He did put on clean gloves when I insisted he wear them, he just seemed to "forget" that gloves are required. It was gross.

I do live in a very rural area. The nearest city (where I see my therapist) is 75 minutes away. I used to see my pdoc there but she took a job with a non-compete clause years ago now and because she is an extremely good pdoc I followed her. For several years I saw her at a regional center for the new hospital but then she got a promotion and had to give that up so now I have to drive all the way into the city to see her. She's worth it, it's just a long day.