My experiences with this clinic but specifically with Dr. Telles made me feel like a number: Dr. Telles was always at least 30 minutes late to every single appointment I had with her, long wait-list, poor follow-up for scheduling an appointment after "clearance". Once they make you aware of unsuccessful IVF and IUI, very little compassion. Feels like main goal is just to charge your insurance versus providing excellent fertility care. When procedure like IUI or IVF is unsuccessful, first comment is to blame the patient versus their (doctor's) ineptitude.
Clinic [Kaiser Permanente NorCal] could do better with scheduling appointments during the time when the doctor is actually available, not having you sit in the room for 30 minutes or more because the doctor is "running late". Clinic scheduling seemed to be overburdened. The wait-lists were very long and after receiving clearance, it took time to actually get an appointment on the calendar.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles did not seem equipped or well prepared to advise me as her patient on the fertility process. She advised me on one occasion, to get hormone testing done so early in my cycle that when the results came back she was shocked at the high number, and almost made me skip a FET cycle. It wasn't until after she consulted with "the team" that she realized I tested too soon and had me retest which ultimately provided good results for me to move forward. If it wasn't for the other doctors on staff, I would have skipped another round of a FET cycle which could have been many months down the line. Dr. Telles, was always half an hour late to every appointment I had scheduled with her. The first cycle with her didn't even make it to an FET cycle because she informed me that after retrieval I had no viable embryos out of the 10 that were retrieved, she did not provide me with those results/documentation from the testing lab for my records. On the second failed FET cycle, she then went on to "explain" that maybe I have blocked tubes (even after my initial screening with her showed my tubes weren't blocked) and wanted me to undergo all kinds of unnecessary biopsies and surgeries on my uterus to see what can explain a second failed FET cycle. When I finally decided to go with another clinic after changing insurance and I informed her of this, she had no compassion towards me on my journey with her, she didn't wish me well or ask any questions. She scheduled me for so many additional appointments and lab tests that the costs became astronomical - I felt at this point, it was all about charging my insurance for as much as possible. As soon as I left to another outside (private) clinic, I did a natural FET cycle and got pregnant on the first attempt.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Show up to your appointments on time, don't treat patients like a number and have more compassion.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
My experiences with this clinic but specifically with Dr. Telles made me feel like a number: Dr. Telles was always at least 30 minutes late to every single appointment I had with her, long wait-list, poor follow-up for scheduling an appointment after "clearance". Once they make you aware of unsuccessful IVF and IUI, very little compassion. Feels like main goal is just to charge your insurance versus providing excellent fertility care. When procedure like IUI or IVF is unsuccessful, first comment is to blame the patient versus their (doctor's) ineptitude.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
The first FET cycle was a frozen embryo transfer (freeze-all). Birth control before starting FET cycle was for two months. Medications included: Ganirelix, Ovidrel, Follistim, Progesterone suppositories and injections, Estradiol patches. When this cycle failed, she wanted to basically do the same cycle after doing a biopsy on my uterus and include Lupron to the list of medications.
Describe your experience with your nurse at Kaiser Permanente NorCal.
The nursing staff for the most part were responsive and showed courtesy during office visits. They always made an excuse for Dr. Telles being late unfortunately but other than that, did not have a specific issue with the nursing staff. They were in general nice.
Describe your experience with Kaiser Permanente NorCal.
Clinic could do better with scheduling appointments during the time when the doctor is actually available, not having you sit in the room for 30 minutes or more because the doctor is "running late". Clinic scheduling seemed to be overburdened. The wait-lists were very long and after receiving clearance, it took time to actually get an appointment on the calendar.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
Overall costs of total care for IVF resulted in $20,000+.
What specific things went wrong at Kaiser Permanente NorCal?
Dr. Telles was always familiar with my case prior to my appointments which made me feel followed closely. She responded promptly to my emails and was encouraging along the process despite having been given only 5-10% chance of conceiving...I had a lot of questions and she always took the time to answer them honestly even if it wasn’t what I wanted to hear
Kaiser REIS provides good care but be prepared because it takes awhile to get in for an initial consult (2+months). Be prepared to be your own advocate and ask for a different protocol if you don’t like the results you’re having. Ask about supplements and do your own research...Typical IUI cycle with injectable probably would’ve cost 4K-5K/cycle if had to pay out of pocket.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles was always familiar with my case prior to my appointments which made me feel followed closely. She responded promptly to my emails and was encouraging along the process despite having been given only 5-10% chance of conceiving. Having hope during an already stressful time gave me something to hold on to.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Be your own advocate with ANY doctor. Do you research and ask questions. Much of our success I attribute to my own research and subsequent action.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles was very personable and knowledgeable. I had a lot of questions and she always took the time to answer them honestly even if it wasn’t what I wanted to hear. I would use her again in a heartbeat.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
I’ve done two medicated cycles with IUI and insemination. First cycle failed with just 150 Menopur and triggger. Only got 1 mature egg. Second cycle I advocated HARD for myself to do an atypical protocol. We did 225 Menopur starting on CD2-9, Omnitrope 1/2 vial/day CD 3-9, Ganirelix CD 6-9, and Ovidrel trigger on CD9. IUI 36 hours after trigger. We had 4 mature eggs at trigger and 2 took. My doctor said we did “IVF without the IVF”. Currently 12weeks, 5 days with twins.
Describe your experience with your nurse at Kaiser Permanente NorCal. (Assigned nurse: NP Cynthia Bellit and NP Rhea-Gomez)
NP Bellitt was delightful and pleasant. The bedside manner of Rhea-Gomez was less personable but her care was good. The rest of the nursing staff was very nice.
Describe your experience with Kaiser Permanente NorCal.
Kaiser REIS provides good care but be prepared because it takes awhile to get in for an initial consult (2+months). Be prepared to be your own advocate and ask for a different protocol if you don’t like the results you’re having. Ask about supplements and do your own research.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
Copay first office visits and copay for meds. Typical IUI cycle with injectable probably would’ve cost 4K-5K/cycle if had to pay out of pocket.
Describe Tracey Telles's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
I believe Kaiser IVF prefers eSET but since I only did IUI, I’m not sure.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to call in prescriptions to pharmacy
Describe the specific things that went wrong at Kaiser Permanente NorCal.
The needles I needed for my injections were not ordered on a Friday and I had to run around on the weekend trying to get the correct ones ordered from another doctor that wasn’t a fertility specialist.
I feel so blessed that I got assigned Dr. Telles through Kaiser. She is extremely intelligent and very thorough when explaining procedures, risks, her recommendations and reasoning, etc. She was always happy to take extra time to answer all of our questions...no matter the situation I felt pretty happy leaving after I saw her...She wanted to minimize the amount of hormones she put me on due to the fact that they cause some pretty unpleasant side effects for me.
[The nursing staff at Kaiser] were very responsive when I would call with questions (sometimes of things I should've remembered). They were always pleasant and showed empathy. The nursing staff was also very thorough and went out of their way to ease a few of my worries...there are a lot of patients and it can sometimes be difficult to get an appointment that works with my teaching/school schedule.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
I feel so blessed that I got assigned Dr. Telles through Kaiser. She is extremely intelligent and very thorough when explaining procedures, risks, her recommendations and reasoning, etc. She was always happy to take extra time to answer all of our questions. She connects with her patients on a personal level by asking questions and sharing her own stories. I always feel so much more at ease with this whole infertility journey after I leave Dr. Telles' office. I could not recommend her more.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Ask all the questions you have and she will most definitely answer them and explain them in ways that you can easily understand.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles spent time to answer all of my questions in detail and helped ease my fears and worries. She communicated with my husband and I well and on a consistent basis. She also connected with us on a personal level; asking questions and sharing stories. She was always pleasant to see and no matter the situation I felt pretty happy leaving after I saw her.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
We started with a natural cycle IUI. After that we added clomid. Then upped the dose of Clomid. This next cycle we were going to do an IUI with a different oral medication + injectibles (I can't remember the names). After looking at mine and my husband's numbers and test results, Dr. Telles didn't see anything to explain why we have had a hard time conceiving. She wanted to minimize the amount of hormones she put me on due to the fact that they cause some pretty unpleasant side effects for me. We did an IVF consultation and were about to get the tests for IVF approval before COVID19 crisis happened.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
They were very responsive when I would call with questions (sometimes of things I should've remembered). They were always pleasant and showed empathy. The nursing staff was also very thorough and went out of their way to ease a few of my worries.
Describe your experience with Kaiser Permanente NorCal.
I have had a very pleasant experience here, however, it seems there are a lot of patients and it can sometimes be difficult to get an appointment that works with my teaching/school schedule. The staff are very understanding though and always do their best to make it work. I'm very happy with Kaiser San Ramon!
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
All of my IUI and tests were covered 50% by my insurance. A general IUI cycle would cost us about 400$. I'm not sure how much our IVF consult was. IVF is not covered at all and we have been told it will cost us at least 30,000 when all is said and done.
Describe Tracey Telles's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
We discussed this during our IVF consult and she said she would recommend following the guidelines in place given my age.
Dr. Telles showed compassion and empathy for what I was going through. She agreed that it’s not fair for anyone to have fertility issues and she was very gentle during every ultrasound. She always asked how I was doing first but wasted no time coming up with a treatment plan for my partner and I. When it came time to move on rob IFV she explained the process in an easy to digest way but also reassured me that I was strong enough to handle it.
The clinic [Kaiser Permanente] was very clean and orderly. It was spacious and felt very private. It was occasionally hard to navigate because it was so big. There was something about it that felt cold and unfriendly, I would have preferred if the clinic had some type of interior decoration or anything to make it more cheerful and less clinical and dreadful. ...
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles showed compassion and empathy for what I was going through. She agreed that it’s not fair for anyone to have fertility issues and she was very gentle during every ultrasound. She always asked how I was doing first but wasted no time coming up with a treatment plan for my partner and I. When it came time to move on rob IFV she explained the process in an easy to digest way but also reassured me that I was strong enough to handle it.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Write down all your questions and ask them, because she will sit down and answer every single one.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles took her time explaining treatment to me, she didn’t rush me, and helped me feel hopeful without misguiding me through my treatment.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
Tracey Telles had me move on from using only injectables for IUI cycles to injectables and clomid for IUI cycles. Before this transition I developed too many follicles and the cycle was cancelled, she then had me move on to IVF.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
The nursing staff did their jobs and always told me what to expect but they often seemed annoyed if I had questions or concerns.
Describe your experience with Kaiser Permanente NorCal.
The clinic was very clean and orderly. It was spacious and felt very private. It was occasionally hard to navigate because it was so big. There was something about it that felt cold and unfriendly, I would have preferred if the clinic had some type of interior decoration or anything to make it more cheerful and less clinical and dreadful.
Describe Tracey Telles's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
Tracey Telles prefers women to transfer 1 embryo but is willing to listen to anyone who would like to try 2.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to call with results
Describe the specific things that went wrong at Kaiser Permanente NorCal.
A different doctor, not Tracey Telles, misinformed me on how much bed rest I needed after developing too many follicles.
Tracy Telles is very compassionate through all visits. She cares about your emotions during this process... She also tries different combinations of meds if the current ones are not working. She is open to switching them every cycle if it is needed, hoping that one combo will finally be the right one...She also administers IUI procedures with minimal pain. I’ve had other doctors perform my IUI and they have hurt me, but Telles is very gentle and quick.
Kaiser is not open on weekends so sometimes I worry that the procedures are not working because they try to do them too soon or too late for what my body really needs. It’s also hard to schedule appointments since they only have one person taking calls and scheduling and they are only open from 8:30-4:30. It’s difficult to schedule with work hours being the same...They’re [nursing staff] very friendly and always try to say positive things to keep me hopeful.
How was your experience with Tracey Telles at Kaiser Permanente SoCal?
Tracy Telles is very nice and compassionate. She cares about your emotions throughout this stressful and sometimes heartbreaking process. She also administers IUI procedures with minimal pain. I’ve had other doctors perform my IUI and they have hurt me, but Telles is very gentle and quick. She also tries different combinations of meds if the current ones are not working. She is open to switching them every cycle if it is needed, hoping that one combo will finally be the right one.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente SoCal?
Ask her all of the questions that are on your mind. She’s very open to answering all of them to make sure you’re not left wondering anything.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente SoCal?
Tracy Telles is very compassionate through all visits. She cares about your emotions during this process.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente SoCal and their degree of success.
She initially prescribed me clomid and an ovidrel shot to use before an IUI procedure. I have late ovulation and therefore a short luteal cycle which the ovidrel was supposed to help with.
After developing cysts from the meds, she switched me to femara and the ovidrel shot before IUI.
Next, since nothing has worked so far, she put me on femara with menpur shots daily for three days and then the ovidrel shot before IUI.
Waiting to see what will happen next.
Describe your experience with the nursing staff at Kaiser Permanente SoCal.
They’re very friendly and always try to say positive things to keep me hopeful.
Describe your experience with Kaiser Permanente SoCal.
Kaiser is not open on weekends so sometimes I worry that the procedures are not working because they try to do them too soon or too late for what my body really needs.
It’s also hard to schedule appointments since they only have one person taking calls and scheduling and they are only open from 8:30-4:30. It’s difficult to schedule with work hours being the same.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente SoCal.
I have health coverage through work so it’s around $30 copay for each visit (around 3-4 each month) and then around $200 for meds and shots.
Although Dr. Telles was very compassionate, she gave me false hope. With my initial consult, she suggested just doing an IUI and practically guaranteed that would work. A year and a couple months later and I’m still not pregnant. After asking a second doctor to look over my lab results, I found out I have a mild form of PCOS. I should have gone straight to IVF without wasting time, money, or heartbreak on IUI.... She had me try both clinics and femara for different cycles with an ovidrel shot and IUI.
Strength is really only for if your insurance is through then specifically and covers some of the meds by them [Kaiser NorCal]. That’s why I went to them. I didn’t have coverage for any other facility. Weakness is that they are a corporation and don’t seem like they really care about getting you pregnant. They just follow standard protocols without really looking into you as an individual or your specific needs.... It was a $30 copay for any visit for the ultrasounds and procedure for iui.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Although Dr. Telles was very compassionate, she gave me false hope. With my initial consult, she suggested just doing an IUI and practically guaranteed that would work. A year and a couple months later and I’m still not pregnant. After asking a second doctor to look over my lab results, I found out I have a mild form of PCOS. I should have gone straight to IVF without wasting time, money, or heartbreak on IUI.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
Get a second opinion if you’re not pregnant within three cycles.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
Dr. Telles was very nice and compassionate, acknowledging this as a very emotional journey.
Describe the protocols Tracey Telles used in your cycles at Kaiser Permanente NorCal and their degree of success.
She had me try both clinics and femara for different cycles with an ovidrel shot and IUI.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
Very friendly and always try to give the patients hope.
Describe your experience with Kaiser Permanente NorCal.
Strength is really only for if your insurance is through then specifically and covers some of the meds by them. That’s why I went to them. I didn’t have coverage for any other facility. Weakness is that they are a corporation and don’t seem like they really care about getting you pregnant. They just follow standard protocols without really looking into you as an individual or your specific needs.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
My insurance covered most of the meds and the appointments. It was a $30 copay for any visit for the ultrasounds and procedure for iui. Meds were about $200-300 a cycle.
What specific things went wrong at Kaiser Permanente NorCal?
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at Kaiser Permanente NorCal.
They missed my PCOS diagnoses. Had I known that, I wouldn’t have wasted a year and a couple months on IUI procedures. I would have gone straight to Ivf.
I felt like a human as she [Dr. Tracey Telles] took the time to explain our options and share her story, however it felt like she was checking a box in doing so...used visuals in explaining things which is very helpful when you are totally lost in this process. She shared her own story which was nice to hear. We leave most appointments not knowing what to do or expect next...You don't leave with a step by step plan and that can make you feel very lost in an already confusing process.
The clinic [Kaiser Permanente NorCal] is organized. Some of the nurses make you feel like a number. You don't leave with a step by step plan and that can make you feel very lost in an already confusing process. You aren't able to e-mail any of the nurses which can become very frustrating...Dr Telles used visuals in explaining things which is very helpful when you are totally lost in this process. She shared her own story which was nice to hear. We leave most appointments not knowing what to do or expect next.
How was your experience with Tracey Telles at Kaiser Permanente NorCal?
Dr Telles used visuals in explaining things which is very helpful when you are totally lost in this process. She shared her own story which was nice to hear. We leave most appointments not knowing what to do or expect next.
What's one piece of advice would you give a prospective patient of Tracey Telles at Kaiser Permanente NorCal?
To provide a written step by step plan.
During treatment, were you treated like a number or a human with Tracey Telles at Kaiser Permanente NorCal?
I felt like a human as she took the time to explain our options and share her story, however it felt like she was checking a box in doing so.
Describe your experience with Kaiser Permanente NorCal.
The clinic is organized. Some of the nurses make you feel like a number. You don't leave with a step by step plan and that can make you feel very lost in an already confusing process. You aren't able to e-mail any of the nurses which can become very frustrating.
Describe the costs associated with your care under Tracey Telles at Kaiser Permanente NorCal.
A LOT
Describe Tracey Telles's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.