I was in extreme pain when I tried to get an appointment with Dr. Rameriez,  She was not available for 1 week so I was refereed to Jonathan Manely, CNP.  He had no idea why I had such extreme shoulder paid and called in Dr. Giese, who also had no idea why I was suffering so.  The only thing Dr. Giese provided was a sheet showing him doing arm exercises and thought I should try them and also check on U Tube for additional exercises.  Since I could not raise my arm any higher than 8 inches with extreme pain, this was absolutely no resolution to my problem and I thought was very insulting since I was suffering in such pain.  Since my visit, I have been diagnosed with Polymyalgia rheumatica (PMR) and am under a "real" physicians care providing medications  and treatment for my condition.  Perhaps the doctors in this practice should listen to the patients rather than "brushing off" their comments and concerns and providing absolutely nothing for problem resolution or care.  Total disappointment for any type of medical service.
Caring Family SC