I learned about Toca a couple years ago after a serious forearm injury. I've been seeing dr. Harmsen for about 2 years. I was having problems with my shoulder and we tried a lot of conservative therapy until we pretty much had a brick wall. My MRI and my x-ray had shown some damage but with shoulders it's very difficult to pinpoint everything that's going wrong. Dr harmsen and Shannon took a lot of time with me and explain to me what they were going to do and how the surgery was going to proceed and the steps in which they were going to proceed to repair my shoulder. I had the surgery on my shoulder almost 14 days ago. The damage was very extensive of things that the X-ray and MRI did not show. Dr harmsen took the time to repair my shoulder and it do it right. We have a recovery and Rehabilitation plan. Dr harmsen has been nothing but honest and kind and upfront in directing this treatment. His nurse Shannon has been great making herself available for after hours questions and help. I'm very happy with Dr harmsen and his team. I'm also very grateful to him for his honesty. I'd recommend this man and his team to everyone who is having Orthopedic issues. Thank you team Toca