I went to see Dr. Nelson over the summer for a rash that not one of the previous 7 Doctors I've seen over the previous 12 years have been able to disgnose properly. On my initial visit the first person I saw was the Physician Assistant. Then Dr. Nelson came in and with me in only underwear started pointing a laser at the rash and asked the PA what she thought it was. She didn't know, so he informed her on what he thought. It was as if he was training her with me barely dressed in a chair. He had her do a skin graph and prescribed a cream (just like the previous Doctors) I had a follow up appointment where Dr. Nelson spent maybe 45 seconds with me. We continued the cream. I then had a follow up appointment with Dr. Nelson. Instead the PA was the one that I saw. She said to stay on the cream and she called in more cream. Then a few weeks later the issue with the rash got bad and I made an appointment with Dr. Nelson. As soon as I arrived the lady behind the counter informed me that I had a $25 co-pay. I took out my debit card and she said we don't accept debit/credit card, only cash or check. Hmm!! I informed her that I don't carry my check book with me and don't carry much cash. They said they would take a card this time, like they were doing me a favor. Again, the PA was the one to see me. As soon as she saw the rash, she said I needed to make an appointment with Dr. Nelson. (basically she didn't know what to say or do) I informed her that my appointment was with Dr. Nelson, not her, just as my other appointments were. Also that I just blocked out meetings to come to the Doctor's office, took time out of my day and paid a co-pay. She didn't know what to say. Needless to say I was fed up. I don't think it was the PA fault, but someone royally screwed up. I just decided that I would no longer go to this Dermetologist, because they obviously don't care about me. Last week, I got a letter that I owed a $25 co-pay, and it wasn't the nicest letter in the world. Now I was furious. I called up the Billing Manager. Was very professional with her, but explained my frustration. I thought the person who took my card didn't enter it in. As it turns out there was a co-pay from the previous visit. In the real world, the Doctor's Office would have to pay me for all the needless stress, the wasted time, and not helping my issue. The Billing Manager told me the reason why I was seeing the PA was bc my account wasn't notated to see only Dr. Nelson. I asked who notates my account. She said either the Doctor, PA or desk. Is it me or when someone makes an appointment to see their Doctor, should they not be seeing their doctor, unless previously discussed that they would see someone else? The PA was nice and tried, but if I need Heart Surgery, I'm not going to have a Podiatrist perform the surgery, so why would I want a PA to take over for my Doctor, when 1. This was never discussed with me, the patient (customer) 2. The PA can't handle the issue I'm coming in for. I would advise that if you use this office that you make 100% sure that the Doctor that you are paying and expecting is the Doctor that you are seeing!! read more