Thank you all for the advice. I think part of the problem with asking for help from my pdoc is that I don't feel that we are in this together. He always just says that I should make a new appointment whenever I feel like it. The clinic (for some really weird reason) doesn't allow for making appointments for more than a month in advance. So I always end up having to call back to make an appointment. In a way his suggestion of just making an appointment whenever I feel like makes it feel like he doesn't care about what happens. I've never felt this disconnect with any of my other pdocs. I didn't really want to see him, but didn't have much of a choice money wise. I don't feel from him a feeling of 'I want to see you in X amount of time to make sure everything is okay'. Instead it is more of a 'let me know when there is a problem, but until then I wont even think about anything to do with you.'