I had really bad acne and he prescribed me a pill and the acne went away. Everything was great. My acne then returned and we tried to up the dosage of the pill and try a different face wash that I could "only get from his office". That didn't work and then I was told in passing about another cream for my face that again "insurance wouldn't pay for and I would have to pay over $150 out of pocket" to his office to get it. So I went to another practice at that time and she was able to prescribe the medication and another one to help and my face was looking beautiful within 6 weeks. He lost his touch between August 2012 and September 2014. Very rushed and not caring to what your issue is and quick to sell you on a Darst Dermatology product.