I had an appointment with Dr Riske from my optometrist referral with the earliest appointment a year away. Three days before this appointment I was told it was cancelled with the earliest appointment in 3 months. I requested and saw another MD inthe Wakefield office. He referred me to Dr Adam, a cataract specialist. This office offered to schedule me in their office as it wasnt as busy as the Blue Ridge office. They said the workup would take a couple of hours. I chose the Raleigh office as I live close to there. The office waiting area was full when I arrived. After a short wait, I was checked in. They informed me they were 20 minutes behind. After 30-40 minutes I went back for testing. After testing I had to wait for the doctor, for 20 min. All along the way, I was treated in an informed and professional manner. I found the staff to be competent and friendly. The doctor was great! She explained my situation and offered options. I appreciate her direct and informative manner which allowed me to make a decision. In general, I found this practice to be very well run. They are well staffed and everyone seemed to know what they were doing. Reading previous comments, I suspect all runs well until there is a hiccup...a late appointment or more complicated patient. My experience with Dr Adam was agood one. I would not hesitate to recommend her