I have seen Dr. Blackham after being referred by my physican, which by the way, is in the same location just a few doors down from him. I have worked in the medical field for 21 years. I have worked with all types of physicians. He is nothing but professional and he does a great job. It is true he does not have a nurse on staff. He is not the only Dr. that I know who practices like this. He is part of NW hospital and right there in a medical building across from the hospital is a Dr. who routinely see's pts. alone in a room for very personal female problems, with the same professionalism as Dr. Blackham. I think if you are the paranoid type then he is not the Dr. for you, although you could do a lot worse even with a dr. who has a nurse. He is recommended by me!!!