Written confirmation email after every phone call. Cheapest insurance there is.

Bring a list. Embarrassment makes everyone forget things, including you.

Changing prescriber does not reset anything, and people discover that the hard way.

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

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

What do you do about the fee? Do you just pay it?