When people say "reliable" or anything else in quotes, they mean they are looking for an AME who'll slap yer nuts twice, make you cough, and send you on your way. For female pilots, I am at a loss as I have never sat in on one of their physicals. Being thorough is not a thing I look for in an AME. I'll save that for my physician. The best AMEs seem to be pilots themselves. In that vane, if you don't mind a little drive...Lansing, MI has a very good AME for airline pilots. Drop me a line if you want his name.