This provider does not listen to me or accept the opinions of the other medical professionals [ physical therapist,  primary care doctor and nephrologist] that I see regularly.  It is her prerogative to not prescribe medication if she does not feel comfortable.  But I feel it is not asked on what I need but instead it is based on her fear of Losing her license if something would go wrong.  She took me off 2 of my medications because of blood pressure issues. Until I have a stroke or heart attack, I wish she would leave me on the same medication I have been on for 30 years that help me to function. It is a process to find the right medication balance to control my blood pressure but my other doctors and I are working on it. I have only one low functioning kidney. I have unique volatile blood pressure as evidenced by seizures following my second pregnancy 40 years ago ... which I was told " never " happens. I also have a history of blood pressure issues when I had migraines daily for a decade. I tried explaining that anxiety raises my blood pressure also and this provider told me that doesn't happen... it only increases heart rate. Well, maybe that is true for others but I'm being treated for muscle spasms and I know that cold and anxiety increase my blood pressure.  That does not mean I am having a heart attack or stroke. And why can she not believe I had normal blood pressure readings on the BP machines at physical therapy as documented by the Physical Therapist?.  Her response was that is not their area of expertise. Don't they work with heart and stroke patients and use the same type of blood pressure machines that she does? And why does she criticize my primary care doctor and the decision of my nephrologist on their positive assessment of my progress on lowering my blood pressure. She stated she was afraid I would have a stroke or heart attack and lose her license if she kept me on Adderall and quit prescribing it after I had been on it for 30 years. If I was diagnosed with a heart attack or stroke then I think she would have a case for it. But I have never been diagnosed with heart conditions or stroke. In fact the heart scans show I have "zero" calcium deposits and am at low risk for it. I do have "volatile" blood pressure. I fell and hit my head and my blood pressure went up. I have muscle spasm that I have always had and am being treated for. I do not fit the norm. I told her cold and anxiety raise my blood pressure but I have always been like that. She disagreed and said anxiety only raises the heart rate. I would argue with her but what is the point? If she doesn't listen to me or the rest of my care team, I can't make her prescribe something she feels uncomfortable doing. I don't agree but she has all the power. I don't have a say in whether or not my Adderall is prescribed or at what dosage. I feel judged and put in a box. I know how much it has helped me over the last 30 years and how miserable I am without it. But I cannot convince her I am healthy enough to continue on my full dosage. She is disagreeable. This seems like it is all about protecting herself and her license..  not about what I think I need and what I have experienced that has worked over the last 68 years of my life. I do not fit the norm. So that makes me wrong. I can understand where she is coming from but I don't agree with her. If it was just me feeling like I am being unheard it might be just my issue or misunderstanding.  But when she also dismisses the blood pressure readings of the BP machines coming from the physical therapist because that is " not their area of expertise " ... well I would also argue that it is also not her area of expertise.  And when she criticizes and disagrees with my other doctors, then  I wonder if she is open to hearing anything that does not fit her opinion. Maybe I would feel the same way she does if I were in her shoes. Maybe she was doing the right thing by taking me off two medications that day I had high blood pressure.  But maybe it was an over-reaction and it messed me up for several months. And maybe now she could be more flexible and put me back on the same amount of Adderall medication I was on before? I either have to live with it or find a new doctor who might agree with me or the new doctor might agree with her assessment.  I don't know.  I also felt confused when she took me off the Atorvastatin but my nephrologist wanted me on it. I think that should have been my nephrologist's decision all along since they were the prescribing physician. I understand these professionals are under stress, overbooked, have little time and need to make quick decisions. I understand I am not like others, my history is very unique and they can't possibly know my whole medical history of almost 7 decades. But I believe this provider should at least give respect to the opinions and findings of the rest of my medical team and don't take what they say out of context and question their assessments.  We don't agree on my treatment because she no longer feels comfortable prescribing the medication I have been on for 30 years at the amount I used to be on unless my blood pressure is perfect. I am disappointed because I believe she could do more and be more flexible. But that is her choice and I can't convince her otherwise.  I even asked if there was a waiver I could sign so she would not be responsible.  But it was not an option.  She has to follow her professional conscience and do what she thinks is best I guess. It's been much harder for me these last few months because of it.  
MUSKEGO