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buy clomiphene online Yelp and Google vet reviews, using computers and humans, but it's not possible for every review to get the attention of a curator (this is the fourth meta-layer of curation, in case you're wondering), and I can think of several ways that enterprising doctors can game the system if they know how the Internet works and can intuit what Yelp's programmers might find suspicious. There are also reputation management companies that are worth the cost if they can erase a bad experience off of the web. I don't know if the bad review better reflects the doctor than the good ones. For all I know, the surgery might be a heroin addict who is prone to fits of narcissistic fury. This is Los Angeles, after-all. I do know that, after two hours spent trying to make any sense of the ratings systems and trying to correlate between them, I gave up. There are too many curators and too much conflicting information. Google also makes things more confusing by allowing surgeons to write "articles" that Google presents in the same style as genuine news articles. They are "articles" because they aren't articles. They are brochures for the surgeon's practice.