I saw a high risk ob and my endocrinologist (who worked in the high risk unit) and this was a good balance for me. I do think it is important to have someone that is knowledgeable about your particular situation. The biggest thing that I learned from my two pregnancies and my experience with my doctors was to tell them exactly what I was feeling and thinking. If I didn't like something or agree with something, I explained myself and I found that this helped me feel more in control of what was important to me, like wearing my pump while in the hospital. In the end, my doctors seemed to respect me so much more for telling them what I needed and how I felt and this really helped our relationship. I wonder what would happen if you said, "I am not sure if this doctor-patient relationship is the best match. I need someone with a bit more bedside manner. I think you are the most qualified, but that doesn't help me if I can't feel comfortable with you. I would appreciate a bit more understanding and care, or I will be forced to find someone else that will help me stay calm during an already stressful time." Sometimes doctors can be super clinical, I used to have a problem with this and as I became my own advocate, I take less offense. Just something else to think about. It is never fun to have a doctor that makes you uncomfortable, but for me, it is really important to have someone that knows what they are doing and knows any of the risk factors to look for.