I have only good information to say office and d pickard all created me more than just like another patient they treated me knowing that I was going through issues and they was there to help no one have major surgery but the doctor took time to explain it and my options not just one of these Dr yeah you have to have surgery hey go up and sign these papers if you want to have it or whatever he's not that kind of a doctor he's a great man as well as a great doctor I would recommend him to anybody that I knew Richard/Ricky Cosgrove