Preston Nelson

Kaiser Permanente NorCal

Available Lines of Communication

Doctor, Nurse available by emailNurse available by direct lineNot available by cell phone
Medical SchoolUCSD
ResidencyU of Washington
FellowshipUCSF
Oakland
3779 Piedmont Avenue
Oakland, CA 94611
(510) 752-1080
On a scale from 0-10, how likely are you to recommend Preston Nelson to a friend?
Strongly recommend: 33%Neutral: 67%8
3 assessments
  • 33% Strongly recommend (9-10)
  • 67% Neutral (7-8)
  • 0% Don't recommend (0-6)
Humanity
Treated like a number
Treated like a human
Communication
Poor communication
Excellent communication
Frequency Seen
Rarely saw at appts.
Always saw at appts.
Responsiveness
Poor response time
Excellent response time
On a scale from 0-10, how likely are you to recommend Kaiser Permanente NorCal to a friend?
Strongly recommend: 47%Neutral: 33%Don't recommend: 20%7.8
75 assessments
  • 47% Strongly recommend (9-10)
  • 33% Neutral (7-8)
  • 20% Don't recommend (0-6)
3 assessments
8
Age
46 - 47
Treated
2017 - 2018
Success with this Doc
?
Treatment
3 IUI
Diagnosis
Recurrent Pregnancy Loss
8
When I first met Dr. Nelson, we had a lengthy appointment to go over all of my lab results and talk through next steps. It was a lot to absorb since I was just starting this process. He took time to answer all the questions my husband and I had at the time and really provided a lot of information. He was super attentive, thoughtful and a good listener. However, I realized later that when I left, I really wasn't sure how to move forward.
+ Read more
Age
46 - 47
Treated
2017 - 2018
Success with this Doc
?
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI
Diagnosis
Recurrent Pregnancy Loss
8
How was your experience with Preston Nelson at Kaiser Permanente NorCal?
When I first met Dr. Nelson, we had a lengthy appointment to go over all of my lab results and talk through next steps. It was a lot to absorb since I was just starting this process. He took time to answer all the questions my husband and I had at the time and really provided a lot of information. He was super attentive, thoughtful and a good listener. However, I realized later that when I left, I really wasn't sure how to move forward. He talked through all the benefits of IVF but didn't necessarily recommend that I start that immediately. Should we just keep trying? How soon should I start fertility treatments? At what point do I need to seriously consider or move to IVF, etc? I had a lot of information but really wasn't sure how to move forward. After a couple of months with no success, I expressed this frustration to him and we started putting together a plan. One of the hard parts about this process is never knowing when to start something different. I kept getting pregnant every few months, which gave me hope but the pregnancies didn't last. Once I expressed all of this to Dr. Nelson, he was really helpful in starting to put a plan together, which included beginning to take medication and then a few months later moving to IUI. Kaiser has a team of fertility doctors all working together. Every month I would put a plan together with Dr. Nelson but wouldn't see him for my visits; my baseline appointments, my check ups just before ovulation and IUI were all with other doctors. I would then have a phone appointment with Dr. Nelson around the time by period was due to talk next steps and a potential plan for the next cycle. At first the interaction with all of the other doctors was a little challenging, this is hard and emotional and it was difficult for me to share some of this with a small group of physicians, even though everyone was professional and thoughtful. After a couple of cycles, I got more comfortable with the process and the team. Since I have been unsuccessful with IUI, I'm now beginning the process of preparing for IVF. Dr. Nelson used to perform IVF and has a wealth of information to share about the process, what to expect and how my body might react to the medication. Although I have watched videos and read books about the process, his consultation has been comforting and really informative. I feel like I understand the process much better and what I might expect. Overall, Kaiser moves slowly with fertility- I was frustrated by the initial process of getting my lab work done, identifying needed tests and treatments. As a patient you have to be really proactive and articulate what you are looking for and what help you need. Once the process started moving and I got connected with Dr. Nelson, it was important to maintain regular communication and let him know what I was looking for and what questions I had. Once he was aware of what I needed, we mapped out a plan for my care and how best to move forward. Overall, I have been really happy with him.
What's one piece of advice would you give a prospective patient of Preston Nelson at Kaiser Permanente NorCal?
Think about your questions ahead of time (if you can) and be upfront about your needs. He has a ton of information but none of that matters if he doesn't know what you are looking for. He is much more comfortable with phone calls than email but his schedule fills up so its good to get on his calendar regularly.
During treatment, were you treated like a number or a human with Preston Nelson at Kaiser Permanente NorCal?
Dr. Nelson has done a great job spending time to explain my test results and what they mean and make himself available to answer questions.
Describe the protocols Preston Nelson used in your cycles at Kaiser Permanente NorCal and their degree of success.
We tried three cycles of ovulation stimulation (one round of clomid and two of letrozole) with timed intercourse. When those didn't work we tried three rounds of IUI- all with letrozole. I initially wasn't ready for IUI so we tried the first process to see if we had any luck and then moved to IUI. I got pregnant my second cycle with IUI but my HCG levels were low (around 10) so I knew the pregnancy wouldn't last. I got my period 3/4 days later.
Describe your experience with the nursing staff.
I interacted with a nursing team over the phone that was really helpful with setting appointments, getting my lab work ordered and updating me on test results that I couldn't see online or didn't understand. I also worked with a second nursing team at my appointments who were always really helpful.
Describe your experience with Kaiser Permanente NorCal.
There is a team of providers all working together, so you are likely to see different doctors for different visits. The benefit of this is they can usually get me into clinic when I need to but the challenge is getting used to interacting with different groups of people.
Describe the costs associated with your care under Preston Nelson at Kaiser Permanente NorCal.
I have good health insurance coverage for Kaiser so all of my appointments and treatments were covered. I had $10 co-pays for some medications but overall very little out of pocket costs. If I move to IVF- at Kaiser or elsewhere none of those services will be covered.
8
Doctor
Preston Nelson
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
8
Clinic
Kaiser Permanente NorCal
Oakland
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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7
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
?
Treatment
6 IUI
Diagnosis
Anovulation
7
Dr. Nelson is a wonderful provider, and I've felt very informed and supported by him throughout the process of IUI's and one miscarriage. He has adjusted treatment as needed, and is the right amount of realistic and hopeful...Unfortunately, many of our contacts are on the phone and because of the nature of scheduling apts around my cycle and schedule I don't often see him for ultrasounds, IUI's.
+ Read more
Age
33 - 34
Treated
2016 - 2017
Success with this Doc
?
Race
European
Income
$200K - $499K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
6 IUI
Diagnosis
Anovulation
7
How was your experience with Preston Nelson at Kaiser Permanente NorCal?
Dr. Nelson is a wonderful provider, and I've felt very informed and supported by him throughout the process of IUI's and one miscarriage. He has adjusted treatment as needed, and is the right amount of realistic and hopeful.
What's one piece of advice would you give a prospective patient of Preston Nelson at Kaiser Permanente NorCal?
Unfortunately, many of our contacts are on the phone and because of the nature of scheduling apts around my cycle and schedule I don't often see him for ultrasounds, IUI's.
During treatment, were you treated like a number or a human with Preston Nelson at Kaiser Permanente NorCal?
Dr. Nelson is very generous with his time, considerate of your questions, and realistic about expectations. In all our conversations I feel listened to and supported in this difficult journey.
Describe the protocols Preston Nelson used in your cycles at Kaiser Permanente NorCal and their degree of success.
I have regular, but anovulatory cycles. All treatment is aimed to help me ovulate. Clomid + HCG trigger + IUI x1, negative with short luteal phase Clomid + HCG trigger + IUI + Progesterone x2, negative pregnancy tests Letrozole 5 mg + HCG trigger + IUI + Progesterone, positive pregnancy test ended in miscarriage due to chromosomal abnormality Letrozole 5 mg + HCG trigger + IUI + Progesterone, negative pregnancy test Letrozole 7.5 mg + HCG trigger + IUI + Progesterone, awaiting results
Describe your experience with the nursing staff.
The nursing staff is mostly very helpful, responsive, at times there have been some scheduling conflicts and changes but overall if I had a question they would respond in an appropriate time manner to help me answer it.
Describe your experience with Kaiser Permanente NorCal.
We are very lucky to have some fertility coverage through my insurance with Kaiser, so the process of medicated IUI cycles has been very affordable for us. The downsides are you see different nurses, doctors, and that they are only open normal business hours. I know some clinics do monitoring ultrasounds very early which would be great because you have to miss work frequently for these apts due to the hours they are open. If we didn't have the insurance coverage we do through t hem, I think I would already have considered other options/clinics/ maybe have moved on to IVF.
Describe the costs associated with your care under Preston Nelson at Kaiser Permanente NorCal.
Because our insurance covers medicated IUI's, co pays for each visit were $15 dollars and all medications have been between $10 and $15 as well.
Describe Preston Nelson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
N/A
7
Doctor
Preston Nelson
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Kaiser Permanente NorCal
Oakland
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
9
Age
36 - 39
Treated
2015 - 2018
Success with this Doc
?
Treatment
4 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
9
Dr. Nelson requests calls shortly after each treatment to review how I was feeling and potential next steps. He always greets each call asking how I'm doing and if I have any questions. He ends each call confirming that I'm clear with next steps and making sure all of my questions and concerns are answered.... We initially attempted a Clomid cycle with no IUI. Unfortunately, the medication left me with some unwanted side effects so he switched me to Letrozole for the next cycle. After a couple of Letrozole cycles with IUI, we decided to try Menopur with IUI.
+ Read more
Age
36 - 39
Treated
2015 - 2018
Success with this Doc
?
Race
Latino
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
2nd of 3 Docs
Treatment
4 IUI
Diagnosis
Diminished Ovarian Reserve, Poor Egg Quality, Uterine Fibroids
9
How was your experience with Preston Nelson at Kaiser Permanente NorCal?
Dr. Nelson requests calls shortly after each treatment to review how I was feeling and potential next steps. He always greets each call asking how I'm doing and if I have any questions. He ends each call confirming that I'm clear with next steps and making sure all of my questions and concerns are answered.
What's one piece of advice would you give a prospective patient of Preston Nelson at Kaiser Permanente NorCal?
Be as honest as possible. He's very compassionate and non-judgmental.
During treatment, were you treated like a number or a human with Preston Nelson at Kaiser Permanente NorCal?
Extremely gentle bedside manner. Always very concerned about my well being.
Describe the protocols Preston Nelson used in your cycles at Kaiser Permanente NorCal and their degree of success.
We initially attempted a Clomid cycle with no IUI. Unfortunately, the medication left me with some unwanted side effects so he switched me to Letrozole for the next cycle. After a couple of Letrozole cycles with IUI, we decided to try Menopur with IUI. The Menopur did not yield greater results so we resumed Letrozole and waiting for another IUI. Dr. Nelson did recommend IVF after our first consultation but due to costs, we decided to go this route.
Describe your experience with the nursing staff.
Overall the nursing staff is pleasant and professional.
Describe your experience with Kaiser Permanente NorCal.
Kaiser Oakland has struggled to maintain the staffing (nurses and doctors) necessary for the clinic. I was initially referred to the Fremont clinic as the Oakland one was not accepting new patients and had to wait several months before being transferred to Oakland. They also do not perform IUIs on Sundays.
Describe the costs associated with your care under Preston Nelson at Kaiser Permanente NorCal.
My husband has a good health insurance plan so costs of medications and co-pays are minimal. His insurance covers IUIs but does not cover IVF. Insurance through my employer does not cover IVF and IUI costs are higher.
Describe Preston Nelson's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
Dr. Nelson was an IVF doctor but Kaiser does not offer that service at the Oakland facility so he did not make any recommendations regarding embryo transfers.
What specific things went wrong at Kaiser Permanente NorCal?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Failed to order appropriate test
  • Provided conflicting information
9
Doctor
Preston Nelson
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
7
Clinic
Kaiser Permanente NorCal
Oakland
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
– Read less
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