Upon entering, the two at the desk, were nice and helpful. The 2nd person I met did the x-rays. She was just as great as the first two. The 3rd, seemed a bit robotic and seemed as if going through the motions.  Ditto with the doctor.  I don't even know if he introduced himself. He introduced the stenographer.  I felt as if I was just a number at the deli counter. "You need a knee replacement, that's what I do. I can give you a cortisone shot. There is gel. Do you want a cortisone shot we can do it right now."   In the end, I walked out knowing what I already suspected, I was hoping for more alternatives, more explanations, but the vibe I got was I am wasting the doctor's time since I was balking at the idea of scheduling a surgery right then and there. A knee replacement, to me, is something I have to think about before I get it. It's not as if I just had an accident and my knee pain was excruciating. Been living with the discomfort for years. It's not an acute pain. Same with the cortisone shot. I had to ask what it was. I was told it was an anti-inflammatory. Since I rejected getting any treatment , right then and there,  the conversation ended quickly.   I had to ask if his visit was done and if I could leave and if I needed to talk to anyone. " No, you can just leave."  It was as if I walked away from the car dealership without purchasing a car and the salesman was upset. 
AWAMC POT Orthopedics Ste 500