From what you've noted in your lab reports, GUBU cannot handle R-related stuff.
Here are some that are not necessarily R-related stuff from your 'wants' list:
-I want to be healthy, vibrant, and happy. -I want peace, harmony, and beauty in my life
So when you have the "talk" with GUBU, you can recap what your doctor said at your last visit with him. Then lay out what you "want" then ask GUBU what you "need" from him in order to make it happen.
Focus on solutions so you can be healthy again and feel more at peace with your current situation.
Make sense?
Keep the long list of "wants" in your back pocket for the time being.
As for the needs, perhaps you can prioritize it with GUBU with some solutions:
What I Need:
More help around here!
More chances to get out and GAL without paying the price in: lack of sleep dealing with GUBU mess from the dogs if I deviate from their schedule concerns about getting chores done, locking up the chickens, feeding everyone... ....THEN getting cleaned up and ready to go out. By the time I'm ready to step out the door, I'm exhausted.
A house that is not a disaster zone.
Better safety measures in place for dealing with livestock.
More security in this house, living here alone, isolated.
Less responsibility with the animals--physical and emotional.