boy, yours is a loaded Q for me.
i moved to st. augustine from denver and have not been particularly happy with the local neuro.

my MS is stable and i stopped the copaxone after 10 yrs.
my neuro barely does a neuro exam anymore. and, he told me he doesn't believe in MS pain (even tho i have terrible pain). after he said that i pretty much mentally gave up on him.

the MS magazine i just got has an interesting article about MS pain. they said that 75% of MS pts have pain. i decided if i became unstable, or got worse, that i would go into jacksonville to find a better neuro dr; an hr away.

i would say if you have any dr that doesn't listen or meet your needs you should look for another one that does. it sounds like you have a good pcp. mine is family practice here and refers me out to other specialists.

do what helps you the most. it's not always the dr but the care they give.