It gets smaller. Not easy, smaller. That distinction kept me going. Not on doxycycline but the pattern is familiar.

The pain score conversation is thirty seconds of my life I will never get back, every time. How long have you been on a claim rejection?

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.