I had such a similar experience with my PM. I had gone once to see the Dr. For a change, he was caring and compassionate and a relief when he agreed with the diagnosis, but insisted we caught it early with a good chance of remission. The next time I went, they put me in with the PA who was short with me, belittled the doctor's opinion and gave me much less powerful medication in less quantity. Now I've been doomed to struggle all month with pain I can't control and two more weeks to wait until I can get in to see the actual doctor. There's nothing much more frustrating than taking time out of your life to seek help and be sent away without much help or relief. Wasting away another month in pain is cruel punishment for someone's lack of education. Remember there may be good docs and PA' s out there but someone has to graduate at the bottom of the class. I think we found them...I won't go back to the PA again. Stick with the doc.