In October 2012, my 91 year old mother was living at home, driving, taking care of herself. She had had a cardiac ultrasound in May 2012, which documented cardiac valve lesions, which she had all her life following a bout of rheumatic fever as a child. Otherwise her cardiac function was normal. She had a series of vascular procedures on her legs in October, November, and December and, although this cardiology group was advising the radiologists and surgeons on her case, she was overloaded with fluids repeatedly, not provided with adequate treatment to unload some of the fluids, with the result that she developed congestive heart failure on their watch. What is worse, during three consecutive hospitalizations, they did not adequately manage her care and discharged her on inadequate treatment for her worsening condition, with the result that she bounced back to the hospital less than a week after discharge on three separate occasions. While she was in the hospital, I witnessed on multiple occasions the attending cardiologists coming into her room, spending less than 5 minutes at her bedside, refusing to answer my questions, and providing insufficient treatment to unload her excess fluid. An ultrasound performed in November 2012 documented severe deterioration of her cardiac function, that included cardiac enlargement to the point where her tricuspid valve developed a severe leak that was not reversible. After her last discharge in December 2012, we agreed not to see any of these cardiologists again. Under the care of a young nephrologist, she was treated at home, lost over 25 pounds of excess water, and experienced dramatic improvement, with a cardiac ultrasound in February 2012 documenting that the function of her left venticle had nearly returned to normal. But the damage was done. She had to be moved to assisted living, lost her independence, and in March she passed away. I will never know if she would have done better and lived longer under the care of a cardiology group that exhibited greater interest in her well-being and competence in the services they provided. But I do know that the care of this group was detrimental to her health. Different cardiologists rounded on her on different days, and the resultant care was fragmented, hasty, and delivered in an impassive, almost cold manner. They did have a nurse practitioner who visited her one day while I was there who was kind, caring, and answered questions. She was the one shining light in this group (and is a reason they get a C for staff friendliness). Speaking as a physician, I would not recommend this group.