I have had gastric by-pass (R-N-Y) and have had to have several scopes. Dr. Clarke has done each one. He has accommodated me in every way. I have several allergies, his staff has always made sure I am not given the wrong medicines or use the wrong tapes. He is very thorough, explains everything to you or your spouse and provides detailed written instructions and a picture if something if found. I would highly recommend him if you need this type of service.