I've been a patient for over 20 years and recently have seen a decline in patient care. I like Dr Gainey but the staff is not as responsive as used to be. In April I left a VM asking to schedule my annual exam. No reply. Then, had appointment in May, and the most recent event is they sent my H aides into lab May 7 with 7-10 biz day expectation of return. I spoke to staff on day 7 asking for an update. They said they'd check but did not call back. Same experience on my next 2 calls. I let them know I was going into knee surgery & hoped to have my aides back before. I explained that in past years the staff had worked with the lab on an expidite. Again, I did not get a call back with an update on the return of my H aides. I visited the office my first day out of the hospital = 320pm on Friday. The door says they close at 330pm on Friday and I could see people at the reception desk but the door was locked and they would not answer the door or my phone call (saying I just needed a quick pick up). Whereas this was the Fri before Mem Day I was without my H aides until Tuesday. Be aware they send your H aides out, where not all audiology clinics do, (UTSW does not), so may be a consideration when you are selecting a practice for your long term hearing health.