Calista...I am so sorry about the financial problems. I honestly know the pain and shame in that...I've been there and it hurts so badly. I had to drop T for a little bit because of major medical expenses. Every once in a while I'd get enough money for a copay and make an appt, but it was scarce. (I'm back to weekly's now though) I think the bill for $20 was a bit much, especially since she already knew you had no cash for gas. How often are your med appointments? Is your med combo stable, or still continuing to change? I got my pdoc to change appointments to every 3 mos...and if I need a med adjust I call for an extra appointment. The thoughts about using your primary medical doc are really good as well. Your primary care may not require you to see him/her as often.