This was my usual 6 month visit with labs, physical exam, and history. Dr. Reikes did an excellent job of going over labs with me which included any treatment suggestions or new concerns. He went over in great detail one of my new concerns, and listed several suggested therapies. We decided on the one with the least side effects for a trial of 2 weeks . If that recommendation did not work, I was to contact him for a different approach. Most importantly, I felt that the appointment was not rushed and that the entire appointment was conducted in a well thought out and efficient manor.