I cannot speak for the doctors here but I see Abby James, a nurse practitioner, at Belle Meade Dermatology. She is very sweet and takes her time and listens to what I have to say. She makes sure to ask questions about my progress and goes over everything with me before I leave. Maybe some of you should try Abby? \r
Since I turned 21, I've had issues with cystic acne and as a result, some scarring. I've gone to 5-6 different dermatologist (not kidding!) who never fail, would prescribe creams that never worked despite my protests. Fast forward almost 7 years later and someone finally recommended Abby James, who listened to what I had to say, and prescribed an oral medication. I've also taken my nephew to her, who suffers from moderate to severe acne vulgaris. Abby had prescribed him tetracycline when he started having outbreaks (@ age 12), and had been monitoring his condition for a few years, but the acne never cleared. The next step up, as I understand it, is Accutane, which she eventually prescribed for him, but only as a last resort since nothing he'd tried over the last 2 years seemed to work. Also most are hesitant to prescribe Accutane since it can have some serious side effects. \r
As far as Belle Meade Dermatology goes, yes, you have to pay for the appointment up front. I don't currently know of/visit any healthcare offices where this isn't standard procedure. That's not to say there aren't some around, I just don't know of any. Sometimes I'm in the waiting room for a while at Belle Mead Derma., but I'll wait for good knowledgeable service. Plus, I don't know about anyone else, but there is no where that I really want to be that can't wait.