I got what I had hoped for: a referral to an ENT specialist. And since we had two minutes left, I asked if she might do the repeat prescription review. By her own time-and-motion logic, there was no obvious escape route for her, and she said she would mark the request for release.
Altogether an unhappy experience of being treated as an object to be processed. She did not examine me at all. But I examined her, with all the close attention of a patient treated as an inconvenience.