I've always approached the doctor nurse competence thing in this way: I am the boss of my body and my medical treatment. They work for me! If I am not happy with things, I tell them so politely and tell them what I expect. If I don't get that, I "fire" them and get new doctors. I've had to do this twice in the 15 years I've been dealing with this DD and related illnesses. I am lucky enough to live in Canada as well, so am not beholden to any large insurance companies trying to impose their will on me. I hope you are able to get the treatment and support you deserve!