I would have to have the two both willing to consult with each other. They wouldn't even necessarily have to agree on diagnosis (that isn't particularly unusual), but the willingness to consult on occasion would have to be there. My T and Pdoc consult. My husband's T and Pdoc consult. My son's T and Pdoc consult. My husband's GP and pain specialist and pdoc and T ALL consult. It isn't an unusual practice. Your pdoc comes off as a bit arrogant and not patient centered. I might see if there is a better option. Don't leave this one until you find another, but certainly investigate your options.