Thank you, Rosemary. I think the docs at my HMO are under strict orders to give their prescribed diet advice - half the plate veggies, etc. The first doctor I saw there ignored my high temp, super-low BP, loss of appetite especially re protein, inability to get warm, etc. -- all classic signs of a kidney problem. She gave the company line about diet and mammograms, and said we didn't have time for anything else. Next visit, I saw another doctor and it was the same thing. Same with the third. The docs at the HMO my employer provides are only concerned about what they consider their target issues. High BP - they are all over you. High A1C - they relentlessly pursue you. They hand out statins like candy, without even testing to see if your cholesterol is high. I go for my annual 10-minute visit just to avoid the constant emails, texts, and phone calls until I do, and I just ignore 99.9% of their "advice."