@Paradox not sure where distributing came in, but knees was cause i was working on my knees for a little bit, i thought, huh.. knees rhymes with peace (another post with a similar format i saw earlier) and so off the posting started basically just more rhyming from there, cause my mind was already in that space :3
i think i'm kinda liking the idea of kodak ultramax 400, faster films should be especially fun with half frame, all that grainy cronch
possibly after i know what i'm doing i'd like to try an iso 800 film, but those stocks seem to be pretty specialist and thus, expensive.. probably not a great idea for the first few rolls ^^'
re: us healthcare complaining@pharmafemboy ok, that's fair, i suppose i can give you that that's where the point about escripts comes in, have a database of the known bad drug combinations and have it throw a flag, a manual review, a place for a pharmacist to actually step in, approve or deny it the case you brought up, benzodiazepines and opioids, it'd be particularly simple to have a database lookup do the heavy lifting there, possibly even auto deny before the prescription is made other complex, sorta maybe bad to combine drugs, with cases where it might be ok to do so, yeah, could still have it get flagged and then a pharmacist steps in
but those are edge cases, a pharmacist shouldn't need to be involved for simple, day to day stuff
and especially not the nonsense i'm seeing with my own pharmacy where they're delaying my estradiol vial for.. some unknown reason? i'm switching from tablets to injections, sure, but is there really a problem there? it's effectively the same stuff, not exactly any new interactions to be had..
us healthcare complainingit's really ridiculous, the way prescriptions work in the states doctor -> pharmacy -> pharmacist approval -> insurance approval -> filling -> then you can have your medication after paying anything insurance won't
so many steps that shouldn't be there, so inefficient example: insurance has no real reason to even know what you're taking, it should just pay its part
and like, with escripts/echarts especially, pharmacists shouldn't have any say, it should be purely the doctor's decision (whether it's under an informed consent model is a different topic)
the more i find myself needing to engage with this system the more frustrating i'm finding it to be all these layers and difficulties, just because everyone involved feels like they have to have some degree of control over the patient :/
