I do mostly agree with you, Oak. And this shows how long it's been since I lived in FL, when there was no med school at FSU. I do really agree that a PCP who sees you as a whole person is the key.
I guess I recommended the find an expert approach, as I had a really good experience when I visited 2 different rheumatologists at the Brigham. While they did do a couple of additional MRIs, etc, they pretty much told me my local doctor was on track, he was good, and I was doing the right thing. And one referred me for PT, which was the best thing that could have happened. So far, I've done better at finding specialists that appreciate my lifestyle, than a PCP.