I like Dr. Gasch quite a bit, and have been seeing him for nearly 2 years since my insurance changed and I had to switch dermatologists. He's very personable and engaged, listens to my concerns and preferences, and works with me when it comes to alternate approaches and medications as I don't have much money and I'm super sensitive to medication side-effects.
Initially I had recurrent, frustrating problems with some of the staff (medical assistants and reception) but I liked Dr. Gasch enough that I didn't want to leave the clinic, so I spoke to a nurse (Erin, RN or LPN) who was very receptive and she notified the office manager who contacted me pronto. The ofc mgr was also highly receptive and agreed that the ""issues"" were unacceptable (lack of and mis-communications, sometimes unprofessional attitudes), and assured me the doctors would be notified and together they would work on the problems. My most recent visit was great, and the medical assistant (Jarrett) was terrific - all the previous problems seem to have been resolved. I really appreciate this kind of response to patient feedback.
Dr. Gasch took me off of a dangerous medication that was no longer necessary, AND now my skin is in the best condition it's ever been in - finally in my early 50's, I'm starting to like my skin! And that is due to Dr. Gasch's treatment.