Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.

I would stop trying to convey how bad it is and start saying what you want them to do.

If it needs three other compounds to notice, you have not tested the first one. Not on KPV but the pattern is familiar.

Fifteen years of this and the function column is the only one that changed anything for me. Also, one page of history, printed, handed over at the sta…