Dr. Robert Paul Rieker, MD

Hence in 20 minutes time he was animate for me to place aside all which I've been told in the 15 years of medical care not taking a moment to speak with my current PM Physician in a collaboration opening the team effort towards optimal patient surgical care plan. Didn't have any concerns or doubts for this upcoming procedure/operation until meeting with Dr. R.R. and heard what I did having a poor bed side manner in doing so on first introduction. One has to question that perhaps he has become desensitized to patient care and or team involvement over time...? I would NOT recommend him for anyone in my family or others as he lacks in personal interaction and professional bed side manner unwilling to collaborate with patients current medical care providers having the best interest towards post op care appears as though he is rushed and unwilling to include collaboration between current PM medical care providers and patient towards a positive care plan. (1) Prior admission plan… having "spinal epidural block with medication infusion" which would prevent damaged nerves in limb not to seizure during the operation having a greater positive out come Post Op for the patient who has Chronic Regional Pain Syndrome aka Reflex Sympathetic Dystrophy. (2) Avoid placing femoral block to the affected limb whereas Reflex Sympathetic Dystrophy does not exist near groin currently and avoid having any future complication due to this procedure that could cause it to spread UP the limb for unnecessary reason. (3) Consult with patients previous PM care physician having collaboration to the best suggested form of recommendations Prior Operative and Post Operative having intent to take precautions and preventative measures whereas not to have a Reflex Sympathetic Dystrophy aka Chronic Regional Pain (nerve damage complication or flare up. (4) Have a better bed side manner of communication involving other physicians and the patient. Respect the past "history" of patient care for surgical protocol that has been beneficial for a positive outcome. Spend more than 10-20 minutes with a patient to gain professional trust and consideration to open options in collaboration and care. He may need to be educated in Reflex Sympathetic Dystrophy which may be done by contacting RSDA.org