Hello Ray,
I know how you feel - I also flew to see Dr having provided all the necessary information in advance of the consultation. I doubt if it had been read, as errors re PSA etc appeared in the reports- there was no error anout the $250 fee plus the fare however. The only thing I would suggest, if there are no good Drs in your immediate area, only communicate by email, be up front, tell them you can not afford air fares for a consultation if there is not going to be an effective treatment as a result, put them completely in the picture. My surgeon and others say da Vinci is ideal for those overweight. However, maybe you could loose a few kgs?
Keep looking - you'll get there as I did - remember the best charge the same as the not so good.
K.D.