Should I Fire My Physician?

I’m not talking about my Ob/Gyn, because I seriously love her.  But, I’m beginning to think that my primary physician isn’t really a good fit for me.  I never developed a close relationship with him, because I was never sick and hardly ever went to the doctor.  Although, the few times I’ve seen him, he’s been nice and professional.

The main problem is that my husband and I have been dealing with numerous specialists over the last few years, and I’ve gotten a better feel for the type of care that I want.  I’ve come to realize that there are some doctors that I respect and feel comfortable with, and there are some that I don’t.  Armed with this newly developed sense of patient advocacy, I’m starting to doubt my choice in physicians. 

My primary physician is a more reactive doctor.  He’s smart and knowledgeable, but he reacts only to a known or suspected problem.  He can also seem too technical, and sometimes I wonder if he bypasses some of my concerns as “internet research.”  My Ob/Gyn, on the other hand, is a very proactive doctor.  She takes the time to listen to my questions, always returns my calls herself, and makes me feel in control of my health.  In fact, she’s the one who discovered my Hashimoto’s disease.  As an Ob/Gyn though, she does not treat that condition, so my primary doctor took over.

It’s his care and treatment of my hypothyroidism that is making me scrutinize him more closely now.  He was relatively casual about my thyroid results from the Ob/Gyn; he just prescribed Levothyroxine and told me to get my TSH checked again in a month.  My thyroid responded, and my TSH levels were pretty close to normal when they were rechecked.  It was about a month later that I got my BFP. 

So, I was a little concerned that my levels weren’t regulated for that long, and that they had only been monitored once before I got pregnant.  But, when I called to get my TSH checked again in light of being pregnant (when I was 5 weeks), he said not to worry about it until I was 8 weeks along.  Knowing that hypothyroidism can cause miscarriage if not treated properly, should I really have been expected to wait 3 more weeks to find out if my TSH levels were okay?