With my first, I really liked my OB. He was an excellent surgeon and I liked his confident, pragmatic approach. But I had noticed he seemed more and more rushed at appointments toward the end. I had a routine visit a few months ago in preparation for TTC again and he did spend more time and seemed friendly and invested again. I just had a chemical on Friday, and I left a message for him because I had a few simple questions. His nurse practitioner called me back, which has never happened before. I figured maybe he was just super busy. Over the weekend I started bleeding super heavy. It hasn't slowed down so I called urgently yesterday and left a message. No call back for hours. My husband then called and left a more strongly worded message that I need a call back from my MD right away. The NP then calls me again "I want you to come in for an US and some blood work. I want to make sure I'm not missing anything." And before I know it, I have a visit with a nurse scheduled, not my doctor. I have never met this woman in my life, and quite frankly, while I understand it is her job to help out and triage issues, she is not the person I want to talk to right now. I really want to speak to my actual doctor and maybe get some reassurance from him... considering he did see me through a complicated pregnancy and had been my doctor for years! I am trying to understand what is going on. Did he dump me? Am I now relegated to the nurse practitioner for all my needs? I am ready to leave this practice if that is the case. I do NOT want to see a NP for my follow ups and emergencies. I have an underlying medical condition and I am too complex to be managed by someone other than an MD. He should have called me. He really should have asked if I am ok and actually cared about what was going on. It feels like he just can't be bothered with the pregnancies that didn't stick.