[Russia]

Currently, I'm in the care of two pdoc's. I have an appointment with my old pdoc and one later in the month with the new one, due to mostly insurance reasons. The old pdoc is a good doctor- just frustrated with the insurance.

How do I handle leaving the clinic? I need to get another prescription from him for one of my meds to get me through one more month in case the other doctor does not write me any new prescriptions at the first appointment. My other meds all have 2-3 month refills with them. This particular one- is a one to one based med.

What would any of you do? How would you handle this situation? Also, how would you handle leaving the old clinic? I do not want to leave on bad terms. My therapist is there too, and I will have to leave him behind as well because he only works with the other pdoc as a partner. That really stinks. But he too, isn't under the insurance as well.

So, I also need to find a new t-doc too. Found the pdoc- hopefully he will help me with the tdoc.

Any advice would be appreciated.

Thank you

JR

Have you thought about telling your old p-doc about the insurance problems you have been having? Similarly with your therapist. It might be that one or the other or both would be able to do something about that to help the insurance process along so you could still keep seeing them. Otherwise, they might be able to reccomend a new p-doc / therapist who has a better relationship with your health insurance provider.

> I need to get another prescription from him for one of my meds to get me through one more month in case the other doctor does not write me any new prescriptions at the first appointment.

I'd discuss that with your current p-doc.

Different p-docs can have different takes on the utility of medications. That being said, I don't think that any doc would simply not give you another prescription if you have been taking something long enough to have built up a tolerance such that you are likely to have a withdrawal syndrome if you suddenly cease taking it.

Basically... I'd just explain about your insurance situation. I don't expect there would be any bad blood under those circumstances.

JR

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[sunrise]

I would feel really bad if my T wouldn't work with me anymore because I was changing pdocs. It's not easy to find a good match with a therapist, so having to discard one for a technical reason would be hard. I hope you are doing OK. I think the best course is just to explain the situation to all the players, tell your T you don't want to leave but you need a pdoc covered by your insurance. Maybe you could even propose he make an exception to his rule and work with this other pdoc so you don't have to leave him (the T) too. Who knows, maybe he would consent, seeing as how you're kind of between a rock and a hard place. Best of luck. Just be honest. They will understand.

[Perna]

I would tell everyone that you're changing for insurance reasons and make it as business-like as possible. I think some of your worries about getting meds/not getting meds are transference that you won't get what you need from others. As Alexandra says, I don't think either pdoc will behave "badly" and not give you what you need.