@azkidney57 I know how disheartening this is. I am not thrilled with my PCP either. I like him, but I think he leaves something to be desired as my doctor.
We do need to advocate for ourselves, I have learned that very well. If you like Mayo and it's within reach of you geographically, then do it. I am a Mass General patient but when I was waiting for a liver transplant I did have contact with Mayo. If Mass General had not come through when they did with a liver for me I was just about to list at Mayo. I had spoken to them and they seemed optimistic about my getting a transplant sooner than Mass General could. Of course I was very happy that Mass General came through for me, it's a heck of a lot more convenient since I live in southern NH.
Do what gives you the most comfort and the most confidence. I think feeling confident of our medical care makes a huge difference.