I am 57 years old, I have skin damage from being young and dumb and getting sunburnt in my younger years. I have been to many dermatologists in my older years, getting stuff cut out and frozen off. Dr. Nutt gives you more than 4.8 minutes. She starts at the top of my head, in my scalp, and examines down to my toes. If its not suspect, it will not be touched unless I want it removed. I appreciate the time she gives me and her bedside manner. Her nurse Paula is very lovely too. Recommended!