ok, so do I fire you?

well even though I posted this morning, I'm posting again right now, with my shoulders strapped into shoulder ice packs. what do you do when you call your doctor to ask if you can be bumped up in dosage on your antiinflammatory because it seems to kinda, maybe, make you feel better? and they didn't realize you were SUPPOSED to be at 3 times that dosage but because of an error on their part (or their staff they say), you were at the wrong dosage? do you fire them or give them another chance? so all this time when your rheumatologist has been asking if you've been taking their near-narcotic opiate ultram as well, and you're still not feeling better, don't they wonder what the hell is wrong?