Raghu P. Upender MD, MBA

My appointment with Dr. Pishka was professional, but I left feeling that my case was approached primarily through a standard insomnia protocol rather than a more individualized evaluation. I have a complex history that includes severe treatment-resistant depression and long-standing insomnia that has not responded to numerous medications and therapies over many years.During the visit, the primary recommendation focused on sleep hygiene and reducing time in bed. While I understand that these approaches can help many patients, my insomnia is not typical. Without clonazepam I often sleep very little or not at all, and many other medications have either failed or significantly worsened my depression. Because of this, applying a general protocol without more discussion of my unique history felt concerning.I would have appreciated a deeper conversation about how to manage severe, treatment-resistant insomnia in a way that carefully weighs risks and benefits. In complex cases like mine, a strictly protocol-driven approach may risk doing more harm than good if it does not fully account for the patient's individual history and previous treatment responses.

It felt like he didn't truly listen to me and he made it clear he thought I was just sleep deprived, even though I fall asleep standing up at times and have similar sleep cycles to my peers

Good

Very detailed and pleasant to speak with.

Dr. Upender really cares about his patients. Due to his thoroughness I found out that I had other health issues that I need to address. I would highly recommend him.

Dr Upender was very caring and knowledgeable.

Well pleased

He explained everything thoroughly.

Professional and attentive