Was so helpful the first time I saw this MD. Upon my next visit he didn't seem to be inter ested…read morein helping me. Wish I could give better review.

This Guy Rocks , Two Knees and a Hip to prove my comment Kevin Has Golden Hands ! Highly recommend…read moreHim and Staff

The office rescheduled my first apt. Dr didn't explain anything in detail and tossed a few…read moreprescriptions my way. I scheduled my next apt only to have it rescheduled twice. When they tried to reschedule the second time I canceled and told them I won't be returning. I have chronic pain and cant be pushed out constantly.

Wow I just read all the reviews on here... crazy. I try not to be a squeaky wheel but I hurt…read morebeyond words. I see Dr Pirouz and the NP sometimes. Dr Pirouz is the first Dr to actually listen to me about my pain. He listened to me and

Up until last year, I was a patient of Dr. Stephen Sigmund for 15 years. His manner has always…read morebeen too brusque for my liking, especially in recent years. One problem that I have with his approach is that he tends to treat "by formula" instead of treating me as an individual. An example: on getting up out of a chair after a dental procedure, I felt dizzy--it was not a syncope; I did not pass out. The dentist sent me to Sigmund who put me in intensive care overnight. His excuse was that my heartbeat was below some magic limit. The fact is that I have been a runner all my life, and my HB is regularly below 50 in the morning. Sigmund had records of my low HB, but I feel that he didn't take it into account. The bottom line--an expensive hospital stay for what I think was a momentary vertigo. On the positive side, he picked up my prostate cancer from a PSA test, and it was successfully treated. The reason that I stuck with him so long is that he is very intelligent, which I value in a doctor. The reason that I quit was that he didn't always use that intelligence, and became more and more brusque and less communicative in later years.

He is abrupt and doesn't listen to the patient. He is often unprepared . Often times l have to wait…read morein excess of 45 minutes in the exam room only to have him in there for five minutes or less. I'm going to try to find another primary provider.

So this joke of a practice just had me drive from Atascadero to San Luis for them to tell me that…read morethey don't think I'm a good fit for them because they kept giving me wrong dates and not calling me with appointment times and give me the runaround with a bunch of stuff and putting me in worse pain when they gave me shots and it had me barely walking out of the office the next day they messed it up so bad do not go to these people they have bad reviews for a reason they're a horrible practice they should not be even allowed to practice

I've been a patient here for a long time at the SLO and North county locations and the quality of…read moreservice here has become shameful. There's no continuity of treatment and no notice of changes to policies resulting in being past due for my treatment only to be told I'll be called back every time I can get a hold of someone but the call back doesn't happen. All patients are here because of pain. As a society, we don't even leave animals in pain like this. I like the PA and a couple of the surgeons, but I can access the care I need and it's ridiculous.

I had both knees replaced 7 weeks apart and both were a huge success. From Dr Sima, his staff and…read morethe Posada Surgery Center all were extremely approachable, informative and caring to no end. All the support scheduled by Dr Sima at home and external PT helped recovery and supported my every need. Many many thanks to all.

I was back again to get the results of my SI joint pain pelvic Xrays, and to have a cortisone shot…read morein right hip Bersa for hip pain while walking. Dr Sima is the best! He is right to the point and tells you the facts, but in a friendly way. He made me a referral to a pain specialist for the SI joint pain as there is nothing he can do for that. My Xrays show arthritis there. I had a cortisone shot in the hip which was done quickly and nearly pain free. I have had 3 surgeries with Dr. Sima, carpal tunnel, and both shoulders. I will keep coming back for quality care.

Both the Doctors here are amazing! The staff is warm and…read morecaring! They are now really good at follow up and paperwork and getting messages out. I started coming years ago and have overcome some serious health issues naturally. I highly recommend getting help for thyroid or hormone issues naturally here. Dr. K is amazing with homeopathic medicine. They did go thru some growing pains, where the Doctors care was excellent but the followup, like answering emails, was not as good as now. Over a year ago they hired a new office manager and she in turn hired really good medical office help. What a blessing for us all. You know how the extremely talented "artist" is not always as good at the paperwork?? The Doctors are artists with blood tests. I have never seen blood tests so wonderfully explained and addressed. Every issue you will understand about what your test is saying! They really care about your health!! And they do not push their supplements. You can get them anywhere you choose, if you need them at all.

I am deeply concerned about the practices I observed at this office. Communication with patients…read moreappears to be lacking, as lab results can take weeks to be reviewed and discussed, even after testing has been completed. I also witnessed what appeared to be expired B12 being used for injections and IV treatments, which raised serious concerns about patient safety. In addition, I was concerned about the qualifications and certifications of staff involved in administering IVs, injections, and overseeing hyperbaric chamber treatments. The way staff members are treated was also troubling. I observed behavior that I felt was disrespectful and unprofessional toward employees. Patients deserve transparency, proper safety protocols, and qualified medical personnel. Based on my experience, I believe these concerns should be thoroughly reviewed by the appropriate regulatory authorities. I encourage prospective patients to ask questions about staff credentials, training, and safety procedures before receiving treatment.

I've had two shoulder surgeries performed by Dr. Orlando. Both were due to really bad bursitis and…read moreI have had amazing results from both. I am currently recovering from my second surgery completed in early February. I find Dr. Orlando to be knowledgable, courteous and empathetic. My initial surgery took place in December 2022 and I have made a full recovery with full ROM in the shoulder. I am so thankful for this surgeon who finally found the cause and relief from the extreme pain I had been experiencing for more than four years. The staff in his office are super helpful and made everything easy for me. I cannot thank Dr. Orlando and his staff enough. I would and do recommend him whenever I have the opportunity. My quality of life is much improved from five years ago! Thanks again Dr. Orlando and staff!!!

Dr. Sima's office drug their feet for one year before confirming that I needed surgery but his…read morepartner Dr. Orlando was the specialist in that area. You might want to read my review on Dr. Sima. When I met with Dr. Orlando he simply confirmed, chronic bursitis, tear, bone spurs, arthritis. Appointment was set for surgery. I am 63 years old. As a toddler I had had a bad spinal tap which temporary paralyzed from the waist down. I have always had what I call a weak back in that area. But I have never gone to a doctor for it. He said he was concerned that a lot of my pain was coming from that area and he ordered an MRI. The MRI showed there is stenosis which is a narrowing there is mild to moderate degenerative disc. And so it is something that I probably should see a specialist, an orthopedic specialist or a Nuro specialist and have a valuated. But it has nothing to do with what is going on with the hip. All of that was verified by Sima. At the preop appt Orlando said he was just going to fix the tear and leave the rest alone. 20 years ago I had surgery on my spine in the neck area where they had to go back later and do repairs for bone spurs. So at this appointment I said please, while you're in there please look at everything and do as much as you can so that I won't have to come back for more surgery later. I said it very pleasantly very calmly but I saw a shift in him. He kind of froze and blinked a couple of times and he seem to backtrack a little bit. And started saying that he didn't even know if I had a tear. Excuse me I've read the MRI I've heard the report from Dr. Sima. And you Dr. Orlando have stated there is a tear. But he just continue to act very nervous and talking faster and faster and so when I said well what does the MRI say? He froze again, said I don't know that they've even sent it over here. I said well I know they have because I verified that they sent it to you. So he asked his nurse to pull up my report. He turned to the monitor for literally two seconds spun back around and said yes it was as he suspected, all of my pain and troubles was coming from my spine. I was stunned. He basically flew out of the office. And that was that. Everything was still on but he absolve himself of any results from the surgery. That night I woke up in so much pain that I had to call 911. I literally could not even shift my body. It felt like my right hip had been stung by a horde of hornets While I was in the middle of a massive muscle spasm. Hot searing pain and convulsing muscles. They shot me full of Cortizone and lidocaine and pain meds. And sent me home. because I was already under a doctors care and was scheduled for surgery. When I called his office thinking that they were going to speed the surgery up maybe he completely backed out. I believe he had been in a situation where there were other complications and those complications were blamed on his surgery. Because there was so much fear in his voice. So much emotional fear in his voice. Speaking rapidly and so on. He even said you cannot force me into the surgery! I calmly assured him even though I was in a bit of shock that I had no intention of trying to force anyone into anything. I said the last thing I need is a doctor operating on me who does not wish to operate. I just want to know what you suggest I do from this point on. Did he use the words you need to find an orthopedic surgeon and here is a recommendation? Or a neurosurgeon, here as a recommendation? No. He might as well have been a bricklayer. He just kept saying you need to find a back doctor. I can't read the MRIs of your back I don't understand them that's not my specialty. I am a hip specialist. find a back doctor. Well that's about it. I wish you luck in your search for a good doctor. That is my experience with him. Yes I do have an appointment with orthopedic surgeon Dr. Carr. Head doctor Sima's office suggested an orthopedic surgeon back on August 29 or Orlando's on September 7. I would not be sitting here homebound since September 28 when I wound up in the ER. And to give you an idea of time wasted. My first appointment with Dr. Sima was supposed to be last November. Somewhere along the line they called me and said they were going to have to reschedule for January 11. From the beginning I thought I was seeing Dr. Sima. But I would see his nurse. She would send me to physical therapy. The next month she would do a Cortizone shot. The next month they would order the MRI with dye contrast. Then they lost that nurse. And they moved my appointment back another month. They did the wrong hip. The next month it would be the correct hip. And so on and so on until here I sit walking around my house as very little as possible using to canes when I do walk or my little tricycle.

He's a terrible doctor, they send workers to specialists and after the specialist release's the…read moreemployees back to full duty he continues to see them and doesn't send them back to work. I'll never send my employees to him ever again!!!

I am not sure why this place has got so much hate. Went in and once I was done filling out…read morepaperwork, I was heading to the back. I went to one room to have some administrative stuff handled, walked into another. Within 5min, doctor was in the room, asking questions and checking me out. A couple minutes later I had a script sent to my pharmacy. From stepping in to stepping out, under 30min. Easy! So why not 5? Well, to get a 5, you need a little more. Maybe a fresh coat of paint? Brighter waiting room with maybe some music? Also, any urgent care who doesn't have a call ahead or make an appt feature probably won't get a 5. It's 2018 people, get your technology game up. Still, very good experience!