I concur that it's challenging to find someone who will consider your situation comprehensively. After an extensive search using Google, ChatGPT, blood labs, and symptom analysis, I managed to identify some potential causes. I compiled a summary sheet outlining my goals for the appointment, including the lab tests I believed would be beneficial. My doctor concurred with most of them and provided explanations for a few. To my surprise, my doctor dedicated a full hour to our meeting and commended my thorough preparation, which led to progress on several issues. However, the primary concern remains my coccydynia and lower back pain, for which a solution has been elusive despite consultations with my primary physician, an orthopedic surgeon, and spine and pain specialists. It's quite exasperating. It was hopeful to hear your neurostimulator helped for a few years. I hope you can get an updated model and get some relief.