When things are not normal I write down the incidents in a log, then summarize before we go to the Doc. If your doctor has any background at all with this, they'll know that symptoms can be masked and can rely on you for first hand information. You can hand this summary to a nurse or admin person before the visit, so they have a heads up, or mail to the doctor with explanation before the next visit; just a thought (so spouse is not mad at you).