Too many of you are throwing out the baby with the bath water!! Do you have any idea how hard it is to find a good doctor?! I've been sick since '98 and have seen way more than my fair share of impersonal, incompetent doctors. Being an RN with 20 years experience I know whether a doctor is good or not. Rather than leave a doctor you love (which are increasingly harder to find) you have to use the power you have to get his staff in acting like staff rather than prison guards. You are not subject to their ""authority"". They are accountable to you. First, write letters to Dr. Roka and as concisely as possible tell him exactly what has happened between you and the staff. ALWAYS NAME NAMES!! AND make sure you cc., a copy of that letter to the office manager. You can also call the Texas Board of Medicine. Some of your complaints, such as staff failure to call in prescriptions could be construed as practicing medicine without a license (A FEDERAL OFFENSE). Failing repeatedly to follow through with each action it takes to get referrals, procedures, etc., scheduled is NEGLIGENCE. These two items should be mentioned in your letter though not used as a threat.Those delays are putting your health at further risk not to mention causing undue stress and worry. But YOU are the one with the options, not the staff. They have a specific job to do for you and the doctor. Their service is to you. If they are failing to perform their jobs don't be afraid to speak up in a mature and intelligent way. Angry letters end up not getting much of a point across except that you're angry and if it has an angry tone the reader will not read the letter or take it seriously. Doctors have office managers who take care of the hiring and firing and general supervision of the staff. It sounds like SHE/HE is the responsible party, not Dr. Roka. I've seen too much of this kind of thing. A good doctor is a busy doctor. He has to be able to rely on his office manager to run that part of the practice so he can do his own job. Think about it - Is it right to give a great doctor career killing ratings because of a lousy staff? No. By all means, no! Those who know him and respect him should be looking out for him by informing him of what is going on. Some of the comments sound like, as much as you like him he's just unfortunate collateral damage and is getting kicked under the bus because of something he may not even be aware of or know how to handle. A lousy staff can ruin a good doctor's practice and the only ones who can intercede for him are his patients. Remember that really good doctors are becoming more and more rare. If you leave him you may NEVER find another competent, compassionate doctor. You'll end up going through what I've been going through for so many years that I just can't do it anymore - going from doctor to doctor to doctor looking for one who has the qualities you all so admire in Dr. Roka. You might add that you will be ""anticipating"" a response to your complaints within a week. Dr. Roka was recommended to me just today by one of his patients. I will be going to see him so I'll see what you all are talking about and I will not hesitate to speak up if I have the same experiences.