sometimes when i try to explain things to my pdoc i get flustered (especially if i'm in a hard place or tired) and then i know i can't do a good job. then i leave there knowing i didn't get my message across...and its hard because like you i only see him once a month for that 20 minute appt. so the pressure is on to get everything across.

i would call him. i have called mine. if for no other reason then now you can think about what you want/need to say with no pressure. when i have called about such things it has helped because usually i am better able to explain what my sympotoms are or what is going on and then the dr is better able to interpret the info and make a choice as to what needs to be done.

it doesn't have to be an emergency session call..think about it...would you call your regular dr if you had problems with a medication or needed a question answered? it's part of their job (AKA customer service even tho they don't like to think of it that way)