I live in Maryland, and many of our doctors have retired, or just left, because of paperwork. They are being replaced by Physician's Assistants or Nurse Practitioners. I have a real problem with my husband since he was very attached to his Primary Care Physician, considered her a friend, and trusted her implicitly. When she retired very abruptly (I thought she was 10 years younger), we were assigned a PA. I took him to her several times as his foot was swelling and a sore was developing on his heel. She sent him for xrays and tests and finally the office said I could not get another emergency appt with the PA because he had already had two emergency appts. So I took him to the ER. They hospitalized him for a severe infection that went down to the bone. They could not find a hospital bed for him; had to send him far out of our region. I liked the dr. there, and I told him about all the concerns I had about him, mostly cognitive and radical behavior changes, which I thought might be due to a UTI. That dr. said he would give my husband a thorough examination, but when I went the next day, the doctor said my husband was being released. He has to see four specialists now, and all of the appts are weeks and months away. Thank God for the home nurse, who changes his dressings and is the only one who gives me straight answers. Today he finishes up his antibiotic pills that he received at the hospital but it is still 10 days before he can see the PA (who I really blame for his having to go to emergency room in the first place), and I have had no help with his behavior changes and he is hallucinating a lot. I am very frightened to be left alone with him. I feel that the whole medical profession has been ruined. This is basically a vent. Thanks for listening.