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Steve, You are correct to be concerned about your current prescriber learning of your visit to another practice.  Yes, he might think you are getting medicine behind his back and yes he may well cut you off or write nasties in your chart.

It shouldn't be that way.  You may wish to drop any doc who feels that way about your getting a second opinion.  I am seeing an older doc who is eminently qualified in his specialty.  I need him for what he does and have no options.  Six weeks ago he learned that I had consulted one of the popular telemed practices here.  This caused a rift wider than the San Andres.  He had never prescribed a single hormone for me.  I have not been back to see him. 

In the very near future every script, lab and office visit will be tracked on the federal surveillance system.  This is already the case for interstate truck drivers.  Be aware of the paper trail you leave when using insurance in this country.  When it comes to HRT pay cash whenever you can and opt out of web-based patient portals.