unfortuntly the only way I can reach my pdoc outside of my appts is my messages left with his nurse ... I have had up to a ten day delay in receiving an answer , I could be dead by then ... some times I get no reply at all ... currently I only see him every 4 months ... he also makes very drastic changes during his return messages ... and I have no recourse to even ask about them ... there have been a couple of times where he has added meds via message and I have no say what so ever ... like adding 80mg of geodon as a beggining dose .. dropping or raising my lamictal a 100 mg at a time ... there is no give or take in my appts ... I am told what I will do and take ... that is why I taper myself ... up or down he does not believe that withdrawal happens ... he sets a number and by god that's it ... I have actually begged him before ... nope this what you are to do ...