I started using my AME as my primary doctor WHEN I had an issue. Never say never...thats just stupid. For some of us it works. Saying NEVER implies you know or have knowledge of every persons situation and needs which you clearly do not. It my be YOUR recommendation and others to, but I can tell you having my AME be my primary also affords me a treating doctor who understands the FAA and what hoops need to be jumped thru. YMMV.