Alliance L. Skyl

My wife pointed out to me the other day that apparently most people were literally only taught how to say Sorry and not how to Apologize or even that they are different things so here.

start / begin ➙ they either do or don't do an action, even if it is interrupted

somehow ➙ find a way to describe it or, if it matters that they don't know how something happened, make it its own sentence. somehow is very lackluster

that ➙ if the sentence makes sense after you remove it, do it

useless modifiers (really, very, certainly, probably, actually, quite, ...) ➙ emphasis on useless: many can be helpful, but many are not

dialogue tags ➙ don't cut them always, but you can leave them out or replace them with action tags for more variety

down / up ➙ often times they are not needed (I sat down vs. I sat)

wonder, think, realize, understand, feel ➙ especially in narration, these are signs of telling, not showing. Instead of "I wondered where he was." you can write "Where was he?"

"There is/was..." ➙ very formulaic and getting rid of as many as possible will make for more variety in sentence structures

Find your own! Every writer will have individual habits, so when you are proofreading your stuff, try to notice your own patterns. Feel free to add onto this post :)

Disclaimer: these words definitely can be very useful when they are used intentionally, especially if they are not overused. When I say to "cut" these words, I mean to question whether they are strengthening or weakening the sentence in every instance.

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.