I see a Psychiatrist, and one with some of the best credentials in the business, every six months for monitoring of my depression. He gave me a tongue lashing for failing to get labs drawn at the one year ago visit, BUT I HAD THE STUFF DRAWN, AND RECEIVED THE BILL FOR IT. I just went back, got the FULL THING REDONE, and HIS POLICY CLEARLY STATES, IF ALL RESULTS ARE NORMAL OR UNREMARKABLE, OR DO NOT NEED FOLLOW-UP, THEN YOU WILL NOT RECEIVE ANY NOTIFICATION FROM THE DOCTOR. If further follow-up or remarkable or abnormal findings are noted, THEN EITHER THE RN, OR THE PHYSICIAN SHALL CALL AND EITHER SCHEDULE A TELEPHONE CONSULTATION OR VISIT. I heard nothing from the guy, even though I had told him I was struggling, physically, with repeated sinus and respiratory infections, overall weakness, pain, shortness of breath, and had suddenly started having problems with fever blisters, which I had never, ever had in my entire life. I reported that getting up and taking a shower and dressing resulted in complete exhaustion. Well, about the same time, I saw Dr. Salvato, and her testing revealed that I had a high titer for Epstein BARR and mono, which I had never, ever to my knowledge had, and had, in fact been tested for at least six times and for common herpes and NEVER, EVER TESTED positive. I was not infectious, but with the titer, she agreed that I had good reason to feel totally wiped out. Then, I had another sinus infection, thought it had improved enough to travel home by plane, grossly underestimated the difference between 21% and 19% oxygen, turned blue, clammy, weak, and had extreme shortness of breath on the plane, developed a high fever, and was taken to the ER, when I arrived at destination. I spent the next few days on oxygen, IV and oral antibiotics, and other and various sundry meds at my mother's home, with home health care nurses visiting three times a day, as the local hospitals had no bed for me, if you can believe it. I am a former Advanced Nurse Practitioner and Certified Registered Nurse Anesthetist and taught at the hospitals in the area, and a couple of my former students were on duty, and they saw to it that since a suitable bed could not be arranged, that the doctors got all the equipment, meds, and visits set up. After 14 days, I returned to Houston and still was dreadful. Went to see Dr. Salvato, discovered that the possible mycoplasmic pneumonia, which had been noted in my ER visit seemed to have resolved, but X-ray showed acute bronchitis. More antibiotics, pain meds, bronchodilators, etc. sHE DREW IMMU LEVELS AND THEY WERE ALMOST NON-EXISTANT AND I AM NOW SET TO GET A SERIES OF IV IG'S WHICH THE INSURANCE OKAYED WITHOUT A BLINK, SO I AM BAD. In between the infections, I had a facet joint injection in a facility, they nicked me in the axilla, and I DEVELOPED A STAPH INFECTION. At any rate, I returned this week to see the Psychiatrist, who looked at me AND DEMANDED WHY I HAD NOT COME BACK IN FOR A CONSULT AFTER I RECEIVED MY LABS SIX MONTHS BEFORE to which I ANSWERED, NO ONE CONTACTED ME IN ANY MANNER ABOUT MY LABS SIX MONTHS AGO. WHO CALLED, WHEN, OR WHO WROTE, OR WHO DID WHAT TO CONTACT ME? NOTHING WAS ON THE CHART, WHICH MEANT THAT THEY DIDN'T DO IT. He turned sort of pale, and said, well we had to have done it, and he JUST COULDN'T UNDERSTAND HOW IT COULD HAVE SLIPPED THROUGH THE CRACKS. Being a former CRNA, and totally brutally honest with my docs, I TOLD HIM HE BETTER SPIT OUT WHAT HE HAD F****** UP BEFORE I LET MY FOOT SLIP UP HIS CRACK. He then admitted that my Cortisol level was so low, it was considered ADRENAL FAILURE, OR EXHAUSTION. I told HIM I HAD BEEN EVERY BIT THAT SICK, AND HAD TOLD HIM SO AT THE VISIT, AND THEN HE AND HIS OFFICE HAD IGNORED THIS TREMENDOUSLY IMPORTANT FACT, AND DID HE KNOW HOW TO SPELL HELP, AS HE WAS GOING TO NEED IT. He then hemmed and hawwed and said we would have to get a repeat, as MAYBE IT WAS A WRONG READING. He called, in his office, to the lab, made them send a sticker, the stuff, and call a messenger, as the time of day it is drawn must be recorded, it has to be chilled, and must be courier taken to the lab within an hour. All of that occurred, I went to my Internal Guy the next day, the results were in, and WONDER BE, STILL IN EXHAUSTION FAILURE LEVEL. I had undergone all this time with lab findings which would have helped, and FOR WHICH I PAID, AND I WENT SIX WHOLE MONTHS, IN TERRIBLE CONDITION WITH A POTENTIALLY FATAL PROBLEM AND THE ASS WAS RESPONSIBLE FOR IT. HE IS GOING TO BE REALLY, REALLY LUCKY IF I DON'T SUE HIM. Now, I am to get the IV's and we have to explore whether I have an adrenal tumor or CANCER, as my spleen is enlarged on exam, and or lymphoma, or have just been overwhelmed to the point of adrenal or pituitary failure by all this stuff I have endured. My Internal Med guy's PA and Nurse Practitioner told me that my Internist was MAD, that he had not drawn the lab, because I told him that the Psychiatrist had and it must have been Okay, SINCE HE DIDN'T CONTACT ME AND HE WAS PERFECT, AFTER ALL. Salvato hadn't drawn it, either, because of that. I am really, really angry, and I am very, very ill, and I could have and should have been in DIAGNOSIS AND TREATMENT SIX MONTHS AGO, AND THIS MAN JUST DROPPED IT. I told the PA and Nurse Practitioner that I don't believe in suing, that if this six months means that I die, then I am going to hire a hit man to shoot the shrink in both knees. They both got a laugh out of that and said he deserved it.