East Bay Perinatal (Berkeley, Oakland, San Leandro, San Ramon)
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East Bay Perinatal (Berkeley, Oakland, San Leandro, San Ramon)
I plan to switch from my current OB to midwife Lindy Johnson
has gotten great reviews on BPN. I know that she uses East Bay
Perinatal as backup in the event of a c-section and since I
c-section with my first, I'm looking for feedback from anyone
used East Bay Perinatal as their OB. I am not finding much
them online and would love to know if there are particular
doctors to look out for (both good and bad) and if anyone has
a c-section delivery with them. I'm hoping for a vbac, but you
never know. Any advice? I love my current OB, but she is not
encouraging about the vbac, whereas Lindy seems very hopeful.
I had to use East Bay Perinatal when Alta Bates merged their
perinatal clinic with Sutter's. I was a patient of David
Marinoff's at Alta Bates and at EBP after the merge. He
performed both of my high risk C section deliveries- the
second of which was at 28 weeks gestation! Dr. Marinoff was
the BEST doctor I ever encountered. He listened to all of
my concerns and puts the patient first. He would even go to
the NICU to visit my baby when he was working at the
I did NOT like Dr. Weiss' bedside manner, though he is
highly qualified. I had limited contact with the other
doctors, but they know what they are doing as far as high
risk patient care.
I have seen the docs at EB Perinatal only for gestational
diabetes but have seen quite a bit of them & talked with my
regular OB about them. Dr Goldman - very, very straight
forward but not warm/fuzzy or anything along those lines. Dr
Lovett - supposedly very laid back - have only talked with
him once or twice. Dr Fong - very nice & supportive. Dr.
depalma - did not like his vibe much and would not pick him
as my ob. Dr. Marinoff (did an amnio for me a few years
back) - warm, great bedside manner and very responsive. I
think its like many things - luck of the draw. With so many
docs, you get who ever is on call. I imagine they are fine.
Lindy works with East Bay Perinates, the group that staffs
Alta Bates L&D OBs and CNMs 24/7. They work 12 hour shifts,
so whoever is on that day is who you get if Lindy needs a
backup MD consult or you need a c-section. You don't have a
choice, really. If you wind up with a scheduled c-section
for some reason, you may have a choice of MD, but usually
the perinatologist scheduled for the day does the weekday
scheduled c-sections. I used to work there as an RN and
things may have changed but I doubt it ...
I saw Lindy for my prenatal care and she was WONDERFUL. I
very much wanted a no-drugs vaginal birth, had even
considered a homebirth. Well, our little guy was a footling
breech and a c-section with Dr. Eve Yalom of EB Perinatal
was what we ended up with. I must say that even though I
was terribly disappointed to have had a c, Lindy made the
experience great, she was with me in the room, she did my
follow-up care, and I will return to her in a couple of
years for a VBAC, I hope. Dr. Yalom was a skilled surgeon,
my c was a bit tricky, and warm and kind. I was very happy
with her. The nurses in recovery at Alta Bates were also
fabulous. I also saw another doc in EB perinatal for my 20
week u/s (can't remember his name) and he was also very
good, thorough and not rushed. I know another mom who had a
c under Lindy's care and was also very satisfied with the
wondering about amnio experiences with Dr. Weiss at East Bay
Perinatal. If you've seen him recently, I'd love to hear if
you've had a positive or negative experience. Thanks.
I had an amnio with Dr Weiss at EB Perinatal in December and I
liked him very much and think he did a good job. He did
question me as to why I wanted an amnio when the screening tests
looked very good and ultrasound looked good too (I am 38 yrs
old). I appreciated that he made sure I understood there was
some risk factor to the procedure and then gave me some time to
discuss it with my husband. When we said we still wanted the
amnio then he went ahead. The procedure itself was weird but
really not bad. I hope this helps.
I just had my amnio (two actually, as I am having twins) less
than two weeks ago with Dr. Weiss, and found him to be warm and
reassuring as well as professional. The procedure was quick and
uneventful, and Dr. Weiss was great about talking me through the
short periods that the needles were in. He also took a fair
amount of extra time trying to find out the sexes of our twins
during the ultrasound beforehand, as the tech had no luck. No
complications and no complaints.
I am trying to get feedback for Dr. Jonathan Weiss (East Bay Perinatal)
for CVS. I have one baby girl and did not go through any invasive testing
when I was pregnant with her. But I just turned 35 and am 8 wks pregnant.
After a lot of reading, thinking... we have decided for CVS but we are
nervous as the only doc my insurance will cover is Dr. Weiss.
Any info on first hand
experiences will be really appreciated. The Genetic Counsellor at East
Bay Perinatal told me he does between 100-150 cases per year and has a
failure rate of 1:200 (which is very different from what I read on the
Unfortunately my insurance will not cover Dr. Goldberg or Dr. Norton. So
I am debating whether to pay out of pocket and go to them or to go with
Dr. Weiss and have insurance cover all expenses. Thanks for any info that
can be shared. - Nervous mom!
When I was looking for a Perinatologist for CVS last August, I
also considered Dr.Weiss, but decided to go out of network (and
pay out of pocket) to see Dr.Goldberg. My decision was based on
Dr.Goldberg's glowing reputation and also because I couldn't find
much info on anyone else. Turns out I had to wait to do an amnio
instead because my retrograde uterus made CVS impossible, so I
can't comment on Dr.Goldberg either. However, for the rest of my
pregnancy, I saw and was monitored by Dr.Weiss. He was warm and
caring and easy to talk with. He performed an amnio on me and he did a fine job. I
would feel comfortable going back to him
for CVS. I'll also mention though that the SF practice with Dr.Goldberg is ultra fancy
and I felt like it was unnecessarily
posh. The East Bay Perinatal office isn't as nice but has
perfectly good new equipment. Next time, I don't think I would
agree to pay $600+ to go out of network, now that I've met
Dr.Weiss and feel comfortable about his competency. I hope this
is somewhat helpful to you in your important decision. Good
I had similar apprehensions about Dr. Weiss for the reasons that
you mention. In addition, I had a successful CVS performed by
Dr. Goldberg several years ago for my first child. After much
thought and consultation with my OB, I decided to go to Dr.
Weiss. I had a positive experience with him (perhaps even
better than with Dr. Goldberg). If we decide to have a third
child, I will feel confident about returning to Dr. Weiss. I
wish you the best!
Pleased with Dr. Weiss
Could anyone share your experience of high risk pregnancy with
either East Bay Perinatal Medical Assosiates (Dr.Marinoff), and
UCSF pregnancy care unit?
I am currently almost 10 weeks pregnant with triplets, and slowly
trying to plan who to see with my pregnancy. Since I am high
risk due to age (41) and triplets, I need to be followed by a
perinatologist for my pregnancy, but still I will be followed
regularly with my OB too, since my OB team will most likely be
the one helping with my labor.
I went to see Dr. Marinoff at East Bay Perinatal Medical
Assosiates. While I liked his gentle manner and approach, I
could not get a grip of how thoroughly this facility or group of
doctors will follow my pregnancy. Also, if I go with
E.B.Perinatal doctors, I will give birth at Alta Bates in
Berkeley, by C-cestion by my OB, but I also do not know mucy
about the level of care that Alta Bates can provide to my
I went to UCSF websites and read a lot about their high tech and
comprehensive care by team of doctors, with front-line NICU at
UCSF Children's Hospital, I started to wonder whether I should go
to UCSF for my pregnancy/birth/and care of my babies.
The thing is,,,,if I go with UCSF, I do not know any doctors
there. I will not be seeing my OB who followed two of my past
(difficult) pregnancies. It will be far from my home. ( I live
in the East Bay.) Commute is easier if I stay with doctors in
the East Bay, but I just wonder what is best for me.
Any recommendations or thoughts?
Pregnant with triplets
Congratulations on your pregnancy!
I wanted to write a quick recommendation for East Bay Perinatal
as I had all my pre-natal care with them when I was expecting my
twins 3 years ago. All the doctors were great, very thorough, and
I particularly liked Mickye Adams who I saw most frequently.
Having schlepped into SF for fertility treatment it was great to
have a short commute, and I was able to schedule appointments for
when my older daughter was at preschool. Also, in the later
stages of pregnancy, the valet parking outside the EBPMA office
Alta Bates has a Level III NICU so is well equipped for premature
babies. My twins were born full term but one was admitted to the
NICU for a couple of days and the staff and neonatologists (esp.
Dr Duritz) were great.
Good luck whatever you decide!
I am 25 weeks and going to East Bay Perinatal. Overall, the
office is good. I'd give it a B+. They are busy, but I like all
the doctors I have seen.
The office organization is not so great. I told (by two people)
I'd get a call back about the 12 week Nucal test regardless of
the results, but they apprently only call with abnormal results.
They also ''lost'' my lab results once.
The medical assistants are nice, but rush you through the blood
pressure readings. Make sure to sit for 5 minutes before they
take it, otherwise it can show too high a reading.
Good luck with the triplets!
Hi- I have experience with the Alta Bates NICU as well as East
Bay Perinatal (as well as a few other NICU's). One important
factor to consider is that if you have your babies early and
they require a lengthy stay in the hospital, it will be much
more convenient to be at a hospital that is closer to your home.
The Alta Bates NICU is state of the art and is a really
physically nice space. All of the doctors at East Bay Perinatal
are competent although I did feel shuffled around a bit. If you
want more info, feel free to e-mail.
Has anyone had a CVS performed recently by Dr. Weiss of East Bay
Perinatal? When I asked his office about his numbers, I was told
that he performs more than 50 CVS procedures annually and was
quoted a miscarriage rate of less than 1%, which is below the
national average. However, I know other Bay Area doctors are
more experienced with this procedure, performing 100s of CVS
procedures annually (e.g., Jim Goldberg, Mary Norton, Carl Otto).
I'm considering paying out-of-pocket for the procedure. I've
read the archives but they are dated for Dr. Weiss. It would be
great to hear about other people's more recent experiences with
Dr. Weiss barely spoke to me or explained what he was doing during my
procedure. He even wore the earpiece to his
phone during the entire procedure. He numbed my cervix without asking me and just mentioned
it in passing when the procedure was over. I did bleed for a few days afterward, though
everything turned out fine.
On the upside, I got my results back quickly -- not sure if everyone does that or if they are
Re: Need recommendations for amnio
I had an amniocentecis in early January at East Bay Perinatal in Oakland. I don't
remember the docotor's name, however, she was Asian and was very nice and comforting
during the procedure. She explained the procedure and what it would feel like for me
(like drawing blood). Since it was my first anminocentesis, they provided genetic
counseling before the procedure where they ask you about your family's health history
and walk you through a few chromosome charts. It really made me understand the
importance of knowing yours and your partner's health history. Try to schedule your
appointment first thing in the morning to minimize your wait times as schedules back
up. Pregnant with second child
I had my amnio done at East Bay Perinatal by Dr. Marinoff, I think? He was great. I
did not have any screening done beforehand; I knew that at age 37, I wanted the amnio
no matter what. It really depends on what you believe the risks are and how you feel
about having an unexpected outcome of your pregnancy. It's such a personal decision.
I asked my OB: ''What would you tell you daughter to do?'' He said he'd tell her to
get the amnio no matter how old she was. I was, however, very apprehensive about the
procedure, the pain, the needle, that I might do something afterward to cause a
miscarriage, etc. It turned out to be nothing. The pain, for me, was less than the
pain I feel when getting my blood drawn. The sensation of the amnio was definitely
strange and disconcerting. I did not ever look at the needle. I felt a little weird
afterward for a few hours. All in all, my main feeling was, ''Gosh, I wish I hadn't
wasted all that time worrying.'' If I ever got pregnant again, I would not hesitate
to get an amnio. The only thing I might consider would be CVS, in order to get the
results earlier. That way, if the news were really bad and I chose to terminate the
pregnancy, I wouldn't be so far along. Good luck with your decision!
Happy to have the amnio
I had an amnio at East Bay Perinatal in April 2005 (I think it was Dr. Weiss, but not
sure) and found the people I worked with (doctor, technicians and genetic counselor)
to be warm, caring and competent. Their manner and answers went a long way towards
relieving my anxiety about the procedure, but, honestly, the best thing was hearing
other people's stories of success. When I heard I had to have an amnio and freaked
out a little bit, I started talking to my girlfriends and almost every one of them
had a story about an uneventful amnio and subsequent healthy baby, and those that
didn't referred me to their friends who did. It was so reassuring and wonderful to
see how much people cared. One other thing that helped calm me was doing some
visualization of the procedure going well, my body healing, and the baby being
delivered healthy -- it sounds a little silly, but if nothing else it made me feel
like I was doing something to go through that mental exercise every day, since there
really isn't anything physical you can do to affect the procedure, and I'm the kind
of person who likes to feel like I'm doing something. I would do an amnio again
without hesitation, because of the peace of mind -- if I hadn't had the amnio, I
would have been worrying right up to delivery that maybe the baby had Downs, and it
really would have hampered my ability to enjoy the pregnancy and be excited about the
baby coming. Best of luck to you.
Healthy baby, no complications
HI, I'm wondering if anyone can share their recent experience
with any staff at East Bay ob/gyn medical associates. I'am
looking for an OB for a high risk pregnancy. All the postings
are rather old. Any info, good or bad is very much appreciated!
I loved East Bay Perinatology Medical group...I went to the office in San Ramon. I saw Dr. Weiss. Did
not like so much Dr. DiPalma, but the other MDs that I saw while in the hospital were excellent. Overall,
good. They have another office in Oakland that I went to once. They deliver at alta bates. The NICU
there is terrific (if you need it)
Has anyone had CVS with Dr. Weiss at East Bay Perinatal? This
is the only place my insurance will cover, and I know he does
fewer procedures than docs at UCSF or CPMC, wondering about
complication rates...I called the office and they gave me an
overall rate of all complications of 1:100
I went to East Bay Perinatal for my CVS, which was performed by Dr. Weiss, in
September '04. Like you, it was the only one my insurance covered. The procedure
went fine, no complications at all. The genetic counselor was very helpful and
informative. Dr. Weiss was not exactly Mr. Bedside Manner -- after I was draped
and the initial scan was done by tech, he was in and out of the room and completely
done with the procedure in less than five minutes. But, hey, who wants to prolong
the time her legs are in stirrups? I didn't even have any spotting after the
procedure, and it was very reassuring to me to have the definitive genetic results
that early in the pregnancy. Yes, there's definitely a bias in favor of the folks
in San Francisco, but they are experienced professionals at East Bay Perinatal too.
It's not a choice between a Rolls Royce and a Yugo; it's a choice between a Rolls
Royce and a Mercedes. If you're going to look at ''complication rates'' -- and
that's not at all a bad idea -- do make sure that you know how different doctors
measure and report those, because it may not be apples to apples. Happy with my
I decided to have a CVS with my first pregnancy at East Bay Perinatal in July 2003.
Dr. Weiss was the doctor assigned to do the procedure. I did not do much research
in advance about CVS. I was over 40 and naively thought that knowing early if there
were any problems or complications would be better. I lost my baby immediately
after the procedure while still in the office. Dr. Weiss and the nurse didn't
handle the situation very well. When the baby's heart beat slowed as they continued
to monitor me, they said I should come back after lunch and they would check it
again. The nurse shuffled me out the office quickly without much compassion. My
husband had already left thinking everything was fine with me and the baby. I was
left on my own to wait in the parking lot until the office reopened after lunch. I
was not offered a phone or a place to sit. After lunch there was no improvement
with the heart beat. Dr. Weiss kept saying, ''this has never happened to ME
before.'' I was then told to come back the next day and they would check it again.
The baby's heart had stopped by the next morning. I later learned that Dr. Weiss
only performed about 6 or 8 CVSs per year. And that he is not well regarded in the
Here's my advice: Do your research. Consider the triple-screen blood test and then
an Amnio as a next step. If you really want a CVS, pay the money and go where they
have more experience at California Pacific Medical Center and ask for Dr. Goldberg.
They handle hundreds per year and Dr. Goldberg is considered one of the best in the
area. Check again with your insurance company. They may allow you to go there if
you don't have confidence in East Bay Perinatal. Also schedule your visit with the
genetics counselor well before your CVS appointment so you don't have to make a
decision that day about what you will do. It is very traumatic to lose a baby at
any stage. Make sure you understand the risks and proceed with caution
I saw Dr. Weiss for a CVS in early 2005. I had tried to get an appointment at UCSF
but couldn't get one within the 'window' you have for the procedurel. For the most
part I was happy with my experience, however if I had to do it again, I'd schedule
earlier with UCSF. The few complaints I had were: 1) the genetic 'counselor' we
had to meet with didn't have answers to our questions (one of which was the
complication rate). I thought the appointment with her was a waste of time.
2) the gal who made the appointment told me I had to drink a ton of water
beforehand, so I did, then had to wait over an hour only to be told I didn't need
to drink the water - I was ready to burst!
Hi, Dr. Weiss performed a CVS for me in the Spring of 2005. I
was really terrified, because I had the CVS for my first
pregnancy at CPMC where they do many more of them. However, I
have to say that my experience with Dr. Weiss was really
positive. He was really reassuring, and I had absolutely no
problems after the procedure. Obviously, this isn't a risk-free
procedure, but I was happy with Dr. Weiss and his practice. If
you have anymore questions, feel free to email me. Ann
I had an amnio done at the EastBay Perinatal Center on Telegraph.
The staff is VERY nice and they did everything they could to make
me comfortable and inform me every step of the way.
I can't remember who my doctor there was, but I saw a few (I had
to go in twice) But the doctors, nurses & general staff were GREAT!
Dr. Johnathan Weiss East Bay Perinatal for CVS prodedure
I have decided to have a CVS test done and Johnathon Weiss is the
only Dr. who seems to provide this for women within the East Bay
Perinatal /Alta Bates Medical Group. I haven't been able to find out much
about him and am very nervous. Other friends and doctors have
recommended Jim Goldberg at CPMC in SF but my insurance won't
cover him. I'd love to hear more about Dr. Weiss.
I was in your position this summer. I had had a CVS for my first
child two years ago at CPMC with Dr. Goldberg, who appears to be
universally regarded at THE guy for CVS in the Bay Area. We have
since moved to the East Bay, and with my second pregnancy (and
insurance with Alta Bates Medical Group) I went to Dr. Weiss in
Aug. for a CVS for my second child. I, too, was concerned about
the skill and experience of the physician who would be performing
the procedure, and we really grilled my OB about Dr. Weiss. We
were prepared to pay out of pocket to go to Dr. Goldberg if
necessary, but my OB, whom I trust, urged us to save the money
and put it towards our kids' education (his words.)
I was worried up until and through the procedure that perhaps we
had made the wrong decision. In retrospect, at CPMC they clearly
perform many, many more invasive diagnostic procedures on a daily
basis than at the East Bay Perinatal group. It is just obvious
by the # of staff and patients cycling through the office. Dr.
Goldberg is wonderful, funny and very reasuring. Having said
that, for my second CVS, Dr. Weiss seemed equally competent and
had a great ''bedside manner.'' I think he does enough CVS
procedures to be well skilled; it was just clear that CVS for
them isn't a large percentage of what they do routinely. (For
example, the nurse/tech had to go back to his office to get the
equipment to perform the procedure...it seemed odd that the tools
were stored in his office.)
My procedure was uneventful and quick, I had no bleeding or
cramping following the procedure, and I had the results (all
good) back in 6 days (they had estimated 7-10.) So I would feel
comfortable recommending Dr. Weiss, although given the choice (at
no additional cost) I would choose Dr. Goldberg.
I had a CVS with Dr. Weiss about 3 months ago and it was as
painless and comfortable as this procedure can be. (I was going
to say it was great, but that seems a little odd considering
He seemed very experienced and professional, and not only was
he very gentle and explained everything he planned to do (and
calmly informed us of his process when he ran into a
difficulty), but I was surprised to see he was wearing hospital
bracelets: his wife had twins that morning and he came in to
take care of my CVS anyway. What a guy, I was really
impressed. And no cramping afterwards at all.
It was a huge contrast to my first CVS at a big hospital in the
city. Maybe I got him on a bad day, but while the (well known)
doctor radiated competence and professionalism, he was neither
gentle nor informative. I had a lot of cramping immediately
afterwards and was laid up for the full 48 hours. When some
guy is sticking a very, very large needle that close to your
baby, it makes a big difference (or at least it did to me).
Dr. Weiss did my CVS about 6 months ago and he was pleasant,
professional, quick and seemed to know exactly what he was
doing. Given that he is one of few if not the only doctor
doing CVSs in the East Bay, that means he does a lot of them,
which is what you want. The nurse there was nice and
Dr. Weiss performed my CVS last September. All went well. I
can't say it was the most enjoyable medical procedure of my
life -- I'd gotten myself in a fair tizzy about the risks of it,
although I remained confident that it was the right choice for
us for a number of reasons. I was also disappointed that my
insurance didn't permit me to see Goldberg, and that was part of
what went into my anxiety about the procedure. At the
appointment time, East Bay Perinatal will first have you meet
with a genetic counselor, who will go over what the procedure
involves, what you can and can't learn from it, what the
alternatives are, what the risks are, etc. I'd already
extensively researched it myself and gone over it all with my
OB, so this was a little unnecessary for me (and more than a
little strange that they do it all right when you're there for
the appointment, but I understand why they do it). It did have
the effect of making my husband quite nervous, since he hadn't
done all the reading and research I'd done ahead of time, and it
was a little upsetting to me to have him suddenly sitting there
and saying ''are you sure this is the right thing?'' (I know I'm
veering away from sharing an experience that was unique to Dr.
Weiss, but I hope this is still useful)
Then, the procedure itself was *remarkably* quick and painless.
The most uncomfortable part about it was the speculum (and I
will say that about Dr. Weiss -- he needs to learn some better
speculum manners. Although it might also be part and parcel of
the procedure, since they really do have to crank it open, I
guess). You get a nice long u/s before the procedure, and then
the procedure itself lasted all of about 30 seconds -- which is
also about how long Dr. Weiss was in the room, so don't expect
handholding. I didn't have any spotting or cramping at all, and
we got a message one week later from the testing lab to ''call
for some good news.''
Bottom line, I would do it with East Bay Perinatal again for
another pregnancy. I loved having the results that early in my
pregnancy. Good luck to you!
I found out that I am a carrier for Canavan's Disease and am
not sure I can get the donor screened (quickly or at all). I
have decided to have an Amnio to see if the baby has the
disease. Does anyone have feedback on Dr. Mitra at East Bay
Perinatal, or East Bay Perinatal Amnio's in general. They say
their risk for miscarriage is 1 in 200, versus the national
average of 1%.
If you have any Jewish ancestry I highly recommend genetic
testing before you get pregnant, so you don't face this issue.
I saw Dr. Mittra in April of this year when I was pregnant with
my twins. I was going to East Bay Perinatal on a monthly basis
just as a precaution and ended up seeing him the day I found out
the amniotic fluid was low on Twin A (turned out to be nothing
at all). Having never met him before this time, I found his
style to be very abrupt. He did not answer any of my questions,
he did not explain why he was putting me on ''modified'' bedrest
and, after consulting with my ob-gyn, he made me much more
concerned than I needed to be. I was also very upset when I
found out that the fluid was low and he basically told me ''not
to cry about it''. To sum it up, I would not recommend Dr.
Mittra to anyone. I WOULD highly recommend Dr. Marinoff who has
a wonderful way with his patients and is very reassuring. Good
I have a experience with Dr. Mitra. During my amnio he
detected an irregular heart beat. He gave me very little
comfort and information beyond that it ''could lead to heart
failure'' and I should come in to see him again in 6 weeks. I
know now that irregular heart beats are very common and often
self correct as I experienced with my baby.
He told me about the heart right before sticking the needle in
for the amnio. I cried afterwards and he gave me no comfort.
In fact, when I asked how to learn more about the heart
condition he replied ''the internet'' and left the room. I hope
you can avoid him...
I've got an appointment next week for an amnio at East Bay
Perinatal (formerly Alta Bates Perinatal?) on Telegraph Ave. in
Oakland. I'm 35 and will be starting week 16 of pregnancy the
day of the procedure. The doctor that is currently scheduled for
the amnio is Dr. David Marinoff. Any info about this guy? Did he
seem very experienced/competent, etc.? I know the risk for a
miscarriage w/ amnio is relatively small (I don't know the exact
rate for East Bay Perinatal, but I hear the national average is
something like 1 in 200); it's just that I had a miscarriage w/
my prior pregnancy, so I'm trying to be cautious. Thanks for any
help/advice you can give.
FYI- the risk for miscarriage is based on the office and
doctor's ratio performing the amnio. Ask the doctor what his
ratio is as that will ease your mind a bit more. Also, remember
the amnio is completely elective (you don't HAVE to have one
just b/c you're over 34)-- if you don't have a high risk for
any issues (based on your sonograms and/or MSAFP, which btw has
a 90% false positive rate) and you aren't comfortable with the
procedure, you don't have to do it!
I don't know if you can change your amnio appointment, but if
you can, I would go to Cal Pacific's clinic in San Francisco. I
had a CVS last year, and can recommend the doctor and the staff
there very highly (sorry, I don't remember his name). My OB/GYN
recommended that I go to San Francisco for the CVS because she
said the doctors at UCSF and Cal Pacific all have more
experience (and therefore a lower miscarriage rate) than the
doctors she would recommend in the East Bay.
Hello, I totally understand you being cautious about having an
amino. I had a scary experience with mine, the tech didn't
have the right syringe when Dr. Marinoff was ready to do the
draw. Dr. Marinoff was great, very patient and comforting for
me. The next morning, I had a lot of cramping and spotting and
feared that there were problems, I called and spoke to Dr.
Marinoff - he asked a lot of questions and we decided to just
hang out at home and if it got worse to go straight to
hospital. He then called me back in the afternoon even though
the office closed at noon since it was Christmas eve.
Everything worked out fine for me! :)
We had our amniocentisis done at Alta Bates four years ago so
it's been a while, but I'm pretty sure that the doctor who did
it was Marinoff. We were very happy with him. He was very
competent and also very personable and supportive, willing to
answer all our questions and address our anxieties.
I have heard that the national average for miscarriages from
amnio is 1 in 200 but the average for Alta Bates is more like 1
in 400 because they are so specialized.
Dr. Marinoff was the perinatologist present when trisomy 13 was
diagnosed in our 12 week old fetus. He was very empathetic in
delivering such horrible news. He performed an ultrasound
during this pregnancy to confirm the ultrasound diagnosis, which
was unfortunately correct.
He was also my wife's perinatologist for her subsequent
pregnancy (which ended up being high risk) and he was always
extremely cautious. My wife was induced two weeks early as
evidence suggested that the fetus may be IUGR. In the end my
wife gave birth (delivered by our midwife and a great nurse) to
a healthy boy. Through it all Dr. Marinoff was always deeply
interested in our and our child's wellbeing. If there's a
doctor to see in that group, it's him.
Dr. Marinoff is terrific. He performed multiple amnios on me,
due to a triplet pregnancy and a complication around the birth.
He is knowledgeable, caring, compassionate and... well... I
can't say enough. Email me if you want to know more.
I recommend Mickey Adams at East Bay Perinatal. She did my
amniocentesis as well as a nuchal translucency test. I was
nervous about these procedures and made sure to find a
perinatologist who is highly experienced and well regarded by
her colleagues. Dr. Adams came highly recommended by my OB
(Dr. Lanner Cusin) In addition, my husband, who is a surgeon in
the East Bay, asked around and found that she was well regarded
among other physicians. Finally, she did her residency in
Texas at one of the busiest OB units in the country, and has
practiced here in the East Bay for more than 15 years, which
means she is highly experienced at performing perinatal
procedures. My personal experience was that Dr. Adams seemed
calm and very comfortable performing the procedure, and my
amnio hardly hurt at all.
As a follow-up on the Mickey Adams recommendation - she is no
longer at East Bay Perinatology, reportedly she has moved to
I would like current perinatologist recommendations. I have two -
Janet Goldman - who is listed at Alta Bates, but BPN doesn't have
a current recommendation. The second is Mary Norton in San
Francisco, same thing. I am also interested in other
recommendations especially in San Francisco, BPN has some but
they are generally older. I am interested in someone that can do
a consult as well as testing later, who is very competent, warm
not dogmatic and not age biased. Thanks
I've been a frequent patient of Dr. Goldman's. I find her
extremeley competant and soothing in the sense that she's
confident in her recommendations. She generally eases my fears by
giving concrete, medical explanations for my symptoms. She also
listens to my opinions and needs and has taken then into
consideration when making recommendations about early induction,
etc. (She's also a mother of four, so she's pretty darn familiar
with pregnancy and childbirth.) I would certainly trust her with
any aspect of a high-risk pregnancy.
The only con, depending on your personality: She's not ''warm,''
per se. She's very businesslike in an efficient, professional New
Yorker-type way, although plenty pleasant.
Hope this helps!
I saw Dr. Janet Goldman a few times towards the end of my pregnancy. She is
incredibly bright, articulate, and caring. As a doctor, I felt good being in her hands.
However, the office is a VERY busy office and there is always, always, always a long wait
with tons of people. The other downside is that Dr. Goldman only works aprt time so it
is sifficult to get in to see her.
I can recommend Dr. Goldman from personal experience. I would
not say she is the warmest practitioner, but in my experience
she was the most competent among the several perinatologists I
saw when I had the need. She was not a cold fish, and did not in
any way turn me off, but she just wasn't the warm and fuzzy
type. This was quite a number of years ago, and she has since
become a parent herself, which may have warmed her a bit. But
truly, she knows her stuff and I would not hesitate to steer my
best friend her way.
Has anyone had a CVS with Dr Weiss at East Bay Perinatal? I understand that
the experience level of the doctor is really important with this test. They
told me he is very experienced but didn't give me any specifics to go on.
I had my CVS in the fall of 1999. My midwife (Hsiu-Li Cheng of
East Bay um, Obstetrics? down the hall from EB Perinatal) sent
me to Dr. Weiss for the CVS. After I made the appointment, I
asked what his miscarriage rate was. It was slightly higher than
the average rates I'd found online. I also asked how often he did
CVS procedures and when he was trained. He had been trained 8
years earlier and did 1-2 per month. I was not comfortable with
that. Fortunately, my insurance (HealthNet through Hill Physicians
medical group) covered going to UCSF to have the procedure
done. Dr. Musci, who did my procedure, had been trained 3 years
previously, and was doing SEVEN CVS procedures *that* *day*.
I was much more comfortable with that. He was very gentle
and it was relatively quick and painless. My son is perfect. :)
I had an amnio with Dr. Weiss and I found him to be
personable and professional. It took only a few
minutes and really was no big deal.even though the
needle is real large. He has a good reputation. I
also understand that Perinatologists are hard to come
by. I do not know why.
I had a CVS last year. I was referred to Dr. Weiss at EBPerinatal and went to
genetic counseling and a meeting with Dr. Weiss. I was surprised to learn
that EB Perinatal only did approximately 30 of these procedures a year (at
least that's what the counselor told us when we asked--it may have changed
since then). We expected (hoped) to hear it was much more routine. After
some research, we learned that the top Dr. in the Bay area for CVS ( and
seemingly the top place too) was Dr. Mary Norton UCSF. Supposedly, Dr.
Norton learned from the Dr who brought CVS to teh Bay area. At UCSF, they did
approximately 30 a week (again this was over a year ago). We also learned
that they had a .5 % of problems (this includes miscarriage) compared to a
higher than 1% rate at EBPerinatal. Even though, this was our second baby, I
had miscarried prior to the birth of my first baby--so we were incredible
concerned about not causing a problem by getting a CVS. I expressed this to
Dr. Weiss, who I'm sure is perfectly competent, but he wasn't all that
sensitive, and suggested that a CVS would be no more uncomfortable than a Pap
smear (it always ruffles my feathers to hear this from a man anyway--since
I've had some doozies in terms of Pap smears!) Anyway, the bottom line is
that we went to UCSF, (see UCSF recommendations for the rest of this review.)
I recently had an amnio performed by Dr. Goldman at Alta Bates Perinatal
Center. Although I have no specific information about her level of
experience, she struck me as being extremely competent -- the procedure was
over very quickly and was not painful in the least. (Easier than a blood
draw.) For me, the worst part was the anticipation. I came in feeling very
nervous, but Dr. Goldman did an excellent job of distracting me while she
got the job done. I was worried because the baby was moving around so
actively (I kept envisioning him squirming towards the needle), but she
showed me how much space there really was to work with, and that helped
calm me down.
Also, the genetic counseling session beforehand was quite reassuring --
there are some misleading stats out there about amnio & miscarriage, and it
was good to get a little more perspective on those numbers.
I had an amniocentesis under the care of Dr. Goldman. My understanding
is that the rate of complications at the Alta Bates Perinatal Center is
quite low -- much lower than the "1% - 5%" you often see in literature
about the procedure in general.
Also, I spent a lot of time at Alta Bates Perinatal in general (I had
gestational diabetes) and really liked all the people I dealt with
there. It is quite busy, but I rarely had long waits, and found most
everyone there really competent and cheerful.
I had Dr. Eric Spitzberg and he was very friendly, engaging and sincerely
kind. I remember he came into the room making jokes that made me laugh which
broke the tension. I don't remember his complication rate anymore, but I did
do the research and I remember his was much-much lower than the national
average. I seem to recall that Alta Bates Imaging had a very low rate
overall. Most of the docs there have done a couple a thousand Amnios. I was
really glad that I had the amnio. It enabled me to completely relax and enjoy
the remainder of my pregnancy. Good luck to you.
regarding recurrent miscarriages:
I'd like to recommend Dr. Mickie Adams (I think her first name is Michelle
but she goes by Mickie) She is with the Alta Bates Perinatal Group. (I
don't know if that is the actual name of the practice but you should be able to find her through Alta Bates. If you can't locate her please email me back.) She only does OB (not GYN - so for ongoing postpartum GYN care you will need another doctor.) She is very compassionate, knowledgeable and willing to take as much time as you need to answer questions. I also have a history of miscarriages (4) and am considered high risk for this reason.
Her practice is for high risk pregnancies. My miscarriages were caused by
antibodies in my system which killed the fetus. This condition was treated
by simply taking a baby aspirin every day throughout my pregnancy up until
about 36 weeks of gestation. My antibody condition was detected through
blood testing. Good Luck. If you can't find Dr. Adams # or you need
Alta Bates Perinatal:
5730 Telegraph Ave
Oakland, CA 94609-1710
The perinatology group (called East Bay Perinatology, I think) is outstanding -- they really listen and really care, and are extremely knowledgeable about what they do. They are located at 57th and Telegraph. Louisa
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