When I moved about
15 years ago from DC to where I live now, I first tried the GI in the nearest big city, thinking that's where I would find the best doc. But his waiting room was packed, I waited at least two hours then saw him coming in, he hadn't even been there! It seemed to me there was no way he was going to get to all of us waiting with any quality time. Granted, emergencies can happen...but I was very disappointed and I left. I think I tried that twice.
So I made an appointment instead with the GI in the suburbs, and she has been great. I was very knowledgeable about my disease and what worked, so she just kept on top of things, treated me when I called in with a flare. We agree on issues, like my preference to manage it without telling anyone in order to not face discrimination or compromise my dignity. I think that is very important, to have the same philosophy about dealing with it.
I was the one who suggested Remicade (or Humira). She had not because she thought I was managing OK, when really I was just resigned to my suffering. It has been a good decision. She pops in sometimes when I'm getting the infusion. I now will see her every year since I'm on Remicade. Last appointment we talked about aging (we're the same age) and our bunions...
So I could not be happier with my GI.
Consider the small town docs, they often practice there for the quality of life even though they are good enough to be in the best practices in the biggest cities if they wanted to be.