Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else. Four months in on erythromycin and it lines up.

Fifteen years of this and the function column is the only one that changed anything for me. Also, one page of history, printed, handed over at the sta…

Take one to a pharmacist. Free, two minutes, correct. Everything else here is a hypothesis.

The pain score conversation is thirty seconds of my life I will never get back, every time.

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

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

The pain score conversation is thirty seconds of my life I will never get back, every time.

My pharmacist has become my actual doctor and I am at peace with it.