Hi Rick,I live in rochester, [Greece}, Go see Dr. Thad Boss in Dr. O'malley's office. They are at Highland Hospital. Dr. O'Malley was on the Oprah show a fwe years back. They are very good. I originally had Dr. Galvan in Rochester General, but in May, he moved to New York City. I thought I would really miss him and the practice up there, but, now I am soo glad I have the Dr's at highland.