Dr. Hill is the director at WR and I have heard that he is good. It seems like you identified communication and continuity being issues. Is there any way that you can get direct contact information for one of the nurses? Ask to be assigned a primary nurse? I do not know how their workflow goes, but this could be the key in getting what you need. My guess is that if you can get going, that the actual stimulation, collection, embryology lab, and transfer protocols are on par with the medical/scientific parameters found in the private sector, just decreased customer service focus. Probably worth trying a cycle there given the remarkable discrepancy in price with private clinics. OTOH if Shady Grove participates with Tricare you might get a 2nd opinion/consult visit there. Good luck! Let us know how it all turns out.