We have a child with rheumatoid arthritis and it is very hard to find a pediatric rheumatologist, period. Our Ped. Rheumatologist was kind enough to realize that and has decided to continue wit Tri West despite having to take a major deduction in pay. Had they not been willing to do that we would have had to drive at least 3 hours to pheonix every month for care. That's rediculous!