Very nice office staff. Dr used to be very personable and very compassionate toward his patients. Since becoming more established in the community and having his practice grow the way it has, it seems that money has gotten in the way of patient care and compassion. As long as you don't call after hours and days off you will be fine. But I know as a patient of record for many years that he will leave you in pain if and on your own to find someone who will care for you if it's after hours or on the weekends. Not even a call back. Sorry Dr. Perman, but it's true and only you know that