How do you tell the difference between the drug working and just a good week?

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time. How long have you been on pharmacy work?

Same here.

Following this because I am in the same place and have no idea what to ask at the appointment.

Print the page. Tolerance was my main issue with pharmacy work too.

The pain score conversation is thirty seconds of my life I will never get back, every time.

You are not imagining it and you are not being difficult. Document it and take the document in. Tolerance was my main issue with pharmacy work too.

How do you tell the difference between the drug working and just a good week?

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.

My pharmacist has become my actual doctor and I am at peace with it. Same for me with pharmacy work, unfortunately.