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

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

I would take the narrow conclusion. Broad ones are more interesting and less true.

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

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…