@shepn7, I have requested that your discussion be added to this existing discussion where others have shared been engaged n a conversation about how they also felt frustration over their search for a local doctor or nephrologist after their transplant. I think that you will benefit from reading what has already been shared, and as a member on Connect, you will be able to participate in any and all of the comments. You are not the only patient who faces this problem.
I feel your concern and frustration at what you describe. I agree that you are (we have to be) your best advocate. Unfortunately doctors are understaffed at the present time, and medical absences are becoming more frequent, However, we still must have someone who will work with us to protect our transplanted organs.
As transplant recipients we know that it It’s important to us that our care is being coordinated and continued after we leave our clinic. Transplant doctors, nurses and medical secretaries are experts at communicating with home providers by using secure online methods, printed letters and also notes mailed to our at-home provider, and phone calls when the information is more urgent or needs more explanation.
For your upcoming appointment, I advise being firm reather that aggressive (even if that is how you feel) . Why don't you take extra help along with you, to back you up - Why don't you call your transplant center and request a a statement or communication from them about 'your particular' needs. They in turn will be able to communicate to the nephrologists and work to coordinate your care.

How long have you been a patient with this nephrology group? Are you having any symptoms that would indicate that your kidney is in jeopardy?

I want to tag @zhana,@gingerw, @jolinda to this discussion.