Overall, the initial impression of the office was disappointing. The first question I got asked when I called to schedule the appointment was, "What insurance do you have?" When I showed up there are errors on the medical form (I am a stickler about that) and the paper on the exam table had previously been sat upon...yuck! The exam went okay and he went through all the steps, asked plenty of questions, but not once did Dr. Karia ask what level of pain I was currently in. He did not explain what medicines he was prescribing besides steroids. He did not suggest to get blood work or X-rays to see what was going on.
After leaving there, I went to pick up my prescriptions from the pharmacy and my pharmacist wouldn't let me pick up half of them until I got verbal confirmation as to WHY the doctor prescribed them. The pharmacist said the labels were unclear and it looked like I was supposed to take 90mg of a drug that has had severe suicidal / psychotic thoughts for people in my family that have taken it. If Dr. Karia had mentioned this drug in our visit I would have said no.
I called the doctor 6 times over the course of a week and a half and left 5 voice mails trying to get answers. The receptionist / nurse called back after the second message but couldn't explain why he prescribed them...which meant I had to wait until Dr. Karia called me back, which he never did. I finally got him on the phone the second week. My problem is this, had the pharmacist not seen those drugs and let me take them home to start treatment, I would have followed the poor instructions and taken 90mg of the suicidal thought medicine along with an anti-depressant / anti-anxiety (which I do not have) which was perscribed to help me sleep. I have a problem with that maybe once a week during the school year due to stress. I am like any other teacher out there, I don't need medications for it, I need tea. Again, if he mentioned this medicine, I would have said no. Communication with the patient is key, and he missed that step of the exam process.
I hope I am a a single and rare case for this doctor, because if not, I fear for the safety of his patients. If you are looking for a doctor that will push pills towards you and you have very limited medical knowledge, then he is fine. However, I suggest you trust your instincts like I wish I had trusted mine. I knew the minute I walked in there I should have cancelled the appointment and walked out.