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Wall have ears. They also love gossip and having your attention 🫶✨

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Did I just employ the "Treat Them Like You are A Kindergarten Teacher Again" method with my insurance company today? I surely did. Did it work? Probably better than intended because I made an actual doctor feel contrite.

So, my insurance has been trying to not cover my SNRI because it is new on the market and no generic available yet, so pricey.

I apply for a refill and the request gets locked for review. Again. For the 3rd time.

This time I call and immediately ask to speak to the actual doctor making these clinical decisions. Very politely. Must be a slow day because they allow it.

ME: [Teacher voice] I'm calling in regards to the SNRI you have placed a lock on. Why was this decision made?

DOC: Well, there are dozens of other medications on the market in that tier, and far cheaper for you and [insurer]. We have sent a request to your doctor to consider alternatives.

ME: I am aware of that. So, can you do me a HUGE favor and look up my prescription history really quickly and tell me how many SSRIs and SNRIs were only filled once in 2022 for me, showing they were poorly tolerated?

DOC: It looks like eight.

ME: Great job! Now, can you please look at my genetic test for psychiatric drug tolerance and tell me how many medications are listed in the safe category?

DOC: Two.

ME: Awesome! Now, can you tell me what type that other drug is that I'm not taking?

DOC: Yeah, totally, it's an MAOI.

ME: That's correct, you're really knowledgeable! Should I be taking something as dangerous as an MAOI with my other medications, or even just in general?

DOC: It's contraindicated for sure.

ME: It is! So true! So, last question since you've been incredibly smart and helpful. Is it less expensive for [insurer] to pay out for the medication knowing they already get a huge manufacturer discount anyway, or is it more expensive for them to pay for me to need potentially long-term inpatient psychiatric care?

DOC: I'll clear the code, ma'am and flag it as medically necessary. I'm sorry about this.

ME: I appreciate you SO MUCH. You have a great day now.

WALGREENS PHARMACY TECH WITH 5 NOSE RINGS AND PURPLE HAIR STARING AT ME: ........... OKAY! It'll be ready in five minutes. You wanna come work here?

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Great example of antique 3 pieces bridal ensemble (matching black, red and white kimono) called 三枚襲 sanmai-gasane or 三つ襲 mitsu-gasane, which could then be worn by well-off brides:

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Remember the World of Tanks simulator? It got an upgrade.

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i’m only on reddit for r/Kevin

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Untitled #4 (Box Side in Black and Red)

Preston Singletary

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One of New York Central’s “Mercury” engines in Chicago, 1936.

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AM radio is like literal magic. There is music all around us that we can't hear, and to hear it you just have to tap a crystal (diode) to the earth and listen to it with another magic rock (magnet) and a tin can. You dont even need electricity to make it work because this music around us is literally all the power you need. Oh and at night when the sun has set, the light of the day gets replaced by MORE music because the signals can travel further at night. This is magic. If you even care.

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in honour of halloween behold the four horsemen of the apocalypse

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one of the deans in beijing dance academy rehearses with students

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Brandon James Scott on Instagram

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Hnnn maybe...

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Did you see the new guidline illustrations the swedish kennel club published for pugs, bostons, frenchies and bulldogs so the written standard can't be misinterpreted?

No, I don't think so!

I've seen the judge's compendiums, but was this another thing?

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OPEN!

Feel free to message/DM me for any questions. Will keep my inbox open for this following week

Thank you!

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straight men are on something else