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.