It's tricky being dependent on a health care provider for meds that are essential and strictly controlled that you don't trust, on top of all the other issues. I'd say it's best to find an experienced RSD doc then try to train one yourself. It's a huge time commitment for them to learn more than the basics, and it's also an ongoing time commitment. If you have a doc that's knowledgable about RSD, and see a PA every other month to just write scripts, that could be workable, but otherwise, you might want to start researching other options. Make sure you're new doc will be comfortable writing rx for your current meds before jumping ship, though.