@diverjer
I really had (and still do ) similar experiences
I was followed by a very nice local urologist however, the small group practice was bought out by an urology chain and patient care went down hill.
I next tried a very renown teaching hospital and got one of the directors of urology. He was arrogant )(but a good diagnostician) and when surgery was on the table recommended me to one of his colleague who had troubling reviews online ( I do appreciate that even some of the best doctors can get some poor ratings but these ratings pointed to both bad patient care and bad outcomes). So I then went to a semi-local one person urologist who had a great reputation for patient care. He did the RARP however after that he detached from my care referring me to others in his office, many times messages and phone calls were ignored most recently I developed an abscessed an infected lymphocyte/Lymphocele following RARP. I was in pain, sweating , fever, shaking, etc. the scanning report confirmed the infection and the office waited five days to call me back. My primary care told me I should have been in the ER and given IV antibiotics.
Like you, I really want to be heard and provided some quality care, I also want as many years as I can get which points me towards the teaching hospitals.
I see considerable room for improvement