Have you ever looked closely at a car windshield?

The edge of the glass is painted where it is glued to the car but it has these small dots between the clear and painted glass.

These are there for a reason. When the sun hits the glass the painted areas and the clear areas will absorb heat at different rates. This causes the glass to expand and contract differently putting stress on the glass.

These dots help the glass to warm up more evenly over a larger area so the glass does not suffer stress that could cause it to spontaneously explode.

Fun fact: the Tesla cybertruck doesn’t have these.

Yes, the glass will spontaneously crack or explode in the sun.

Like, a long time ago I did temp work, and it was terrible and it make me want to kill everybody in the room and then myself.

Then for a few years I did food service, and it was terrible and made me want to kill everybody in the building and then myself.

Then for a few years I did retail, and it was terrible and made me want to kill everybody in the state and then myself.

If youre a night owl genuinely consider never getting a job that starts in the morning. Having to wake up at 6am genuinely gave me a mental breakdown because i could not sleep before midnight and spent a year on 5 hours sleep a night

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.

One of our professional skills is ‘not being bitten by patients’

We actually have a good broad knowledge base for both surgical, medical, and GP things

We’re used to improvising equipment because a lot of stuff is just not made for animals

Meat safety is part of our training

Our cars are often full of equipment, especially in mixed practice