Ugh westcountry, I know what you mean. sigh... Everytime I go in, I see the exact same, kind, sonographer, who I think is an angel BUT I see a different consultant, every single time.
and all they ever do is tick the box saying they have asked the question and basically note down whatever it was they wanted to hear in the first place which sometimes, luckily, coincides with what I was about to say. It gets really embarrassing when it doesn't!
I haven't had one specialist actually listen to me or explain my care to me. I just end up telling them, no, I won't do what they say which gets them to, at least, consider getting my consent, allbeit, with the haughty attitude.
I almost feel like telling you to let it rip and let them have it. 