Padawan Rey

Brain farts, a thread

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.

we tried the world, good god, it wasn't for us

i slithered here from eden just to sit outside your door

after the foxes have known our taste, i'll be home with you, i'll be home with you

no grave can hold my body down, i'll crawl home to her

why were you digging, what did you bury, before those hands pulled me from the earth?

my dearest love, i'm not done yet

who could ask to be unbroken or be brave again?

whatever here that's left of me is yours just as it was

remember me love, when i'm reborn as the shrike to your sharp and glorious thorn

i'd be the dreadful need in the devotee that made him turn around, and i'd be the immediate forgiveness in eurydice

be like the love that discovered sin, but freed the first man and will do so again

be that hopeful feeling when eden was lost, that's been deaf to our laughter since the master was crossed

love, when the sea rises to meet us, oh, and there's nothing left for you and i to do

true that i saw her hair like the branch of a tree, willow dancing on air before covering me

and i love, too, that love soon might end, be known in its aching

be still, my indelible friend, you are unbreaking

the last time i felt your weight on my chest, you said "we didn't get it right, but love, we did our best"

and just knowing that everything will end should not change our plans

i would still be surprised i could find you, darling, in any life; if i could hold you for a minute, darling, i would do it again

From the story:

We repeatedly emphasized that we were aboard a small 8-meter sailboat, but the response was the same each time: "We are a 50-meter three-masted sailboat, and we offer our assistance in towing you to Paimpol." We were perplexed by the size difference between our two boats, as we feared being towed by a boat that was too large and at too fast a speed that could damage our boat. The arrival of the Götheborg on the scene was rapid and surprising, as we did not expect to see a merchant ship from the East India Company of the XVIII century. This moment was very strange, and we wondered if we were dreaming. Where were we? What time period was it? The Götheborg approached very close to us to throw the line and pass a large rope. The mooring went well, and our destinies were linked for very long hours, during which we shared the same radio frequency to communicate with each other. The crew of the Götheborg showed great professionalism and kindness towards us. They adapted their speed to the size of our boat and the weather conditions. We felt accompanied by very professional sailors. Every hour, the officer on duty of the Götheborg called us to ensure everything was going well.[...] This adventure, very real, was an incredible experience for us. We were extremely lucky to cross paths with the Götheborg by chance and especially to meet such a caring crew. Dear commander and crew of the Götheborg, your kindness, and generosity have shown that your ship is much more than just a boat. It embodies the noblest values of the sea, and we are honored to have had the chance to cross your path and benefit from your help.

From the story:

We repeatedly emphasized that we were aboard a small 8-meter sailboat, but the response was the same each time: "We are a 50-meter three-masted sailboat, and we offer our assistance in towing you to Paimpol." We were perplexed by the size difference between our two boats, as we feared being towed by a boat that was too large and at too fast a speed that could damage our boat. The arrival of the Götheborg on the scene was rapid and surprising, as we did not expect to see a merchant ship from the East India Company of the XVIII century. This moment was very strange, and we wondered if we were dreaming. Where were we? What time period was it? The Götheborg approached very close to us to throw the line and pass a large rope. The mooring went well, and our destinies were linked for very long hours, during which we shared the same radio frequency to communicate with each other. The crew of the Götheborg showed great professionalism and kindness towards us. They adapted their speed to the size of our boat and the weather conditions. We felt accompanied by very professional sailors. Every hour, the officer on duty of the Götheborg called us to ensure everything was going well.[...] This adventure, very real, was an incredible experience for us. We were extremely lucky to cross paths with the Götheborg by chance and especially to meet such a caring crew. Dear commander and crew of the Götheborg, your kindness, and generosity have shown that your ship is much more than just a boat. It embodies the noblest values of the sea, and we are honored to have had the chance to cross your path and benefit from your help.

But wait, there’s more!