How was your experience with Sacha Krieg at Oregon Health Sciences University?
Dr. Krieg seems quite knowledgable of textbook diagnoses and interpretation of test results, but tends to overlook details I share that sit outside the norm. She continues to charge forward and treat the original diagnosis, with the original treatment plan for the time she may have specified in an appointment several months prior, even when new information has materialized that seems like it should result in a change of course. Like in my case, I all of the sudden stopped getting a period after ovulation and stopped showing LH surges on OPK's when every single prior cycle those two things hadn't occurred. In this case, I could hardly get her on the phone to have a conversation with me about it. I find when talking to Dr. Krieg, it's clear she's either forgotten or hasn't looked across my personal medical history when providing me answers, so it seems like each conversation is disconnected from the last.
What's one piece of advice would you give a prospective patient of Sacha Krieg at Oregon Health Sciences University?
Levelset on communication expectations before pursuing treatment to make sure you're both aligned - as the lack of communication could cause stress which quite possibly counterbalances the benefits of pursuing fertility treatments.
During treatment, were you treated like a number or a human with Sacha Krieg at Oregon Health Sciences University?
This is a criticism of OHSU Fertility, not of Dr. Krieg, as when I finally got through the bureaucracy to reach Dr. Krieg, she was helpful! OHSU is not patient-centric, they prioritize getting people through vs. talking to their patients. Their process is incredibly bureaucratic with how they evaluate your medical case as a team, but only allow you to discuss any findings they may have with a nurse who can't answer any questions - on top of that, it's very difficult to get ahold of a doctor (any doctor!) when, in fact, you do have questions. Given the emotional sensitivity of patients undergoing fertility treatments, I would not recommend OHSU, but rather seek a clinic that put patients at the center and prioritizes communication.
Describe the protocols Sacha Krieg used in your cycles at Oregon Health Sciences University and their degree of success.
provera to stimulate period, letrizole to stimulate ovulation, ovidrel shot to stimulate ovulation, and IUI.
3rd time with this strategy back in 2017 I got pregnant. 3rd time with this strategy in 2019, I didn't get a period at the end of a cycle but had negative pregnancy tests. After trying hard to break through the staff filter to get me 5 minutes on the phone with Dr. Krieg to understand if she might have a hypothesis why, she said likely a luteal cyst, but that it was weird. Next cycle, I had to induce with provera, kept on the same letrizole course, my ultrasound was scheduled too late so we missed ovulation completely. All my OPK's were negative. No explanation. I was prescribed more letrizole to take mid-cycle as they weren't sure at my ultrasound if I had ovulated or if my cycle was just really really long. I started the letrizole, then several days later was told after a blood test that actually I had ovulated. Finally I was able to get a call with Dr. Krieg a few days after that, she said stop taking the letrizole (I had one day supply left). I asked if taking letrizole in the luteal phase was detrimental to my chances of getting pregnant that cycle from intercourse (since we missed IUI) and she said she didn't know, that they have never had anyone take letrizole in the luteal phase before. She recommended same treatment next month.
Describe your experience with your nurse at Oregon Health Sciences University. (Assigned nurse: Valerie)
Valerie always told me the doctor was too busy to talk to me, yet couldn't answer my questions when I had them. After my last conversation with Dr. Krieg on the phone, she told me she had responded to Valerie on a question I had directly, but Valerie never contacted me with Dr. Krieg's response. She also scheduled my ultrasound too late and we missed ovulation completely - I depend on their knowledge of my medical history and their expertise to manage my appointments and my communications with the doctors as needed and I found consistently that I could not depend on Valerie. Alternatively, the medical assistant Lotte, was incredible.
Describe your experience with Oregon Health Sciences University.
They are not patient-centric at OHSU, and prioritize getting people through vs. talking to their patients. Their process is incredibly bureaucratic with how they evaluate your medical case as a team, but only allow you to discuss any findings they may have with a nurse who can't answer any questions - on top of that, it's very difficult to get ahold of a doctor (any doctor!) when, in fact, you do have questions. Given the emotional sensitivity of patients undergoing fertility treatments, I would not recommend OHSU, but rather seek a clinic that put patients at the center and prioritizes communication.
Describe the costs associated with your care under Sacha Krieg at Oregon Health Sciences University.
I can't remember the difference in cost between seeing Dr. Krieg 1:1 vs. IUI, vs. ultrasound, but I never left without spending at least $400 and over the course of the several months I've gone to OHSU fertility, I estimate being in over $10k.
What specific things went wrong at Oregon Health Sciences University?
- Provided conflicting information
- Failed to convey critical information
- Canceled a cycle due to clinic error
Describe the specific things that went wrong at Oregon Health Sciences University.
Dr. Krieg told me over the phone not to increase my letrizole dosage. Then a nurse called me to schedule an ultrasound saying my chart reflected a higher dosage than what I was taking. At this time, I asked to speak to a doctor to understand if I should increase, even through Dr. Krieg told me not to because Dr. Krieg was on vacation. No one called me back. I found out later from Dr. Krieg that she had given direction for me to increase back to the nurse directly, yet no one called me or mychart-messaged me that she had responded.