The lovely facilities and the pleasant receptionist were top-notch. After my doctor retired, I sought out TRWC because it was an independent system that I thought would work well with my direct primary care physician. I was seen in the office 3 times over a 4-month period for a health issue which is still not resolved. With each visit, I felt I did not have a clear understanding of the plan of treatment. I accessed the patient portal messaging system with my questions and a nurse responded with the doctor's visit summary. Due to the lack of communication, I do not feel I made informed decisions. I always left the clinic with unresolved issues, no identifiable plan, and feeling I had no input or control of my health options. The biggest problem here is a lack of communication from the doctor, nurses who prepped for procedures, and billing. I paid-in-full with each visit to receive an additional bill that was not discussed prior to the procedure. again lack of communication.