This was my first appointment here. I came in with a list of things I wanted to discuss and a couple of issues that I wanted to address and make a plan to correct or change. I walked out with lots and lots of information and some options for action but no concrete plans. Apparently I can choose what options/actions to take, though additional guidance from Dr. S was not made clear. My intention is to try a couple of the options given and see how they go and will rely on the staff to let me know if the course I am on is correct/good AND if the attention by Dr. S is required. I admit, in the world of Dermatology, I am a true novice. Dr. S did rule out that one of my issues as not a dermatological issue. SO this first visit, for the most part, was successful. I bought some products and got a list of options. I feel I need to Try a couple of treatments and products before I will really know how I feel about the practice.