Heather, Although I am not a country bumpkin, rather I am located near a large city and used to work there for many years, I still didn't get the full picture when we had our son. We really didn't get the whole story until I decided that I wasn't going to leave my son's health up to the doctors. It is very important to be proactive in what we do for our children. Doctors can become complacent and have a million things going on so that the communication may be hindered. When my child was your child's age, I was not as well informed as I am now, and I still have a ways to go. I am very proud of you for being so involved in your child's life and health care that you are willing to consider that there might be a better way to treat your child. I am extremely happy to hear that your child's OHP levels are in good control. If you can maintain that level over time, there may be no need to change to the pill right away (I say as I bite my tounge). You are doing a great job keeping an eye on the blood work. It would be so easy to just let the doctors take care of everything, but as most everyone on this board has come to realize, CAH is a disorder that must be watched like a hawk (especially in the severe salt wasting) by the docs AND by you. If you ever suspect that something is wrong with your child, don't hesitate to call them and don't stop until you get a satisfactory answer. There are many links attached to this board that you can read to help you familiarize yourself with ALL the ins and outs of CAH. My doctors did not give me all the information that was necessary to understand the whole of CAH. It sounds like yours have done the same. I know of a few parents who were not fully educated on what to do in times of an adrenal crisis and lost their child do to that. Maybe one or two of them will post and help to make my point. Heather, this board is where I became as educated as I am now. The good people suggested excellent links to read and shared their heart felt stories. When Danny gets the archives up and running I would suggest you read some of those postings. It is chock full of information in layman's terms. Please feel free to let me know if your doctor thinks I have mispoken in any way and I will look into my information more thouroughly. Your child will someday realize how blessed he is to have a mom like you who has chosen to be proactive in the care and treatment of their CAH. I wish you and your family the best of everything.