I am not sure about these other people, but I have been seeing Dr. Spillane for about 4 years now. I would say that he is very compassionate, caring doctor. for the past 14 or so years I have suffered with chronic low back pain. when I first started seeing Dr. Spillane I was on a cane, slept about 3 - 4 hours a night. He has tried several procedures on me and has just recently put a spinal cord stimulator in, it has done miracles. I have lost the cane, cut my pain meds in half and sleep all night most nights. As for under medicating, if anything I had to keep them from giving me too much, they always asked about upping my meds or trying something stronger. If you are in pain, give them a try, maybe they can help you as much as they have me.