Ratings of 1 indicate that a clinic was poorly operated.
Ratings of 10 indicate that a clinic operated very well.
Scheduling
7.6
7.6
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
8.4
8.4
Billing Department
Ratings of 1 indicate an unsatisfactory billing department.
Ratings of 10 indicate an excellent billing department.
Nursing Team
8.5
8.5
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
7.5
7.5
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.
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.
[Dr. Snunit Ben-Ozer] herself is ok, however she never seemed to check my file prior to my appointments and was constantly getting my history wrong. My husband and I weren't treated with a customized fertility plan. We got the same cookie cutter steps everyone else gets... When we did our IUI with Dr. Ben-Ozer there was no discussion of a treatment plan and had zero opportunity to speak with her. In fact she wasn't even the person who performed the procedure a Nurse Practioner was, who I had never met.
staff of nurses [at Kaiser Permanente SoCal] were incredibly rude and didn't care about the patient. They all had terrible bed side manner. Anytime my husband and I had questions we were answered as if we were bothering them or with the tone of our questions being dumb...I would get labs back and no explanation of the results...The clinics communication with myself and outside facilities was terrible. Wether it be them calling in a new prescription, explaining to me what/why the next procedure was happening, or transferring medical records was a nightmare. The communication was the worst I've ever had to deal with from a doctor's office.
How was your experience with Snunit Ben-Ozer at Kaiser Permanente SoCal?
Her staff of nurses were incredibly rude and didn't care about the patient. They all had terrible bed side manner. Anytime my husband and I had questions we were answered as if we were bothering them or with the tone of our questions being dumb. This was particularly an issue with Jennifer Sempre, Dr. Ben-Ozer's head case manager for her office. I would get labs back and no explanation of the results. Dr. Ben-Ozer herself is ok, however she never seemed to check my file prior to my appointments and was constantly getting my history wrong. My husband and I weren't treated with a customized fertility plan. We got the same cookie cutter steps everyone else gets and as we all know no two bodies are the same. Unfortunately if you don't fit the Kaiser mold they throw you to the wayside and don't care. When we did our IUI with Dr. Ben-Ozer there was no discussion of a treatment plan and had zero opportunity to speak with her. In fact she wasn't even the person who performed the procedure a Nurse Practioner was, who I had never met. The overall experience with her office was literally traumatizing. They made a stressful delicate situation even worse. I would never recommend going to Dr. Ben-Ozer or any doctor at Kaiser for infertility.
What's one piece of advice would you give a prospective patient of Snunit Ben-Ozer at Kaiser Permanente SoCal?
Don't waste your, time, money, or energy!!!! Do your research first and find another facility!
During treatment, were you treated like a number or a human with Snunit Ben-Ozer at Kaiser Permanente SoCal?
Her staff of nurses were incredibly rude and didn't care about the patient. They all had terrible bed side manner. Anytime my husband and I had questions we were answered as if we were bothering them or with the tone of our questions being dumb. This was particularly an issue with Jennifer Sempre, Dr. Ben-Ozer's head case manager for her office. I would get labs back and no explanation of the results. Dr. Ben-Ozer herself is ok, however she never seemed to check my file prior to my appointments and was constantly getting my history wrong. My husband and I weren't treated with a customized fertility plan. We got the same cookie cutter steps everyone else gets and as we all know no two bodies are the same. Unfortunately if you don't fit the Kaiser mold they throw you to the wayside and don't care. When we did our IUI with Dr. Ben-Ozer there was no discussion of a treatment plan and had zero opportunity to speak with her. In fact she wasn't even the person who performed the procedure a Nurse Practioner was, who I had never met. The overall experience with her office was literally traumatizing. They made a stressful delicate situation even worse. I would never recommend going to Dr. Ben-Ozer or any doctor at Kaiser for infertility.
Describe the protocols Snunit Ben-Ozer used in your cycles at Kaiser Permanente SoCal and their degree of success.
I had a bubble test done to see if my tubes we're blocked and they were. I was scheduled for a polyp removal in my uterus but did not t end up having the procedure because the medication dissolved it. Then had an IUI (natural cycle) and was unsuccessful.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Jennifer Sempre)
Her staff of nurses were incredibly rude and didn't care about the patient. They all had terrible bed side manner. Anytime my husband and I had questions we were answered as if we were bothering them or with the tone of our questions being dumb. This was particularly an issue with Jennifer Sempre, Dr. Ben-Ozer's head case manager for her office. I would get labs back and no explanation of the results. Dr. Ben-Ozer herself is ok, however she never seemed to check my file prior to my appointments and was constantly getting my history wrong. My husband and I weren't treated with a customized fertility plan. We got the same cookie cutter steps everyone else gets and as we all know no two bodies are the same. Unfortunately if you don't fit the Kaiser mold they throw you to the wayside and don't care. When we did our IUI with Dr. Ben-Ozer there was no discussion of a treatment plan and had zero opportunity to speak with her. In fact she wasn't even the person who performed the procedure a Nurse Practioner was, who I had never met. The overall experience with her office was literally traumatizing. They made a stressful delicate situation even worse. I would never recommend going to Dr. Ben-Ozer or any doctor at Kaiser for infertility.
Describe your experience with Kaiser Permanente SoCal.
Strengths: covered by my insurance 50%.
Weaknesses: too many to name (see review below).
Her staff of nurses were incredibly rude and didn't care about the patient. They all had terrible bed side manner. Anytime my husband and I had questions we were answered as if we were bothering them or with the tone of our questions being dumb. This was particularly an issue with Jennifer Sempre, Dr. Ben-Ozer's head case manager for her office. I would get labs back and no explanation of the results. Dr. Ben-Ozer herself is ok, however she never seemed to check my file prior to my appointments and was constantly getting my history wrong. My husband and I weren't treated with a customized fertility plan. We got the same cookie cutter steps everyone else gets and as we all know no two bodies are the same. Unfortunately if you don't fit the Kaiser mold they throw you to the wayside and don't care. When we did our IUI with Dr. Ben-Ozer there was no discussion of a treatment plan and had zero opportunity to speak with her. In fact she wasn't even the person who performed the procedure a Nurse Practioner was, who I had never met. The overall experience with her office was literally traumatizing. They made a stressful delicate situation even worse. I would never recommend going to Dr. Ben-Ozer or any doctor at Kaiser for infertility.
Describe the costs associated with your care under Snunit Ben-Ozer at Kaiser Permanente SoCal.
Since it was a Kaiser facility our insurance planned covered 50% of the treatments.
Describe Snunit Ben-Ozer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
N/A
What specific things went wrong at Kaiser Permanente SoCal?
Failed to call in prescriptions to pharmacy
Failed to call with results
Failed to order appropriate test
Failed to send your chart to another clinic
Failed to inform you of changes in protocol
Failed to convey critical information
Describe the specific things that went wrong at Kaiser Permanente SoCal.
The clinics communication with myself and outside facilities was terrible. Wether it be them calling in a new prescription, explaining to me what/why the next procedure was happening, or transferring medical records was a nightmare. The communication was the worst I've ever had to deal with from a doctor's office.
Dr. Goldstein is an RE that whispers the word “intercourse.” She made me feel like IUI would solve all or problems.... I did three of my six unmedicated, and then heard from Dr. Goldstein that if she had realized it was my third that she would have recommended medication.... She never knew what was happening or who I was when I came in the clinic if I was not assigned to see her that day.... The dosage of clomid did nothing for me but thin my lining.
You are just a number. No one knows or remembers you. They [Kaiser Permanente SoCal] don’t know where you are at in your infertility journey, and they don’t seem to care. They don’t respect your time and even try to cancel appointments day of. You will almost never speak to the same person twice. Every appointment feels like you are starting over and having to explain yourself again and again.... They never passed on any of my concerns to the doctor in charge of my care.
How was your experience with Ellen Goldstein at Kaiser Permanente SoCal?
Dr. Goldstein is an RE that whispers the word “intercourse.” She made me feel like IUI would solve all or problems. But she also didn’t pay attention to where we were at in our allotment of partially covered IUIs. I feel like I wasted time and wasn’t given all the information I needed to make wise decisions. I almost never saw her directly or got to speak with her directly until I refused to speak to anyone but her. She was kind at that point and called me saying she didn’t realize that I felt communication was lacking. And after that cycle failed, I never heard from her again. Despite having one more IUI I could try. I will skip that because I would do anything not to go back. I know she has her own clinic outside of what my insurance covers, but I would never choose her as a physician.
What's one piece of advice would you give a prospective patient of Ellen Goldstein at Kaiser Permanente SoCal?
First, ask for someone else.
Second, if you must see her, make sure she communicates all the details. That she explains medications, side effects, what you can expect. Find out how involved she will be and request that you see her. Be your own advocate.
During treatment, were you treated like a number or a human with Ellen Goldstein at Kaiser Permanente SoCal?
The kaiser facility makes every patient just a number. You are constantly being shuffled between doctors and there is almost no communication with the doctor in charge of your care.
Describe the protocols Ellen Goldstein used in your cycles at Kaiser Permanente SoCal and their degree of success.
I don’t think there was a strategy. I think I was always an after thought.
They allowed me to start off with unmedicated cycles, but didn’t pay attention to how many had been done that way. I did three of my six unmedicated, and then heard from Dr. Goldstein that if she had realized it was my third that she would have recommended medication. So, I feel like that one was a waste. She never knew what was happening or who I was when I came in the clinic if I was not assigned to see her that day.
The dosage of clomid did nothing for me but thin my lining. I was then moved to menopur injections which also didn’t seem to have much of an effect. I never knew what was to be expected. How many visits I might have, etc.
I truly felt there was no protocol for me specifically.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
I never saw the same nurse twice. For the most part they were just neutral. In and out and done. I did have one specific nurse at my very first appointment tell me that I just shouldn’t stress and I would probably get pregnant. This was after handing me a packet that had things you could ask family to do for you which included letting them know that telling you not to stress was not helpful.
Describe your experience with Kaiser Permanente SoCal.
You are just a number. No one knows or remembers you. They don’t know where you are at in your infertility journey, and they don’t seem to care. They don’t respect your time and even try to cancel appointments day of. You will almost never speak to the same person twice. Every appointment feels like you are starting over and having to explain yourself again and again.
Describe the costs associated with your care under Ellen Goldstein at Kaiser Permanente SoCal.
My insurance covered 50% of my care. Every visit just to the office was about $150. The last IUI with injectables cost about $3,000 all together.
Describe Ellen Goldstein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
No IVF with her.
What specific things went wrong at Kaiser Permanente SoCal?
Lost appointments
Failed to call with results
Failed to inform you of changes in protocol
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Kaiser Permanente SoCal.
This clinic is Kaiser at Sunset. They canceled appointments, did not answer phones, did not communicate effectively. They never passed on any of my concerns to the doctor in charge of my care.
Dr. Ben Over always came in with a positive outlook. She is kind and reassuring which puts you at ease. You don't feel that she is rushing through your questions to get to the next person.... Dr. Ben Over always came in with a positive outlook. She has candidly said that if a certain medication didn't work there were others to try and we might to increase the dosage on some. Since we are nearing the end of our cycles and still have not gotten pregnant we have to be realistic about the future of our treatment.
The facility is Kaiser and they've been pretty good about me calling in and responding to my questions. I like that you can call the fertility center and speak to the nurses and also email them. Their turnaround for responding is fast.... They have several doctors. At one point, they put me with someone else, and I requested to be put back with my doctor since she knew what was going on. I have gone to other doctors for follicle checks and IUIs and they've all been just as kind.
How was your experience with Snunit Ben-Ozer at Kaiser Permanente SoCal?
Dr. Ben Over always came in with a positive outlook. She has candidly said that if a certain medication didn't work there were others to try and we might to increase the dosage on some. Since we are nearing the end of our cycles and still have not gotten pregnant we have to be realistic about the future of our treatment. She is kind and reasurring but I do have to be the one that asks what is next. I don't like to think that I'm being negative but I am more realistic about the situation. We are on our 3rd IUI and she did state that if this one didn't work we need to sit down for a consult and start discussing IVF which she said was "very expensive" which we already know.
What's one piece of advice would you give a prospective patient of Snunit Ben-Ozer at Kaiser Permanente SoCal?
Ask questions, do your research! If there is something going on with your body ask what you can do to facilitate the process.
During treatment, were you treated like a number or a human with Snunit Ben-Ozer at Kaiser Permanente SoCal?
Dr. Ben Over always came in with a positive outlook. She is kind and reassuring which puts you at ease. You don't feel that she is rushing through your questions to get to the next person.
Describe the protocols Snunit Ben-Ozer used in your cycles at Kaiser Permanente SoCal and their degree of success.
Initially, we started with Clomid to see if that would help us get pregnant, which it didn't. We moved on to Clomid with the trigger shot, but each scan would show only one follicle growing. We decided that on the next cycle we would increase Clomid, do the trigger shot, and start on menopur, with the hope that I would get 2-3 full size follicles. This last IUI I still only had 1 follicle, so we did talk about increasing menopur if this cycle was unsuccessful.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
I started my treatment at Kaiser, and most of the staff are friendly and informative. They definitely show compassion during this process. I say most, because I have encountered one who is not as warm as the others. She's not rude but definitely not inviting
Describe your experience with Kaiser Permanente SoCal.
The facility is Kaiser and they've been pretty good about me calling in and responding to my questions. I like that you can call the fertility center and speak to the nurses and also email them. Their turnaround for responding is fast. I haven't been to any other clinic, but here, you see so many women come.in and out. They have several doctors. At one point, they put me with someone else, and I requested to be put back with my doctor since she knew what was going on. I have gone to other doctors for follicle checks and IUIs and they've all been just as kind.
Describe the costs associated with your care under Snunit Ben-Ozer at Kaiser Permanente SoCal.
Luckily, my insurance has covered the IUIs. All I have had to pay are my co-pays for the visits and meds
Describe Snunit Ben-Ozer's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
N/A
What specific things went wrong at Kaiser Permanente SoCal?
Canceled a cycle due to clinic error
Describe the specific things that went wrong at Kaiser Permanente SoCal.
I was scheduled for a a follicle check and a representative from the hospital called to cancel me since the doctor called out. I told her not to cancel my appointment because I was already there. Once I checked in they said someone else would see me.
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.
Dr. Dhesi has been an incredible doctor through this process. I always feel comfortable with her and she explains everything to me and my husband very clearly. She doesn't rush and will discusses pro and cons with each procedure...She laid out all of the options and recommended first steps based on our situation. We were able to follow her recommendation (clomid and IUI) and were pregnant the first cycle. Unfortunately that pregnancy ended in a MMC. Later we got pregnant on our own and were monitored very closely by Dr. Dhesi. I was diagnosed with a SCH and later had another MMC. She doesn't hesitate to check anything that may be a potential contributing factor and I appreciate that. During our last loss, she suggested next steps and I am comfortable following her recommendations.
[Kaiser Permanente is] Very efficient. Most of the time they run on time and are clear with the process of the appointment. I appreciate that I can email to contact the nurse and ask questions. Occasionally, it can be difficult to get through by phone to talk with the appropriate person...Most of the nurses have been awesome. There have been a couple of nurses who were inconsiderate during difficult appointments.
How was your experience with Amy Dhesi at Kaiser Permanente SoCal?
Dr. Dhesi has been an incredible doctor through this process. I always feel comfortable with her and she explains everything to me and my husband very clearly. She doesn't rush and will discusses pro and cons with each procedure.
What's one piece of advice would you give a prospective patient of Amy Dhesi at Kaiser Permanente SoCal?
Don't be afraid to ask questions.
During treatment, were you treated like a number or a human with Amy Dhesi at Kaiser Permanente SoCal?
Dr. Dhesi has been a great doctor from the beginning. She has answered EVERY question we have and does not rush through our appointments. She has been very clear with our treatment and I definitely feel as though she cares about me as her patient.
Describe the protocols Amy Dhesi used in your cycles at Kaiser Permanente SoCal and their degree of success.
I would say Dr. Dhesi has a very proactive strategy. She laid out all of the options and recommended first steps based on our situation. We were able to follow her recommendation (clomid and IUI) and were pregnant the first cycle. Unfortunately that pregnancy ended in a MMC. Later we got pregnant on our own and were monitored very closely by Dr. Dhesi. I was diagnosed with a SCH and later had another MMC. She doesn't hesitate to check anything that may be a potential contributing factor and I appreciate that. During our last loss, she suggested next steps and I am comfortable following her recommendations.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
Most of the nurses have been awesome. There have been a couple of nurses who were inconsiderate during difficult appointments.
Describe your experience with Kaiser Permanente SoCal.
Very efficient. Most of the time they run on time and are clear with the process of the appointment. I appreciate that I can email to contact the nurse and ask questions.
Occasionally, it can be difficult to get through by phone to talk with the appropriate person.
Describe the costs associated with your care under Amy Dhesi at Kaiser Permanente SoCal.
EVERY UNSUCCESSFUL IUI SHE [Dr. Ellen Goldstein] WOULD ADD/CHANGE MEDICATION AND TEST STRATEGIES TO HELP GIVE IT THE BEST CHANCE POSSIBLE EACH TIME...I STARTED SEEING HER TO TRY FERTILITY TREATMENTS (IUI) USING CLOMID & INJECTABLES & TRIGGER SHOTS. WE TRIED 5 CYCLES, AND IT WAS UNSUCCESSFUL FOR ME AS WELL. SHE THOUGHT THAT I WOULD BE SUCCESSFUL WITH IVF, BUT THAT IS JUST TOO EXPENSIVE FOR MY WIFE AND I.
THEY [Kaiser Permanente SoCal] WERE ALL GREAT, KIND AND EXPLAIN WHAT WAS HAPPENING...DURING THE LAST CYCLE I DID, NEAR TO THE END OF THE CYCLE. THE LAB GAVE THE WRONG RESULTS FOR AN ESTRADIOL TEST AND THE DOCTORS THOUGHT I OVULATED ON MY OWN SO I HAD TO GO BACK QUICKLY FOR AN IUI, BUT THEY RETESTED AND I DIDN'T OVULATE YET SO THE IUI WAS UNSUCCESSFUL BECAUSE THE TEST RESULTS WERE WRONG.
How was your experience with Ellen Goldstein at Kaiser Permanente SoCal?
SHE WAS GREAT BUT HER PATIENT LOAD THAT KAISER PUT ON THE FERTILITY DEPARTMENT PREVENTED HER FROM TAKING EXTRA TIME DURING PROCEDURES OR EXAMS TO SPEND EXTRA TIME WITH HER PATIENTS. SHE TOOK EXTRA TIME TO ANSWER QUESTIONS DURING THE CONSULTATIONS AND TO GO OVER TEST RESULTS.
What's one piece of advice would you give a prospective patient of Ellen Goldstein at Kaiser Permanente SoCal?
SHE WILL DO HER BEST TO HELP YOU MEDICALLY TO HAVE A SUCCESSFUL PREGNANCY AS WELL AS BEING HONEST WITH YOU WHEN THERE IS NO CHANCE AS WITNESSED WITH MY WIFE'S INFERTILITY.
During treatment, were you treated like a number or a human with Ellen Goldstein at Kaiser Permanente SoCal?
SHE TOOK THE TIME TO GO OVER THE TEST RESULTS IN DETAIL. SHE WAS VERY THOROUGH AND WAS FRANK ABOUT MY WIFE & I FERTILITY TREATMENTS. FIRST MY AFRICAN AMERICAN WIFE WAS SEEING HER FOUND OUT THAT HER FIBROIDS PREVENTED HER FROM FURTHER TREATMENT. THEN I STARTED SEEING HER TO TRY FERTILITY TREATMENTS (IUI) USING CLOMID & INJECTABLES & TRIGGER SHOTS. WE TRIED 5 CYCLES, AND IT WAS UNSUCCESSFUL FOR ME AS WELL. SHE THOUGHT THAT I WOULD BE SUCCESSFUL WITH IVF, BUT THAT IS JUST TOO EXPENSIVE FOR MY WIFE AND I.
Describe the protocols Ellen Goldstein used in your cycles at Kaiser Permanente SoCal and their degree of success.
EVERY UNSUCCESSFUL IUI SHE WOULD ADD/CHANGE MEDICATION AND TEST STRATEGIES TO HELP GIVE IT THE BEST CHANCE POSSIBLE EACH TIME. WE WERE USING DONOR SPERM FROM THE CALIFORNIA CRYOBANK, SOMETIMES IT IS MORE SUCCESSFUL WITH IUI'S USING LIVE SPERM.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
THEY WERE ALL GREAT, KIND AND EXPLAIN WHAT WAS HAPPENING.
Describe your experience with Kaiser Permanente SoCal.
TOO MANY PATIENTS, LONG WAIT TIMES. APPOINTMENT TIMES WERE ALMOST ALWAYS NOT OBSERVED. YOU WOULD HAVE AN APPOINTMENT FOR 8AM AND NOT BE TAKEN IN TILL 830 AND NOT SEEN FOR ANOTHER 1/2 HR. ALSO THEY HAD SATURDAY HOURS BUT NOT SUNDAY. SO YOUR CYCLE NEEDED TO BE WORKED AROUND SUNDAY CLOSURE AND AVAIL APPOINTMENT TIMES.
Describe the costs associated with your care under Ellen Goldstein at Kaiser Permanente SoCal.
EACH CYCLE ENDED UP BEING ABOUT $1450.00. ~ 5 VISITS $40 COPAY, $250 FOR MEDS & $1000 FOR SPERM. SO FOR 5 CYCLES IT WAS APPROX $7250. NOT COUNTING THE TIME OFF WORK AND THE GAS DRIVING TO THE KAISER FACILITY ON SUNSET FOR EVERY APPOINTMENT.
Describe Ellen Goldstein's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
N/A
What specific things went wrong at Kaiser Permanente SoCal?
Provided conflicting information
Lost or damaged samples
Describe the specific things that went wrong at Kaiser Permanente SoCal.
DURING THE LAST CYCLE I DID, NEAR TO THE END OF THE CYCLE. THE LAB GAVE THE WRONG RESULTS FOR AN ESTRADIOL TEST AND THE DOCTORS THOUGHT I OVULATED ON MY OWN SO I HAD TO GO BACK QUICKLY FOR AN IUI, BUT THEY RETESTED AND I DIDN'T OVULATE YET SO THE IUI WAS UNSUCCESSFUL BECAUSE THE TEST RESULTS WERE WRONG.
Extremely caring and honest. Dr. Baker was and has been very upfront with us about the odds and the risks of what we are trying for. She has been kind and patient with us, especially given our lack of knowledge on the subject of infertility. She has treated us like people and has always taken care to make sure we felt like the most important people on her caseload.... My wife and I felt like she was genuinely pulling for us to get pregnant. She went out of her way to inform us and follow up with us, even after the most "basic" treatment or consultation. We could (and can) tell how genuine a person she is.
Kaiser is thorough, efficient, and flexible in their hours..... Like Dr. Baker, the nursing staff was incredible. I know that places like Kaiser have a bad reputation because of how large they are, but honestly, my wife and I never felt like we were being treated like numbers even by the nursing staff. We always felt cared for and we always felt like we were the most important people in the hospital.
How was your experience with Marsha Baker at Kaiser Permanente SoCal?
Extremely caring and honest. Dr. Baker was and has been very upfront with us about the odds and the risks of what we are trying for. She has been kind and patient with us, especially given our lack of knowledge on the subject of infertility. She has treated us like people and has always taken care to make sure we felt like the most important people on her caseload.
What's one piece of advice would you give a prospective patient of Marsha Baker at Kaiser Permanente SoCal?
Bring questions when you meet with her. She will answer them all, and will do so in a very honest manner.
During treatment, were you treated like a number or a human with Marsha Baker at Kaiser Permanente SoCal?
My wife and I felt like she was genuinely pulling for us to get pregnant. She went out of her way to inform us and follow up with us, even after the most "basic" treatment or consultation. We could (and can) tell how genuine a person she is.
Describe the protocols Marsha Baker used in your cycles at Kaiser Permanente SoCal and their degree of success.
I honestly don't remember the details. It's a difficult thing for me to have to go through - especially knowing the slim chances of it working - and anticipating the disappointment. I mostly listen and let my wife be the expert.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Can't remember her name, but she was equally caring, understanding, and patient.)
Like Dr. Baker, the nursing staff was incredible. I know that places like Kaiser have a bad reputation because of how large they are, but honestly, my wife and I never felt like we were being treated like numbers even by the nursing staff. We always felt cared for and we always felt like we were the most important people in the hospital.
Describe your experience with Kaiser Permanente SoCal.
Kaiser is thorough, efficient, and flexible in their hours.
Describe the costs associated with your care under Marsha Baker at Kaiser Permanente SoCal.
At first, before we took on double coverage, we were paying about $145 per visit, and over $800-1000 for medication. Once we added double coverage, our IUI treatments we basically fully covered.
Describe Marsha Baker's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
I completely back her approach (multiple). She understands my wife's situation and has recommended we be as aggressive as possible.
Dr Baker reviewed my many years of medical records, she adjusted my course of treatment each cycle and she did a saline ultrasound after my miscarriage which led to a procedure to remove something she found that I think helped me avoid another miscarriage.... 1. Clomid and a trigger shot (ovidrel). First cycle and I had Pcos and my husband tested mostly in the normal range - so the focus was on developing fully grown eggs and releasing them. Pregnancy then miscarriage at 6 weeks. 2. Clomid and no response and holidays prevented shots. No trigger because I didn't respond to the clomid. 3. Letrozole + menopur shots + ovidrel trigger. Because I didn't respond to clomid. Negative pregnancy test. 4. Letrozole + shots + trigger + IUI because timed intercourse was not successful. Negative pregnancy test. 5 and 6. Same as 4 but with adjustment to the shots 7. Similar protocol to 4 but adjusted shots and amounts. Live birth - single
It [USC] was very busy and almost always full. Especially on days for IUI. The waits could run very long and once my pregnancy blood test was not called in stat. ... They were very nice and Dr Baker's primary nurse remembered me and how we were doing. They were all so happy when we graduated. The nurse that called with certain test results once told me to increase my medication which was not what Dr Baker had said so I pushed back and the nurse went back to Dr Baker and then called me back to confirm the orignal plan.
How was your experience with Marsha Baker at Kaiser Permanente SoCal?
Dr Baker reviewed my many years of medical records, she adjusted my course of treatment each cycle and she did a saline ultrasound after my miscarriage which led to a procedure to remove something she found that I think helped me avoid another miscarriage.
What's one piece of advice would you give a prospective patient of Marsha Baker at Kaiser Permanente SoCal?
Take notes and be sure to be clear about your course of treatment so you can follow and ask all your questions.
During treatment, were you treated like a number or a human with Marsha Baker at Kaiser Permanente SoCal?
They knew who I was and remembered me.
Describe the protocols Marsha Baker used in your cycles at Kaiser Permanente SoCal and their degree of success.
1. Clomid and a trigger shot (ovidrel). First cycle and I had Pcos and my husband tested mostly in the normal range - so the focus was on developing fully grown eggs and releasing them. Pregnancy then miscarriage at 6 weeks.
2. Clomid and no response and holidays prevented shots. No trigger because I didn't respond to the clomid.
3. Letrozole + menopur shots + ovidrel trigger. Because I didn't respond to clomid. Negative pregnancy test.
4. Letrozole + shots + trigger + IUI because timed intercourse was not successful. Negative pregnancy test.
5 and 6. Same as 4 but with adjustment to the shots
7. Similar protocol to 4 but adjusted shots and amounts. Live birth - single
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
They were very nice and Dr Baker's primary nurse remembered me and how we were doing. They were all so happy when we graduated. The nurse that called with certain test results once told me to increase my medication which was not what Dr Baker had said so I pushed back and the nurse went back to Dr Baker and then called me back to confirm the orignal plan.
Describe your experience with Kaiser Permanente SoCal.
It was very busy and almost always full. Especially on days for IUI. The waits could run very long and once my pregnancy blood test was not called in stat.
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Describe the costs associated with your care under Marsha Baker at Kaiser Permanente SoCal.
The costs were covered by insurance except for a $10 co-pay each visit
What specific things went wrong at Kaiser Permanente SoCal?
She [Dr. Kashani] is very knowledgeable and always uses visualization sheets every time she explains things. She’s very kind, optimistic, and passionate in what she does. She’s always willing to explore all of our options which makes me and husband feel more at ease during this stressful time of our lives...She listened to all of my concerns and answered all my thoroughly
Strength [of Kaiser Permanente SoCal] : very helpful, informative, welcoming Weakness: they don’t answer right away, some of the RE shouldn’t even be in this profession There is only one infertility and reproductive in Orange County now and it is at the Garden Grove medical office...They [nurses] were very friendly and courteous towards me and my husband
How was your experience with Banafsheh Kashani at Kaiser Permanente SoCal?
Dr. Kashani is an amazing RE. She is very knowledgeable and always uses visualization sheets every time she explains things. She’s very kind, optimistic, and passionate in what she does. She’s always willing to explore all of our options which makes me and husband feel more at ease during this stressful time of our lives.
What's one piece of advice would you give a prospective patient of Banafsheh Kashani at Kaiser Permanente SoCal?
Just be upfront with her and she will listen to all your concerns and questions
During treatment, were you treated like a number or a human with Banafsheh Kashani at Kaiser Permanente SoCal?
She listened to all of my concerns and answered all my thoroughly
Describe the protocols Banafsheh Kashani used in your cycles at Kaiser Permanente SoCal and their degree of success.
She did a saline sonogram before she did any treatments on us. Once she saw that everything was clear, we were able to move forward with treatments. We did many ultrasound appointments before our IUI procedure. She prescribed a low dose of letrozole first and when she didn’t see any changes she increased the dosage.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
They were very friendly and courteous towards me and my husband
Describe your experience with Kaiser Permanente SoCal.
Strength: very helpful, informative, welcoming
Weakness: they don’t answer right away, some of the RE shouldn’t even be in this profession
There is only one infertility and reproductive in Orange County now and it is at the Garden Grove medical office
Describe the costs associated with your care under Banafsheh Kashani at Kaiser Permanente SoCal.
I have dual insurance at Kaiser so everything so all the services and medication were covered
Describe Banafsheh Kashani's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
[Dr. Ben-Ozer] was able to convey her message that time was running out, I'm 41, but was also encouraging and compassionate. She immediately expressed that it was courageous and scary to start this process but she was there to help. She was very kind. Every time I meet with her she gives me a hug. I have complete confidence in her assessments and direction that she would like me to go...I have to have polyps and fibroids removed in two separate procedures. Ben-Ozer has suggested that egg retrieval happen before since I have low ovarian reserve a one level suggests a quick decline of my egg health. She has made clear that egg retrieval is the priority since it may take a while to schedule the procedures.
The nursing staff [at Kaiser Permanente SoCal] are always nice and encouraging... is very efficient. Patient's do not spend a lot of time in the waiting room and there is a wall dedicated to encouraging notes to patients. Check in can be somewhat confusing if you use the self check in. It's easier to go to the window to check in because you will get directed to the correct room...I have to have polyps and fibroids removed in two separate procedures. Ben-Ozer has suggested that egg retrieval happen before since I have low ovarian reserve a one level suggests a quick decline of my egg health. She has made clear that egg retrieval is the priority since it may take a while to schedule the procedures.
How was your experience with Snunit Ben-Ozer at Kaiser Permanente SoCal?
Snunit Ben-Ozer was able to convey her message that time was running out, I'm 41, but was also encouraging and compassionate. She immediately expressed that it was courageous and scary to start this process but she was there to help. She was very kind. Every time I meet with her she gives me a hug. I have complete confidence in her assessments and direction that she would like me to go.
What's one piece of advice would you give a prospective patient of Snunit Ben-Ozer at Kaiser Permanente SoCal?
Be ready to hear the truth even if it hurts. She is there to help.
During treatment, were you treated like a number or a human with Snunit Ben-Ozer at Kaiser Permanente SoCal?
She was honest about the health of eggs at my age but was positive about finding out the issues and compassionate. She always gives me a hug when I leave her office.
Describe the protocols Snunit Ben-Ozer used in your cycles at Kaiser Permanente SoCal and their degree of success.
I have to have polyps and fibroids removed in two separate procedures. Ben-Ozer has suggested that egg retrieval happen before since I have low ovarian reserve a one level suggests a quick decline of my egg health. She has made clear that egg retrieval is the priority since it may take a while to schedule the procedures.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
The nursing staff are always nice and encouraging.
Describe your experience with Kaiser Permanente SoCal.
Kaiser's Reproductive Endocrinology and Infertility Department is very efficient. Patient's do not spend a lot of time in the waiting room and there is a wall dedicated to encouraging notes to patients. Check in can be somewhat confusing if you use the self check in. It's easier to go to the window to check in because you will get directed to the correct room.
Describe the costs associated with your care under Snunit Ben-Ozer at Kaiser Permanente SoCal.
Since I was going through my insurance and I had repeated pregnancy loss I only had to pay $90 for a full work up.
She [Dr. Ghahremani] made it seem that the IUI won’t really help me. She did offer to do a separate consultation with her and discuss the possibility of IVF. When I asked what is it that can be causing failed IUI treatments. She said that it was way too many things that could be causing my unexplained infertility...I didn’t think the treatment was personalized to me. they did standard tests, but maybe if they had a more personalized approach, the treatment could have helped.
Liz [nurse at Kaiser Permanente] is amazing. She always made each procedure feel natural. I always left hopeful...The strength of Kaiser: lots of things can be done in one place (lab, pharmacy, treatment) The weakness: too standardized of an approach and very Very limited flexibility in terms of appointments. I always had to take a lot of time off work. I wish they were open before 8am and closed later than 4pm. Those hours made it very difficult to get to the clinic. Also, they’re not open on Saturdays, which is not good since the woman’s cycle doesn’t abide by days of week. I felt that sometimes it would have been better (my cycle wise) for me to come in on a Saturday.
How was your experience with Mandana Ghahremani at Kaiser Permanente SoCal?
The doctor is very open and compassionate. However, I left feeling a bit defeated after each visit. She made it seem that the IUI won’t really help me. She did offer to do a separate consultation with her and discuss the possibility of IVF. When I asked what is it that can be causing failed IUI treatments. She said that it was way too many things that could be causing my unexplained infertility. I understand that they can’t say much and maybe it’s the way Kaiser handles things, but even though I felt like I was being treated well, I didn’t think the treatment was personalized to me. they did standard tests, but maybe if they had a more personalized approach, the treatment could have helped.
What's one piece of advice would you give a prospective patient of Mandana Ghahremani at Kaiser Permanente SoCal?
Keep asking questions.
During treatment, were you treated like a number or a human with Mandana Ghahremani at Kaiser Permanente SoCal?
The doctor was very open with me and took the time to discuss things with me.
Describe the protocols Mandana Ghahremani used in your cycles at Kaiser Permanente SoCal and their degree of success.
Everything seemed very standard.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Liz Vargas )
Liz is amazing. She always made each procedure feel natural. I always left hopeful.
Describe your experience with Kaiser Permanente SoCal.
The strength of Kaiser: lots of things can be done in one place (lab, pharmacy, treatment)
The weakness: too standardized of an approach and very Very limited flexibility in terms of appointments. I always had to take a lot of time off work. I wish they were open before 8am and closed later than 4pm. Those hours made it very difficult to get to the clinic. Also, they’re not open on Saturdays, which is not good since the woman’s cycle doesn’t abide by days of week. I felt that sometimes it would have been better (my cycle wise) for me to come in on a Saturday.
What specific things went wrong at Kaiser Permanente SoCal?
Dr Ketefian however always seemed to take her time and did not seem rushed. She never looked at the clock and was genuinely interested in answering all my questions.... Her strengths include her ability to answer your questions thoroughly and patience with making sure your questions are answered. A drawback is that she won’t email you directly but answers through her nursing staff.... Come with questions because she will make sure you leave her appointment with a good understanding of your situation.
the clinic’s [Kaiser] strength is their ability to get you an appointment on time so that you don’t miss important cycle days. They respond really quickly with regards to emails. Their weaknesses include getting different providers every time you go in. At times, nurses appear unaware of who is taking which patient.... I wish they can be more personable and remember your name. Every clinic visit resulted in a new nurse assignment.
How was your experience with Aline Ketefian at Kaiser Permanente SoCal?
Her strengths include her ability to answer your questions thoroughly and patience with making sure your questions are answered. A drawback is that she won’t email you directly but answers through her nursing staff.
What's one piece of advice would you give a prospective patient of Aline Ketefian at Kaiser Permanente SoCal?
Come with questions because she will make sure you leave her appointment with a good understanding of your situation.
During treatment, were you treated like a number or a human with Aline Ketefian at Kaiser Permanente SoCal?
Doctors took time to answer my questions but other staff seemed cold and not as friendly. Dr Ketefian however always seemed to take her time and did not seem rushed. She never looked at the clock and was genuinely interested in answering all my questions.
Describe the protocols Aline Ketefian used in your cycles at Kaiser Permanente SoCal and their degree of success.
I am Not sure of treatment strategies. It seems to be on an individual basis. I nsinly Did IUIs in her clinic which resulted in negative pregnancies. However, an additional follow up consultation was made to restrategize a new treatment plan.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
I wish they can be more personable and remember your name. Every clinic visit resulted in a new nurse assignment.
Describe your experience with Kaiser Permanente SoCal.
the clinic’s strength is their ability to get you an appointment on time so that you don’t miss important cycle days. They respond really quickly with regards to emails. Their weaknesses include getting different providers every time you go in. At times, nurses appear unaware of who is taking which patient.
Describe the costs associated with your care under Aline Ketefian at Kaiser Permanente SoCal.
I have Dual coverage so i had A zero copay.
Describe Aline Ketefian's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
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.
She [Dr. Amy Dhesi] was very caring and concerned with our situation. I turned 44 during treatment, at which time KP no longer does fertility treatments, and she did everything she could to try to get us to have a successful outcome in the short time we had.... She also recommended several options outside of KP for us to turn to after we were released from her program.... Don't be afraid to ask questions, she's very receptive to answering any concerns you have and open about the process and possible outcomes.
All of the nurses and staff were amazing [at Kaiser Permanente-- Los Angeles]. Very friendly and open and caring.... She was very caring and concerned with our situation. I turned 44 during treatment, at which time KP no longer does fertility treatments, and she did everything she could to try to get us to have a successful outcome in the short time we had....
How was your experience with Amy Dhesi at Kaiser Permanente SoCal?
She tried very hard to help us have a successful outcome, and had we not 'aged out' of Kaiser's program, I have every confidence that we would have succeeded. She also recommended several options outside of KP for us to turn to after we were released from her program.
What's one piece of advice would you give a prospective patient of Amy Dhesi at Kaiser Permanente SoCal?
Don't be afraid to ask questions, she's very receptive to answering any concerns you have and open about the process and possible outcomes.
During treatment, were you treated like a number or a human with Amy Dhesi at Kaiser Permanente SoCal?
She was very caring and concerned with our situation. I turned 44 during treatment, at which time KP no longer does fertility treatments, and she did everything she could to try to get us to have a successful outcome in the short time we had.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Salpi)
All of the nurses and staff were amazing. Very friendly and open and caring.
Describe the costs associated with your care under Amy Dhesi at Kaiser Permanente SoCal.
I only had to pay for co-pays for office visits and prescriptions. Both were very reasonable rates.
[Dr. Dhesi] prescribed the tests she knew I would need and a few more because my situation is so complex...I was concerned about one of the tests and she offered an alternative test to ease my nerves...we found out that I need surgery. She referred me to a surgeon that is so amazing...She will tailor a plan that is very specific to you and your body
The nursing staff [at Kaiser Permanente SoCal] is kind and welcoming. They give me calls right after I talk with Dr. Dhesi to review what happened during the appointment and next steps...they have a chart that explains what your costs will be based on your insurance...Every time I have called they have picked up right away and help me..clinic is in a great location and is easy to find
How was your experience with Amy Dhesi at Kaiser Permanente SoCal?
Dr. Dhesi is extremely kind and she wants her patients to be successful. I have never felt rushed or like I’m just another person in the waiting room. She sits with you and asks you a ton of questions because she wants to really understand who you are and why this is all important to you. She prescribed the tests she knew I would need and a few more because my situation is so complex and she really wanted answers for me. I told her I was concerned about one of the tests and she offered an alternative test to ease my nerves. Because of her we found out that I need surgery. She referred me to a surgeon that is so amazing and because of her I am not nervous about my first surgery at all. She then called me to talk about what my IVF process will look like when the surgery is over and we had a total consultation over the phone! I really tried to think about a negative and so far I can’t. It’s unreal to have found this office but I’m so glad I did. I never thought we would be able to have a baby. Now, my next few months are planned out with the process of having a baby and it’s so weird! Navigating IVF, surgeries, testing, understanding test results, can all be so overwhelming. Dr. Dhesi has made it so smooth and I’m just so grateful.
What's one piece of advice would you give a prospective patient of Amy Dhesi at Kaiser Permanente SoCal?
My advice would be to be very open and honest with her. She will tailor a plan that is very specific to you and your body so she has to know the truth when she speaks with you. I never felt judged by her so I believe it really is a safe place.
During treatment, were you treated like a number or a human with Amy Dhesi at Kaiser Permanente SoCal?
I was so hesitant to go see Dr. Dhesi because I have been let down so many times before and I honestly couldn’t handle another doctor that didn’t care about me at all. I knew that if I had to pay $200 just to go see her and I left feeling unheard I would be devastated. I ended up going because I knew I had to figure things out soon if we wanted to get our journey started. I walked out feeling so elated that I just cried. I had answers, she was kind and caring, and she made a plan for me.
Describe the protocols Amy Dhesi used in your cycles at Kaiser Permanente SoCal and their degree of success.
I haven’t started my IVF process yet but I have had a lot of testing done because we did not know my situation. Dr. Dhesi first had me do routine bloodwork to check my health out and she also tested my egg quality and hormones with this bloodwork. I did an ultrasound to see what was going on and I also did an HSG test because the ultrasound showed blockage. I emailed her because I was terrified of the HSG test and she offered me an alternative test, but I ultimately ended up doing the HSG test. After all of my results came back she called me and explained everything. We did this over the phone because Kaiser is not open during COVID unless it is vital that you come in. We decided that surgery is my next step and she had me talk with my new surgeon who I absolutely love.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
The nursing staff is kind and welcoming. They give me calls right after I talk with Dr. Dhesi to review what happened during the appointment and next steps.
Describe your experience with Kaiser Permanente SoCal.
The clinic is in a great location and is easy to find. Everything is very clean and well taken care of. The office staff is so warm and welcoming that on my first day there we ended up in a whole conversation which was lovely and comforting. Every time I have called they have picked up right away and help me.
Describe the costs associated with your care under Amy Dhesi at Kaiser Permanente SoCal.
The first appointment was $200 and my blood tests were $50 which I went and did right after my appointment. My next fee was the HSG which was $175 and we will soon be paying $200 for the semen analysis. HOWEVER, they have a chart that explains what your costs will be based on your insurance. There was never a pressure when it came to finances and everything was laid out for me on that chart. I was able to see what my future costs would be so I could prepare for them. I was also never asked to buy anything or pay for anything that wasn’t on that pricing chart.
She was so kind, thorough, and patient from the very beginning and throughout my subsequent visits. As I was scheduled to do my first IUI, elective procedures were put on hold due to COVID. Dr. Ketefian took the time to walk us through the clinic’s procedures for the next couple of months checking in by phone and email...
The staff was incredibly organized from the receptionist on up. They also took many precautions to keep patients and staff safe. After two failed IUI rounds, my husband and I didn’t know if we should continue...Although most couples typically decide on a 3rd or 4th IUI round, we decided to pursue IVF. Kaiser offers this service through the HRC Fertility Clinic. It’s seamless because Dr. Ketefian would continue to see us at HRC and all our health information would be transferred over.
How was your experience with Aline Ketefian at Kaiser Permanente SoCal?
I’m in my mid-30’s and knew that I would need some help getting pregnant. Through Kaiser’s Department of Reproductive Endocrinology and Infertility located on Sunset Blvd., I got an appointment with Dr. Aline Ketefian in February 2020. She was so kind, thorough, and patient from the very beginning and throughout my subsequent visits. As I was scheduled to do my first IUI, elective procedures were put on hold due to COVID. Dr. Ketefian took the time to walk us through the clinic’s procedures for the next couple of months checking in by phone and email. Once the clinic opened again in May, we were back on track. Obviously, it was very hectic because so many couples were waiting to start around the same time. The staff was incredibly organized from the receptionist on up. They also took many precautions to keep patients and staff safe. After two failed IUI rounds, my husband and I didn’t know if we should continue. Again, we regrouped with Dr. Ketefian. She was thorough in reviewing our options. Although most couples typically decide on a 3rd or 4th IUI round, we decided to pursue IVF. Kaiser offers this service through the HRC Fertility Clinic. It’s seamless because Dr. Ketefian would continue to see us at HRC and all our health information would be transferred over. Like previous times, we met with Dr. Ketefian to walk us through the IVF process. It’s much more involved, which concerned us, but we trusted Dr. Ketefian and the staff. We waited for the new cycle to start, but we didn't end up going through with it. Much to our surprise, I got pregnant naturally in the interim! We think the IUI hormones definitely helped. This ride was full of ups and downs, and we are so thankful to have had Dr. Ketefian and the staff guide us every step of the way.
Describe your experience with Kaiser Permanente SoCal.
As I was scheduled to do my first IUI, elective procedures were put on hold due to COVID. Dr. Ketefian took the time to walk us through the clinic’s procedures for the next couple of months checking in by phone and email. Once the clinic opened again in May, we were back on track. Obviously, it was very hectic because so many couples were waiting to start around the same time. The staff was incredibly organized from the receptionist on up. They also took many precautions to keep patients and staff safe.
Describe the costs associated with your care under Aline Ketefian at Kaiser Permanente SoCal.
Dr Dhesi was always helpful and took her time in our appointments. I know she had a full day of appointments so I would come to appointments with questions ready. She took her time answering them and was great over email as well....I used an aggressive stimulation protocol with the maximum dosage of Menopur and Gonal F. We tried to use an HCG boost to increase my output, but both cycles yielded the same number of healthy eggs regardless of the HCG boost
I went to HRC Encino and Kaiser sunset for my treatments. HRC Encino was great in terms of scheduling appointments and being in and out quickly. Kaiser was less reliable in terms of timing of appointments. Both were great in their own ways and I recommend both....Kaiser is messaging system was not great, so I utilized her [Dr. Dhesi's] fertility clinic email address to communicate with her more easily while I was doing treatments there. Her nurse was also amazing and very approachable. Both of their approachability and kindness made the process easier for my partner and I.
How was your experience with Amy Dhesi at Kaiser Permanente SoCal?
Dr Dhesi was always helpful and took her time in our appointments. I know she had a full day of appointments so I would come to appointments with questions ready. She took her time answering them and was great over email as well. Kaiser is messaging system was not great, so I utilized her fertility clinic email address to communicate with her more easily while I was doing treatments there. Her nurse was also amazing and very approachable. Both of their approachability and kindness made the process easier for my partner and I.
What's one piece of advice would you give a prospective patient of Amy Dhesi at Kaiser Permanente SoCal?
Be open and honest about your goals and fears. And always come to appointments with questions ready.
During treatment, were you treated like a number or a human with Amy Dhesi at Kaiser Permanente SoCal?
Dr Dhesi called me when my husband could be present so she could explain procedures/next steps/options with my partner and I at the same time. She was honest and compassionate about our situation.
Describe the protocols Amy Dhesi used in your cycles at Kaiser Permanente SoCal and their degree of success.
I used an aggressive stimulation protocol with the maximum dosage of Menopur and Gonal F. We tried to use an HCG boost to increase my output, but both cycles yielded the same number of healthy eggs regardless of the HCG boost.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Angela Ho)
Angela was great and very reliable - exactly what you want from a nurse practitioner.
Describe your experience with Kaiser Permanente SoCal.
I went to HRC Encino and Kaiser sunset for my treatments. HRC Encino was great in terms of scheduling appointments and being in and out quickly. Kaiser was less reliable in terms of timing of appointments. Both were great in their own ways and I recommend both.
Describe the costs associated with your care under Amy Dhesi at Kaiser Permanente SoCal.
Dr. Chen is very honest and I like that...no sugar coating! Overweight she will tell you in order to have better chances! Some people might get offended by her honesty...looking at my record she asked me if I was ok getting surgery to make sure everything was good since I had previously done too many other cycles of IUI with no success. After surgery she gave me green light to start a new cycle and resulted a positive pregnancy test and my little miracle baby!
Kaiser strength would definitely be their staff!...Me being a patient for such a long time they were friendly and caring! If I cried they were always there for me and for my positive test they were beyond happy for us!!!...my insurance covered my entire treatment and never got charged more than my $10 copayment...thankful for everyone and everything Kaiser provided to us.
How was your experience with Eileen Chen at Kaiser Permanente SoCal?
Dr. Chen is very honest and I like that... no sugar coating! Overweight she will tell you in order to have better chances! Some people might get offended by her honesty but to me that was what helped me have a post treatment
What's one piece of advice would you give a prospective patient of Eileen Chen at Kaiser Permanente SoCal?
Just listen and take her advice! If you don’t understand make sure you ask... there is no dum question!
During treatment, were you treated like a number or a human with Eileen Chen at Kaiser Permanente SoCal?
Definitely human! She cared and always wanted to help
Describe the protocols Eileen Chen used in your cycles at Kaiser Permanente SoCal and their degree of success.
First I was put on birth control. Since I was seeing a different doctor before her and looking at my record she asked me if I was ok getting surgery to make sure everything was good since I had previously done too many other cycles of IUI with no success. After surgery she gave me green light to start a new cycle and resulted a positive pregnancy test and my little miracle baby!
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
Kaiser have the best staff ever!!! Me being a patient for such a long time they were friendly and caring! If I cried they were always there for me and for my positive test they were beyond happy for us!!!
Describe your experience with Kaiser Permanente SoCal.
Kaiser strength would definitely be their staff! Weaknesses are hard to find since I’m sooo extremely thankful for everyone and everything Kaiser provided to us. Lastly my insurance covered my entire treatment and never got charged more than my $10 copayment
Describe the costs associated with your care under Eileen Chen 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 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.
Dr. Dhesi treated me for our infertility issues since Jan 2018 - at first, I had a misdiagnosis of diminished ovarian reserve after a blood test showed low AMH levels. This left me absolutely devastated and it took Dr. Dhesi and Kaiser doctors 5 months to realize that my AFC didn't match my AMH, so they re-tested my AMH and it came back normal. ... Dr. Dhesi did say that she would definitely change the medication dosage so that I don't over-respond, however, I am not willing to go through another IUI cycle and we are moving on to IVF.
Kaiser Infertility clinic on Sunset has/had many structural shortcomings and oversights. I was almost unable to be seen for a 2nd IUI because they did not have enough staff to cover the baseline appointments. ... It does feel that you are just one of hundreds of patients, and it seems like this clinic needs way more resources and funding to help expand it and cater to the needs of their (many) patients. ...I loved Dr. Dhesi's staff and the NPs that worked at the clinic - it was obvious that they all cared for their patients and took the time to answer all my questions, my emails, and phone calls. ...
How was your experience with Amy Dhesi at Kaiser Permanente SoCal?
Dr. Dhesi treated me for our infertility issues since Jan 2018 - at first, I had a misdiagnosis of diminished ovarian reserve after a blood test showed low AMH levels. This left me absolutely devastated and it took Dr. Dhesi and Kaiser doctors 5 months to realize that my AFC didn't match my AMH, so they re-tested my AMH and it came back normal. My diagnosis was switched to unexplained infertility. I think Dr. Dhesi did her best to be attentive and personable with me, and I believe her treatment for the second IUI was the most personable and thorough - she followed through with all our appointments, and she even sent a kind note after the negative pregnancy test after the 2nd IUI didn't work. However, our first and third IUIs with her were a bit cold and distant, which I attribute to her being extremely overworked and overbooked, and she didn't see us for some of our appointments. She also didn't follow through after our 3rd IUI failed, and when she ordered more tests and bloodwork to determine what other issues might be going on (e.g. endometrial biopsy, sonohysterogram) - she wasn't very forthcoming with information - again, likely due to being stretched too thin and having too many patients and commitments. For example, in a follow up appointment after my failed 3rd IUI, Dr. Dhesi noticed that I had an AFC of 30+ follicles, and she was concerned I might have PCOS - she ordered blood tests and never followed up with me to let me know that I did *not* have PCOS after all. I had to ask her to interpret the lab results and what that meant. Again, I do really like Dr. Dhesi as a person and she is a very knowledgeable doctor and when she has the time, does give proper attention, information and answers all my questions. But because of the way Kaiser operates and is structured, close and personal care at their Infertility clinic is just not possible.
What's one piece of advice would you give a prospective patient of Amy Dhesi at Kaiser Permanente SoCal?
I would be ready to see multiple doctors during any treatment cycle if you have Kaiser - Dr. Dhesi herself is a wonderful and caring, competent doctor, however, it is unlikely that you will only be seeing her throughout your IUI cycles. I would prepare yourself for dealing with a very very busy and understaffed clinic, and very little one on one attention.
During treatment, were you treated like a number or a human with Amy Dhesi at Kaiser Permanente SoCal?
I believe Dr. Dhesi is a wonderful, attentive and competent doctor, however, the facility of Kaiser isn't conducive for one-on-one patient care. When dealing with infertility, it is hard to deal with a clinic that is overbooked, overwhelmed and understaffed, which is what happened during my care with Kaiser. Dr. Dhesi was as attentive as she could be with me given the circumstances, but in the end, I do not believe I got the best one-on-one care because she was so stretched thin at the Kaiser Sunset clinic and other Kaiser clinics in the city. I felt like a human when Dr. Dhesi saw me, but in general, Kaiser's Infertility clinic operates more like a corporate hospital churning patients in and out of clinics.
Describe the protocols Amy Dhesi used in your cycles at Kaiser Permanente SoCal and their degree of success.
I did 3 IUIs with Dr. Dhesi - my case was unique, as I started off with DOR and then ended with many follicles after my 3rd IUI. My first IUI I just did chlomid and insemination, which was terrible on my lining and gave my horrible side effects. I would stay away from chlomid especially if the patient is over 35 years old. The 2nd and 3rd IUIs were injectable medication cycles, and this was much better on my lining, however, I produced too many follicles and they weren't large enough for a successful insemination. For my situation personally, IVF is a better treatment plan than IUI as I tend to over-produce and over-respond to stimulating drugs. Dr. Dhesi did say that she would definitely change the medication dosage so that I don't over-respond, however, I am not willing to go through another IUI cycle and we are moving on to IVF.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Rebecca Lopez)
I loved Dr. Dhesi's staff and the NPs that worked at the clinic - it was obvious that they all cared for their patients and took the time to answer all my questions, my emails, and phone calls. Similar to Dr. Dhesi, they were extremely overworked and understaffed so any of their shortcomings were due 100% to Kaiser's unwillingness to provide more staff at their Sunset location.
Describe your experience with Kaiser Permanente SoCal.
Kaiser Infertility clinic on Sunset has/had many structural shortcomings and oversights. I was almost unable to be seen for a 2nd IUI because they did not have enough staff to cover the baseline appointments. This caused a lot of emotional stress and strain, and I did actually file a grievance with Kaiser - the administration's decision to not provide more funding and hire more staff for the infertility clinic directly affected my ability to receive treatment, along with many other patients. I was eventually able to be seen for my 2nd IUI, but I could see how the infertility department was not given the funds or staffing resources necessary to have it operate at its full potential. The benefit, however, is that I did have all my IUI treatments and medications covered through my Kaiser insurance, which was a huge financial benefit for me and my husband. It does feel that you are just one of hundreds of patients, and it seems like this clinic needs way more resources and funding to help expand it and cater to the needs of their (many) patients.
Describe the costs associated with your care under Amy Dhesi at Kaiser Permanente SoCal.
My costs were covered through insurance - the only great thing about Kaiser!
Describe Amy Dhesi's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
N/A
What specific things went wrong at Kaiser Permanente SoCal?
Failed to call with results
Lost results
Provided conflicting information
Failed to convey critical information
Canceled a cycle due to clinic error
Describe the specific things that went wrong at Kaiser Permanente SoCal.
I have addressed these issues in previous questions, but Kaiser Infertility clinic on Sunset has major structural and staffing issues. They are underfunded, understaffed, and this leads to little one-on-one care with patients who are going through very emotionally trying, difficult process of infertility. I was misdiagnosed with DOR and the doctors could never really explain why I had an AMH of .96 and then an AMH of 4. They didn't think to retest me until 5 months later, which led to 5 months of me dealing with emotional drain, depression, etc. The way they handle their pregnancy blood tests is TERRIBLE - they ask you to come in for a beta/blood test 2 weeks after your IUI, but instead of having a nurse call with results, Kaiser sends you an informal, impersonal email letting you know the results of your beta test. This is NOT followed up with a call from your doctor or nurse - I only received one email from Dr. Dhesi after a negative pregnancy test expressing her condolences. I think that system is terrible! I also had a very terrible experience with another doctor there, Dr. Snunit Ben-Ozer who warned me and my husband of the risk of multiples and having to possibly do selective reduction, which my husband and I were fine with. She said that "no, you will not be okay, you will not be okay killing your babies once you see them dancing on the [ultrasound] screen." She was projecting her ethical, moral, cultural beliefs on us in a very inappropriate way. I will be filing a grievance against her treatment. In essence, I had an overall okay experience at Kaiser - my IUIs were covered 100% by insurance which was great, but not very good one-on-one treatment.
He [Dr. Richard Yoo] used real life examples to compare diagnoses or treatment plans. I perceive that his weakness is not suggesting additional treatment plans or tests. I let him know my concerns and which tests other women have used to diagnose that, and he would shut it down immediately by saying it is not necessary for me. I feel that I know my body best. He speaks textbook, but it is not all textbook...Be your own ADVOCATE. Do not let Dr. Yoo tell you to do a year of clomid if that is not what you are comfortable with.
Nursing staff [at Kaiser Permanente SoCal] was great! They were compassionate, they demonstrated interest in my journey, and they were encouraging throughout...IVF is out of pocket (~$20000)...Strengths: speedy getting me checked in and finding appointments as needed. When I called with a question for the Dr, they passed on the message promptly, and got back to me within an acceptable time limit...4 cycles of IUI and Clomid 50 mg. 1. 1st day of cycle- call to get a preliminary ultrasound. 2. After preliminary ultrasound, take Clomid for 5 days, usually cycle day 3. 3. Come back for mid cycle ultrasound 4. Trigger shot depending on follicule size 5. IUI 6. Progesterone test 1 week after IUI 7. Pregnancy test 2 weeks after IUI He did not want to give me more than 50 mg of Clomid because he stated that Clomid can make the uterine lining thin.
How was your experience with Richard Yoo at Kaiser Permanente SoCal?
Dr. Yoo was great at breaking down the terminology, and answering the questions in simple terms. He used real life examples to compare diagnoses or treatment plans. I perceive that his weakness is not suggesting additional treatment plans or tests. I let him know my concerns and which tests other women have used to diagnose that, and he would shut it down immediately by saying it is not necessary for me. I feel that I know my body best. He speaks textbook, but it is not all textbook.
What's one piece of advice would you give a prospective patient of Richard Yoo at Kaiser Permanente SoCal?
Be your own ADVOCATE. Do not let Dr. Yoo tell you to do a year of clomid if that is not what you are comfortable with.
During treatment, were you treated like a number or a human with Richard Yoo at Kaiser Permanente SoCal?
Appointments felt rushed. When I asked a question, Dr. Yoo explained it or answered it in an annoyed tone. When I suggested a different treatment plan, I felt unheard. It had to be his way or no way.
Describe the protocols Richard Yoo used in your cycles at Kaiser Permanente SoCal and their degree of success.
4 cycles of IUI and Clomid 50 mg.
1. 1st day of cycle- call to get a preliminary ultrasound.
2. After preliminary ultrasound, take Clomid for 5 days, usually cycle day 3.
3. Come back for mid cycle ultrasound
4. Trigger shot depending on follicule size
5. IUI
6. Progesterone test 1 week after IUI
7. Pregnancy test 2 weeks after IUI
He did not want to give me more than 50 mg of Clomid because he stated that Clomid can make the uterine lining thin.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
Nursing staff was great! They were compassionate, they demonstrated interest in my journey, and they were encouraging throughout.
Describe your experience with Kaiser Permanente SoCal.
Strengths: speedy getting me checked in and finding appointments as needed. When I called with a question for the Dr, they passed on the message promptly, and got back to me within an acceptable time limit.
Describe the costs associated with your care under Richard Yoo at Kaiser Permanente SoCal.
With my insurance, all I had to pay was a
copayment ranging from $5-$50. IUI and Clomid are covered under my insurance, except IVF which is the next step. IVF is out of pocket (~$20000).
Describe Richard Yoo's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
She [Dr. Lin] always answers all of my questions and considers all of my thoughts. She always comes to each appointment picking up where we last left off...I truly feel that she is vested and cares about the outcome of my treatments. When I have questions or want to know her opinion on research that I've done, she is receptive and open to discussing and implementing changes to my protocol. One negative to working with Dr. Lin is that she is almost always running behind. I actually don't mind waiting because I believe this is because she doesn't rush her patients and takes her time with each person. However, if it is critical to you for the doctor to not make you wait, then I would go with a different doctor.
Kaiser works with Reproductive Partners La Jolla, so for any IVF you would be seeing a Kaiser doctor at Reproductive Partners. All IUI and other procedures are done at Kaiser in the Point Loma office. The nurses and doctors at Kaiser are really great and super helpful...For appointments at Kaiser, the nurse is for Dr. Lin is Alba and she is really great. For appointments at Reproductive partners, the nurse for Dr. Lin is Tiffany and she is also really great.
How was your experience with Li-Shei Lin at Kaiser Permanente SoCal?
Dr. Lin is an excellent doctor. I truly feel that she is vested and cares about the outcome of my treatments. When I have questions or want to know her opinion on research that I've done, she is receptive and open to discussing and implementing changes to my protocol.
One negative to working with Dr. Lin is that she is almost always running behind. I actually don't mind waiting because I believe this is because she doesn't rush her patients and takes her time with each person. However, if it is critical to you for the doctor to not make you wait, then I would go with a different doctor.
What's one piece of advice would you give a prospective patient of Li-Shei Lin at Kaiser Permanente SoCal?
Be patient.
During treatment, were you treated like a number or a human with Li-Shei Lin at Kaiser Permanente SoCal?
She always answers all of my questions and considers all of my thoughts. She always comes to each appointment picking up where we last left off.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Tiffany)
For appointments at Kaiser, the nurse is for Dr. Lin is Alba and she is really great.
For appointments at Reproductive partners, the nurse for Dr. Lin is Tiffany and she is also really great.
Describe your experience with Kaiser Permanente SoCal.
Kaiser works with Reproductive Partners La Jolla, so for any IVF you would be seeing a Kaiser doctor at Reproductive Partners. All IUI and other procedures are done at Kaiser in the Point Loma office. The nurses and doctors at Kaiser are really great and super helpful.
Describe the costs associated with your care under Li-Shei Lin at Kaiser Permanente SoCal.
Depending on insurance, you pay a co-pay or percentage. My insurance pays 50%. IVF is not covered and is paid for separately to Reproductive Partners.
Describe Li-Shei Lin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
Normally Dr. Lin believes in doing eSET. However, because of my age, I believed that day 3 embryos might be a better choice for me, so we froze all day 3 embryos. For FET we transferred two day 3 embryos.
Undergoing IUI with male I fertility factor, Dr Yoo was focused mostly on getting the timing right for ovulation. ... He suggested giving IUIs a go, since they were covered by insurance but also advised IVF with ICSI may be required (our next step). ... Dr Yoo is great at coming up with analogies to help you understand treatment. He will personally call with important news, but is slower to respond to email.
Poor communication between clinic [Kaiser Permanente] and pharmacy. Infertility Nurse advised me I likely had kidney stones and NOT a miscarriage, which turned out to be an ectopic pregnancy. Menopur “training” really just a long warning about “what you’re getting yourself in to” and the outrageous complexities of scheduling tests and lab work at multiple locations with inflexible hours. ... The clinic hours and scheduling are horrendous.
How was your experience with Richard Yoo at Kaiser Permanente SoCal?
Dr Yoo is great at coming up with analogies to help you understand treatment. He will personally call with important news, but is slower to respond to email. He is positive and good natured. He is a little too laid back however and doesn’t always explain the science. He does try to be a good listener, though.
What's one piece of advice would you give a prospective patient of Richard Yoo at Kaiser Permanente SoCal?
He will answer all your questions, despite the time it takes. So don’t feel pressured to rush through your appointments.
During treatment, were you treated like a number or a human with Richard Yoo at Kaiser Permanente SoCal?
Dr Yoo is friendly and easy to work with. He called me directly with very important news. However his staff is terrible. If asked to rate his staff, I would say they make me very much feel like a number not a human.
Describe the protocols Richard Yoo used in your cycles at Kaiser Permanente SoCal and their degree of success.
Undergoing IUI with male I fertility factor, Dr Yoo was focused mostly on getting the timing right for ovulation. I thankfully responded well to chlomid and never needed my medication adjusted. He suggested giving IUIs a go, since they were covered by insurance but also advised IVF with ICSI may be required (our next step). He also provided care and follow up related to my ectopic pregnancy that resulted from our 4th IUI.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Danielle Foust)
Danielle Foust rushed through injectables “training”. She does not exude a kind, patient or compassionate bedside manner. As the advice nurse at the clinic, she reassured me I was not having a miscarriage when in fact I was having an ectopic pregnancy. Worst yet, when I was advised by ER OB to follow up with my RE after diagnosis, she was a direct barrier to me seeing Dr Yoo. She literally wouldn’t allow me to make the appointment. During the most stressful time in my life, she compounded my anxiety and stress.
Describe your experience with Kaiser Permanente SoCal.
No strengths other than Dr Yoo. The clinic hours and scheduling are horrendous. The pharmacy is small, slow and the staff are not kind or patient. Most staff besides Dr Yoo treat you like a number and are not sensitive or compassionate to the needs of a couple undergoing something very hard and stressful. I’m an easy going and patient person, but I have come to wholeheartedly detest this clinic.
Describe the costs associated with your care under Richard Yoo at Kaiser Permanente SoCal.
We stuck with a clinic we detested because IUIs and chlomid were covered under insurance. So costs were low copays.
Describe Richard Yoo's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente SoCal.
He is pro single.
What specific things went wrong at Kaiser Permanente SoCal?
Failed to call in prescriptions to pharmacy
Provided conflicting information
Failed to convey critical information
Failed to consider drug intolerance
Describe the specific things that went wrong at Kaiser Permanente SoCal.
Poor communication between clinic and pharmacy. Infertility Nurse advised me I likely had kidney stones and NOT a miscarriage, which turned out to be an ectopic pregnancy. Menopur “training” really just a long warning about “what you’re getting yourself in to” and the outrageous complexities of scheduling tests and lab work at multiple locations with inflexible hours. C
Throughout treatment, I had few appointments with Dr. Yoo. In retrospect, this is okay, because I really like the Nurse Practitioner, Dagmar, better....Dr. Yoo probably has a very large caseload, making him less available and much less invested in your particular case. He is blunt and pessimistic. This is what you need to an extent, of course, but he really did little to change protocol or tailor treatment.
Kaiser first and foremost is a large private insurance company, so expect to be treated like a number. The San Diego clinic is busy and you have to go by their availability, which can sometimes interfere with your cycle. Everyone is friendly, but it takes a long time for some of them to recognize you, even when you are going frequently. Again, I think this is due to the high volume of patients.
How was your experience with Richard Yoo at Kaiser Permanente SoCal?
Honestly, I think that being the the only Kaiser fertility clinic in San Diego, Dr. Yoo probably has a very large caseload, making him less available and much less invested in your particular case. He is blunt and pessimistic. This is what you need to an extent, of course, but he really did little to change protocol or tailor treatment. He also failed to warn me of a condition with my tubes that could seriously impact my fertility. It wasn't until another doctor reviewed his medical records that I was made aware of the complication. I spent over a year before finding out.
What's one piece of advice would you give a prospective patient of Richard Yoo at Kaiser Permanente SoCal?
You will have to be your own advocate. Research everything. Ask, sometimes repeatedly, for specifics about your case. If you have DOR, are a "poor responder" to meds, or are older, he is definitely not a good fit. After three failed IUIs, and his failure to alert me to a tubal issue I had, he went straight to telling me I need to give up or go with donor eggs.
During treatment, were you treated like a number or a human with Richard Yoo at Kaiser Permanente SoCal?
Throughout treatment, I had few appointments with Dr. Yoo. In retrospect, this is okay, because I really like the Nurse Practitioner, Dagmar, better. Dr. Yoo did not seem invested in my case and he did not spend much quality time looking into things or discussing with us our case. He typically spoke just in general terms.
Describe the protocols Richard Yoo used in your cycles at Kaiser Permanente SoCal and their degree of success.
The first two IUIs were with Clomid, lower doses that were slightly increased. For the third IUI, I was switched to Menopur, again low dose, to finally maxed out. Throughout the treatement I had one Clomid cycle canceled and one Menopur cycle canceled due to poor response. After that, Dr. Yoo told me to quit trying or use donor eggs.
Describe your experience with your nurse at Kaiser Permanente SoCal. (Assigned nurse: Danielle)
The person who I enteracted with most was the Nurse Practitioner, Dagmar Platzer. She was incredibly empathetic and has a great bedside manner. She was always very upfront about my prognosis, but also always offered hope and was willing to talk at length about my particular situation.
Describe your experience with Kaiser Permanente SoCal.
Kaiser first and foremost is a large private insurance company, so expect to be treated like a number. The San Diego clinic is busy and you have to go by their availability, which can sometimes interfere with your cycle. Everyone is friendly, but it takes a long time for some of them to recognize you, even when you are going frequently. Again, I think this is due to the high volume of patients. If you have anything particular about your case, you're going to have to be your own advocate and research on your own quite a bit.
Describe the costs associated with your care under Richard Yoo at Kaiser Permanente SoCal.
My insurance covered IUI and related medications. I just had small copays. However, IVF is not covered whatsoever.
What specific things went wrong at Kaiser Permanente SoCal?
Provided conflicting information
Failed to convey critical information
Failed to consider drug intolerance
Describe the specific things that went wrong at Kaiser Permanente SoCal.
In the hysterosalpingogram procedure, they told me one tube was "a bit abnormal" but that it was not blocked, so it was not a concern. Through reading my medical record, they recorded a hydrosalpinx, which even when not causing blockage, it often causes fertility issues. I did not find this out until I switched doctors. My new RE said I need to have that tube fixed and that in the current condition, IUIs were very likely going to fail, so IVF should have been the recommended treatment, after fixing the tube. Kaiser only vaguely mentioned this issue to me, even though they are the ones who diagnosed it. They never discussed the impact on fertility it has or that there was a procedure that could fix it. I wasted a year on trying IUIs that were most likely going to fail without knowing there was much better treatments I could be doing. At my age, losing a year is not something I can afford.