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imgayvery · 49 minutes
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It’s crazy how people from 1791 and 2024 both know how it feels when Mozart drops a new track
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imgayvery · 51 minutes
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imgayvery · 54 minutes
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can't believe there was an article that said mutualistic symbiosis is rare in nature. that's the wrongest anyones ever said that's very impressive
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imgayvery · 54 minutes
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imgayvery · 55 minutes
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imgayvery · 58 minutes
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:/
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imgayvery · 1 hour
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Coal miner's child using a hole in the door to enter a bedroom with a smoking pipe in one hand and a gun in the other in Bertha Hill, West Virginia. Photo by Marion Post Wolcott. 1938
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imgayvery · 1 hour
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Fuck my liiiiiife I have a crush on a girl I'm dating... she's right over there and she loves me so much fuuuuuuuck
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imgayvery · 1 hour
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4000cc breast implants :)
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imgayvery · 1 hour
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putting these tweets here on tumblr bc holy shit did they just explain a lot
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imgayvery · 1 hour
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imgayvery · 1 hour
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imgayvery · 2 hours
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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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imgayvery · 2 hours
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I haven't purchased a HP item in close to a decade - I use the books I already had as doorstops or to prop a laptop up for meetings nowadays.
There is NO "death of the author" with JK Rowling - she controls and continues to profit from her IP, and uses that money to fund hate groups.
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imgayvery · 2 hours
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This remains one of the funniest things I’ve ever read in my life
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imgayvery · 2 hours
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imgayvery · 2 hours
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