Jeffrey Nelson

HRC Fertility

Rated 7.4
Strongly recommend: 64%Neutral: 4%Don't recommend: 31%7.4
64% strongly recommend
23 reviews
Humanity
7.6
7.6
Humanity

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

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

Communication
8.3
8.3
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
9
9
Frequency Seen

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

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

Responsiveness
6.7
OK
Responsiveness

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

Education

Medical School
U. of North Texas
Residency
Riverside Medical
Fellowship
U. of Pennsylvania

How Doctor Communicates

doctor, nurse available by email
doctor, nurse available by directline
doctor, nurse available by directline
doctor available by personal cell phone
doctor available by personal cell phone
Jeffrey Nelson works at

HRC Fertility
Rated 7.5
Strongly recommend: 55%Neutral: 21%Don't recommend: 24%7.5

At 1 office

Pasadena
55 S. Lake Ave
Pasadena, CA 91101
(626) 440-9161
Explore Clinic

5 patient reviews filtered by:

Clear Filters
LGBTQ
Verified

This patient has provided documentation of treatment at this clinic.

2015 - 2016, Unsuccessful
0
0
Age 34 - 35
4 IUI
1 IVF
1 Egg Freezing
Donor Sperm
European
Income $100K - $199K
Entrepreneur
1st of 3 Docs
LGBTQ
Doesn't Recommend
Doesn't Recommend
Unsuccessful
We were NEVER told that my AMH was under 1 when we began trying to get pregnant. ... 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. ... 2 years and over $50,000 have been spent without us knowing the proper information.
Strengths: the office [HRC Pasadena] 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. ... $3500-$4000 each round of IUI. ... We felt like a number because we had very little knowledge of the process in the beginning ... 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.
How was your experience with Jeffrey Nelson at HRC Fertility?
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 Fertility?
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 Fertility?
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 Fertility 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 Fertility. (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 Fertility.
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 Fertility.
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 Fertility.
We never go to this point with Dr. Nelson.
What specific things went wrong at HRC Fertility?
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at HRC Fertility.
Overall we are very disappointed with our care from this facility and cannot believe we wasted 3 years of prime fertility time on a clinic that took our money for conservative treatments with no results to show, knowing that my AMH was under 1. It wasn't until 2018, when we had finally saved up enough money to go to consultations once again that we were told by two new fertility doctors that we should have started with aggressive fertility treatments immediately in 2015 with the AMH level they saw us on our lab work from HRC Pasadena in 2015. Physicians from both consultations independently stated that ICIs and IUIs most likely would have never been successful with an AMH below 1 and they would have started with more aggressive treatments.
0
Doctor
Jeffrey Nelson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
0
Clinic
HRC Fertility
Pasadena
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2016 - 2017, Unsuccessful
4
4
Age 34 - 35
2 IVF
Male Factor
European
Income $100K - $199K
Nurse or HC Services
2nd of 2 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
Dr Nelson is a kind man, very positive and warm In his interactions. He decided to go with the same protocol as my previous doctor since that had worked for us. I don't know that he's fully up on what all the newest evidence is but I felt that he was doing everything he could for me...He was kind and compassionate and spoke to me in a reasonable way.
The office [HRC - Pasadena] was very busy so at times I did have to wait a long time in the doctors office...Very expensive. They charged 500 per sonogram and do a sonogram at the start of each cycle. There are lots of "extras" at hrc so so far 1 egg retrieval and 2 frozen transfers were around 20000...We had three embryos on day 5 and 6. The lab froze one by itself and 2 together in one vial. We were really disappointed in this because it meant we had to refreeeze one of the embryos since it had to be thawed with its partner.
How was your experience with Jeffrey Nelson at HRC Fertility?
Dr Nelson is a kind man, very positive and warm In his interactions. He decided to go with the same protocol as my previous doctor since that had worked for us. I don't know that he's fully up on what all the newest evidence is but I felt that he was doing everything he could for me.
What's one piece of advice would you give a prospective patient of Jeffrey Nelson at HRC Fertility?
Be aware you may have to wait for a long time for your appointments.
During treatment, were you treated like a number or a human with Jeffrey Nelson at HRC Fertility?
He was kind and compassionate and spoke to me in a reasonable way. The office was very busy so at times I did have to wait a long time in the doctors office
Describe the protocols Jeffrey Nelson used in your cycles at HRC Fertility and their degree of success.
Same protocol as my previous doctor. Bcps, gonal-f, menopur, cetrotide. I had a poorer response this time wth not as many eggs and so he upped the dosage a ton, which helped somewhat.
Describe your experience with your nurse at HRC Fertility. (Assigned nurse: Justina wang )
Initially I was assigned a different nurse but immediately before retrieval she let me know she was transferring jobs to the neighboring surgical center. Justina is a fine nurse but has some communication issues. I'm not sure if it's a problem due to English not being her first language or simply a communication style but I find some of her email communications vague when I've asked for a very specific response.
Describe your experience with HRC Fertility.
The clinic is clean and well appointed. There are magazines and a coffee machine in the lobby. The front desk people are nice but don't always have a smile on their faces. The phlebotomist are good at their jobs. For men, delivering sperm samples is a little weird because they have to walk by people in the lobby once they've produced a sample
Describe the costs associated with your care under Jeffrey Nelson at HRC Fertility.
Very expensive. They charged 500 per sonogram and do a sonogram at the start of each cycle. There are lots of "extras" at hrc so so far 1 egg retrieval and 2 frozen transfers were around 20000
Describe Jeffrey Nelson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at HRC Fertility.
We wanted eSet. He seemed more inclined to push multiples, even asking one more time immediately before transfer.
What specific things went wrong at HRC Fertility?
  • Failed to inform you of changes in protocol
Describe the specific things that went wrong at HRC Fertility.
We asked for eSet from the beginning. We had three embryos on day 5 and 6. The lab froze one by itself and 2 together in one vial. We were really disappointed in this because it meant we had to refreeeze one of the embryos since it had to be thawed with its partner.
4
Doctor
Jeffrey Nelson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
4
Clinic
HRC Fertility
Pasadena
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2017, Unsuccessful
3
1
Age 44
1 IUI
1 IVF
Donor Eggs
Diminished Ovarian Reserve
European
East Asian
Income $100K - $199K
Graphic Designer
1st of 3 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
[Dr. Jeffrey Nelson] was very personable and kind during treatment, but his nursing staff were chaotic, disorganized, prone to mistakes and unapologetic. At one point he gave me his personal cell number, but even then there were miscommunications and missed messages...is a very nice man who has a ton of experience...My issue is that his staff are a mess and if he hasn't seen fit to fix that, that is a severe flaw on his part. When there was a huge mistake made with my protocol, he did not take any time to explain potential effects to ease my mind. I was just left hanging, completely scared and seemingly alone.
It was around $13k for the retrieval process [at HRC]. Even if you had insurance, you had to put that amount down prior to the cycle. You would be reimbursed for anything that ended up being covered by insurance...This is a busy clinic. It is a nice looking office and very clean and comfortable...It has free parking...Justina and Chloe [nurses] both made a number errors over the course of 5 months. Justina's error caused my cycle to be cancelled because I was given instruction to take my trigger shot several days too early. She refused to apologize and argued with me that it wasn't her fault, despite the fact that I had it in writing from her. Chloe sent me another patient's surgery instructions.
How was your experience with Jeffrey Nelson at HRC Fertility?
Dr Nelson is a very nice man who has a ton of experience. He was recommended highly by two other medical professionals. My issue is that his staff are a mess and if he hasn't seen fit to fix that, that is a severe flaw on his part. When there was a huge mistake made with my protocol, he did not take any time to explain potential effects to ease my mind. I was just left hanging, completely scared and seemingly alone.
What's one piece of advice would you give a prospective patient of Jeffrey Nelson at HRC Fertility?
Triple check all instructions given. Be very proactive and over communicate. You are your only advocate.
During treatment, were you treated like a number or a human with Jeffrey Nelson at HRC Fertility?
Dr Nelson was very personable and kind during treatment, but his nursing staff were chaotic, disorganized, prone to mistakes and unapologetic. At one point he gave me his personal cell number, but even then there were miscommunications and missed messages.
Describe the protocols Jeffrey Nelson used in your cycles at HRC Fertility and their degree of success.
My list of medications for the first cycle: Gonal-F Menopur Cetrotide Progesterone Lozenges MethylPrednisolone Chorionic Gonadotropin Estradiol Doxycycline Aspirin
Describe your experience with your nurse at HRC Fertility. (Assigned nurse: Justina)
Justina and Chloe both made a number errors over the course of 5 months. Justina's error caused my cycle to be cancelled because I was given instruction to take my trigger shot several days too early. She refused to apologize and argued with me that it wasn't her fault, despite the fact that I had it in writing from her. Chloe sent me another patient's surgery instructions.
Describe your experience with HRC Fertility.
This is a busy clinic. It is a nice looking office and very clean and comfortable (at least for the women). It has free parking, which is a huge plus. It's in Pasadena, which is super convenient to folks on the eastside. Cons: It sometimes felt like I was in another country. Patients bring several family members with them and they camp out with big bags of food and drinks and talking loudly on their phones. There were times when there was nowhere to sit, it was so crowded. Lots of people ignore the signage asking them not to bring children into the clinic. Somehow, during the intake process, I was profiled and given the Chinese-speaking nurses and staff. I only saw this later when I requested all my files. The room where the men leave their specimens is run down, poorly appointed and not very clean (it seems this is the norm for most clinics, unfortunately). My fiancé reported being treated poorly and having to overhear one of the nurses talking about her tuna salad sandwich just outside the door. A bit challenging to get in the right frame of mind while having to listen to people talk about their lunch. Their finance office is a nightmare. It took weeks to get a refund for the balance of services not used once I decided to change clinics. I felt like they played hot potato with me, then acted like it was my fault for not being able to intuit who I needed to reach out to. Their expectation that I should be an expert in the inner workings of their clinic was mind blowing.
Describe the costs associated with your care under Jeffrey Nelson at HRC Fertility.
It was around $13k for the retrieval process. Even if you had insurance, you had to put that amount down prior to the cycle. You would be reimbursed for anything that ended up being covered by insurance. Medication was separate. They recommended Freedom Pharmacy, but did not give any tips or suggestions on the best way to maximize your insurance benefit. My meds were $7k through insurance, which ate up most of my benefit. If I had paid cash, it would have cost less and left me more insurance benefit for clinic costs.
Describe Jeffrey Nelson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at HRC Fertility.
He did not discuss preferences with me
What specific things went wrong at HRC Fertility?
  • Failed to call in prescriptions to pharmacy
  • Lost paperwork
  • Lost appointments
  • Failed to send your chart to another clinic
  • Failed to inform you of changes in protocol
  • Provided conflicting information
  • Failed to convey critical information
  • Canceled a cycle due to clinic error
  • Scheduled the wrong procedure
Describe the specific things that went wrong at HRC Fertility.
The list is so long... Wrong instructions given Given wrong appointment date Missed emails Long response times to emails Long wait times for appointments Was sent another patient's information Was given Chinese-speaking staff (I don't speak Chinese) Cycle cancelled due to nurse error Delay in replacement of medication due to nurse's error Medical records were not provided in a prompt manner, despite repeated promises Clinic took weeks to refund my unused balance
3
Doctor
Jeffrey Nelson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
1
Clinic
HRC Fertility
Pasadena
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2015, Unsuccessful
2
0
Age 36
1 IUI
3 Egg Freezing
East Asian
Income $100K - $199K
1st of 3 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
The only thing I will fault him [Dr Jeffrey Nelson] for is that my initial ultrasound showed very low potential for egg retrieval. That month was a bit low, maybe because of stress or sickness. Since this is my first time, I didn't know any better and trusted the doctor when he said this was not the best indicator. FALSE!!! It can happen that results are better than expected but I suspect that percentage is exceedingly low. Had I known, I would have put off the egg retrieval to a following cycle where I would have better results.
Well, even if I had a positive outcome, I would not go back [to HRC Pasadena]...Facilities are ok, location is convenient. Perhaps if you have particular issues, one of the doctors may be able to specifically help. Also, Dr Nelson seemed much nicer than my other doctors. However this is outweighed by their unprofessionalism (giving me over optimistic treatment), and general incompetence (mischeduling appointments, not providing timely information). Some may say this is because I had a negative outcome. Well, even if I had a positive outcome, I would not go back.
How was your experience with Jeffrey Nelson at HRC Fertility?
A bit scatter brained it seemed? During our second appointment, he forgot who I was even though we'd had an hour long initial consultation one month ago. At the very least, please review the chart. However, did come across as a nice guy. The only thing I will fault him for is that my initial ultrasound showed very low potential for egg retrieval. That month was a bit low, maybe because of stress or sickness. Since this is my first time, I didn't know any better and trusted the doctor when he said this was not the best indicator. FALSE!!! It can happen that results are better than expected but I suspect that percentage is exceedingly low. Had I known, I would have put off the egg retrieval to a following cycle where I would have better results. I blame the doctor for suggesting we proceed when initial results showed poor probability, implying that they wanted business more than they cared about me
During treatment, were you treated like a number or a human with Jeffrey Nelson at HRC Fertility?
Very nice guy, very caring in person
Describe the protocols Jeffrey Nelson used in your cycles at HRC Fertility and their degree of success.
The pill initially then menopur and follistim. Follow on doctors were surprised by my dosage implying he knew I was low and was trying to stimulate aggressively. Otherwise, a quite typical 10 day stimulation, 12 day retrieval.
Describe your experience with your nurse at HRC Fertility. (Assigned nurse: Germaine Underbrink)
Originally, I would say horrible. Now I realise they are horrible to average. As a highly educated person paying a lot of money for treatment, I expected a more professional and organised staff. Instead, I had to consistently be on top of my own treatment, remind the staff of certain issues they were not aware of or forgot, and in general, they made a stressful process that much worse. I've since come to realise that this is true of most clinics but Dr Nelson's team was particularly bad. In their defence, they had personal issues of which I was made aware later but if that is the situation, please take time off or allow another person to provide primary care. In particular, I was frustrated that when Germaine was away, I was unable to receive information about my treatment. What is the point of going to a clinic with several doctors if the nursing staff can't handle jobs for each other??
Describe your experience with HRC Fertility.
Facilities are ok, location is convenient. Perhaps if you have particular issues, one of the doctors may be able to specifically help. Also, Dr Nelson seemed much nicer than my other doctors. However this is outweighed by their unprofessionalism (giving me over optimistic treatment), and general incompetence (mischeduling appointments, not providing timely information). Some may say this is because I had a negative outcome. Well, even if I had a positive outcome, I would not go back.
Describe the costs associated with your care under Jeffrey Nelson at HRC Fertility.
Egg retrieval was approximately 6000 and drug protocol was approximately another 6000
What specific things went wrong at HRC Fertility?
  • Failed to call in prescriptions to pharmacy
  • Lost appointments
  • Failed to call with results
  • Failed to order appropriate test
  • Provided conflicting information
  • Failed to convey critical information
Describe the specific things that went wrong at HRC Fertility.
1) appointment was mischeduled 2) DNA test was not as comprehensive as could be (even though same price) 3) first round of drug prescriptions was incomplete 4) never called or contacted when they said they would 5) I hate their "out of office" response which occurs even when the office is closed until next business day... Therefore when they truly are away, it's hard to tell 6) Misleading optimistic information on outcome
2
Doctor
Jeffrey Nelson
Humanity
Communication
Frequency Seen
Compassion
Explained risks
Adaptability
0
Clinic
HRC Fertility
Pasadena
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2021, Unsuccessful
3
3
Age 34 - 36
3 Egg Freezing
Diminished Ovarian Reserve
European
Income $100K - $199K
Consultant
1st of 2 Docs
Doesn't Recommend
Doesn't Recommend
Unsuccessful
I felt like a number. I don't think he'd [Dr. Jeffrey Nelson] be able to tell me from anyone else and certainly didn't really feel like he was invested in my success as a patient. He wasn't mean, just didn't feel like he was invested...This place really feels like a factory when you get back there - he does talk to you, but I felt like he didn't know me from anyone else
[HRC fertility] billing was TERRIBLE. TERRIBLE. I got so many disjointed bills - bill after bill - for months after the procedure. They billed me incorrectly so many times and then would come back asking for another $500-1000+...[nurses were] Super disorganized - they didn't explain my instructions correctly the first time and I ended up giving myself the wrong amount of medication.
How was your experience with Jeffrey Nelson at HRC Fertility?
I felt like a number. I don't think he'd be able to tell me from anyone else and certainly didn't really feel like he was invested in my success as a patient. He wasn't mean, just didn't feel like he was invested.
During treatment, were you treated like a number or a human with Jeffrey Nelson at HRC Fertility?
This place really feels like a factory when you get back there - he does talk to you, but I felt like he didn't know me from anyone else
Describe your experience with your nurse at HRC Fertility.
Super disorganized - they didn't explain my instructions correctly the first time and I ended up giving myself the wrong amount of medication.
Describe your experience with HRC Fertility.
HRC billing was TERRIBLE. TERRIBLE. I got so many disjointed bills - bill after bill - for months after the procedure. They billed me incorrectly so many times and then would come back asking for another $500-1000+. Super stressful.
Describe the costs associated with your care under Jeffrey Nelson at HRC Fertility.
$7500 for one round without insurance $3500ish per round for drugs, without insurance
What specific things went wrong at HRC Fertility?
  • Lost paperwork
  • Failed to inform you of changes in protocol
  • Failed to convey critical information
Describe the specific things that went wrong at HRC Fertility.
Unclear medication instructions. Terrible billing procedures.
3
Doctor
Jeffrey Nelson
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
3
Clinic
HRC Fertility
Pasadena
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources