Ahh what do I say? Dr.Nagendra isn't someone you can be immediately aggressive or stern with. He has over 50 years experience. If he doesn't feel your vibe, he will dismiss you. My hubby had to fix a few instances between us bumping heads, but he takes responsibility that you are his patient. He does not do any modern testing at his office nor suggests it unless you ask and he will write a script. In his own words he "works for God". He certainly does. He will help anyone with pain as long as you prove there is a reason to. Honestly, I love him. At first, it was difficult because I'm very aggressive, but I learned his nature and how to work with him. Today, I tell him everything. I can cry, be sincere, laugh or debate. He's genuinely sent from above and I'm very fortunate I met him. Be calm and honest. May take a few attempts to get him to listen fully, but he is not about money. Many prescribe to make money including very invasive surgeries like an opioid pump. He will NOT do that. He will keep you alive and do his best to save your other organs such as your liver while trying to treat your pain. Be patient with him and you will thank above for him being in your life. I know I am grateful.