Might be time to consider a new primary. I know people talk about the difficulties in finding a specialist, but honestly I have the most trouble finding primary care. After all they're supposed to be the first stop. You really need to trust them and believe they actually care. (Most specialist you can believe they actually care about getting paid and won't waste their time if you're not in their niche market)

But a good PCP can make a world of difference. I'd take a good PCP and a terrible specialist any day over a terrible PCP and an awesome specialist. My neuro and I have a 'working' relationship. My PCP and I feel like family. About the only specialist I've ever been like that with was my pain management doctor.

Even if the PCP has been great in the past, if it feels like you're just too far over their head, it might be time for a change. I outgrew my old PCP, having far too many problems for him to keep up with. It happens. He was great for strep, bronchitis, skinned knees and even the odd broken bone, couldn't find a better doctor to explain 'healthy' living. But beyond 'healthy' individuals falling afoul of the numerous chronic diseases, disorders and various assorted dysfunctions of health, he was lost and would fall back on psychologists rather than send you to a different MD.

For him, if it didn't show on an X-ray or appear in a culture dish, it must be in your head, or you just weren't eating healthy, getting your 6 hours of sleep and/or exercising regularly. Sounds terrible, I know, but he really was great... Until he wasn't, or more to the case I wasn't... And though he liked to send patients up river to the funny farm, he never 'accused' them of being crazy, just felt that the stresses of life could be too much for some people, and what a shame it was they could become physically harmed by it.

So I found a new PCP who was more understanding beyond the 'normal' scope of 'healthy' people and cried buckets of tears when he left town. But thankfully after very few attempts and trials by fire I have my latest PCP and his wonderful nurse practitioner and we get along famously. So much so that even though my other doc has since returned back to town I haven't switched back.

So it's okay to shop around, you aren't married to your PCP, it isn't considered cheating, feel free to put yourself out there in the market and find someone new to settle down with for a bit.