Hi doctordun,
With all due respect to the gentlemen who have replied in this post and who most probably have diagnosed your problem, I remember reading in another series of posts on this board about another gentleman who got one of the R9s in which the extractor wasn't tensioned properly. It released the cartridge rim too easily and wasn't tight enough. He solved his problem by returning the gun to the factory and getting it repaired. If it were me, I would look into that possibility. Why don't you call the factory?
As far as the high left hits go, you could be "heeling" the gun or anticipating the recoil by pushing up and to the left with the heel of your palm just before the gun fires. Try getting someone else at the range to load the gun for you each time without letting you know whether or not there is a round in the chamber. A lot of people have difficulty shooting small, light, powerful guns. I doubt the problem is the sights. With the machining techniques that Rohrbaugh is using, they are probably right on. I hope that this is of some help.
Frank