I wanted to share my experience in case it helps others…read more I was referred by a friend who also invited me to a cosmetic event that was scheduled for later in the month. I wanted to look more refreshed for another event I had planned earlier in the week and so I decided to go in early for botox. I initially had a positive first impression of this office. The doctor is a family physician who also offers cosmetic treatments like Botox and lasers. I came in specifically for Botox, and although he recommended more units than I usually receive for my crow's feet area, I agreed, trusting his judgment and hoping for good results. He even asked me to return in two weeks for a follow-up touch-up. Unfortunately, within days, I noticed no improvement at all in my crow's feet. I tried calling the office multiple times and received no response. I eventually went in person to have him evaluate the results. When I showed him the issue, he told me "not to smile so hard," which was surprising especially since during my appointment, the medical assistant had encouraged me to smile very hard for photos. At my two-week follow-up, I was expecting a touch-up as discussed. Instead, he recommended doubling the amount of Botox, and when I asked if I would be charged again, he said yes. This was concerning, as I have never needed that much product before, and my regular provider achieves effective results at a much lower cost. While he attempted to justify this with scientific explanations, my experience suggested that technique and anatomical precision, both critical in Botox, may have been lacking, rather than the amount used. What was most disappointing was that after this entire experience, there was no effort to resolve the issue or stand behind the results. Instead, I immediately received a reminder text invitation to a cosmetic event promoting additional services and products. Given the outcome of my treatment, this felt dismissive and a lack of professionalism and patient care. Overall, I left feeling disappointed with the results, communication, and handling of concerns. I would not recommend this doctor, especially for cosmetic procedures where experience, technique, and ethical standards are essential.

In 2021 I had a reasonably good experience during my first meeting and subsequent physical exam,…read morealthough Dr. Perez was rather stressed throughout. I gave him the benefit of the doubt since he runs his own practice and is only a few blocks from our home. So Dr. Perez became my primary physician for my health insurance. In 2022 Dr. Perez's office sent several reminders for my annual physical which I needed to schedule. The reason for this review is on my third visit in late 2022, I came in at 8:30am due to a very painful hand with stiches. AFTER paying for his services, discussing the 2022 physical I still needed with his friendly assistant, and then waiting ~30 minutes in increasing pain. Dr. Perez refused to help me with what was a spreading hand infection - I needed antibiotics immediately! After he refused to even look at my hand - AFTER I had paid and waited & told him how much pain I was in - I subsequently spent hours driving around looking for an urgent care that FINALLY give me the antibiotics I really needed. At this point I had puss coming out from between the stitches and my hand was burning red. Healthtopia in Leucadia came through for me! So why did Dr. Perez refuse to even look at my infected hand and provide any help (although I urgently needed antibiotics for the infection) AFTER I had already paid and met with his assitant... Because he was still unhappy ( a year later...) with his interactions and reaction with my wife during the very stressful time of COVID. I feel this doctor is not following the basic fundamental medical Hippocratic oath, "first, do no harm". When I had a spreading infection in my hand (it was burning red and puss was coming out of the stitches) and he choose to focus on his personal issues he had with my wife (from a year ago!) instead of my urgent health problem in front of him. Lastly, he said I was using him to get a quick appointment, which he did not appreciate and and another reason he would not help me with my infected hand.

Dr. Grove is amazing! He has a great bedside manner; his surgical nurse, Lucy is very kind and…read morethoughtful and the entire staff at Palomar Hospital in Poway were great. The hospital has very caring nurses who always explained to me exactly what they were giving me in the way of medication while I was at the hospital. What was the most impressive was Dr. Grove's respect and consideration for my religious choices. He reassured me that he could accomplish what was needed without the use of whole blood products and he did just so! I healed much quicker than I expected, with minimal pain and he released me from his care within a month of a complicated, serious surgical procedure. I will be moving out of state soon yet if I ever need surgery again, I would return to San Diego North County just to have Dr. Grove help me again. Thanks so much, Dr. Grove! You are a keeper!

Dr. Grove is a wonderful doctor with a very pleasant bedside manner. I felt comfortable with his…read moreassessment and surgical plan for me. He made me feel at ease and I am fortunate that he was my surgeon. However, the rest of the staff at MISNC treated me unprofessionally and very poorly- the worst of which was Melanie, Dr. Grove's medical assistant. Even though my PCP put the referral in as urgent, it still took almost a month just for a consultation because, and I quote, "How do we know you have a hernia? If you're in pain you should just go to the ER and you won't even have to come here." Back and forth with my PCP about the surgeon "not having my note" and no diagnostic ultrasound was ordered. My PCP said they would order it. The surgeons medical assistant said he won't see me until I have one. So they were just going to make me wait one-two-three- four weeks for just a consultation. They wouldn't even let me make an appointment with the doctor just to talk to him!!!! PCP calls me back and orders the ultrasound. Then and only then did they finally make me an appointment. Three weeks of being told "they don't have the notes" and "doctor hasn't read my notes" to "how are we supposed to know you have a hernia? Just go to the ER." Got scheduled for surgery a month after consultation- mind you they are supposed to call within 72 hours for urgent or 7-14 business days for routine. THREE WEEKS LATER, I finally call their scheduler and ask what's going on- get a bunch of excuses about they're busy and booked up until the end of January. My referral was initially entered to consult with surgeon in the middle of October. Surgery referral was approved 11/20. She finally calls me back and apologized and offers me Dec. 11th. I had my surgery yesterday and everything went well, Dr. Grove was fantastic and did a great job. Fast forward to today and the wound is bleeding some and I'm having massive pain upon ambulation. Post op nurse at the hospital advised me to stop taking the ibuprofen and call surgeon ASAP. I called and left message. An hour later the MA calls me back and once again- her only words of advice were "Since you're in pain with bleeding you should just go to the ER." Twice now she's pawned me off saying not their problem- I should just go to ER. No different meds or anti-inflammatories. No office visit to check sutures. Just go to the ER. I tell you, I've never been treated so poorly as a patient in all of my 36 years. I've had children and this was my fourth overall surgery. Dr. Grove, your office staff does not do you justice. I have no desire to go back for my two week post op visit. I have no faith whatsoever in the staff at MISNC. If I wasn't under an HMO, in pain, and just wanting to get this over with, I would have definitely gone somewhere else. They obviously "were busy" and made me feel discarded and like a nuisance. ***Fast forward to July 2020. Horrific episode of nausea and vomiting. See PCP via telehealth after finding a protrusion at surgery site from Dr. Grove 12/2019. She recommended a new surgeon when informed about poor experience here. Saw a new surgeon less than one week later who is going to fix the now incarcerated recurrent ventral hernia, wish I was not in this position. Never once did I have to play phone tag with new office. Surgery scheduled next Monday to finally fix what should have been done with Dr. Grove. Sad about my overall experience here and wish it didn't have to warrant a second surgery to fix what he quoted were "indestructible sutures."

I had an amazing experience with this doctor! After incredibly painful procedure last April that…read moredidn't yield the results I was hoping for I decided to give it another try. I had surgery with him on Thursday and I'm ready to go back to the gym on Saturday! He is a skilled surgeon with excellent credentials. I would only go to him in the future for any of these types of problems.

I'd like to thank Dr. Worsey and Susan at the front desk for squeezing me in with such short…read morenotice. Dr. Worsey took the time to answer my questions and took great care of me like always

Epidurals. Two dozen visits/procedures. Always excellent care, treatment, billing, obtaining…read morerecords! Just got epidurals today again and I'm happpy! I'll be back.

Excellent care, The Team was so caring, loving,they made me comfortable and feeling secure for…read moreLaser eye surgery. Dr. Heather Chen is excellent and the staff exceeded in everything, I want to thank OR Angelina RN,Debbie CST, Alyssan Pool, Phyllis and Amber and Chelsey. This is the Best Surgery Center and I have been to a few. I definitely recommend it.

My appointment was right on time. Dr Schultzel was very nice and explained to me what his…read morerecommendation to fix my issue would be. Staff is nice and very patient with all my return phone calls with questions. I will be seeing him again for a follow up prior to my surgery. (which I am dreading) but Dr Schultzel is listed as one of the best Colon/Rectal surgeons in Southern California so I feel confident he k owes what he is doing.

Dr Schultzel's office is busy. Waiting room usually full with people standing, but usually no more…read morethan 45min. At least the visit time with Doctor is quick, maybe 5-10min. Don't let the rushed feeling prevent you from asking the questions you need to make a well-informed decision. You are your best advocate.

10 STARS!!!!!!!!!!!!!…read more Dr Fierer literally saved my life! I was in the hospital & started bleeding out. I was bleeding to death & my blood count was dangerously low. There was a team surrounding me & Dr. Fierer was the only doctor who was willing to take a chance & perform surgery. He told me and my husband if my blood count went any lower, he wouldn't be able to do the surgery as I would not survive. An ICU nurse later told me I was extremely lucky that Dr. Fierer was available that day. Oh!! Did I mention Dr Fierer performed the surgery without the use of blood?? You have to be a pretty skilled doctor to even attempt something so risky I will be forever in your debt, Dr Fierer....Thank you just can't express how grateful I am

My dear 87 yr old mom was diagnosed with melanoma last year and referred to Dr Fierer and another…read moresurgeon. We saw the first surgeon and upon learning mom didn't want chemo, scared her badly and was very curt. We then saw Dr F and he was much gentler. Now my mom has been blessed to not have had any major procedures all these years so @ her age, this was very scary. Dr F discussed several ways to remove it and did the procedure @ his office. I was allowed in and watched (which i don't recommend) but wanted to be with mom. Thankfully he got it all, no need for lymph node removal or even the CT whole body scan so mom was very happy. It's was a large incision but she healed very nicely. On our first visit, mom who suffers from low blood sugar, was feeling faint and the nice receptionist got her some crackers. We felt very cared for and are very thankful.

I was referred to this office by my primary care physician. From my initial consultation to my…read morepost-op evaluation, I visited the office four times, and every single visit was prompt and on schedule. The staff was uniformly friendly, and Dr. Wakily was exceptionally helpful and clear. Every step--from scheduling and paperwork to the surgery itself and follow-up care--was handled smoothly. Thank you to Dr. Wakily and the entire team for making a procedure I'd never been through before completely smooth and stress-free.

Definitely want to give a shout out to all the staff there. They were friendly and attentive. The…read morewhole visit was smooth and accommodating.

Two months ago, I had a really bad fall and dislocated my shoulder. To make a long story short, the…read morefirst orthopedic surgeon I saw completely misdiagnosed me and refused MRIs as he said they were not necessary he knew it was wrong with me. He had indicated I might need a full shoulder replacement and then referred me to PT. For two months I have been at a pain level of 9+ and have not had any sleep. I finally had to demand MRI imaging because the pain was so excessive I needed to find out what was really going on. His office also totally messed up the request for the MRIs and I had to go twice. Another delay and more pain. I knew I needed a second opinion and was referred to Dr. Skyhar by two friends, and I have to say was one of the best decisions I've ever made in my life. He is one of the most caring and intelligent doctors I have ever spent time with. He reviewed the MRIs slide by slide and explained in detail what each slide was showing. He determined that I did not need to have any kind of surgery and that my pain that I was experiencing was neurological in nature. He even explained the MRI report by the radiologist that to be honest was not written correctly. He is a wonderful doctor. He is a kind and loving person and I cannot thank my friends enough for referring me to him. My husband said OK. we now know any orthopedic issue that we have guess where we're going: to Dr. Skyhar. His staff are absolutely lovely people truly a blessing to find a medical professional that really is truly an expert.

As a former dental specialist in private practice and now as his patient, I consider Dr. Skyhar the…read moredefinitive choice for orthopedic care. My background allows me to appreciate the high level of clinical precision he brings to his work. He was remarkably meticulous in identifying the source of my shoulder pain and limited mobility, delivering a diagnosis that was both accurate and actionable. Furthermore, he excels at communication, explaining complex medical alternatives in clear, layman's terms. I was also particularly impressed by his technique; I experienced zero discomfort during the administration of a cortisone injection. What truly elevates my confidence in Dr. Skyhar is his distinguished history of medical leadership. Having served as Chief of Staff at Scripps Memorial Hospital Encinitas, he was responsible for leading the medical staff and serving as the primary liaison for clinical excellence. His tenure in this executive role focused on: Elevating Patient Safety: Overseeing hospital-wide protocols to ensure care met the highest safety benchmarks. Defining Surgical Quality Standards: Setting the agenda for surgical best practices and ensuring staff adhered to rigorous quality metrics. Clinical Governance: Leading the Medical Executive Committee to maintain the hospital's status as a regional center of excellence. Dr. Skyhar's commitment to these high-level standards--further evidenced by his past roles as Chief of the Department of Surgery and Physician Leader for the Scripps 'System of Excellence'--translates directly to the high-quality treatment he provides in private practice. I highly recommend him to anyone seeking an orthopedic leader who masters both the science of surgery and the art of patient care.