Replying to The problem in both scenarios is that the providers providing the actual care are the most compressed element in the scenario other than the human patient/customer,
But just beers and weed. I learned about myself that when I get toasty I start to talk over the people I love , what I think is sweet trying to finish their sentences, turns out to sound condescending or not what they were trying to say.
Keep a running, simple note of:what achievements you made problems solved numbers/results improved positive comments and extra responsibilities you took on Then, when your manager asks what you have been working on,