Good

Quickly able to confirm issue and plot future course of action.

My 3rd visit for trigger finger. She was supportive of my decision to have surgery.

Kouns was terrific.

While feeling my thumb injury and telling her about my inability to move my wrist in certain directions she abruptly jerked my wrist in a way that caused significant pain. Enough so that I jumped and shouted. She said she did it intentionally and that it was the definitive test and that she's had patients jump out of the chair screaming before. It was wholly unprofessional and she seemed amused by it. After it was obvious I did not appreciate it she was very curt and dismissive with my questions and new pain.