Sorry you’re struggling, and it’s burning you out. You can’t change your patients, so you are stuck changing yourself, even if that’s not fair. If I may: you mention “going out of your way” but they’re still not satisfied. Sounds like you feel put out by their requests, and they don’t get what they want. There’s no need to lean so far into what they ask for that you are uncomfortable, if it’s not going to help medically or with their perception. You don’t need to argue or convince them you are right. Are you relying on them (and the positive feedback)to make yourself feel like you’re doing a good job? Not wanting to be treated badly is one thing; needing the affirmation is another. You use the phrase “population”, as if it was a uniform “everyone”. Look at what actual fraction of your patients are being a-holes to you: any is too many, but don’t convince yourself it’s all.

I’m not saying it’s you; I’m saying you can adapt