I'm pretty picky when it comes to doctor's offices. The first thing I always notice is the front desk staff, aside from the doctor, you spend 3/4 of your time here dealing with them and to be realistic, they're the first and last impression you receive.
My first visit, the receptionist was so extremely rude, I wanted to walk out. She definitely has more bad days than good. But what made a huge difference for me, was visiting Dr. Ackles. She was extremely patient and kind with my son, very informational and made the overall experience enjoyable.
We've been in 3 or 4 times since and the staff IS good. There is the one receptionist who is a little cranky but you take her with a grain of salt ;)
They have always been able to get us in even at the last minute.
We'll continue to come in :)