I have a history of lung problems, beginning in 1995 when my right lung suffered a spontaneous pneumothorax..After trying to 'fix' it with a chest tube, which was unsuccessful, I underwent a thoracotomy. My right lung has had no problems since the surgery. Approximately 4 years later, my left lung suffered a spontaneous pneumothorax (i will refer to this condition hereafter as 'sp' ). After a chest xray, my lung doctor said it was a small one, to return in a week & he'd take another xray. Luckily, the sp had resolved itself! All was well for another 4 years or so, when I felt that chest pain once again in my left lung...Went back to the lung doctor, had a chest xray, -- once again he had me wait one week, have another xray & luckily (again) it had healed itself. That was 2003, and all was well w/my lung disorder. Approx. April 2006 (76 days ago) I got that pain again, went back to the lung doctor, (he had me wait a week, as in the past) & when I returned a week later, it had healed up pretty well, but not completely...So, he advised me to not do strenuous things, come back in another week.... Finally in may, he said it appeared to be healed, although I still suffer chest pain, not as bad as it was but there is still pain. My pcp had me have a stress echocardiogram to make sure it wasnt anything to do w/my heart. Those results were 'negative', meaning my heart was ok (i am thankful for that!!).. However, it has been 76 days, the pain persists. Its like a 'pinching' , and sometimes a sharp pain that I prevents taking a deep breath. I went back to my pcp & suggested to him that perhaps I had pleurisy...He is obviously incompetent & told me "pleurisy is just another name for chest pain, it is a description, not a symptom"....I said "no, pleurisy is an inflammation of the pleural area, lung area", and he looked at me like "who's the doctor here?" & once again said "pleurisy is not a condition, it is just another name for chest pain, any chest pain, be it from a sp, an accident, etc".... I totally disagree w/his statement, but since he's the doctor, I just sat there thinking "you are sooo wrong", but didn't say anything out loud. Now I know the word 'angina' is another word for chest pain, but not pleurisy! Anyways, he prescribed naproxen for inflammation, telling me that I was having 'anxiety', along w/a pulled chest muscle!! Unbelievable, I thought. I told him "i didnt pull my chest muscle, I am telling you it's my lung, I know its my lung.. I have a chronic lung problem & I think I have an infection...Be it pleurisy, or costochondritis, I think I need to be put on an antibiotic".... He gave me the prescrip. For the naproxen & offered me zoloft for my anxiety/depression, to which I declined. Naturally I feel depressed after 76 days, but I dont sure need zoloft because this is a medical problem, not a mental problem. I took the naproxen for 30 days, and although it may have helped slightly, the pain persists. I called him (pcp) 3 days ago & asked his 'nurse' to please refer me to a pulmonologist (given my lung history, I felt this was a reasonable request).......Here it is 3 days later, & still no return call. In the past this pcp has always had a problem returning my phone calls, & I always have to call there, like, 3-4 times more until he will finally return my call. So another day passes with this pain, obviously he's not too concerned, in fact I think I am a "pain in the ***" patient to him.. I need to have this resolved, I really need to see a pulmonologist, but without his referral, I am "stuck" ! I called several pulmonologists yesterday, but was told they do not accept "self referrals", that I had to have a referral from my pcp.... What can I do? He won't call me back....Every minute, of every hour, of every day (76 to be exact) has been stifled by the never-ending chest pain. I took a darvocet this morning, only because it hurt a lot upon awakening (i take ambien at night, otherwise I would get absolutely no sleep because of the pain)...I do not want to live my live on pills,,, I want to get back to my life (which was always very active) and I need this chest pain to stop! What can I do? I am at my pcp's 'mercy'..And he's treating me like i'm just any other patient that has a sore throat or something minor! I think I have an infection in my lung, costochondritis and 76 days is far too long to be in pain. Time is wasting, before this turns into something terribly serious, I need help! I know lung infections are treated w/antibiotics, so I have asked my family/friends if they have any errythmocian (spelling?) or penacillin & I am going to take it if I can find some. I have to be my own advocate & research any & all explanations for my chest pain because my doctor obviously doesn't care. I need help very badly! Does anyone have any suggestions, they would be greatly appreciated.