Debra,

Who wrote the script for the tramadol to begin with? I'm guessing it was the neuro and I'm guessing he is trying to distance himself now that you have had difficulties with it. Since your primary seems to be more astute on this matter, I would work everything through him. Let him know that as per his suggestion you contacted your neuro (who blew you off) and that if the primary wants you to consult with neuro would he please get with neuro first about WHY he wants neuro to see you...since tha's the only way the neuro will take the apt.

(Amazingly, in my experience, when you are able to point one doc to another doc, issues seem to disentegrate like kleenex in the rain!!)