I'd look at a doc that is not a traditional pm doc. Preferably someone with ESD experience. There is a whole host of issues that come with seeing a pm that mean reduced care IMO.

I have also learned to concentrate on the most urgent matters at every appointment. I pick my battles. Is it urgent to change dosages or type of meds? This can add 10 minutes or so to an appointment.

What other options have you been offered or discussed for a treatment plan? What do you want? Ketamine infusions may help you. Blocks may help you. If you have an extra couple thousand to spend, HBOT might be a good choice, etc. (Doubtful WC will pay for it.)