I have had trouble with circulation to my feet since a stroke 6 years ago. After treatment I needed to address a poor skin condition. I went to see Dr. Puente in February of 2012.
He was notably irritated when he entered the room, and threw a fit saying that conditions like this could be life threatening, and prescribed a creme and a lotion, and emphasized that I had to pick it up as soon as possible, and start using the next morning. He wanted to double my Lasik, and was going to speak to me regular Doctor.
The nurse said the prescription would be sent in before lunch and available 2 hours after that.
The prescription was not sent in, after calling back and asking the office a number of times (I got hung up on several times, by accident) He finally prescribed the medicine.
Worried about the increase in Lasiks (which he did not prescribe either), I contacted my regular doctor. Dr. Puente had not contacted that Doctor (three days later). My Regular dr. consulted with my Heart specialist and concluded that Lasik should be reduced if anything, and did not seem to benefit the situation.
When I came for my return appointment I asked Dr. Puente if he had contacted my Dr. and what the result was. He did not have an answer about the outcome but said, yes he did. I said he did not according to my follow up with the Dr. He threw a fi and yelled""Are you calling me a liar?"" I responded that it was a question of conflicting opinions. He angrily turned to the nurse and said ""did we not contact dr...."" The Nurse did not answer, he turned to me again and said ""Are you calling me a liar?"" he then said, ""I am just trying to help you and you are calling me a liar I am not going to help someone like that, get out!"" in a very emotional state. I showed no emotion through this ordeal. "" I Stated, ""Fine, I do not find you competent and will be glad to leave."" Dr. Puente calmed down, and said I will now do the examination. He did and concluded that things looked better, he added that he had added a anti-biotic, which I should have picked up (again impossible since he did not inform me).
The nurse applied a small amount of gauze to my leg and I went to check out.
At checkout the attendant said ""What is this?"", I had no idea what she was talking about, and asked what she was talking about. She pointed to a checked item on the report that said ""unna boot"". not knowing what this meant in this report, I said that is a mistake, I have used a Unna Boot in the past, but I put it on at home, the nurse did no such thing here. Instead of taking my word for it, she said ""I Will have to check with the nurses"" and stormed of. She was gone for 10-20 minutes and came back and angrily said, OK, we will let you slide this time.
About a week later I received an invoice from Raleigh Dermatology, They invoiced said Unna Boot again. I called in and spoke to a person in Billing, I stated that I had not received an Unna Boot, she replied that she could not check that, so just pay the bill. I got mad and said ""No, you check it right now"" I Waited for 10-20 minutes on Hold and then the Office Manager got on the line. She told me the charge was for an Unna Boot. and she had just spoken to Dr. Puente about the matter. I said I did not get one, and she said, ""I have to check on that, and have to call you back"". She also stated that I had gotten two Unna Boots, one also in my first appointment. That is a complete lie. I cancelled all my outstanding appointments with Dr. Puente.
In conclusion. I recommend strongly against seeing this Doctor. He is emotional, unprofessional and incompetent. I have to blame him, because at every stage he was seemingly involved.
He does not seem to be concerned about prescribing potentially harmful medicine.
He seems only interested in billing more, not a recipe to become a top notch medical practitioner.