Ouch! Sounds like you are having a really bad time with this lady. How far away is the next town? You might consider a Nurse Practitioner, if there are no more pdocs around. I have one and she does duty as my pdoc and my T. There are some drugs she can't prescribe, but she just works in conjunction with my GP, who writes the script for anything my NP can't. It's working out well for me, and I'm the one who refused to see anyone under a phD for a T, and would screen my pdocs rigorously!