1. Best Start Birth Center

    1. Best Start Birth Center

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    San Diego, CA

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    Best Start Birth Center

    4.5 (206 reviews)
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    Updated over 3 months ago

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    2hr after birth
    Brent M.

    Let's start with the fact my baby mama wanted to do a natural birth and I was completely unsure about the whole idea of that. Being first time parents, we really had no idea how everything was going to work. These lady's definitely showed me this is the only way people should be having babies unless there is an extraordinary situation, that wouldn't allow for it. Pre-birth care was very normal, my lady used her normal Dr, along with best start. She's a bit older and was diagnose with gestational diabetes about 1/2 way though the pregnancy. The Dr scared her to thinking it was this big ordeal and she would be very high risk. On the other hand best start dealt with it much differently and had her learn to keep her glucose within normal levels. This worked perfect and never was an issue after. Now to the birth... her water broke at 2:30am, first thing we did was call the midwife on duty and got all the information we needed to continue laboring at home, calling our Doula, and making our way though the start of birth. At 7:30am we made it to point where it was time to head in, Arrived at 8am. At this point they let us know if we get an full exam it would start the 24hr window. Being unsure how far along she actually was, we had the option to just have a basic exam where the midwife (Jenique) would see how dilated she was, but it wouldn't start the clock. So we chose to do that and found out she was 9cm and Jenique could see his head! At that time it was 9am and we were admitted and chose our birthing room. From here on, Jenique and Andrea were our 2 midwives and one or both of them was in the room for 90% of the delivery. Jenique was the lead, and really was AMAZING. She knew how to take charge, keep us well informed, and progress the delivery as it should have been. They checked baby and mamas heart rate every 15 minutes and coached and supported us though the whole process. My biggest fear was my lady's birth plan not working out and having to end up at the hospital. To make a long story short, the baby wasn't coming out as fast as they would have liked in the bathtub, so Jenique convinced my lady to get on the bed and do some pushing. About 1 hour later at 3:15pm our sweet little baby boy was born with no issues, and both mama and baby perfectly healthy. From there he went right to mamas chest and about 10 minutes later they pulled the placenta out. For the next hour baby laid with mama connected to the placenta and learning to feed. All the while the staff was cleaning up, and continually checking mama and baby regularly. This was very comforting as a first time father to make sure both baby and mama are doing well. Then I was able to cut the umbilical cord, and from there, baby laid on my check for the next hour while mama cleaned up, used the restroom and recouped. From there our 2 midwives were done with their shift and Elizabeth took over, with continued amazing care. They then did a full exam on baby, he was 8lbs 2.5oz and 22in long (yea not very small). After resting and bonding with our new little guy, we were discharged at 7:30pm, home by 8pm. It's been a little over 24hr since baby boy joined us, and I couldn't be happier with this whole experience. If we have another baby, I wouldn't even have to think twice where we would have it. We'll worth every penny, as a matter of fact, it was the best money I've ever spent in my life (and I LOVE my motorcycles). Mama is already up and moving around today, even though they told her to basically sit in bed (she is pretty much incapable of sitting still). Baby is doing great and just feeding and sleeping, and I am as happy as can be. As a business owner, I know what it takes to get a long, detailed review of a clients experience, and Best Start is well deserving of this review. From the bottom of all 3 of out hearts, thank you so much for taking care of all 3 of us. -Brent, Kathy, and baby Kai Wilder

    Baby Olga!
    Jonny F.

    Absolutely wonderful birth center. Natural water birth was a truly amazing and comforting experience for us, mother, father and baby. We recommend this center and it's fine midwife staff who understand and value a mother's right of passage in giving birth on mother's terms. Service and care at best start is far superior to the hospital conveyor belt runaround. Best Start is a healthy choice for the entire family especially mom and baby.

    Inside
    Alex D.

    My sister gave birth here and she said it was a good experience and that she would come back. The only feedback is that my sister was crowning and they moved her from inside the tub to the bed, and she said it was pretty uncomfortable and they had to have three people help pick her up and move her. Other than this, the place was very clean, relaxing, and everyone was really nice/professional.

    Sam M.

    As a first time mom, I am so happy that I chose Best Start as my first birthing experience. Pre-natal visits were relaxing and low-pressure. Wanting as natural of an experience as possible, the center is not pushy with anything such as tests or immunizations which was such a relief (you can opt out of anything, no questions asked). I ended up being diagnosed with GD and their team was great with helping me track and manage through balancing carbs and protein in my diet. The birth classes were great and a good way for my husband and I to bond further and really embrace the experience in partnership. Irina and Anne were especially pleasant for me during my visits. My birth experience was incredible. I went 41 + 5 days with my pregnancy. Best Start helped kickstart labor naturally through various methods to help ensure that I could labor in their care, which was a priority for me. I had an under 12-hour labor, 6 & 1/2 hours laboring at home and 5 hours of labor at Best Start after arriving at 6cm. I labored the whole time in the tub with the presence of my doula and husband, with midwives checking in periodically. Marley the midwife on call was there for the birth, helping me catch baby and she was really great. I used the nitrous oxide available for some contraction management in transition which was a nice touch during that phase of labor. I was even able to crack some jokes between contractions :) I birthed in the tub without complications or tearing. I definitely attribute this peaceful and successful experience to all of the preparation mentally, physically, classes and tips from midwifes and my doula. I can't imagine giving birth in any other way. My husband and I are bonded in such a unique manner, we have been on a high this past week and we feel so proud of ourselves. Best Start really lifted us up as a family. If you are worried about natural birth, I highly recommend Best Start and really surrendering to the process- and your body's natural ability to carry and birth life! You can do it! It is the most rewarding experience you'll ever have. Worth it.

    healthy & happy family of 3 now
    Jessica C.

    From the first time I made a call to make my first appointment, to just recently gave birth it had been an unforgettable experience and am glad I did it with all the front desk gals & amazing midwives & doula, ETC. Amazing experience and you cannot go wrong with choosing this center to give birth

    Moments after Dahlia is born, her Dad & big sister Desiya looking at the newest member of our family. (August 1st, 2016)
    Daniza M.

    This review is long overdue. I have been a patient here at Best Start for more than one pregnancy. My 1st pregnancy in 2013 I was hoping to be able to use this facility (especially after doing the tour & learning more about the place) but my insurance at the time did not cover it, I ended up giving birth (naturally/unmedicated) at Mary Birch Hospital instead. Which was a very controlled & unpleasant experience. My 2nd pregnancy (2016), I changed health insurances to be able to birth at Best Start. The Best Start location was still in Bankers Hill. I went to all my prenatal appointments here and I received excellent care. The girls at the front desk were always so warm & caring. Most of my appointments were with Shari. There were 2 other midwives I had seen as well. Shari was my favorite. I love how calm & wise she was when she spoke. I also liked her witty humor. I genuinely enjoyed every experience I had with her. When it came to the birth it was Erina working that night, bummed out that it wasn't Shari, but it ended up being fine because Erina took great care of us. Erina asked if we wanted her close by or if we'd like a little more space to move & do our thing, which was opposite from the nurses in the hospital that crowd you & control your every move. She came in periodically to check the baby's heart rate, she let me & my husband (who was an excellent birth coach) work through the labor together. My babygirl was born in the water about 3 & a half hours after arriving at Best Start. One thing I remember was that Erina said "Don't put the baby down, she's used to being inside you & will want to feel you near. If you want a break from holding her pass her to Dad." This made me so happy because at Mary Birch Hospital they told me the opposite - to put my baby in that plastic bassinet because I could fall asleep & drop my baby. So the warm & opposite approach at Best Start was so pleasing to me. My first born who 3 years old was able to be at the birth & see her baby sister be born. This all was truly a magical moment. Now it's my 3rd pregnancy (2022). I knew I wanted a natural birth with a midwife, so I came back to Best Start. Now Best Start is at a different location on Enterprise, some different staff as well. There is also different rules & regulations due to covid, which is understandable. The front desk girls at the new location didn't seem as friendly as the ones at the old location. Besides Trisha, she's always a sweetheart & a veteran doula that I was blessed to get to know from my previous pregnancies. There was also a young lady who works there from Yuba City who helps with the blood draws, she is such a kind person. So a new policy they have at Best Start is that they schedule you with a different midwife each time you come in for a visit, until you've met them all. So when it comes to your birth, you do not birth with an unfamiliar midwife. This is a great idea overall, but it also makes it hard to really connect with a midwife since you're constantly being rotated around. I did really enjoy meeting Midwife Ann Groonwald, she gave me a really good feeling, I was able to connect on a deeper level with her within just 1 visit. I also was very happy to have my appointment with Shari who was my favorite from my previous pregnancy. My appointment with Erina was cool too, she always gives a lot of information & is straight to the point, which is something I can appreciate about her. After much consideration & seeing how my pregnancy was progressing I started feeling like I wanted to do a home birth. I got in touch with an amazing midwife, who actually was a previous employee at Best Start, & I started receiving co-care with her. I envision my birth at home & after talking it over with my husband we decided to go that route. So I won't be having my baby at Best Start this time around, not because I don't like this place. Best Start has been a blessing to me & my family & I would 100% reccomend it to anyone who is looking for a natural birth. I will miss seeing some of the midwives & staff at Best Start & I hope they see this review & know how much I love & appreciate them. Thanks again to everyone who helped & supported me through my pregnancies & childbirth & well women's check ups.

    My doula and I and in the final hours
    Kisa H.

    Wow I really underestimated how amazing the team at Best Start Birth Center would be. From the start of my pregnancy I knew that I wanted to have a water birth and when Covid hit I could not be more thankful that I chose them. The child birth classes we had on zoom with Trish were amazing, she made Tuesday nights my favorite night! All of my appointments there were great and filled with laughter and Even though my Husband couldn't attend regular appointments (just baby boys birth along with my Doula) I still felt comforted in a place that cared about me and my baby. A feeling I never felt with my previous practitioner at Kaiser. Here the entire team is kind, knowledgeable and professional. Being a first time mom and living so far away from our own family they provided my husband and I love and reassurance that we were taken care of. Also more importantly once baby boy was here on our follow up appointment the one of midwives acted quickly after I expressed difficulty breastfeeding and connected me with a lactation consultant the very same day! Whom made a home visit and confirmed that baby had a lip and tongue tie. We were referred to an excellent pediatric dentist that week and now he is a expert nurser! Her actions saved us so much heart ache and my nipples from unnecessary pain! We will be repeat customers (haha in 2 years!) because let's be honest they coached me through birthing a 9lb baby and I didn't need stitches that's amazing!

    As a first time mom, I had wanted a natural birth from the start but of course had my reservations. The midwives and staff at best start were extremely reassuring and knowledgeable, making my reservations turn into excitement! Every visit made me more and more excited to have a natural birth and trust my body and intuition. The midwives all made sure I was comfortable with anything and everything they did with me, asking me before they touched my belly or did tests or bloodwork. Every test was optional so I was able to take charge of my prenatal care and say no if I wanted to. I specifically want to say thank you to my midwife who assisted me during birth, Amanda! I always felt tended to, taken care of and never scared. Her, the nurses, and midwife in training who attended my birth all continuously monitored me and my baby throughout labor. Always making sure I knew what was going on and suggesting position changes to help labor progress when needed. On top of this, they made sure all I had options when it came to care for my baby post birth. I had options when it came to vaccines, vitamin K, delayed cord clamping, skin to skin, etc. Every choice was in my hands and I never felt pressure from anyone to make a certain decision. The biggest thing for me was I always felt heard and empowered. I can't thank them enough for helping me realize my capabilities as a woman. You are capable too!!! Needless to say, I can't recommend best start enough! I now have a beautiful baby girl who is happy and healthy. I hope to have all my babies at best start if my husband and I stay in San Diego!!

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    Page 1 of 6

    Ask the Community - Best Start Birth Center

    Review Highlights - Best Start Birth Center

    I also was very happy to have my appointment with Shari who was my favorite from my previous pregnancy.

    Mentioned in 17 reviews

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    Shira Varon, MD

    Shira Varon, MD

    4.9(52 reviews)
    8.8 mi

    I'm so grateful for Dr. Varon and the team she leads at UCSD. I had fibroids and wanted to get them…read moreremoved ASAP. I was originally at Scripps for my initial diagnosis but I wanted the best surgeon for my case so I turned to Dr. Varon. During my consultation, she had looked through my MRI and identified fibroids that the radiologist and obgyn had missed at Scripps. I highly trust Dr. Varon's expertise and thoroughness with her work. Dr. Varon listened to my concerns and gave me the best path forward. She is a very skilled minimally invasive surgeon and successfully removed multiple large fibroids for me. I feel more like my old self again! Thank you Dr. Varon for the care you provided me.

    I was referred to UCSD as a complex case and Dr Varon was the 4th fibroid specialist I had been to…read morein 12 months. It took 6 months to get the appointment and another 3 to have the surgery but I'm beyond happy with Dr Varon. She is a very pleasant person and a very competent doctor, in and out of surgery. I highly recommend her. She is very prompt with her communication and follow-up, and was always in a good mood with a nice reassuring smile every time I saw her. Most importantly for me, she listened to what was important to me and shaped the treatment plan accordingly. It's odd for me to provide a medical review but I do so in the hope Dr Varon can help you. She's truly fantastic. Post surgery follow up was also stellar and resulted in good referrals for me too. Thank you Dr Varon.

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    Shira Varon, MD

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    Damon Cobb OBGYN - Jaxon Avery at 3 months!

    Damon Cobb OBGYN

    4.8(191 reviews)
    4.4 miClairemont

    What is there to say about Dr Cobb that hasn't already been said. Thanks to him, I felt dignified…read moreduring my entire pregnancy and delivery. He has a way of listening and speaking that makes me feel like I matter, and my desires are worth listening to. He is an incredibly talented Dr and I am so grateful that I was able to have my second delivered by him. I don't know how this is possible but he doesn't seem to have been jaded by the medical field nor is he a slave to the system - he is one of a kind and an excellent advocate for women. I come from a family of Doctors so I say this with respect -- but most have an ego about them and I have felt patronized and dismissed by some. Dr Cobb is not that way at all. He is both confident and humble in his care. He made me feel safe and cared for. He has a way about him that is integrous and highly capable. If you are a mom carrying a piece of you into the world you probably feel both the heavy responsibility and fear of getting it right. Personally giving birth has been one of the most important moments of my life. Having the best Doctor by your side makes all the difference

    Where should I start... After my early miscarriage last…read moreyear, I was devastated. I was trying to find an OB who was willing to offer extra care and tests before trying to conceive again. Other OBs did not think it was necessary since I was young and it was "only" my first miscarriage. I was too scared to try again until someone recommended Dr. Cobb. Dr. Cobb respects and truly understands my concerns, and he was willing to take extra steps to ensure my pregnancy was closely monitored. He made me feel that I had a certain level of control over my pregnancy, rather than simply being instructed. During delivery, my baby's heart rate was unstable for five hours, and I was unable to make further progress after reaching eight centimeters dilation. I asked whether it was time for an emergency C section. Dr. Cobb eased my mind and placed additional monitors to carefully track my baby's heart rate. My baby boy was ultimately delivered safely through a vaginal birth. I feel incredibly blessed to have had him as my OB throughout this pregnancy. Every visit made me feel respected, well cared for, and reassured. I would recommend him to everyone in San Diego!

    Photos
    Damon Cobb OBGYN - Jaxon Avery at 3 months!

    Jaxon Avery at 3 months!

    Damon Cobb OBGYN - My healthy baby boy! (Photo taken by @katherineelainephotography)

    My healthy baby boy! (Photo taken by @katherineelainephotography)

    Damon Cobb OBGYN - Dr. Cobb and my 6 week old little baby

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    Dr. Cobb and my 6 week old little baby

    Nick Capetanakis, DO - Inside

    Nick Capetanakis, DO

    4.7(114 reviews)
    21.2 mi

    I met with Dr cap for all my obgyn needs for my first child. He has nice bed side manner and…read moreeducated me a lot on all my questions. I didn't feel like he was ever rushing out appointments which was nice. I also liked that he wasn't too over the top with lots and lots of ultra sounds if it wasn't necessary. Midwife Chris ended up delivering my baby. It was an amazing experience, she really was incredible, and I hope I can have her deliver my next baby as well. I feel like I didn't thank her enough for being as good as she was. My whole birth experience was really awesome, especially as a first time mom Will be using them again in the future

    Dr. Capetenakis misdiagnosed my Stage IV Deep Infiltrating Endometriosis. I was referred to Dr…read more Capetenakis by a functional medicine doctor, and was hoping that by establishing care with a "boutique medical practice", I would get the care that I so desperately needed. Long story short, I ended up having an excision surgery for Stage IV Endometriosis, and it was so bad that I also ended up needing a bowel resection. For being told multiple times during my visits that my pain was due to ovulation, my fibroids weren't an issue (he had women with 12cm fibroids get pregnant), and that the developing cysts on my ovaries were nothing to be concerned about, it was a genuine shock that my situation was so dire. My doctor that did the excision surgery shared that I had a life expectancy of 5-6 years if I had not been treated. With regard to the office experience, it is a shock that his office does not send out appointment reminders. According to his staff, they are too small. Given that my dog groomer, acupuncturist, and my therapist all manage their own schedules and send automated appointment reminders without issue, that is definitely an area of improvement. Especially when I was charged a $50 no show fee for an appointment that I never scheduled. All in all - they tried. However, when a patient is far too complex they should be referred out to another provider, not told that everything is fine and to move on. If it were his family, I doubt he would have taken the same approach as he did with me.

    Photos
    Nick Capetanakis, DO - Entrance

    Entrance

    Nick Capetanakis, DO - Inside

    Inside

    Nick Capetanakis, DO - This lil' guy paid more attention in hypnobirthing class than I did.

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    This lil' guy paid more attention in hypnobirthing class than I did.

    Anmar A Mansour, MD - My two kids!

    Anmar A Mansour, MD

    3.9(124 reviews)
    3.9 mi

    This was my second pregnancy with Dr.Mansour in the last 2 years. Her and her team were just as…read moregreat this time around as they were the first time. I will always choose Dr. Mansour for all of my OB needs. She's brought on another doctor Dr.Jen who is so kind and sweet but just as quick and direct and Dr. Mansour. I appreciate that. All of the students I encountered were very polite and I can't forget my front desk girlies!!! Unfortunately I don't know anyone's name except Maria Lol but all of them are great and helpful. Dr. Mansour and her team have been great to me and my family and I really appreciate them all.

    My experience meeting with Dr. Mansour can best be described as demeaning and insensitive…read more She was very unprofessional in her comments and demeanor. When coming in for help with pain,discomfort and other issues after an ER visit that they wanted me to find an OB immediately for help and follow up. I was repeat talked over,rushed, and dismissed when trying to explain my health history and the situation after waiting almost an hour past scheduled time. after filling out the intake form that i wrote i am on birth control she just stated she wanted me on it and that's all she can do. which i told her i already was, she should've known from forms she has you fill out. I was then told my situation was nothing and "i don't know what to do with you. get pregnant and your symptoms will lower. come back if you need a pap smear". Her demeanor and communication left me in utter shock and disappointment in the lack of care or compassion.

    Photos
    Anmar A Mansour, MD - My 3rd baby delivered by Dr. Mansour.  Perfect as can be!

    My 3rd baby delivered by Dr. Mansour. Perfect as can be!

    Anmar A Mansour, MD
    Anmar A Mansour, MD - My Daughter Dr. Mansour delivered.

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    My Daughter Dr. Mansour delivered.

    Obstetrics & Gynecology Li Fan MD - Obstetrics & Gynecology Li Fan MD, INC is a Board Certified Obstetrics & Gynecology serving Poway, CA

    Obstetrics & Gynecology Li Fan MD

    4.3(81 reviews)
    19.0 miRancho Bernardo

    I want to start this review off by saying I live an hour away from the office and after choosing to…read moremake the drive, all my appointments, and delivery, it was 100% worth it. The OB choices near me are not great, I found office on Yelp, and figured I would give it a shot. This was my first pregnancy and I had no idea what to expect, but the entire office was so friendly and made me feel confident in my choice. The entire 9 months, I left with all the information I needed, I was never rushed through an appointment, Madi the PA took time to listen to concerns and answers all questions, I got updated on blood work and any tests in a timely manner, had no issues getting in touch with someone or a call back if needed, the doctor was great, literally nothing I could complain about. When it came time to deliver Dr. Fan was there when I was questioning if I could do it, she rooted me on, and was so sweet the entire time. Make the drive if you have to or even if you're close by, this office is 10000% worth it.

    Disheartening Experience with Dr. Li Fan…read more I don't usually leave reviews for non food experiences, but I felt it was important to share my experience with Dr. Li Fan so that other expectant mothers know what to expect. Throughout my pregnancy, I often felt more judged than supported. Dr. Fan was very strict about weight gain and repeatedly emphasized that gaining more than 25 pounds was "excessive." Every pregnancy is different, and instead of encouragement or tailored advice, I often felt criticized for not fitting her idea of a "textbook" pregnancy. I was also required to complete multiple non-stress tests (NSTs) at a location that did not accept my insurance. When I brought this up, I was told I had no choice but to get the tests done there. It felt unfair and added more unnecessary stress during an already emotional time. My postpartum experience was equally disappointing. At my 6-week checkup, I mentioned that I had been celibate since giving birth and plan to continue without birth control, and Dr. Fan responded, "Men don't like to wait. They have needs." I was at a loss for words, the comment felt dismissive and inappropriate, especially during such a sensitive and vulnerable time. After my delivery (March 2025) , I also waited much longer than expected to be discharged. Dr. Fan didn't come by my hospital room until around 5-6 p.m. the day i was supposed to be discharged, which unnecessarily delayed my discharge and added stress during a time when I just wanted to be home with my baby. While I'm sure Dr. Fan has patients who appreciate her straightforward approach, my experience left me feeling unheard and unsupported. Compassion, understanding, and sensitivity are essential in women's healthcare. Unfortunately, those qualities were missing in my experience with Dr. Li Fan.

    Photos
    Obstetrics & Gynecology Li Fan MD - Baby Grace is a miracle!

    Baby Grace is a miracle!

    Obstetrics & Gynecology Li Fan MD - Mother with her newborn baby

    Mother with her newborn baby

    Obstetrics & Gynecology Li Fan MD - Obstetrics & Gynecology Li Fan MD, INC: Li Fan, MD, PhD, FACOG is a Board Certified Obstetrics & Gynecology serving Poway, CA

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    Obstetrics & Gynecology Li Fan MD, INC: Li Fan, MD, PhD, FACOG is a Board Certified Obstetrics & Gynecology serving Poway, CA

    Karen E Kohatsu, MD

    Karen E Kohatsu, MD

    4.5(41 reviews)
    20.4 miRancho Bernardo

    I would NOT trust this physician to perform additional surgery on me after my experience and my…read morefriend's experience with her. After my C-section, I presented with severe abdominal and vaginal pain. She was rude and nasty and stated surgery didn't cause any of my symptoms. I had severe undiagnosed endometriosis at the time and didn't even know it. She recommended I have my cervix out without any explanation as to why she was recommending that type of surgery. What physician tells you to move forward with removing an organ without an explanation? The doctor who assisted her during surgery is nowhere to be found. Her office has stated the doctor decided not to practice anymore. Now I have to have endometrial tissue removed from my C-section scar among a whole host of other issues due to this physician completely dismissing my symptoms. My girlfriend had a C-section with this same doctor and has permanent damage between her vaginal area and rectum.

    I felt relaxed and heard by Dr Kohatsu. She did a thorough exam and we made plans to do a couple…read morethings. DEXA and a biopsy. Once she left the room, the Assistant was very rude when I had questions as if she was too busy to make sure I was clear. She gave me a copy of orders and a location to take the papers. Then she said she'll call me to schedule for biopsy appt. Then ignored me. no big deal, I called to find out that radiology didn't have the machine for DEXA. I messaged Dr Kohatsu on the portal about the machine not there. Asked if there was another place. The Assistant messaged me back telling me to find a location and let them know. I called my insurance for a location a few days later I received info. So, I sent the info on the portal. Then I get a message from Jaynie telling me to get a fax number. I said please feel free to call and get it, I was currently dealing with cardiology appts for surgery next week. If she could get the info I'd appreciate it. She messaged me again telling me to get the fax and get back with them. That was a First time an assistant refused to assist. I just called my primary care doctor and asked if he could order the DEXA and gave him the info the insurance gave me. In 1 hour, I was being called by the imaging center to schedule appt. Why this assistant couldn't do that I don't know, but I'm not going to fight with her just to see Kohatsu. New Gynecologist for me.

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    Karen E Kohatsu, MD
    Karen E Kohatsu, MD
    Karen E Kohatsu, MD

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    Best Start Birth Center - obgyn - Updated July 2026

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