Small wins count. Walking to the mailbox is a data point.

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.

You are not imagining it and you are not being difficult. Document it and take the document in.

This is the correct amount of effort for a thread like this.

Log dose, time and sleep. Ten seconds a day and it turns the anecdote into something you can look at.

This is the correct amount of effort for a thread like this.

Written confirmation email after every phone call. Cheapest insurance there is. Currently on South Africa myself.

Small wins count. Walking to the mailbox is a data point.

You are not imagining it and you are not being difficult. Document it and take the document in. A year in on tramadol and it lines up.

Bring a list. Embarrassment makes everyone forget things, including you. Tolerance was my main issue with an appointment slot too.

Baseline first.