There is a major issue here with communication between doctors and patients. I've been a patient for a few months and have never fully understood what I'm to do, and when I inquire with questions, I'm given a receptionist who has no clue what to tell me. They then consult a doctor, days pass, and you get again unclear advice. I am early in my pregnancy right now and just got very confusing medical advice from their receptionist who was relaying a message from a doctor. For God's sake, hire some NURSES who know what the hell they are talking about so they can help the patients. Thyroid issues in early pregnancy are life threatening for the developing fetus. This is no time for such incompetance. It's extremely upsetting for someone who is just in the uncertain early stages of pregnancy. I'm doing everything I can to change to a different endocrinologist; this is the worst medical practice I've ever encountered. I also noticed that whenever I have a visit, someone is at the front desk complaining: either they weren't told something they needed to know beforehand or they were waiting for 3.5 hours for their doctor, etc.