I've thought about declining this, but I've been worried it will just annoy the doctor and as a result they'll (intentionally or not) put in less effort.
I am the target audience for this post, hah. Same kit as you but I threw in a 3090 via OcuLink for specialized tasks. At the moment it's primarily a gaming rig.
I'd love to hear more about the various tools you've found - I stopped using local models a while back because it felt like the Strix Halo support just wasn't ready.
https://www.youtube.com/watch?v=5KO2IjWI9fA