@ryman, I think me and many of the members here feel the same about doctors. I have a PCP and 6 specialists that I see, but a couple of them only when I am having more problems than my normal. I love seeing two consecutive weeks on my calendar w/out a Dr. appt. I will suggest that if you feel like they are not just spinning you in circles to see if you can keep your balance, and actually making progress, I would go until they stop spinning or reach what you feel is a reasonable spot that you can settle for at the present time. I have said before that I believe we overuse specialists and the only reason for that is malpractice suits and MP insurance. If my primary Dr. would simply refill my scripts when I have stabilized an illness or disease, it would could down tremendously on my office visits and I would love to go back to those days. I hope the botox will give you a great deal of relief and please keep us informed. I know I am very interested in how it works for you. Good luck, Gary