Dr Tijmes is an excellent 5 star physician. He is very knowledgeable and educated me about my conditions and offered ways to treat my back issues. He genuinely cares.The staff arent as friendly however. The secretary is not sympathetic if I have issues with paying, and the nurse comes across as very judgmental about pain medication. When I told her how much the pain medication has helped me regain my life and be active, she said, oh oh, thats not a good thing. Thank goodness Dr Tijmes is supportive and wants me to be pain free.