Thanks to all who have responded and will respond, very nice to read. For just a bit of clarification "without" any revealing info, my transition had just hit that place I had been gradually working towards for almost a year (9 mo.). We had a verbal agreement that if my values hit a certain amount on my next test, I needed to do or change nothing at all, just make an appointment in three months. The test did in fact reveal my hopes, expectations, and placed me within the margin of our agreement. I was on cloud 9 literally walking on air, everything that had been changed, tweeked, and adjusted had worked. Rather than her holding to her word, I recieved a message (not from "her" but through an receptionist) that she was taking my treatment all the way back not to the beginning, but even way way lower than that!!!
I then recieved a cold, insensitive letter from her (not reflecting where I believed our relationship to be at) restating the above, with no explanation at all. She would not even respect my wish to be addressed by my requested name. To top that off she stated these levels would "never" ever rise, and stay at basement level. Every health parameter ranged from very good to excellent.
So I felt just "not showing up" was not an option so I wrote a three page letter explaining my position, in my opinion it was called for, that is what I did, and that is that. Dani