I have been a patient of this medical office for over 10 years. My wife, Pam accompanies me, as she is my driver and caregiver. Dr. Ketcham has been in charge of my case since several months now. He, along with office manger Jessica have served me pretty well considering my bunch of different painful medical conditions including post polio syndrome, Protomyxzoa Rheumatica (much like lyme disease), diabetes, arthritis, Sleep apnea, depression, cardiovascular, chronic gastritis, tortuous bowel, long bowel, neurogenic bladder, concentration and memory problems, and more I can't remember now. Also I hurt just about every place in my body from the polio. I can get the flu and not know it. Mr. Ketcham and staff do quite well juggling the above and helping manage the pain without making other patients wait too long. He and Jessica recently diagnosed Opioid induced myalgia pain caused by prolonged opioid use and helped explain other problems including my chronic skin pain. we are pleased with Dr. Ketcham's services and in spite of the complexities above and time limitations affecting all medical professionals. He is also very good at steroid injections and considerate of pain involved.