancy call from a PA with no follow up call from Dr. Hatch. She did call after I sent a letter stating "do not contact me again" with our final payment. Our final payment accompanied an inaccurate bill, erroneously stating we owed $610 more than we actually did. This office is a disaster. I've contemplating reporting them to the medical board but I don't want any further contact...I just want to put this behind us.
Describe your experience with the nursing staff.
I saw Andrea, Dr. Hatch's PA, frequently and she seemed more compassionate about the process than Dr. Hatch. The Phlebotomists were also pretty friendly and would answer questions I had after a confusing appointment. A few times I found myself standing in the hall after being hurried out of an exam room not sure if the appointment was over an the Phlembotomist would go confirm it was. I think the work load at this office is unmanageable, so any short comings of the staff I would attribute to Dr. Hatch's poor management of time.
What specific things went wrong at Fertility Center of Southern California?
- Failed to call in prescriptions to pharmacy
- Lost paperwork
- Lost appointments
- Failed to call with results
- Failed to order appropriate test
- Failed to inform you of changes in protocol
- Lost results
- Provided conflicting information
- Failed to convey critical information
- Failed to consider drug intolerance
- Scheduled the wrong procedure
How was your experience with Ilene Hatch at Fertility Center of Southern California?
Initially Dr. Hatch seemed wonderful, she claimed we had an 80% chance of pregnancy with IVF which we desperately wanted believe even though everything I read said a woman my age, 38, was in the less than 20% range. Our close friends went to Dr. Hatch and successfully conceived both of their children so we believed in her. However my friend and I have very different circumstance. I have Endometriosis, and have had surgery for that, and have also had two ectopic pregnancies which thankfully were both treatable with methotrexate. As our treatments progressed it was undeniable we were just a number in that office, the long waits, the confussion on where we were in the process, the missing appointments on the books. But we kept going because the natural desire to reproduce convinced my husband and me we were doing the right thing. Their appointment schedule is booked so full I had to plan for at least an hour wait for every appointment, one time I actually waited over three hours. I watched an entire movie in the waiting room. I left their office crying a few times because all of the hormones induced ongoing, almost daily, ocular migraines which they had no answer for. When I'd bring them up Dr. Hatch would tell me that migraines aren't normal and I need to see a neurologist. I could go on, and on but I think you get the point. We were informed on 11/10/18 that our transfer failed (via Andrea, Dr. Hatch's PA) and it's now 01/10/19 and I'm still getting terrible migraines several times a week. I have no idea when my body is going to go back to normal because if your transfer fails they really don't care what happens to you...they just want you to come back on day two so they can pitch you to do another round of IVF and to drop another $20k+. This is a racket. It's SO unethical in my opinion to even imply this is a medical facility.
What's one piece of advice would you give a prospective patient of Ilene Hatch at Fertility Center of Southern California?
If you are really determined to do IVF....go somewhere else. If you're a female, over 35, with Endometriosis and a history of ectopic pregnancy read about your the scientific percentage of success.
Describe the protocols Ilene Hatch used in your cycles at Fertility Center of Southern California and their degree of success.
There were numerous Ultrasound / Bloodwork appointments before, during, and after STIM. I didn't keep completely accurate records of those so I haven't listed them.
STIM Day 1-5:1 baby asprin, Follistim 225 units, 3 Meopur 75IU w/ 1mL Saline
STIM Day 6-8:1 baby asprin, Follistim 75 units, 5 Meopur 75IU w/ 1mL Saline, 1 Ganirelix 250MCG 250/0.5
STIM Day 9 - 11: AM Follistim 75 units, 1 baby asprin, PM Follistim 75 units, 5 Meopur 75IU w/ 1mL Saline, 1 Ganirelix 250MCG 250/0.5
STIM Day 12: AM Follistim 75 units, 1 baby asprin, PM Follistim 75 units, 5 Meopur 75IU w/ 1mL Saline, 1 Ganirelix 250MCG 250/0.5, AT 11 PM DRX HCG Pregnyl 10,000 DRX Inj
STIM Day 14: Retrival
Hysteroscopy performed by Dr. Hatch, out patient on Friday. Back to work Monday, no problem.
Cycle Day 2 - :Estradiol 3 pills TWICE daily, Vivelle Dot 0.1mg patches. Wear TWO patches at all times and change every other day., Doxycycline 1 pill TWICE daily for one week only - Both you and your husband, Dexamethasone 1 pill daily at bedtime, Baby aspirin 1 pill daily
Cycle Day 14: INCREASE Estradiol to 3 pills THREE TIMES daily, Continue Vivelle-Dot, Dexamethasone, and Baby Aspirin
Cycle Day 19: Start Progesterone in oil 1 cc IM TWICE daily, DECREASE Estradiol 3 pills TWICE daily, Continue Vivelle-Dot and Baby aspirin
Cycle Day 22: Start Medrol 2 pills twice daily for 4 days only, Start Doxycyline 1 pill twice daily for 4 days only, Start Heparin 5000 units TWICE daily
Cycle Day 23: Transfer...continue same meds with strict bed rest for four days, and two days of "house" arrest
Cycle day 32 - Pregnancy Test which was negative
Describe the costs associated with your care under Ilene Hatch at Fertility Center of Southern California.
In total Dr. Hatch was paid $8,900 including a cash payment of $6,500 and an additional $2,400 from my insurance. This does not include blood work, genetic testing, or anything other than office time.
Describe Ilene Hatch's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Fertility Center of Southern California.
We only had one embryo.