As for hobbies, definitely making music. That also includes occasional recording with a microphone. One of the reasons why I sometimes need absolute silence.
My wife runs, among other things, a cooking blog, so she needs a well-lit photo room. And a large kitchen.
Rügen, the island, is hardly on my radar at all; it is so large that basically all the island advantages are gone again, but the disadvantages are still there.
Specialist doctors, that is certainly a good hint, but as long as you don’t know what you will need later, it’s hard to plan accordingly. It doesn’t help if pretty much all specialist doctors are quickly reachable except for the one you need. And I don’t know that one yet...
I also tend more towards renting than buying and actually rather not building at all (maybe I’m in the wrong forum?). I think regarding timing, I am probably already too late for building, I should start thinking about buying now, and for renting it’s too early to seriously search (goal: summer 2021).