I have read some of the reviews and I must be going to a different Dr. John W. Nelson. Yes, sometimes his staff is a little flighty and doesn't always have a sense of urgency but that you find with many Dr.s office personnel. As far as Dr. Nelson is concerned, I have been under his care for almost 7 years and have nothing but praise for him and the care I have received from him. One of the first things he told me was that I know my body better than him and I need to tell him what my pains are. We have tried several different pain management procedures, some worked , some have not. I am in the process of slowing down my daily intake of pain meds and we talk about the effects it is having on my body each visit. The day will come when I no longer need to see Dr. Nelson but I will always give his name to anyone that lives with chronic pain. I have seen many Doctors in my 65 years and he is in the Top 5 for the care he has provided me.