How was your experience with Jeffrey Nelson at HRC?
We didn't know much about fertility treatment when we began our fertility journey. Upon consultation, we were told that we should have started our treatment years ago, which was discouraging considering we had just gotten married and there was nothing we could do about that. We began with all diagnostics to make sure that everything in my body was working as it should, which was Dr. Nelson's suggestion. We were never told that anything wasn't "good." HRC Pasadena in general had many miscommunications and directions given to us that were not clear, from both the medical assistant assigned to our case to the financial coordinator. As we began our treatments with Dr. Nelson, which was close to our home and convenient, he began conservatively. We appreciated this because I came in believing, and was under the impression even after all the labs, that I was fertile Myrtle. We were NEVER told that my AMH was under 1 when we began trying to get pregnant. It wasn't until we were out of funds in 2017 where we were just paying our OBGYN to do IUIs that we consulted with another fertility doctor who went over our labs from 2015 and said that she would have started with IVF immediately back in 2015 to retrieve the eggs I had! I have been so so so so so disappointed in the fact that 2 years and over $50,000 have been spent without us knowing the proper information. We have taken time off to build up our financials so we can try retrievals once again AND here we are in 2019 now with nothing. I'm SO angry, upset, resentful and frustrated that my bloodwork and personal lab results were withheld and not given to me clearly in 2015 when I was 34 as they would have changed our plan and how we proceed. I also know now that if someone says something to you like, "you should have started your fertility journey years ago," they are NOT the person you should trust to guide you on your way to making a baby.
What's one piece of advice would you give a prospective patient of Jeffrey Nelson at HRC?
Don't expect a physician to objectively explain your lab work or the process. Get educated and ask for all of your information and labs to be printed for you so you can get educated on your own.
During treatment, were you treated like a number or a human with Jeffrey Nelson at HRC?
We felt like a number because we had very little knowledge of the process in the beginning and we trusted Dr. Nelson. During the first minute of our consult he said we were already behind because of our age. If he thought that we were so far behind, why did he start so conservatively? When you've experienced your 4th failed attempt at IUI and the nurse practitioner, who you've only met for 5 seconds blurts out, you should just go to IVF, it dehumanizes you and makes you feel like a failure and you are out of options.
Describe the protocols Jeffrey Nelson used in your cycles at HRC and their degree of success.
Dr. Nelson wanted to start with bloodwork and diagnostics to make sure that my body was functioning properly. He suggested we start with an ICI, which was very conservative and in hindsight, we have no idea why he would start there if he knew that my AMH was below 1. We asked about using Clomid, which he didn't offer immediately. Going into our first insemination, we did use Clomid, per our own request, and we did request an IUI. After the first insemination, he thought the Clomid was pointless and he didn't suggest any other meds except the HCG trigger shot. We continued with 3 more IUIs using HCG trigger shots, none of them resulting in pregnancy. It was after our 4th insemination that the nurse practitioner, who we'd just met, said, "you should just do IVF." At that point we were done with this office and never received a call or follow up from Dr. Nelson.
Describe your experience with your nurse at HRC. (Assigned nurse: Justina Wang)
Justina had a heavy accent, which made communicating about things which require so much detail, like giving yourself injections on specific days very challenging. We had NEVER gone through any form of fertility treatment before and this information was not given to us like we should know the process and what to do.
Describe your experience with HRC.
It a pretty clinic, which was very misleading because the facade of looking good didn't match the behind the scenes medical experience. Strengths: the office is beautiful, the parking is free and it is convenient for people living in Pasadena. Weakness: there is awful communication and you are expected to know about fertility treatments at your consultation as a new patient.
Describe the costs associated with your care under Jeffrey Nelson at HRC.
Each time we did a round of IUI, it was $2000 for the procedure + the cost of meds + the cost of sperm = $3500-$4000 each round of IUI.
Describe Jeffrey Nelson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at HRC.
We never go to this point with Dr. Nelson.
What specific things went wrong at HRC?
- Provided conflicting information
- Failed to convey critical information