Do I go for the plug with no remicade?

I swear I trust what I research far more than what these darn doctors tell me! I sent an e-mail to my doctor regarding my fistula. I just went through a flare that I controlled within a week with ensures and no meds(thank God!) I sent her an e-mail last week saying that I was not doing well and she suggested a short courses with steroids. She also told me that she wanted to call me that afternoon. Well ofcourse I get no phone call and I called the office twice and left 2 messages and nothing. Yesterday I e-mailed her again letting her know that it seemed that I was getting out of my flare and that I was concerned about putting in a fistula plug since I am still leaking significantly and that I can't get the Remicade pre-approved. I told her that I was scared of getting another abscess or fistula with no medication to help it heal so if she suggested anything else I could take. I also mentioned that I am leaving in December for 3 weeks to North Carolina and that if she would suggest that I take any extra meds with me just in case I go into a flare as I normally do when I go away. She replied today and told me that I need to call the Remicade company to see if I qualify for their assistance program and what other medication I was referring to because I am taking "Lialda" currently and was I referring to antibiotics? Well first of all she did not answer my question regarding the plug. Telling me to call the Remicade company is not what I needed. She knows I probably won't qualify and I need to know of any other options. When I read Lialda my head wanted to explode because I don't take Lialda, I take Pentasa! Ok, I know anyone can make a mistake but piick up my chart before you make an assumptions! This was the same doctor who told me fish oil does absolutely nothing to help with Crohn's!! There are not a lot of options where I live with Doctors and I am starting to consider going back to Miami. Then i think of the insanity if anything ever happens as an emergency or if I have to have surgery. It's a 2 hour drive home. I can't get an appointment with my GI for atleast another month and I can't have that. I have a situation that I can go from bad to worse in a day! Once again............ AAAAAAAAAAAAAAAAAAHHHHHHHHHHHHHHHHHHHHHH!! What do I do? Do I go for the plug with no remicade? I also want to have a baby and I can't keep putting it off but can I deal with a pregnancy and this fistula and fissures? My doctors don't want me pregnant and on remicade so where does that put me? Doctors are supposed to make things better not aggravate you! =(
Ok, I think I am done for now. Thanks for letting me rant!

I had a "crappy" doc for 5 years and didn't know it, just thought I was a hopeless case. I moved to Las Vegas and had a doc that told me my other doc was stupid and got me thinking that not all docs are created equal. Moved back to WA and was getting remicade (through old doc) and was talking to a guy next to me who liked his GI doc so I switched (my old doc is in same office kinda weird). Doing really well with new doc. Sometimes you just need to switch unfortunatly.

A lot of people have been pregnant and still had remicade but my doctor does not agree with it because there is no studies to show what long term effects it can have on the baby. She is head strong on her opinion of no babies. I am worried about not knowing the long term effects as well but there are so many women who have had perfectly healthy babies. My family is totally against the Remicade and me getting pregnant. They have argued with me like you wouldn't believe! I am only 25 but my Husband just turned 41 today. What I don't want is to wait 2-3 years until I am done with Remicade(god willing) and then try to get pregnant and discover that there is a problem and I can't or it takes me 2-3 more years to get pregnant. It is such a tough decision. I just want my butt to get better because that is the source of all my pain!

Seems like they would understand us a little bit better, I have the same problem all the time. I've been seeing a PA for 3 months because my GI has been away on vacation. She asks me questions I should be asking her and I get so aggravated...I got diagnosed 8 months ago and haven't seen much improvement since, I'm in the process of finding a new doctor so I know exactly how you feel. I don't take my sickness lightly because I can't stop my life at anytime with children so I have got to do something to feel better. And most of the time I feel like they don't care at all what I have to say so poop on them!! Good luck!