It seems to me that this company has gone from being really good to less than mediocre. Good doctors are let go and they are replacing them with MDs mostly having gone to foreign schools and PAs are doing most of the work. I don't deny that PAs can be as good as some doctors but they are not trained to spot serious issues. For myself I tell you that in a relatively short time I lost 3 primary care physicians and now a cardiologist. When joining SD 9 years ago we were told that they would always staff Henderson with good doctors in plenty of locations. Now I have to travel about 15 miles to a decent doctor only to find out that MDs panel is closed. I checked the reviews on the other physicians and they were not very good. Now the rest of the story. My husband had a pre-surgical physical at the end of 6/16 and surgery was 07/05. Physical was said to be normal. He had been complaining that his lungs often felt like they were badly burning, felt fatigued and sometimes felt short of breath so I was surprised that they said it was normal. He had these same issues and he felt so cold all the time. The doctor checked him over and did an EKG and said it was within the norm. During the part of July he felt so bad I took him to urgent care where they xrayed his lungs and did some blood work. They concluded that more than likely he had walking pneumonia and gave him scripts and ordered CT scans. He did the scans and we kept a 08/09 appt. The PA first said it was a digestive problem when I asked about the scan. He excused himself and came back and said the scan was never reviewed. He wrote out referrals to a pulmonary and cardiac doctor. The soonest for those appts were 09/28 and 11/09. 08/22 checked him into ER and they said he was having a heart attack. Upshot the next morning we had a cardiologist, a heart surgeon, an infectious disease specialist, and calls out for a pulmonary and kidney specialist. His white cell count was through the roof, he had one heart valve that was dead, his aorta was blocked, he was loosing kidney function. The cardiologist said that the burning in the lungs was another way of expressing CHEST PAIN and he needed immediate surgery as soon as the white cell count came down. It never did and he died 8/27. Question why didn't the doctor and 2 PAs ever refer him to a cardiologist when he said he was having burning in the lungs and they can hear the heart valves because he was told years ago that he had a murmer? He never had a chance because they all saw a senior citizen and assumed that it was something common. Now I've lost my cardiologist without warning. I was told they sent a letter out 09/27 but I never got it and I am not sure at this point that I can trust the company to put me in good hands. Wondering why they never answered letters sent to them. Guess they are not interested in customers safety and welfare.