Maybe he was good at one point and maybe he just burned out. Treating PVPS sufferers can’t be very rewarding, I mean a huge portion of us (probably 30-50%) just don’t get better, or get somewhat better but aren’t pain free and aren’t satisfied with their outcomes and a small portion of us get worse after treatment. I think as a doctor trying to help patients, it would be pretty mentally draining when a whole bunch of your patients just didn’t get better and there was nothing more you could do.
Sure, the patient is living with the pain, but the doctor (I like to think anyways) has a conscience that will weigh heavily on him/her.
I’m not bashing him or sticking up for him in any way, as I have no experience with him, so I can’t comment on him as a doctor, but I do like some of the research he has on his website, specifically timelines as to when PVPS symptoms developed. You don’t see stuff like that anywhere else unfortunately. PVPS is so poorly understood, hardly researched, treatments are a gamble, yet it’s alarmingly common.
Edit: I should also add to this - I think the same goes for any doctor trying to help someone in chronic pain that doesn’t get better or gets worse and all they can do is sit back and watch. It’s hard on the patient, but I suspect it’s hard on a lot of docs too.