I understand what you are saying. It is not easy for you to get a second opinion because of where you live.
I spoke with a family member a few weeks ago about getting to a doctor. I was horrified to find out in the last 20+ years most of the medical places have closed or have very limited care. She was saying to get medical care. It takes him driving about two hours to get to a doctor. And if you’re having a baby, it is 2 to 3 hours to find a place that will deliver your baby. And if they need immediate help limited ambulance or they call for a helicopter to come in. This is the heartland of our country. Farmers need good medical care as well as good emergency care
So I fully understand the limits you are facing
I do wish you’re the very best and finding the right doctor Saying a few prayers for you