My experience with Dr Rey (and my daughter's has been the same so far) is that she is careful, sensible, and incredibly caring and helpful. She can't do much until our original testing is back, so most of us get the same general recommendations at the first visit because they are things that are known to be useful to most PWME and are not often problematic -- CoQ10, vit C, fish oil. Once my labs were in -- and that takes a couple of months -- my treatment was based on the results of those initial labs. Equlibrant to work on the Coxsackie b, and Valtrex to keep the herpesviruses suppressed (after 2 years of Valcyte under another doctor), and vit D. We're working on my low blood volume and tachycardia, which has been a very big help. She kept me on meds that I've been on for a while since they're still working for me -- Cymbalta for pain, trazodone for sleep, etc. A lot of people get Imunovir because low NK cell function is common in ME/CFS. Similarly, many of us have untreated (because there is no well-accepted treatment) Coxsackie b, so it shouldn't be surprising that many of us also get Equilibrant early in treatment with Klimas/Rey. I didn't get Imunovir because my labs don't show a need for it. So treatment is not the same for everybody. Drs Klimas and Rey are careful and responsible doctors. They know our illness very well. They are smart enough not to change a lot of things at once. They know we have to start low and go slow with most medications. They know there's no one easy fix for ME/CFS, so they keep working on symptoms to give us the best quality of life. It doesn't happen overnight. Drs Klimas and Rey are moving to the new Neuro-Immune Institute at NOVA Southeastern University, which is causing (relatively) temporary administrative and scheduling problems. Dr Klimas is incredibly busy setting up the institute. Dr Rey is covering most, if not all, of Dr Klimas' patients. They are both training new doctors for the institute. To add to the confusion, their amazing office manager, Hannah, had to leave unexpectedly at the same time. So yeah, things are kinda messy administratively right now. I've decided to be patient because what they're building right now will be an huge step forward for PWME. Additionally, both Dr Klimas and Dr Rey have gone far, far out of their way to help me in all kinds of ways -- even while they're vastly overworked. I've worked with three ME/CFS specialists in the 8 years since I was diagnosed. They all contributed something to improving my condition, but Drs Klimas and Rey have, by far, the most treatment options with the most individualized treatment plan and the best patient care. My suggestion is that if you can't deal with the the disruptions caused by the move, wait another 6-12 months until things have settled down a bit.