Guy on phone:I'm calling from Connect for Health Colorado. Our records show you have started the enrollment process but haven't purchased a plan yet.
Me:Yup. I have coverage through my previous employer through 4/30.
Phone guy:Ok, but you only have until 4/15 to enroll in one of our plans.
Me:Actually, 4/30 counts as a COBRA-Qualifying event, because the plan I was on doesn't renew until 7/1, and I start a new job on 4/21 so, I was going to wait until then, since both of those situations are qualifying life event and the deadlines don't apply to them.
Phone guy:No, you really need to enroll in one of our plans before the 15th.
Me:Ok, but I don't want to do that right this second so can I have the number to call you back?
ADHD is breaking down and crying because you can’t read a paragraph in your textbook without getting distracted. It’s having to spend three times as much time studying as your classmates to get half the grades. It’s feeling stupid when you know you’re not.
Nearing the end of my time in this RN Case Manager job.
It’s a daily struggle to force myself to say “This cannot be my problem anymore”.
Uncontrolled diabetes and living with caregivers who may or may not be correctly dosing, if at all, insulin and checking blood sugar levels twice a day?
Just found out from this physician that this person hasn’t followed up for scheduled appointments in almost a year?
This person left the nursing home against medical advice, before her therapy was complete, to live with her daughter with a history of financial exploitation of her own mother and keeping her locked in a crack house?
This person may or may not be filling her medications at one of 3 pharmacies and may or may not be taking them correctly because 2 of the medications have very similar names but are for very different diagnoses?
All of these things and more. Cannot be my problem.
All I can do is write it down and offer advice for follow up to whoever is taking over this case in my absence until the new nurse is hired.
Can’t be my problem, but I can sure continue to stress out about it. Because when you’ve been working with the same clients for 5 years, you get a bit emotionally invested in their well-being. You know those clients inside and out, all their behavior patterns, the best approach for their caregivers, how to follow up with their doctors for the best response. Long term care is intense and you can give all the advise you want to the new nurse, but the new nurse is still basically going to start from scratch. Because the new nurse doesn’t know that client. But s/he’ll learn. Hopefully.
How to Turn Every Single Thing Into a Nursing Assessment, by Sarah
"The member demonstrated his ‘Irish Jig’ for the RN during the assessment, shifting his weight from one foot to the other, with no balance issues, and was able to transition from the quicker movement back to his baseline gait with no difficulty."
This is my case note for when my members make me die laughing.
"We found a new tenant. They don’t like the blue in the living room or the bedroom. Will you change it back, or do you want me to do it?"
I can do it by myself, dick.
And you know what?
Your precious new tenant is just going to paint it again anyway, so what’s the fucking point?
"You’ll need a special primer to go over the dark color. The people at Home Depot or whatever can tell you."
No I don’t. I need a white, water-based primer and I need to apply 2 coats. Or no coats. Depending on how awesome you think my dark turquoise walls are. Which, apparently, the new tenant thinks are awful. Because he’s a prick. A whiny little bitch ass prick.
Whatever. Tom is going to help me paint. And it’s going to be amazing. These walls are going to be whiter than an 1836 Debutante Ball.
My Amazon shopping cart is empty and I’m being advised to fill it with items to give it purpose, but I feel like my adviser may have an ulterior motive.
Standing in my kitchen, slicing vegetables with a serrated steak knife. Or trying to, anyway. Talking to myself, out loud, like I do, I say “Ugh. I need a different knife. This one isn’t making the cut.”
I grab a different knife and start slicing and then…
It dawns on me how hilarious my statement to myself was!
I laughed! I laughed so hard I went a little crazy and sliced my finger off.
No. I didn’t do that.
But I could have. Because that is how gorram hilarious I am.
The homebrewing process has caused many much frustration, So here’s an over-simplified, poetic explanation. Malt extract and hops get plenty of hydration When you boil them in water for an appropriate duration After cooling in a barrel with the proper sanitation, Yeast comes in to eat the sugar, and that’s called fermentation. When the yeast is all done eating, you get clumpy flocculation. Make sure the yeast is really done by testing the degree of attenuation. The beer goes into bottles for aging and carbonation. And then when it’s all done you can drink your new creation!
Many African-Americans think Republicans don’t like them.
On Wednesday, as Ted Nugent campaigned with Republican Texas gubernatorial candidate Greg Abbott, it was discovered that the rock star had called President Obama a “subhuman mongrel.”
As horrible as that sounds, such language is nothing new for Nugent. As The Daily Beast’s Ben Jacobs points out, Nugent has called Hillary Clinton “a worthless b*tch,” said the US should have “Nagasaki-ed” Iraq, expressed the desire to chop Democrats heads off and once noted that “not all Muslims are religious whacks who deserve a bullet.”
The current uproar over Nugent’s “subhuman mongrel” comment did not stop Abbott from continuing to campaign with the rock star. In fact, Abbott defended him.
The question is not whether Ted Nugent will stop being Ted Nugent. He’s not going to stop. Now 65, Nugent has been outlandish and offensive for so long that it has become a bankable part of his persona.
Nugent doesn’t care what others think. That’s the point.
The question is, do conservatives care what others think? Or do some conservatives, on some level, also believe that not caring is part of being conservative?
Riley took particular offense at the notion that current law disproportionately impacted the black community. Riley wrote, “Blacks are disproportionately affected by felon disenfranchisement laws because a disproportionate number of blacks are felons.”
He concluded, “The problem is black criminality, not racist laws.”
The author, Jason Riley, is black. This is not surprising, because it is hard to fathom a white person writing the same thing in the right-leaning Journal.
Police officers anxious to meet those quotas do not comb the suburbs looking for white college students and professionals, but concentrate on urban areas where minority populations are typically higher.
And thus they arrest more minorities at a higher per capita rate than whites for committing the same crimes.
To say that, “The problem is black criminality, not racist laws” it to ignore the idiocy of what we criminalize and the racially biased way current law is applied. It is to ignore the imbalanced way the system is stacked against African-Americans.
It is to not care.
Riley complains that “The Obama administration would rather focus on white racism instead of black behavior” and that “Eliminating mandatory minimum sentences for drug dealers means that these thugs return to the ghetto sooner rather than later to raise hell.”
Dismissing such cases as the “black behavior” of “thugs,” as conservatives have done in the past and Riley continues to do, sends the message that being racially obtuse is part of what it means to be a conservative (when it comes to Latinos and immigration, Riley actually has plenty of sensible things to say that more conservatives should listen to).
Do Republicans address this? Or do they simply continue not to care?
Riley seemed upset that some conservatives have cared, writing “Sadly, some Republicans—including Sens. Rand Paul of Kentucky and Mike Lee of Utah—are supporting Mr. Holder’s misguided efforts to ‘help’ blacks by going easier on criminals.”
Riley concluded, “I know the GOP wants more black voters, but this is the wrong kind of outreach.”
In reality, the efforts of Paul and Lee represent the only kind of substantive minority outreach Republicans have even attempted as of late, after giving the idea mere lip service every time the GOP loses an election.
Republicans can attempt to grow their base by reaching new people where they are and talking about the issues of concern to them or they can continue to dismiss those people, double down on the same old formulas, sing the praises of Ted Nugent no matter what he says, view minorities as criminals, continue to ignore a “justice” system that is itself criminal, and keep sending the message that conservatives don’t really care what minorities or anyone else thinks.
People who think you don’t like them won’t like you, and they certainly won’t vote for you. Nor should they.
Fantastic read for conservatives or really anyone active in Republican politics. While the liberty movement is mercifully far more aware of the structural racial injustice of the drug war in particular and the justice system in general (thanks in significant part to the input of minorities themselves, as well as the emphases of left libertarianism), this is always a needed reminder.
Watching Bill Nye debate Congresswoman Marsha Blackburn on climate change “Meet the Press”.
One of these people is answering questions based on an educated evaluation of scientific, academic, and professional work completed by others.
The other person is answering questions based on a politically biased review of the same information, in which the information is reviewed and automatically dismissed as “unconvincing” and “unreliable”.
This is called biased assimilation of information. It happens when people take information presented to them and process it through social and cultural filters. This is why, no matter how many new studies and how much new evidence is presented to a person, that person will never allow their opinion to be swayed, and will never broaden their knowledge and views.
The more facts that are presented, the more polarized the attitudes about a topic become. And the people, rather than looking into the research themselves, listen to the presenter that plays into their beliefs the most, a belief based in a biased review of information to begin with, and the cycle continues.
Willful ignorance. The driving force of Humanity.
Look. The general consensus among the scientific community is that climate change is happening. Right now. It’s here. We are past the point of arguing who or what may have caused it or what’s going to happen. It’s happening right now. Why it’s happening doesn’t matter. What does matter is what we can do about it.
We can be a more sustainable nation. We can lead the world in developing better, renewable energy. We can. We can be a great world leader, in a good way.
Or we can sit on our asses denying the world has serious problems that may actually ruin Humanity’s future and put up road blocks at every chance for progress because that’s what gets us reelected. So congratulations. You’re an elected leader of the world’s largest stalemate.
CNN’s Jake Tapper: You said that smoking pot was a bad habit but you didn’t think it was any worse for a person than drinking. Now that contradicts the official Obama administration policy, both on the website of the Office of National Drug Control Policy and also the fact that marijuana is considered a Schedule I narcotic, along with heroin and Ecstasy. Now do you think you were maybe talking just a little too casually about it with Remnick inThe New Yorker, or are you considering not making marijuana a Schedule I narcotic?
President Obama: Well, first of all, what is and isn’t a Schedule I narcotic is a job for Congress.
Tapper: I think it’s the DEA that decides that.
Obama: It’s not something by ourselves that we start changing. No, there are laws undergirding those determinations.
"There are laws undergirding those determinations."
There are laws.
You know what other determinations have laws undergirding them?
Whether or not the executive branch can unilaterally invade or bomb another country without getting a declaration of war from Congress — but that hasn’t slowed you down in Libya or Yemen or Pakistan and Somalia.
So hey, if you’re going to operate an imperial presidency anyway, Mr. President, can we at least get something good out of it? It’s time to stop jailing people for marijuana use. We know it; you know it; and we know you know it. And unlike all that other stuff I mentioned, making pot a Schedule II or (better yet) III drug actually is within your purview as the head of the executive branch. So none of this sudden, false timidity. Call off the drug dogs already.
When your patient comes to you and asks a genuine question about her medications, the correct response is not “you have ADHD or you don’t”. That’s actually incredibly insulting.
And suggesting that she get testing done for ADHD, after she talked to you, in depth, over a year ago, asking about filling her scripts because her nurse practitioner was leaving, and the therapy she’d been using for over a year for managing an incredibly late ADHD diagnosis and other things was coming to an end, well that’s just a slap in the face.
1. That medication I’m asking about, it’s a fast acting medication with an incredibly short half life. It doesn’t build up in my system over time and change my brain chemistry in such a way that I need to be weaned off of it if I need to discontinue it. When I ask about using it as a PRN because I’ve put a lot of work into managing issues without medications and continue that work every day, but sometimes it’s really helpful to be able to not space out during long meetings or losing whole minutes of time while I’m driving to Minnesota, I’m looking for a helpful answer. Not an accusation that makes me feel like a drug-seeking hypochondriac.
2. There’s no magical test for ADHD. I spent a year in therapy with someone who specializes in ADHD. I had to get records from elementary school to see my teacher comments about my classroom behavior. I read books and talked about them with both the therapist and the nurse practitioner and how I related to them. I had to have a fucking meltdown at work to even consider seeking treatment in the first place. It was long and time-consuming and expensive. It’s insulting to me, my therapist, and the nurse practitioner who used her own professional judgement when prescribing the medication in the first place to suggest that, maybe you don’t actually have this thing you’re getting treated for.
3. Also, I know you were available and weren’t with a patient that time I came to urgent care and I had to see some stranger because you didn’t want to come out of your office. I ended up having shingles. So, thanks for caring. I used to like you. A lot. I liked that you went to the office early the day after I came in with a 104F fever and personally called me to let me know that you couldn’t wait until office hours to look at my x-rays and see that I had pneumonia. I liked that you joked around and used to make it a positive thing that I had ideas about how to manage my health care. I liked that you respected me and my nursing background. I don’t know what happened or what’s going on in your life that made you lose that doctor-patient connection I liked so much, but I hope you figure that shit out.
“There’s a safety recall for a part on your Jeep! The fuel tank might leak and cause a fire with certain kinds of rear end collisions! \o/ We’d like to fix it, but we don’t have parts! Lol! We’ll send more mail to you when we have parts. It’ll be soon. Maybe. Try not to think about dying in a car explosion until then.”—Chrysler
Going through things, prepping to move. Came across all of my notes and powerpoints from Nursing School in a suitcase. All of them. So of course now I’m reading through slides on hemodynamic monitoring and the different stages of shock and the Conscious Sedation Independent Learning Project.
I’m totally going to have that nightmare again tonight about showing up to class and finding out there’s a research paper due that I didn’t even know about.
I know, I know. You understood some of those words.
What if we could obtain a huge wealth of knowledge on our own, for free, via library books or working odd jobs, and then maybe universities offered an option to take some kind of in-depth test and we could get a full degree from an accredited university without dropping 4+ years worth of tuition dollars?
I would have so many degrees!
This post brought to you by weird dreams, 6am grogginess, and typing with one eye open.
It’s hard to see through all of the fog, but the rain is definitely freezing into layers of ice on the roads. So, make sure you’re speeding, tailgating, and passing within inches of the car in front of you, all with your headlights off.
Special shout out to everyone who spent any time at all on the first day of the new year crying about incandescent light bulbs being phased out of existence. The thought of being more energy efficient sends me into an irrational state of rage too. I feel you.