I had one appointment with Dr. Harter while I was baby doctor shopping after moving here from Boston. Moving from Boston, where ALL my my doctors, in every single discipline, had an ivy league education and were board certified to Las Vegas, where, well, that is sooo far from the case, proved to be a little challenging to find quality care. \nDr. Harter seems to have found his niche as Vegas' \"natural doctor\" because he's the only one in the valley that does VBACs and water births. It's nice that he is supportive of this, but I got the impression that he is just in this field because it's probably pretty lucrative being the only one. I'm really passionate about natural birth and I asked him a ton of questions, like will baby and mom be left undisturbed for an hour after birth; what is the backup plan should Dr. Harter be attending another birth; how supportive is the hospital of breastfeeding; and the answers were just not really satisfactory by my standards. \nDr. Harter's procedures were also not only not consistent with natural-minded patients, but not really good practice for ANY OB. At the first appointment, he gave me a sheet of \"okay medications.\" When you're pregnant, there's no such thing as universally \"okay medications!\" And, there were medications on the sheet that have recently been linked to a three times increase in miscarriage (according to an article on CNN). So not okay! Not to mention, handing a sheet that says \"if you have a headache, take this\"; \"if you have a stomach ache, take this\"; means that he does not take the time to personally consult over what could be serious symptoms. My OB in Boston (who has her medical degree from Yale) advised me not to take ANY medications without checking with her first. \nDr. Harter also wheeled in an ultrasound machine, even though there was no indication whatsoever to do an ultrasound. The AAP, and the ACOG recommend against non-medically indicated ultrasounds, as there have been some studies pointing to possible harm of too many ultrasounds. Just the doppler is fine! But, a doctor can bill more to insurance for doing an ultrasound! \nAside from my experience with the doctor himself, the office staff was terrible! It took me over a month to get an appointment! They refused to book an appointment until I sent over my records from Boston, which I sent promptly, and they then LOST. Yes, they lost my medical records. So, I sent them again, and they never called me; I called them 2.5 weeks later. \nThe office really felt like a cattle call as well. There were sooo many people in the waiting room, and we waited for 2.5 hours!! Dr. Harter was attending a birth and didn't reschedule me or any of his other patients during this time (but hey, why lose the billable visits?). And, as much as I was not at all happy about the crazy unreasonable wait, I would really hate to be that poor woman giving birth with a doctor attending that knew in the back of his head that he had to get back as quickly as possible to see a rapidly growing list of waiting patients that he didn't reschedule. \nBut as awful as this sounds given all of the negatives above, if I HAD to have a doctor in Las Vegas, I would likely go with him, given the extremely slim pickings here and his at least openness to a natural approach (and he's board certified - again hard to find around here). But luckily, I found a fantastic midwife that I'm really really comfortable with.