I don't know if there's a different PVA rep for your area; however, since I have done everything by phone or email I don't think it really matters. I do agree, Dr. Bedlack is great. And the team at the Duke Clinic are just as amazing. I was there yesterday for my quarterly appointment and, as it has been every time, the help and care were beyond my expectations. For your May appointment, I suggest you come with a list of written questions for each of the reps you'll meet with; nutritionist, social worker, respiratory therapist, speech therapist, occupational and physical therapists and the doctor. We (well, mostly my wife!) have a notebook that we keep notes in during the appointment and whenever we have thoughts or questions between appointments. It has been helpful to us to be able to keep things in order. I can assure you that while it is very helpful, the amount of info, tips and recommendations you'll get that day is tremendous. Like feeding from a fire hose!