I completely understand your concerns. Specislists have limited time and AI has become part of a new normal. I was in a direct primary care practice. I liked it. I had a good NP but she was forced out due to cost cutting measures. I do my own research and typically come in with ideas for a treatment plan and questions to ask. As hard as it may be addressing one issue at a time works. Also just taking time to find a provider that will work in your situation. Reading reviews of providers help too.