The doctor was rushed, provided information like he was quickly reciting a memorized script for the thousandth time, and his advice was rote and superficial. The photocopied directions for managing GERD were strange, including instructions to avoid physical exercise and "strangulation" after meals and a list of foods to avoid (meat, vegetables, grains, etc.) that was so long that little remained that was ok to eat. Everything we were told in this visit we had already learned from our family doc. In fact, we have learned significantly more from our family doc. Alpine ENT docs appear to be too busy to invest care and attention in their patients. If this is so, the clinic should consider changing their business model.