I had the same doctor for the first 27 years of my life. We were very fortunate, but it involved us following him as he moved his practice all over town (we lived SE and he was in the hamptons at one point). When he retired a few years ago, I was fortunate enough that my wife's doctor was willing to take me on.
Like many posters, I find it increasingly difficult to get in with any sort of speed. I tend to renew my prescriptions with phone appointments and if I have something that needs a quick turnaround, I visit a walk-in clinic.
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