The only way to communicate with my doctors between visits is to send them faxes. Usually they have their medical assistants call back by phone. I sent my neurologist a fax with the above information, and his medical assistant responded that the change in dose timing was OK. The medical assistant also said that if I was having trouble sleeping the doctor would prescribe a sleeping pill. I told her that I do not want to start taking sleeping pills, but would speak to him further about other options to the Prednisone when I see him on February the 3rd.

Note: My doctors should be well aware of my sleeping schedule. In addition to informing them of my reversed schedule during appointments, the fax I sent about having trouble sleeping clearly stated my sleeping habits. Yet they called two hours after I fell asleep to address this issue. I usually turn off my phone during the day, but forgot to do it this morning. When I saw the doctor's office number, I decided to answer it in case it was important. I should have just let it go to voice mail and stayed sleeping. I hope I can get back to sleep.

-Mark-