Pdoc appointment yesterday...an emergency one. First off he is leaving as of 12/31/19. He is going to a different city and going cash only. Not sure I can afford him. Not going to be easy seeing about a new one as where I live it’s kind of rural. Also the whole counseling service is up for sale. As of 12/31/19 I might lose my T and for sure I’m losing my pdoc. This sucks. As for the appointment, there wasn’t much he could do with my meds as I am on the highest doses already. So we are going to augment with alternative medication. He is ordering me some vitamin B something. Then he had me go to Costco and get some SAM-E. He gave me a book to read and a 40 page paper. Apparently some people have a gene or a variant that makes anti depressants not that effective. He thinks I have that. I told him he is breaking my heart by leaving. I’m sad and upset and scared.