My husband and I, and some of our grown children have been patients here for a very, very long time. Over the past few years, not only has the quality of care steadily declined, but also the number of errors has risen to a level that has become unacceptable. You go in, and then spend weeks trying to straighten out the messes. Like the others that commented here, the push to see the PA is always there. The last time I was in with my husband, I finally had to leave and go out in the parking lot, so I wouldn't go off on the PA. So much of what she said was just flat out wrong. I guess she assumes all her patients are clinically ignorant. I am not as this is my profession, but I am concerned for those patients who depend on them to be at least medically accurate and knowledgeable. On top of this, they want you to come way too frequently just to write prescriptions for maintenance medications. The PA told my husband that he might need to come in EVERY MONTH to get his medication for his hypogonadism. Tomorrow my husband and I are establishing with a new MD. Our kids gave up on this practice a few years ago. I am sincerely saddened to see this happen. They use to be top-notch.