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Sawbonz

Certifiably Surly
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Everything posted by Sawbonz

  1. There is a physiologic clutch response, for lack of a better term. Certain individuals in high stress situations (not just athletic competition) react differently. Heart rate slows down, reaction time speeds up. Microlevel instantaneous release of testosterone into bloodstream (in males and females) has been measured though it is unknown if it is causative. Probably has to do with epinephrine and norepinephrine receptors in the brain and periphery as well Cognitive Behavioral Therapy and biofeedback can help an individual improve theirs.
  2. We’ve started collecting copays (or allowables if they are high deductible plans) before we see the patients. If they balk our staff has a template to follow to explain politely this is what their plan requires; we are happy to see them after they pay their portion or they can discuss with their carrier. They almost always pay. Occasionally they will leave without being seen, and very rarely ask to speak to management who tells them the same thing. The ones who pay but still want to bitch to me I empathize because fuck insurance companies. I tell them yeah while they are raising your premiums and out of pocket they are cutting what they pay us. I have also quit doing peer to peer and prior auths for prescriptions. Same for imaging unless there is likelihood of immediate harm without the test. I will prescribe an alternative from the carrier’s preferred formulary if there is an appropriate one or tell them to pay cash and use goodRX. If they don’t want to do that I tell them to call their rep. With imaging I follow standard protocol to document failure of appropriate treatment for required duration (huge waste of resources in the aggregate but hey that’s what the payers want) and if still denied (Aetna loves to do this) I tell the patient to pay cash or call their rep and start looking for a new plan next enrollment period
  3. Stringy beany little rat-faced girl
  4. Time to start a “Cloak Room Sucks Thread Sucks” thread
  5. Wasn’t that literally already the reality when it was filmed?
  6. With the QB?
  7. Is there one person who was sitting on their couch who wasn’t saying hey watch out for the fake right here?
  8. Refs didn’t completely waste half of our first downs or miss half our field goal attempts
  9. Sark needs to hire a play caller
  10. He turned his head can’t be targeting
  11. This is completely on sark. Horrible first down call
  12. Don’t know how you’re not ready for a fake punt in that situation
  13. Hmm sure looked like roughing there
  14. If his shoulder is stable they’ll probably try
  15. Beck’s labrum just got shredded
  16. So no holds on Georgia correct?
  17. Ahh the good old days
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