I would give a negative rating if it’s possible. I was referred to Dr Pournaras from my primary orthopedic doctor because he specializes in hand & wrist. His office protocol is very bureaucratic where his staff is a hinderance to get an appointment vs helping the patient to see the doctor. All the communications are done via voice mail or email. In the process of emailing with his assistant to get an appointment, she told me to drop off a disk with my MRI images BEFORE I can get an appt. I asked her to help me so that I can bring the disk on the day of my appt to save an hour of driving, she stopped responding to my emails. I followed up with additional emails & asked her to tell me if she cannot accommodate my request. No response. Regardless of how talented this doctor may be, he’s a service provider to a customer (patient), who pays for his skills. It is utterly unprofessional for his staff to ignore correspondence from a customer.