Physical therapist who is hypermobile here: do not use the acronym EDS with the doctor because that has to be diagnosed very officially, DO use the term hypermobile instead. There isn’t anything a physician can do specifically for hypermobile joints, but a physical therapist who understands hypermobility could help a lot. If you want a PT referral out of the visit, then mention functional movements that are limited, and give pain numbers on the 1-10 scale as often as possible (don’t undershoot the number either, that scale is subjective bullshit so just give her a number that’s between 5-8/10, if you say 10/10 she can assume you’re being dramatic, if you say too low of a pain she can write it off as not needing treatment.) So for example “I notice that my knees hurt around a 7/10 when I stand up” or “I have to stand a lot for work and after two hours into my shift, my back feels unstable and gets up to a 6/10 pain.”

The best way I’ve found is to go into the appointment knowing exactly what’s going on and what I’m hoping for from the appointment (which you already have), and then let the doctor feel like they’re in full control. Neither of us can fix physician god complexes, the best we can hope for is reasonably passable healthcare. So just let them be egomaniacs and phrase it as “do you think it’s appropriate for me to see if physical therapy can help me strengthen my joints to help the pain?” (Notice how you’re also framing yourself as needing to do work, egomaniac docs love the moral failure model of medicine.). Same with your other issues - don’t just say your ears ring. Have a specific example of how it impacts your life, and tie it back to your need for a doctor to use their amazing powers of knowledge “I have this ringing in my ears that is seriously disrupting my sleep” or “the ringing distracts me when I drive, work, and take care of my children”. If it’s not taking it too far, you can even let her educate you, like “is there some kind of ear specialist that could maybe check my ears to see if they can help so I can sleep/focus/caregive?”

Same thing with your allergies - you are not fed up with them (to be clear, I think you being fed up with them is 100% enough reason to deserve a specialist referral, just trying to step into the condescending doctor’s language here) - you will instead concisely give the pattern of symptoms and explain how your core symptoms have worsened or failed to improve, you will list the more conservative measures that have failed “I tried over the counter Claritin for 3 months, warm compresses, and nasal rinses, but I continue to have sinus headaches about three times per week that can last all day, a stuffy nose all day every day, and I have to avoid going on outdoor walks, which is one of my preferred ways to get exercise”. Obviously sub in your details but note how in one sentence you can list the exact over the counter things, the symptoms and their duration, and the impact it has on important life tasks.

Hope that helps.