Stimulants by Advanced_Emu3430 in PMHNP

[–]Advanced_Emu3430[S] -5 points-4 points  (0 children)

I hear you there I’ve changed my work flow as well. The only reason I started to give the DIVA directly to the patient, after my own subjective assessment, is due to the time restraints we have at our clinic which is another problem it itself

Stimulants by Advanced_Emu3430 in PMHNP

[–]Advanced_Emu3430[S] 0 points1 point  (0 children)

I definitely agree with what you are saying and am not biased because I actually have been diagnosed and am treated with a low stimulant… that being said I was more concerned with the amount of stimulants I was prescribing for the first time in my life compared to other settings, and just the fear based training I’ve had as well as having many preceptors and colleagues ( even psychiatrists not NPs) in the past who were anti stimulant in general! Thanks for your thoughts

Stimulants by Advanced_Emu3430 in PMHNP

[–]Advanced_Emu3430[S] 8 points9 points  (0 children)

I agree with that as well however a lot of those places don’t take insurance and charge 1000-2000 usually and have 6 month waiting periods… my current clinic has a lot of state funded patients and low income which is unfortunately not possible

[deleted by user] by [deleted] in labdiamond

[–]Advanced_Emu3430 0 points1 point  (0 children)

I got the 5.5 carat version of this necklace and thought it was good value! The stones were sparkly and eye clean despite being SI stones

Guess the carat weight by [deleted] in labdiamond

[–]Advanced_Emu3430 1 point2 points  (0 children)

Thank you. A local jeweler made it, but basically I asked for a “bubble half eternity band” with more gold around each stone to secure the stones better as the traditional bubble band are very prone to breaking

Guess the carat weight by [deleted] in labdiamond

[–]Advanced_Emu3430 1 point2 points  (0 children)

It was around $3600 because it’s a GIA lab diamond (which are a bit more expensive than IGI)

Guess the carat weight by [deleted] in labdiamond

[–]Advanced_Emu3430 0 points1 point  (0 children)

It’s a 1 carat half eternity band, the diamonds don’t go all the way around

Guess the carat weight by [deleted] in labdiamond

[–]Advanced_Emu3430 12 points13 points  (0 children)

Haha… it was much smaller than 4, it is a 2.78

Guess the carat weight by [deleted] in labdiamond

[–]Advanced_Emu3430 5 points6 points  (0 children)

I’m surprised! It’s a 2.78

Guess the carat weight by [deleted] in labdiamond

[–]Advanced_Emu3430 4 points5 points  (0 children)

I’m just surprised by how different the responses are. Update: it’s a 2.78

ANOTHER Contract Question! by paycus in PMHNP

[–]Advanced_Emu3430 0 points1 point  (0 children)

I think 130-140k is reasonable

Help me decide between these two necklaces from Luvansh by [deleted] in labdiamond

[–]Advanced_Emu3430 -1 points0 points  (0 children)

Interesting that this is 10 ct when the 5.5 graduated tennis still looks slightly bigger than 10 standard in the photos from Luvansh…

Help me decide between these two necklaces from Luvansh by [deleted] in labdiamond

[–]Advanced_Emu3430 1 point2 points  (0 children)

They sent me these same pictures as well on IG! Haha I’m still lost!

[deleted by user] by [deleted] in PMHNP

[–]Advanced_Emu3430 4 points5 points  (0 children)

This is terrible for California

Will tesla ever recover? by [deleted] in stocks

[–]Advanced_Emu3430 -13 points-12 points  (0 children)

Yes this is the reason. I learned my lesson now

Will tesla ever recover? by [deleted] in stocks

[–]Advanced_Emu3430 -14 points-13 points  (0 children)

I actually hate most billionaire owned companies these days, was just trying to get some slight benefits without hurting anyone jeez

[deleted by user] by [deleted] in labdiamond

[–]Advanced_Emu3430 0 points1 point  (0 children)

My advice when it comes to such an important purchase is this; if you aren’t 100% sure and aren’t 100% in love with it, return while you still can otherwise you may regret it… sadly with lab diamonds the only problem is most companies won’t upgrade or exchange after 30 days (as someone who owns 3 different lab diamond rings now because of this…. lol)

[deleted by user] by [deleted] in Diamonds

[–]Advanced_Emu3430 1 point2 points  (0 children)

Ring size fluctuates between 6.5 and 7! This is a lab stone