Do you want surgery or a cast?
When I went to my first hand specialist you could say it wasn't the best experience I've had with a doctor. We got to the office and the waiting room was almost as big as a high school auditorium and it was filled with a bunch of people. So we signed in on time and waited for a good hour or two, watching people go in and come out a few minutes later, and by the time I was finally called I was a moron and walked off with my X-rays sitting in the chair I sat next to; I eventually ran out and grabbed them after realizing I had forgotten them.
Once I got in to see the doctor it was immediately obvious he wasn't very concerned, much less interested in my arm. For one he spelled "Kienbock's" wrong, spelling it "K-E-I-N-B-O-C-K-S," and then once he diagnosed me he literally said "So, do you want surgery or a cast?" Like any uneducated person I chose cast, so he then walked out of the room and that was the last time I saw him. For the whole visit I had been in the office area about 10 minutes and this is basically all he said: "You have this, you want surgery or a cast?"
Needless to say once we left we knew we were never returning since we felt like cows in a cattle farm; go here, go here, go here, see actual human for a minute or two. Once we left with my shiny new black cast on my arm we began looking for other specialists, and I can't recall how we found him but we later went to see the specialist I go to now. He actually made an effort to explain things to me and I was then told I should've picked surgery when my first specialist asked. I told him he didn't bother explaining anything and he understood but my arm had begun to get worse.
Once my cast came off my arm continued getting worse and worse, to the point I couldn't leave the house I had to stay and ice my arm all day. I later found out the radius bone in my arm was pushing on my dying lunate bone... in a simple explanation: my dying bone was being severely pushed on and that bone needed to be cut to stop pushing on my lunate. Let surgery one commence on January 12, 2012!