I had the misfortune of having an orthopedic appointment with Dr. Kesto. This was the initial appointment with him and without scheduling any procedures to determine the severity of the injury, he immediately informed me my situation could be rectified via knee replacement surgery due to arthritis he saw on the xray. At 70 years of age and being extremely active approximately 60 of my 70 years, I was well aware arthritis was present in both knees. When speaking with my VA primary care provider regarding the extent of the injury an appointment was immediately scheduled for an MRI to determine the severity of the injury. I informed the doctor of this where he basically blew it off stating "it could be cleaned out, but that would be a waste of time and it would be beneficial to consider the surgery". All of this again in the initial appointment. Possibly, this was his last appointment of the day and he had more important things to do other than meeting with a patient he perceived to have a trivial concern. I took his suggestion to be insulting as I am a retired Federal employee with a 30 year career in health care. He was blatant that this meeting was "all about the money" as I believe he would have been the surgeon. Needless to say, this was the first and last time I would utilize Core Institute for any health care needs and am posting this as a word to the wise regarding your needs. read more