@fromthehill you have done remarkably well at taking care of yourself. (I’m 66 and not in as good a shape as you.) It sounds like you have issues with your GP not recognizing your accomplishments &/or not taking your concerns seriously. It is important to be heard and understood by your GP. Can you tell her how you feel about recent interactions with her and your current situation (“distracted, depressed and pissed off”)? If she is unwilling to respond perhaps it is time to look for a new GP? Another thing to consider is that she maybe has lots of other patients in way worse shape and is minimizing your situation? Still you deserve to be treated as an individual, not one of the herd. Another thing that has worked for me in the past is to make it personal for your provider. I have asked “what would you recommend if I was your mother”or “if you were me”?