Okay then, I've seen 4 doctors for ME related issues in the past 5 years. My ME/CFS specialist and 3 local specialists she referred me to for related issues -- an endocrinologist (idiot) for ACTH test, a cardiologist (nice guy) to rule out primary cardiac issues, and a hematologist to get IVIG.
I cannot see a specialist here without a referral, and my PCPs, every one, have refused to refer me to a specialist for anything. It seems they don't want to encourage my supposed attention-seeking behavior arising from my supposed psychological condition, CFS.
Apparently CFS is such a magical diagnosis that nothing at all can be wrong with you, whatever your symptoms. Except, that is, a heart attack, a broken limb, a visible major injury, breast cancer, or colon cancer. Those you can have because either 1) they can clearly see the problem so they don't have to rely on your description of your symptoms, or 2) the clinic tests for them routinely so they might find them without paying any attention to what you say.
Basically, if you have a CFS diagnosis there can be nothing wrong with you, and nothing you say is to be believed. Well, except for anything that can be seen as a psych condition. They will happily prescribe antidepressants and anti-anxiety agents based on pretty much anything a CFS patient says. Yes, I'm bitter. The local medical mega-monopoly is, is... I can't describe it. It's somewhere on the evil spectrum. Greedy? Immoral?