My primary care physician here in Phoenix referred me to AZ Advanced Dermatology on Highland in Phoenix for an evaluation of several suspect moles and other skin markings several years ago.   That visit with Dr Machnau was unremarkable.   I had quite a bit of sun damage on my skin in my youth so I figured I should be checked every few years and just had another appointment with Dr Machnau this past week.  I have to say it was the shortest appointment I've ever had with an MD in my life (I'm 55 years old).    The doctor arrived in the examining room and I swear she was in and out of there in 3 minutes.   She VERY rapidly examined my face, scalp, shoulders, back, chest, legs, and feet.   There was precious little interaction or communication with me.   I have to say that it's seems hard for me to believe that a skilled physician could so quickly perform a careful inspection of an entire body.   The visit certainly did not inspire confidence that every spot and lesion was evaluated.   I will certainly make arrangements to see another dermatologist the next time I get checked.