Update: it's not quite as bad as it seemed at first, but still not great. The neuro called me later and explained that he's just never prescribed the lidocaine for PN before (the PA said "he just doesn't", which sounded to me like "because I said so") and wasn't sure what was the correct dosage. He told me he would consult with other neuros in the practice to see what they say (he's very young BTW) but also said that I might want to ask the Dr. who originally prescribed the patches for more.

Then we had some other frustrating go arounds including his multiple deflections of my point that most people with PN have more than one medication because they are more effective that way. He didn't disagree, but he didn't suggest a second med, either. Arggggh!

He wore me down for now.