at least one of the reasons I stopped going to this doctor's practice. Nichole had her appoint today for the unusual symptoms she's been having. Growing stretch marks, severe muscle cramps, over extension of joints and dislocations, and the moon face. She got the [email protected] Nurse Practioner again. Now I've seen many NP's who are awesome and do a wonderful job. This one, however, is a mega moron wishing for a promotion to stupid. NP couldn't/wouldn't get past the stretch marks. Refused and ignored any of the other symptoms. Said stretch marks were from rapid weight flux. I said what rapid weight flux??? She said well, difficult child has gained 5 lbs since her last visit in APRIL! ??? 5 whopping pounds over 6 months is now considered rapid weight flux??? Well, golly lady then I must have a HUGE problem with it cuz I can do that in a period of 2 days!! ARGH!!! Bare in mind this is only the 2nd time this woman has even seen difficult child. So what is she basing this so called rapid weight flux on anyways??? In actuallity Nichole has maybe gained and lost a total of 5-10 lbs in a period of 16 months! Any other weight came from her preg, and golly gee those stretch marks weren't there then or after! Grrrrr. Oh, well. I guess the visit wasn't a total waste. Last time Nichole saw her back in April it was to have her thyroid checked and her blood sugar due to the same symptoms excluding the stretch mark issue. NP only ordered the thyroid check because of medications, refused blood sugar and a potassium check. Well, this time decided to do POTASSIUM AND BLOOD SUGAR levels. Also had Nichole show her the over extendablity of her joints, and the way if she moves her wrists (and many of her joints) they crackle so loud and are very painful. NP says well some people are really flexable, and if it hurts don't move them! HUH? Gee ought to be interesting with difficult child trying to get thru life NOT moving her wrists! Requested the doctor. No doctor available Nichole would have to make yet ANOTHER appoint. Only doctor who'd take her insur there is also a moron. Already heard the word going around the hospital. No thanks. Only reason Nichole made the appoint here was cuz they could get her in faster. Guess now she's going back to her reg fam doctor who at least possesses a brain and actually SEES his pts whether their insur is medicaid or the best there is. I'm proud of Nichole for no melt down in the office. I know she was coming close. Heck, I was coming close. There are times when living in a small town can be a nitemare.