Function over score. Currently on the pharmacy register myself.

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.

I would stop trying to convey how bad it is and start saying what you want them to do.

Print the page. Currently on a referral myself.

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

Read the methods section. It is the only part that says whether the conclusion is allowed to exist.