((((((((((((( debbie ))))))))))))))))
I was once seeing a PA in my drs office who seemed to just be ignoring what I was saying and shoving the same old meds at me, I finally had enough and told him that this situation wasn't working for me, it took some guts but it saved my life if I hadn't been referred to a surgeon, they said that my gall bladder would have killed me, I was being treated for acid reflux. My point is that you can stand up to your pdoc, remember they work for you. I also quit seeing this PA so that is always an option too, just do what you think is best for you and your health.
I am a procrastinator too, good luck with the paper.