"The Rest of the Story: None of these measurements include one of the most important impediments to patient care the “Insurance, Pharmacy Benefit Manager Complex”. This like the military Industrial complex rules the roost. If we are going to write articles on the therapy of our patients look at the obstruction delivered by the “Insurance, Pharmacy Benefits Manager complex” and as well by Electronic Health records (Actually Electronic Health Regulations) which interfere with our choice of therapy by adding ridiculous time consuming data entry input by us and may have confounded the outcome of the study reported. We should not be satisfied by the present TTT concept and need to build on it. We use it on every visit in our own way. The idea is good but the target is not reliable at present.
"The Rest of the Story: None of these measurements include one of the most important impediments to patient care the “Insurance, Pharmacy Benefit Manager Complex”. This like the military Industrial complex rules the roost. If we are going to write articles on the therapy of our patients look at the obstruction delivered by the “Insurance, Pharmacy Benefits Manager complex” and as well by Electronic Health records (Actually Electronic Health Regulations) which interfere with our choice of therapy by adding ridiculous time consuming data entry input by us and may have confounded the outcome of the study reported. We should not be satisfied by the present TTT concept and need to build on it. We use it on every visit in our own way. The idea is good but the target is not reliable at present.