Really appreciated Dr. Keihm's time and knowledge today. I am a "special" case and the entire idea of surgery really freaks me out, but I'm generally in so much pain all of the time that it is becoming more and more appealing. He took the time to explain everything and walk me through all of my remaining non-surgical options. He listened to me and acknowledged all the work I have put in to make the pain better (which was so validating and relieving to hear from a doctor). He was honest about risks right now at my present size and helped solidify the decision to wait for surgery. It did not feel at all like he just wanted another surgery patient, or that he didn't care about me because I was a larger person. I felt very comfortable and overall, I know when the time comes to get my surgery, he is going to be the one I should consult with and he will be honest with me. Thank you for a great visit!