"After my brother had a total hip replacement and multiple seizures, other doctors wanted me to realistically accept his deteriorating interaction with his environment, because he was a 63-year-old with downs syndrome. After seeing Dr. Goltl, my brother is more animated and now cares about what is going on around him. He asked to go back to his old activities of horse back riding, bowling, and basketball. If you have been to other doctors without tangible improvements, or have yet to consult another doctor, see Dr. Goltl first."