DAVID GENT is a Podiatrist who loves his patients and his profession. However, early influential studies suggested that rTMS is less effective. Transcranial magnetic stimulation (TMS) is a safe and effective therapeutic modality for a rapidly expanding range of neuropsychiatric indications. Repetitive transcranial magnetic stimulation (rTMS) is a safe and well-tolerated intervention for major depressive disorder (MDD). Over the last three decades, TMS has shed insight into the pathophysiology of many neurological disorders. Side Effects of TMS Therapy. Hospital affiliations include Harrison Medical Center. Fax: (360) 616-0544. 13 miles Dr. treatments in week 1, 2 TMS treatments the next week, and 1 TMS treatment in the last week. It can treat depression, obsessive-compulsive disorder and other brain-related conditions. From clinics and dispensaries to hospitals and infirmaries, there are many options for medical care in the area. The magnetic field it creates is about the same strength as an MRI scan. Dr. However, the efficacy of. Meets all requirements for initial TMS. . Our reputation, results, and standard of care make us the obvious choice, even for patients with longstanding, stubborn depression and anxiety that is resistant to other forms of treatment. Transcranial magnetic stimulation (TMS) is a type of brain stimulation therapy. It’s used for treating depression, migraine, and OCD, among other. Tremor is an involuntary, rhythmic oscillatory movement disorder commonly related to pathological. Timothy Wilcox, MD, is a Pediatrics specialist practicing in Bremerton, WA. NeuroStar TMS Therapy is: Non-invasive, meaning that it does not involve surgery. To date, three large multisite, sham-controlled trials have been conducted to more definitively evaluate efficacy of TMS as a monotherapy for depression. RATINGS AND REVIEWS . Prefrontal TMS therapy repeated daily for four to six weeks is a. TMS is a non-invasive treatment delivered by an external magnetic coil placed lightly touching the scalp. Among those studies that explored deep TMS, Levkovitz et al 21 and Rabany et al 25 studied the safety and. S. 5. The innovation of Transcranial Magnetic Stimulation (TMS) can improve symptoms and give hope to those struggling to live their lives. Using magnets to treat depression sounds like a mad scientist’s scheme — but it actually works. New patients are welcome. However, the methodological weaknesses. The increases in dopamine levels after TMS could allow monitoring. Please fill out this short form today for a free phone consultation with NeuroStim TMS in. West Virginia. TMS therapy’s average cost is between $400 and $500 per session, with a total cost of around $15,000 for a full course of treatment. Text: (360) 443-0875. If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. What Is TMS Therapy; Where To Start; Disorders Treated; In The News; Contact Us; TMS Forum; Search. Several rTMS devices have been cleared to treat specific mental disorders. Thank you for joining us today for this lecture on the risks and safety of transcranial magnetic stimulation, TMS. Those looking into TMS treatment will be glad to know it’s non-invasive. It’s noninvasive and can help when other treatment approaches aren’t effective. Hospital affiliations include Naval Hospital Bremerton. 1 REVIEWS. TMS therapy uses a highly focused, pulsed magnetic field to. Dr. Transcranial magnetic stimulation, or TMS, is a breakthrough treatment for those with chronic, medication-resistant depression. This provider currently accepts 42 insurance plans including Medicare and Medicaid. 5. S. Quick turnaround times on processing prior authorizations and obtaining approvals. During times of stress, our body releases hormones (adrenaline) creating an increase in energy, designed to manage the stressors. Although many mental health patients need therapy or medications to feel better, healthy habits can also play a critical role in. If you're struggling with depression and traditional treatments haven't worked, Transcranial Magnetic Stimulation (TMS) might be the solution you've been searching for. 741 to −0. McCann believes the doctor-patient relationship is the most important aspect in the provision of the highest quality care. TMS uses a magnetic field which in turn lightly stimulates parts of the brain responsible for thinking and control of mood. In a comfortable and supportive atmosphere, our treatment providers offer a highly personalized approach tailored to each of our clients individual needs to help attain the personal growth they. Transcranial magnetic stimulation (TMS or rTMS) is a way of using a magnetic coil to alter the electrical impulses – aka the activity of the brain. New patients are welcome. At SeattleNTC, our sole focus is finding the best combination of therapies for treatment-resistant neuropsychiatric conditions. Tingling sensation in the scalp, jaw, or face. It is used to treat mental health disorders, particularly. This is called repetitive transcranial magnetic stimulation or “rTMS”. A one hour initial assessment consultation with a Psychiatrist to determine your suitability for TMS will be arranged. Transcranial Magnetic Stimulation (TMS) is designed for adults, 18 years of age and older. A good listener, he strives to build long-term relationships with his patients. TMS is non-systemic, which means any side effects are contained in the. Neuropsychiatr Dis Treat. 42 Wright Street. Accepting New Patients ; Mon 8:00 am - 5:00 pm. Transcranial magnetic stimulation (TMS) has been a treatment option for people with major depression since it was approved by the U. To highlight possible contraindications that might put a patient at risk for an adverse effect, it is recommended that a short safety check list be used to screen. TMS stands for “transcranial magnetic stimulation. Transcranial magnetic stimulation (TMS) is a procedure to treat treatment-resistant major depressive disorder. Counseling Keep yourself and your loved ones healthy! Our friendly and experienced staff will make sure you always feel comfortable and well-informed. More moderate than other options, there is lower risk of side effects from using TMS. Dr. TMS treatment is an alternative to electroconvulsive therapy; it works. Transcranial Magnetic Stimulation (TMS) Therapy is an innovative non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms, restoring HOPE to those struggling to. 2512 Wheaton Way Ste A. n/a Office cleanliness . SIMILAR PROVIDERS. Joan A. Business Started:1/1/2011. Psychol Med. Leave a review . , something else than the wonderful success stories on the sites of the clinics that sell the treatment). In order to provide trustworthy information for upcoming therapeutic treatments, this review attempts to compile and assess the data from. She works in Bremerton, WA and 1 other location and specializes in Family Medicine and Psychiatry. rTMS has been studied as a. Transcranial Magnetic Stimulation (TMS) Transcranial magnetic stimulation (TMS) is a treatment technique that uses a magnetic field to influence brain activity. New patients are welcome. Patient Perspective . TMS is an FDA-cleared, transformational therapy used to treat the symptoms of depression in patients who do not respond to medications. . Hospital affiliations include Harrison Medical Center. To be evaluated for transcranial magnetic stimulation, call. Transcranial magnetic stimulation (TMS) has been proposed as a potential treatment add-on for positive symptoms in schizophrenia. When medication proves ineffective or causes negative side effects, this drug-free, FDA-approved, noninvasive and safe technology provides a powerful alternative treatment. The full course of therapy with the pricey machines can cost $6,000 to $12,000. Dr. BackgroundTreatment resistant depression is common in older adults and treatment is often complicated by medical comorbidities and polypharmacy. Bliss practices compassionate, full-spectrum primary care, treating newborn infants to elders. S. Results. Thu 8:00 am - 5:00 pm. Food and Drug Administration (FDA) for the treatment of major depression. Visit Website. 4207 KITSAP WAY. Repetitive transcranial magnetic stimulation (rTMS) is an FDA cleared therapy for use in treating major depressive disorder (MDD). Patients interested in TMS therapy will be happy to know that the treatment is non-invasive. Transcranial magnetic stimulation (TMS) is a painless, non-invasive, and established brain stimulation technique to investigate human brain function. NeuroStim TMS Centers is the leading provider of Transcranial Magnetic Stimulation (TMS) Therapy in the Pacific Northwest. All that while making sure that the treatment is right for you. Schutter DJ. New patients are welcome. Repetitive transcranial magnetic stimulation (rTMS) has been established as an effective. NeuroStim TMS is Washington's largest provider of Transcranial Magnetic Stimulation (TMS Therapy) with nine (9) TMS treatment centers located throughout the Puget. Summary. TMS is similar to ECT by virtue of its direct brain stimulation method to relieve depression. . Transcranial magnetic stimulation (TMS) has emerged as a major tool used in the field of noninvasive brain stimulation. Transcranial magnetic stimulation (TMS) has emerged over the past several decades as a noninvasive. Transcranial magnetic stimulation (TMS) is a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of major depression. It ranges from 5 to 10 treatment sessions daily for 1 to 2 weeks (in contrast to our regular TMS treatment, which is given once per week for 6 to 7 weeks). TMS Transcranial Magnetic Stimulation ; Cognitive behavioral therapy (CBT) Botox ;. Clinicians providing this treatment utilize strong magnets to deliver magnetic pulses through your. S. Most patients who experience one or more of these symptoms find the side effects dissipate in one to two weeks. View All Listings. Hospital affiliations include Harrison Medical Center. Hospital affiliations include Harrison Medical Center. This provider currently accepts 43 insurance plans including Medicare and Medicaid. Fri7:30 am - 4:00 pm. The FDA first allowed marketing of deep transcranial magnetic stimulation (d-TMS) for the treatment of obsessive-compulsive disorder in August 2018. A total of eight articles involving 566 patients were included. First Name*. Insurance Verification Form. When this happens, our fear center is turned on, meaning our body. Specifically, side effects such as weight gain, dry mouth. After a series of treatments, the magnetic pulses. S. It uses magnetic pulses to stimulate nerves in the brain. Casey McCann, MD, is a board-certified family physician who serves as both a residency faculty member and a clinician. Doctors Clinic. TMS is a noninvasive procedure using magnetic fields to stimulate nerve cells, or neurons, in the brain. VM. General Dentistry;In a comfortable and supportive atmosphere, our treatment providers offer a highly personalized approach tailored to each of our clients individual needs to help attain the personal growth they. Fatigue (2% in treatment group, 9% in sham group). TMS is a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve the symptoms of epilepsy. The treatment — known as TMS, or transcranial magnetic. Schedule a Free Consultation* If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may. Palmer, MA 01069. Browse: All Specialties All Conditions All Locations. TMS is a psychiatric treatment that uses a rapidly alternating magnetic field to induce electric currents in the brain. Schollnberger graduated from the Uniformed Services Univ of The Health Sciences F E Hebert Schl of Medicine in 2008. Services. This provider currently accepts 2 insurance plans including Medicare and Medicaid. While electromagnetic fields do dissipate the further you are away from them, in TMS the coil is often held just millimeters away from the patient’s skull. Findings from large multi-site, sham-controlled RCTs. In this small open-label study testing the new Stanford Accelerated Intelligent Neuromodulation. For psychiatric applications, such as depression or OCD, repetitive TMS protocols (rTMS) are an established and globally applied treatment option. A growing body of evidence suggests maintenance TMS is an effective strategy for preventing relapse in patients with treatment-resistant depression. Despite the different treatment modalities (ECT vs TMS and DBS) and methodological approaches (structural vs functional networks), we found a highly similar. While depression is a treatable condition, TMS is typically used when standard treatments such as therapy,. RATINGS AND REVIEWS . Mayo Clinic's Department of Psychiatry and Psychology, one of the largest psychiatric treatment groups in the U. TMS treatment for other addictions is still in the early phases. Kristoffer Valenzuela, MD, is a Family Medicine specialist practicing in Bremerton, WA with 14 years of experience. The UCI Health TMS clinic has been treating patients with severe depression since 2017. Book an appointment today!TMS is a non-invasive medical procedure that uses magnetic fields to stimulate specific areas of the brain. Repetitive transcranial magnetic stimulation (rTMS) is a treatment option for this group due to its favorable profile. Tel: (360) 479-6154. A course of at least 20 sessions over consecutive weekdays is typically recommended for therapeutic results. Transcranial Magnetic Stimulation (TMS) is a medical breakthrough for treating Major Depression, OCD, PTSD, Anxiety, and other disorders. S. Dr, Gent has extensive training in forefoot and rearfoot surgery along with certifications in ESWT, ultrasound, skin biopsy, sports injuries and custom orthotic treatment for correcting foot. Washington. I started TMS three weeks ago (a session each weekday) for chronic major depression disorder (15+ years. This is considerably less than the most comparable treatment, electroconvulsive therapy (ECT), which costs about $2,500 per treatment session and requires a full ten sessions. New patients are welcome. It is important to know the potential risks and benefits you might receive. Transcranial Magnetic Stimulation (TMS) is a non-invasive form of brain stimulation that can be used to treat depression and other psychiatric disorders. TMS is a non-systemic and non-invasive treatment for depression that received the. New patients are welcome. Mr. Efficacy of rTMS in treatment-resistant depression. Tremor is an involuntary, rhythmic oscillatory movement disorder commonly related to pathological. Maintenance deep transcranial magnetic stimulation sessions are associated with reduced depressive relapses in patients with unipolar or bipolar. Sarah “Holly” Lisanby, MD, director of the Noninvasive. Be first to leave a review. In a pivotal study, SAINT demonstrated rapid benefit and increased efficacy compared to traditional TMS. Transcranial magnetic stimulation, or TMS, is a safe and effective treatment for major depression and major depressive disorder. (360) 782-3700. Okay, that actually concludes my exploration of parameters, TMS parameters, and basic ideas, the basic physical effects of TMS, and how we measure them through various TMS protocols. org to schedule an appointment and learn more. Naval Hospital Bremerton . The FDA approved TMS in 2008 for treatment resistant depression, and its efficacy is being studied across an array of conditions from schizophrenia to autism spectrum disorder. Hospital affiliations include Harrison Medical Center. Dr. In treating depression, TMS may be used when patients have not responded to antidepressant medications, have unacceptable side effects to medications or would prefer to try another treatment. New patients are welcome. Long-Term Negative Effects. East Bremerton, Washington is home to some of the best local health facilities. Tue 8:00 am - 5:00 pm. Bremerton, WA, 98310. Accelerated TMS provides anywhere from 5 to 10 treatment sessions per day for 1 to 2 weeks. It's called a "noninvasive" procedure because it's done without using surgery or cutting the skin. Dentist; Doctors; Podiatrist; Krystal the Doula. Dr. New patients are welcome. Find top doctors who treat Temporomandibular Joint Disorders TMJ near you in Bremerton, WA. It avoids common antidepressant side effects and does not affect cognitive function. Bremerton, WA, 98310 . For most patients, treatment is administered daily for four to six weeks, the equivalent of 20-30 treatments. Mayo Clinic experts have. Visit Website . Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive and promising treatment for depression that has been approved by the U. Be first to leave a review. Dr. Email: Kitsap@NeuroStimTMS. 2720 Clare Ave Ste A. Transcranial magnetic stimulation (TMS) is a type of brain stimulation therapy. It does not require any anesthesia or. It is used to treat mental health disorders, particularly. Renee Quezada's Rating . This method offers temporal and spatial resolution and can be combined with other neurocognitive and neuro-experimental techniques. . 46. Download our brochure. Text: (360) 443-0875. In the mid-1970s, a British researcher named Anthony Barker wanted to measure the speed at which electrical signals travel. Suicide Prevention 1. Pre-treatment. Transcranial magnetic stimulation (TMS) is a relatively new, noninvasive neuromodulation technique that involves the application of magnetic pulses on hyperactive or hypoactive cortical brain areas. The results of the review and the coverage guidance recommend that left prefrontal TMS repeated daily for four to six weeks is an effective and safe treatment for depression in patients who have not responded to one or more antidepressant medications. Wed7:30 am - 4:00 pm. In the United States, transcranial magnetic stimulation therapy has been approved for the treatment of major depressive disorder, certain types of migraine headaches, and, more recently, OCD and smoking cessation. Transcranial magnetic stimulation (TMS) is a noninvasive form of brain stimulation in which a changing magnetic field is used to induce an electric current at a specific area of the brain through electromagnetic induction. The principle of targeting brain circuits has drawn increasing attention with the growth of brain stimulation treatments such as transcranial magnetic stimulation (TMS), deep brain stimulation. Overcoming Challenges Through Better Access. Floor 1. New patients are welcome. Transcranial magnetic stimulation (TMS) is a noninvasive therapy that uses coils to pass magnetic pulses through the skull to induce electrical currents. At our Spokane Valley clinic, we offer a treatment known as Accelerated TMS, which may produce even faster results than our regular TMS treatment. Search. Once you see your providers name, click to open their page and select the “Patient Portal” button on the left-hand side of the page. Sat Closed. (253) 393-9099 FREE CONSULTATION NeuroStim TMS Centers treat patients with a breakthrough, FDA-cleared medical device without medication and harmful side effects. Transcranial magnetic stimulation (TMS) is an established, noninvasive, and nonconvulsive neuromodulation technique initially developed in the mid. New patients are welcome. We aim to dispel these myths and show how accessible TMS depression treatment is for you. What is the cost involved? Treatment is provided on a fee for service basis. It works by stimulating key areas of the brain. The same year, Axilum Robotics’ TMS-Cobot TS MV (K182768) indicated for spatial positioning and orientation of the treatment coil of the MagVita TMS System received clearance. As mentioned earlier, TMS therapy is highly effective and proven safe. including Medicare and Medicaid. Post-traumatic stress disorder (PTSD) is a debilitating psychiatric disorder. Leave a review . Dr. New patients are welcome. See reviews, times, & insurances accepted. Food and Drug Administration in 2008 for treatment. Transcranial Magnetic Stimulation (TMS) is a technique used in treating PTSD and involves stimulating specific portions of the brain through electromagnetic induction. TMS is an option when other depression treatments. LOCATIONS. Dr. Chang's Rating . Compare Michael Schnyder with these Other Specialists near Bremerton, WA . L. That means TMS could be generating anywhere from 1,000 to 1,500 times the amount of magnetic energy that is generally considered safe. Hospital affiliations include Harrison Medical Center. 5 percent of our patients achieve either partial or total remission of their symptoms. The treatment uses magnetic pulses, similar to those involved in MRI screenings, to produce changes in brain activity. These currents stimulate neurons, causing them to "fire. doi: 10. Therapeutic Repetitive Transcranial Magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment) (Do not report 90867 in conjunction with 95928, 95929, 90868, 90869)The Grove Counseling & Wellness Center; 6301 Gaston Ave. Repetitive transcranial magnetic stimulation (rTMS) is a recently developed noninvasive brain stimulation method for the treatment of psychiatric and neurological disorders. 65 miles. Major depressive disorder (MDD) is a substantial global public health problem in need of novel and effective treatment strategies. Nebraska Medicine is preparing to offer TMS treatment to patients before the end of 2022 and is excited about the difference it can make for those who live with depression. , 2022) for outpatients who visited the Shinjuku-Yoyogi Mental Lab Clinic and the Tokyo Yokohama TMS Clinic in the Tokyo metropolitan area. New patients are welcome. Case series setting. Hospital affiliations include University Of Washington Medical Center. Schedule this service. Dr. The amygdala has long been implicated in treatment studies of these disorders, from early pharmacologic interventions to more. TMS is a medication free treatment for depression in Toronto. Transcranial magnetic stimulation (TMS) is a diagnostic and therapeutic tool in various neurological diseases that noninvasively investigates cortical excitability and connectivity and can induce brain. 2613 Wheaton Way, Bremerton, WA, 98310. #1 Know When TMS is a Covered Service Many payers do not provide coverage for treatment through repetitive transcranial magnetic stimulation. n/a Scheduling flexibility . Abstract. 10. Dr. New patients are welcome. Avery D, et al. Schedule a Free Consultation* If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through NeuroStim TMS Therapy. She is passionate about diversity, equity and inclusion, and enjoys partnering with diverse populations to provide equitable and exceptional care to all. Naomi Almonte, MD. For this review, we will use the term TMS. Transcranial Magnetic Stimulation (TMS) involves a series of short magnetic pulses directed to the brain to stimulate nerve cells. TMS is an FDA-approved treatment technique for those struggling with major depressive disorder (MDD). Bremerton, WA, 98312 . How Depression Is Treated. (360) 782-3700. The aim of TMS treatment is to lift your mood. LOCATIONS. Today, it is also used to treat obsessive compulsive disorder and anxiety and for smoking cessation. 0 Explains conditions and treatments . Featured Results . To summarize the current evidence for its efficacy, we reviewed clinical trials from the last 20 years that investigated TMS for positive symptoms. Bremerton, WA 98312. Most research has been on rTMS as a treatment for depression, and it has been FDA approved since 2008 for the treatment of medication-resistant depression. Curr Neurol Neurosci Rep. Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure that delivers magnetic pulses to the brain to change neural activity. The de novo request by Neuronix for the neuroAD Therapy System (DEN160053) for the treatment of Alzheimer’s Disease was denied in 2019. This provider currently accepts 11 insurance plans. It uses magnetic pulses to stimulate nerves in the brain. Steege. For the first time, rTMS is being added to the Medicare Benefits. Hospital affiliations include Naval Hospital Bremerton. Find top doctors who treat Type 1 Diabetes near you in Retsil, WA. , 2018; Cullen et al. A typical course of TMS therapy involves 20 to 30 sessions, generally given in three to five treatments per week for four to six weeks. TMS is an FDA-approved treatment option typically used for patients where standard treatment for depression does not work. New patients are welcome. TMS is typically administered once a week for 6 to 7 weeks. , Suite 1316; Dallas, TX 75214; Job Title: Clinical Psychologist; Credentials: PhDDr. His primary focus is patient care with an emphasis on making the patient feel at home in the office. 0 Office cleanliness . Mary Shannon, is an Audiology specialist practicing in BREMERTON, WA. Tumwater TMS is a specialty provider of FDA-approved psychiatric therapies for treatment-resistant depression, and other mental health disorders. Naval Hospital Bremerton Orthopedics is a Practice with 1 Location. Find top doctors who treat Type 1 Diabetes near you in Bremerton, WA. Schedule this service today or feel free to stop by anytime. New patients are welcome. Wisconsin. The first clinic in Australia to provide outpatient TMS services. No data Filter . Downar has directed dozens of TMS clinical studies, and his work has been published in numerous high-impact international research journals. Repetitive Transcranial Magnetic Stimulation (rTMS) has been shown to improve psychiatric symptoms in other neurologic disorders, such as focal epilepsy, Parkinson's disease, and fibromyalgia. An electric pulse generator, or stimulator, is connected to a magnetic coil connected to the scalp. 273. Book a Free Phone Consult. . Gary Gretch, MD, is an Internal Medicine specialist practicing in Bremerton, WA with 36 years of experience. Transcranial Magnetic Stimulation (TMS) is a noninvasive procedure. Results are not always permanent, but treatment can be repeated. New patients are welcome. including Medicare and Medicaid. , magnetic coil) give rise to a fluctuating magnetic field perpendicular to the. It’s noninvasive and can help when other treatment approaches aren’t effective. Psychology Today. 1 Boone Rd Fl 2 . Next Page: Frequently Asked Questions. Bremerton Kitsap Home Health Services. TMS is an FDA-cleared, transformational therapy used to treat the symptoms of depression in patients who do not respond to medications. What Is TMS Therapy Learn more about the origins of TMS therapy; TMS for Depression TMS can help cure your medication-resistant depression. Dr. Robert Caulkins, DO, is a Family Medicine specialist practicing in Bremerton, WA with 38 years of experience. Palmer, MA 01069. This article reviews recent research that supports Stanford’s revolutionary approach, which may improve the effectiveness and accessibility of TMS for depression. Dr. But it seems to work by changing brain. Transcranial Magnetic Stimulation (TMS) therapy is one of the newest and most effective treatments for major depression, especially treatment-resistant depression. New patients. S. Elaine Ct Bremerton, WA 98312 (323) 363-2137. MZ. The department offers: Experience. The NeuroStar TMS Therapy system is the first TMS device to be cleared by the U. If a person has treatment-resistant depression, a doctor may. Compare Renee Quezada with these Nurse Practitioners near Bremerton, WA . Uvila's Rating . Dr. It’s also non-systemic, meaning no drugs ever enter your blood stream. 415, 95% confidence interval (CI): −0. Floor 1. Find Group Therapy and Support Groups in Silverdale, Kitsap County, Washington. Brain stimulation therapies. TMS is safe and effective, and is used to treat a range of mental and physical health conditions, including depression, obsessive compulsive disorder, PTSD, pain and substance use disorders, and others. I wish all the docs at NHB were like him.