I could not stand communicating with the office manager at my T's office for 10 months. I didn't like having a middle man screening all communications. It wasn't that she was mean or incompetent, I just didn't want to have anything to do with her. I finally forced myself to open a dialog with her when a billing issue came up. Although at this point I still do not feel comfortable calling and leaving a message for my T, but I can at least now call and deal with scheduling and billing issues.