I totally agree with you guys.
First of all I have to say I had to really laugh about the ax in the head, too funny. But sadly true.
When I told my rheumy about the brain fog that I am having almost daily, his answer was, it could be, he mentioned three different things, like low vit-D, thyroid, bla,bla,bla. And I said, why does almost every lupus patient has it, if it is not related to lupus and he just looked at me like an idiot. He didn't have an answer, so I told him that he should go onto a lupus forum and start reading. I told him that he could learn alot. I am sure he didn't appreciate it. Oh well.
I feel this doctors learn the basics and after that they think that they know it all. Like Rob said, it is pure ignorance.
I may have been dealt a bad hand, but at least I'm still playing with a full deck. ( most of the time anyway).