Hello,
I have been seeing my PCP for migraine treatment up to now, but I don't really feel like he's giving me the best advice. I have been having problems lately with my vision that I think might be due to the medication he has me on, but when I saw him yesterday, he told me to get my eyes checked. I'd like to get a second opinion and possibly change to a headache specialist, but the only one on my insurance who I have found in town requires a referral from my PCP. I like my PCP and don't want to insult his advice by telling him I want a second opinion, but I really don't feel like I'm getting the best care from him for my migraines. Does anyone have any recommendations? I've never been in this situation before.
Thanks in advance,
-e


First, I follow your primary doctor's recommendation for getting your eyes checked. You could also ask your pharmacist whether vision problems are possible side effects of your meds, but getting your eyes checked is a good idea anyway.
I've never met your primary doctor, but I think most competent doctors recognize that they can not be experts in everything, and are not threatened when their patients ask to see a specialist. In this context, you could put it that you want to see a headache specialist for this condition; it's a little different than a second opinion. Even if your insurance didn't require a referral, it would be good to keep your primary doctor in the loop. You want all of your doctors working together for your health, not working at cross-purposes!
I hope this helps. Good luck with this. Join us on the discussion forum (by clicking "migraine forums" under the orange Manage bar), and you will find a whole folder devoted to working with doctors. You will have to register separately on the forum page.