Did a month at a HIV clinic and saw the daily schedule for all the MDs. From 9-5pm, they saw a patient every 30 minutes with the exception of an hour lunch break.
The mistake made in my evaluation by a maternal fetal specialist in 2018 was, I'm sure, due to the med staff being overworked. It was a three hour wait to get into the appointment and it was rushed, which ended up in my son's size being miscalculated and I was cleared for natural delivery (which failed)
Revel - you would think, the health related fields would be more careful, since peoples wellbeing depends on it. To this day, I believe that my own mothers death was due to some asshat giving her the wrong meds. (there were 2 women with the same first name )
Personally, I'd consider it a Tier 2 still. it's hard to tell where the head ends and the right side of the horse begins. Where the hair or the horse is. Or the front right leg and the belly, it just all kinda mushes together and it is a little hard to tell what is what. Maybe add a little yellow-ish airbrush strokes on the tops and outer sides of the mane and tail to give it the look like the sun is shining on it.