My rule, after years of this: if it cannot survive being written down with the numbers attached, it is marketing.

Everyone is an expert until the first seizure letter.

Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule.

Worth asking what specifically was measured. Pain scores move with mood and function does not.

I would stop trying to convey how bad it is and start saying what you want them to do. Four months in on amitriptyline and it lines up.

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.

Filing early beats arguing later. And ask for the reference number, always.

How do I find the national register if I do not read the language?