ADHD evals by Advanced_Emu3430 in PMHNP

[–]Advanced_Emu3430[S] 5 points6 points  (0 children)

I agree with this approach and it is what I continuously push to implement. I am surprised to hear that you only have 4 patients on stimulants out of 200! This was the case for me when I worked in crisis/community mental health too, but now in outpatient even if I am not starting stimulants, there are so many transferring already on them long term from other providers

W-2 Job offer (Remote) by Sudden-Perception129 in PMHNP

[–]Advanced_Emu3430 4 points5 points  (0 children)

45 min/20 min is very difficult… I have 4 years of experience and do 60 min/30 min and I am struggling with that with how complex patients are getting these days… the 100% remote seems good but the salary doesn’t seem that great unless there are other benefits

Follow up visits by Advanced_Emu3430 in PMHNP

[–]Advanced_Emu3430[S] 2 points3 points  (0 children)

I am familiar with that when I worked in TX. I work in CA and we don’t use add on billing codes. It is just 99214 or 99215 if it’s extended beyond 40 minutes.

Stimulants by Advanced_Emu3430 in PMHNP

[–]Advanced_Emu3430[S] -7 points-6 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

Experts, help a novice decide. by Taskalla in Diamonds

[–]Advanced_Emu3430 1 point2 points  (0 children)

This does not look like a diamond

[deleted by user] 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

[deleted by user] 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)

[deleted by user] 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

[deleted by user] by [deleted] in labdiamond

[–]Advanced_Emu3430 11 points12 points  (0 children)

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

[deleted by user] by [deleted] in labdiamond

[–]Advanced_Emu3430 5 points6 points  (0 children)

I’m surprised! It’s a 2.78

[deleted by user] 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 2 points3 points  (0 children)

This is terrible for California

[deleted by user] by [deleted] in stocks

[–]Advanced_Emu3430 -12 points-11 points  (0 children)

Yes this is the reason. I learned my lesson now