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Needle Tip Breakage Studies have shown that excessive re-use of needles is associated with the microscopic end of the needle tip breaking off, causing tiny metal pieces of the needle to be embedded in the patients skin

doi: 10.3233/JAD-200728, 239 ZamanianM

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They will see the prescription, check for the corresponding diagnosis code, and if it's not there, the computer says 'no.' Its that simple