Hello @colleenyoung . Thank you for the information. Since University of Maryland Medical Center is such a big hospital it should have these services. I suppose I should see an advocate after the next visit. The nurse practitioner told me today that I should have the doctor call her now and she would tell the effect the issue is having on me. She will also be on a 3-way call, with the doctor and I when I am in the doctor's office in January.