I had a very good doctor like your 40 years ago (when I didn't really need one). Fast forward to today, he has recently retired and the practice now has over 20 doctors. There's usually a wait of well over a week for an appointment which is restricted to ten minutes, and is usually with a doctor you've never met before. If you're lucky he or she has read your notes, in which case he/she will simply back up what the previous doctor said. It appears to very difficult to get a proper diagnosis and treatment for an ongoing and worsening condition.