After being a patient of Dr. Karl's for quite a few years, I'm searching for a new office. Dr. Karl was truly amazing and I'm so sorry that he moved out of state. There is not another doctor in the practice who I feel is competent. Recently, I was put on a medication. When I noticed some adverse side effects a few months later, I requested a change. The PA there didn't have any suggestions for a new medication so I had to make a suggestion. Red flag number one. I was never warned about any side effects or withdrawal symptoms when the medication was discontinued. Within several days, I started experiencing withdrawal symptoms from not having the previous medication and severe side effects from the new one. It took the office several hours to return my phone call. Really shows how much they care. Apparently, Dr. Barreteko told the front office staff that I would be fine until my next appointment, which isn't until the end of the month. Are you kidding me? I have been experiencing horrible symptoms for the past 6 days now and can get no relief. Fortunately, I was able to get an appointment somewhere else. Otherwise, I'd have to check myself into a hospital. Thanks for nothing, Nevada Family Care! I won't be back.