Surely you want to use the pure rust async aware postgres client and the pure rust grpc implementation, but with async that's not a free choice.
You now have to deal with the fact that these (actually often quite well written) reimplementations often lag quite a bit in functionality.
For example you think you can just use some boring technology like a RDBMS but then you discover that pgbouncer doesn't really work well with sqlx. Similar stories for gRPC and other stuff.
Don't get me wrong, I'm not saying that's because async implementation is bad or it hasn't been well thought out. Other languages make other tradeoffs (e.g. Go detects blocking syscalls and increases the size of the thread pool, which makes it a bit easier to accomodate blocking FFI with the core async model, but that comes with a price).
What I'm saying is that in practice async rust feels like another language, a language built on top of rust, that looks like rust, that can call rust, but effectively creates its own ecosystem. The problem is compounded by the fact that it's still called rust, and often you can write libraries that can do a bit of async or not based on optional features.
It's probably all unavoidable and for the better, but it does add a source of fatigue that must be acknowledged and not dismissed as FUD.