Growing hatred for my job

EDIT: thank you everyone who has responded. I have taken the feedback, insights, and suggestions to heart and will implement them. I feel a lot better knowing there are things I can change. Thanks again :)

I have been a rheumatologist for less than 5 years now and I have a growing hatred for my job. Some of this is burnout, but even when I'm well rested post-vacation, the feelings immediately come back.

Some things I hate:

  1. Portal messages. Why are you messaging me 2 days before your appointment with several questions? None are urgent - can't it wait 2 days and we can address then?
  2. Portal messages. Please stop updating me every week letting me know how your PMR is doing but you're gaining weight on prednisone. I told you that would happen, and I'm doing my darndest to get you off prednisone, but you scoffed when I recommended a DMARD to get you off of pred faster because "I'm sure I can get off prednisone on my own if I just take some turmeric".
  3. Portal messages. Why are you messaging me about your labs when your CBC/CMP are normal but chloride is like 97, and I already put a little note saying "labs look great."
  4. Patients arrive late. There is no excuse for this. Our office has been in the same place for years, we haven't moved, and this is your 10th follow up. You have google maps. You are RETIRED and don't even have the excuse of saying you got held up in a meeting. Traffic is bad 24/7, 365 days out of the year, this is never a great excuse. You need to arrive 15 minutes before your appointment. Not 10 minutes after the appointment started. You've now set me back by a total of 30 minutes, thanks! Management doesn't care and will not listen to any of my suggestions about how to improve this.
  5. Distrust in my diagnosis and judgement. You have hypermobilility, you do not need an ANA. OR even better - a patient messaged me the other day saying that their other specialist is convinced that I've missed lupus (symptoms are fatigue, myalgia without weakness, and dysuria). The ANA, ENA, CK, myositis panel and all other extensive autoimmune labs are negative and honestly shouldn't have even been done given low pretest probability. If I am missing lupus, someone needs to revoke my license.

I have major anxiety even on my days off that work is building up, documents need to be reviewed, and the onslaught of messages need to be answered.

I hate it so much. Please help me. I am constantly stressed out and tired, and feeling so inadequate at my job (did I actually miss lupus??). Does it get better? Do I just need to suck it up? What can I do differently?

Author: PillowExchange42