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What I did was keep notes of Mom's changes. Just before her appt I would compile them in a Document. Easy to read font and 1, 2, 3. Only one page. Don't go into a lot of detail but enough. I then hand it to the receptionist asking that he review it before he saw Mom. This helps the doctor know what type of questions to ask. But in your situation, the GF maybe handling the cards.
That doesn't make any sense and if it is true, you should be helping him find a new doctor that gives a care.