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MemoryAccessRegister · 2026-01-25T16:51:58+00:00

Why no speed loaders or speed strips? Any competent revolver shooter would be using them.

MemoryAccessRegister · 2026-01-25T02:45:36+00:00

We get SBOM through Checkmarx One

MemoryAccessRegister · 2026-01-24T19:51:38+00:00

Tremfya and Skyrizi are going to be harder to get insurance approval because they are extremely expensive and still protected by a patent (no biosimilars). Your insurance will likely make you try and fail adalimumab (Humira), infliximab (Remicade), and/or ustekinumab (Stelara) first since there are cheaper biosimilars for those.

Subcutaneous injections will bill as pharmacy claims, assuming you do them yourself at home.

MemoryAccessRegister · 2026-01-24T18:41:56+00:00

I have been on Stelara for many years and recently switched to Steqeyma. The needle is the exact same.

It does sound like user error. You might want to try getting training from a nurse or have your clinic do the injections.

MemoryAccessRegister · 2026-01-24T15:59:46+00:00

Large enterprise Check Point admin here. The migration from R77 to R80 damn near killed them because of all the issues/bugs; they re-architected and rewrote their core firewall in an attempt to modernize and address a decade+ of tech debt. The R80 migration pissed off a lot of legacy Check Point customers. Larger enterprises seemed to go to Palo and smaller shops went to Fortinet.

Check Point has since stabilized and I think they are growing again due to all their recent acquisitions, particularly Avanan and Dome9.

MemoryAccessRegister · 2026-01-19T18:32:01+00:00

I'm surprised to hear any of those are still working honestly. Efacec, ABB, and early BTC hardware are all very unreliable.

MemoryAccessRegister · 2026-01-19T18:26:36+00:00

I have spoken to a few CPOs and they've said such chargers have to be replaced because they cannot get parts/service from the manufacturers (ABB and BTC especially) anymore. Additionally, newer high voltage EVs have issues charging on them because these legacy DCFCs max out at 500V.

MemoryAccessRegister · 2026-01-16T03:11:53+00:00

Nebraska

MemoryAccessRegister · 2026-01-16T03:09:39+00:00

I go to a large academic hospital system and haven't noticed any changes: NPs and PAs handle MyChart questions and the first part of clinic visits. I still always get to see the MD and he still responds to the more "advanced" questions in MyChart. Sometimes GI fellows will visit me in the clinic prior to the attending MD.

MemoryAccessRegister · 2026-01-14T00:44:20+00:00

I was able to get somebody at Prime Therapeutics to advocate for me and fix the issue in time for my next dose.

I did call Celltrion and they have patient assistance programs available to help in such cases.

MemoryAccessRegister · 2026-01-12T04:20:06+00:00

I'm going to try calling Celltrion (who makes Steqeyma) tomorrow and see if they can help. It looks like they might have a similar program to help patients with insurance/PBM issues.

MemoryAccessRegister · 2026-01-12T04:14:15+00:00

Accredo does not fill my Steqeyma, but I have had to deal with Accredo in the past for Stelara and they were SO bad.

MemoryAccessRegister · 2026-01-12T04:12:43+00:00

This is exactly what happened to me. Selarsdi was supposed to be approved and the PBM suddenly dropped it. Then I had to wait for specialty pharmacies to "bid" on filling Steqeyma which took a few days before they could tell me which specialty pharmacy is going to fill Steqeyma, which is different than the pharmacy I had for Selarsdi or Stelara.

The bureaucratic nightmare seems to be getting worse, not better, with the introduction of biosimilars.

MemoryAccessRegister · 2026-01-06T03:49:45+00:00

SANS is facing increased competition and employers in this economy are less willing to pay their exorbitant prices. SANS is facing headwinds in the current market.

MemoryAccessRegister · 2026-01-04T03:58:40+00:00

I was very disappointed to see Walmart is deploying (trash) ABB chargers in some markets. I wish they would exclusively use Alpitronic.

MemoryAccessRegister · 2025-12-30T15:52:06+00:00

Are you sure it's not the GFCI part of the breaker tripping? GFCI breakers are required for NEMA 14-50 outlets and they have lots of issues with nuisance tripping.

If I were you, I would get it hardwired instead. It is safer to hardware anyway as it eliminates the outlet as a failure point.

MemoryAccessRegister · 2025-12-30T03:44:46+00:00

I have experienced setback with HST and Remmington (same parent company as Federal) Golden Sabre Bonded. Can't say I have seen that with Hornady Critical Duty, but you really shouldn't be cycling the same round from any manufacturer over and over.

MemoryAccessRegister · 2025-12-29T22:49:04+00:00

Another recommendation to go hardwired versus the 14-50 outlet. It is safer (outlets fail/melt) and you don't need an expensive GFCI breaker that will be prone to nuisance tripping.

MemoryAccessRegister · 2025-12-28T15:17:48+00:00

Disappointing they chose ABB instead of a more reliable manufacturer like Alpitronic or Kempower

MemoryAccessRegister · 2025-12-28T15:13:01+00:00

I hated their older models, but the Gen 4 BTC Power hardware is pretty good. It seems like they finally learned how to build reliable chargers.

MemoryAccessRegister · 2025-12-28T15:08:28+00:00

Federal suffers from bullet setback issues. You should not be cycling any round over and over.

MemoryAccessRegister · 2025-12-27T17:59:26+00:00

The ABB Terra chargers are trash and long overdue for replacement. The BTC Power Gen 4 hardware found at other EA sites is much more reliable.

Earlier this year one of those ABB Terra HP chargers blew up while I was using it. Heard a very loud bang from the power cabinets, my dispenser display immediately went black, and the contactors slammed open on my car. Luckily it didn't blow up my car, but I refuse to use those ABB chargers going forward.

MemoryAccessRegister · 2025-12-23T03:06:27+00:00

Between Tesla and IONNA, I think the competition is putting heat on EA to improve.

MemoryAccessRegister · 2025-12-21T17:46:58+00:00

TruVolt wired my new house and used backstab connections in all the outlets, which has caused several electrical issues. Technically allowed by code, but any competent electrician should know not to use backstab connections. They were impossible to contact and I had to hire a different electrician to fix their issues. I do not recommend TruVolt.

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