Dr. Jay C. Tyroler by far, exceeds any other doctor within his expertise in internal medicine. He takes the time to LISTEN TO THE PATIENT and is extremely calm, yet highly intelligent within this field of medicine. I have seen Jay Tyroler for 10 years now. He saved my life four years ago, when other specialized physicians were unable to listen to me when I was telling them that I had no energy. Other doctors just thought I was tired. It turned out to be an extremely dangerous electrolyte imbalance that can be sudden and fatal. There is no physician of internal medicine that even compares to Jay Tyroler within the entrie Washington metropolitan area. For those patients who have trouble with the office administrators attempting to receive referrals etc; I suggest you put your request in writing, make two copies and talk to THE DOCTOR as well as giving THE DOCTOR a copy and making him aware of the issue. I HAVE NEVER EXPERIENCED DIFFICULTY WITHIN THAT OFFICE. Dr. TYROLER IS THE BEST DOCTOR EVER!Write your review here.