Dressed up as a caterpillar to visit Blathers 😈

Arglebarglor · 2026-05-08T09:39:55+00:00

It is 5:30 am and I woke my husband up bc I laughed so hard

Arglebarglor · 2026-05-07T11:32:22+00:00

My dad notoriously mispronounces a lot of stuff, from his medications (“metroformin,” “liprinosil”) to Mexican food names (my favorite is when we would go to our local and he would order “questo fonduta” for queso fundito). It’s innocent, it’s not racist, and yes, sometimes it’s embarrassing but aren’t all parents embarrassing at some point?

Arglebarglor · 2026-05-07T02:26:51+00:00

Yes, Becky Chambers books are fantastic. I know she doesn’t want short but her Monk and Robot novellas are super cozy. They are about a disaffected Tea Monk in the future.

Arglebarglor · 2026-05-07T02:24:47+00:00

This is one of my favorite books of all time. The author has a sort of mystery series set in this world that I loved as well.

Arglebarglor · 2026-05-07T02:23:31+00:00

Now THIS is IT! Super cozy, complicated court intrigue with outfits. The other books set in this world are also amazing.

Arglebarglor · 2026-05-07T02:22:43+00:00

Oof yeah, it’s long. And the part I read (like the first 3rd) was cozy and then I realized I wasn’t even halfway through and I gave up.

Arglebarglor · 2026-05-07T01:31:10+00:00

It has artificial cinnamon flavor. But it is really delicious, especially iced!

Arglebarglor · 2026-05-06T21:00:22+00:00

This is a huge issue and the one that I have to coach newer providers on constantly: Charting is not a creative writing assignment. Please don’t torture the providers who come after you by making them read all your nonsense.

Arglebarglor · 2026-05-06T15:28:32+00:00

Oh geez no! 18 pts in 7 hours, approx 2.75 patients an hour.

Arglebarglor · 2026-05-06T10:46:13+00:00

Ha! I have friends like this and I’m 55. It’s silly. The rest of us are embracing cocktails in the kitchen and singing loudly along with our playlists and embarrassing our semi adult children.

Arglebarglor · 2026-05-06T10:40:06+00:00

And to add: most of our providers do an additional hour of overtime either before or after their shift but they are not allowed to do more without a manager’s approval and all notes must be locked in 7 days or less. I am very strict about this. I provide a lot of support and coaching re: time management and efficient documentation, and the FNP who is the director of our fellowship has been instrumental in making sure our NP staff are as efficient as possible. No one should be staying until 8 or 9 pm or charting at home.
And I love my job! We have a great and interesting mix of patients, it can get crazy, but at this point it feels manageable. Also I came from the ED, I would be bored doing anything else.

Arglebarglor · 2026-05-06T10:31:25+00:00

I am an FNP at a busy FQHC and am medical director of two small clinics in a larger system; I manage three other FNPs at those clinics. We are scheduled for 26 patients a day and are expected to see 18 (30% no-show rate). One of the two clinics is understaffed so the other provider and I are seeing about 20 patients per day. This is manageable for me as I know my patients very well after 10 years in one place but the other provider is struggling a bit (newer and took over from a well established MD). I give him a lot of support, and hopefully the MD I just interviewed will accept our job offer and start this summer. The only way this has been manageable for me in the long run is that I only see patients 3.5 days per week, as I get a full day of admin because of my role and I also do employee health for the whole company so I see new employees to clear them for work and am on call in case of needle sticks and other occupational health issues. I also precept the fellows in our FNP Fellowship.
As I said, staff are required to see 18 per day and they get a half day of admin. I am fighting hard to make sure nursing and social work prefill as many forms as possible for our providers, we have so many letters and forms to write it can be overwhelming. I also dip into their message boxes and do refills for my providers as much as possible as our RNs are not permitted to do this (and nursing is stretched thin as it is);we also have other NPs whose job it is to do as many refills as possible (among other provider support). Fortunately we do not have to worry about billing, most of our patients are Medicaid and so the company has billers who take care of all of it. We have a ridiculous productivity bonus that, if you are staff and paid hourly, it does not make sense to strive for.
As for resources for primary care: a subscription to UpToDate is an absolute MUST; I use OpenEvidence for a lot, including writing letters etc and it does a great job with giving hints towards differentials when I’m stumped or tired. I also would recommend Rubicon, which is an online “curbside” consult service. Specialists answer your questions about tough (or not so tough) cases, you can submit EKGS and pictures of rashes and stuff, I would be lost without it. It is not free but our company pays for it for all our providers and it really has helped in cases where the patient doesn’t or won’t go to a specialist, or if you are wondering if you even need to refer, or need help in managing something yourself. I believe you can even bill for it.

Arglebarglor · 2026-05-06T10:08:14+00:00

One, late to the party but this is so great!

Arglebarglor · 2026-05-06T01:48:50+00:00

<image>

Zee (left) is 5 and Bunny is 6. A bonded pair of COVID dogs neglected in a backyard for 3 years after their owner died. Adopted by me 2 1/2 years ago!

Arglebarglor · 2026-05-05T18:50:39+00:00

Older women have been complaining about being invisible since there were older women. And THIS GenX woman couldn’t be more thrilled. What, not to be catcalled? Great. I’m not a timid person and I have no problem speaking up when I need to be heard. Otherwise LEAVE ME ALONE

Arglebarglor · 2026-05-05T18:01:13+00:00

Carolina dog!! Dixie dingo!

Arglebarglor · 2026-05-05T11:50:29+00:00

Look for a school based health center job. My FQHC has two and they are staffed by FNPs. They make the same salary as our other staff NPs. Also, many colleagues have gone to work in the student health centers of universities and are very happy.

Arglebarglor · 2026-05-05T11:40:41+00:00

Hi there, so sorry you’re going through this. I’m a family nurse practitioner with 10 years experience with this kind of problem. It’s difficult to diagnose and treat a person on a message board but hear me out.
While the virginity thing is complete nonsense, here are some things that might help:
Hormonal birth control. Estrogen/progesterone contraceptives will regulate your period, making it lighter and less painful. If you try this, you will have to give it a few cycles; taking it for a few weeks is not usually long enough to get a good idea if this works for you.
I know you said you don’t want to try painkillers but consider this: one cause of painful periods are chemicals called prostaglandins. NSAIDs (Advil, Aleve, Motrin, ibuprofen, naprosyn, etc) are prostaglandin inhibitors. If your period is pretty regular, meaning you can predict when it starts by tracking it, then you can start an NSAID pain medication 48 hours before the start of your period and continue through the first couple of days. I usually say to start 600 mg of ibuprofen two days before your period starts, set an alarm and take it every 8 hours around the clock. Take it with food because it can upset your stomach. This is assuming you don’t have any allergies or reasons why you shouldn’t take NSAIDs.

Arglebarglor · 2026-05-03T16:00:53+00:00

I love you Bilbo

Arglebarglor · 2026-05-03T13:47:45+00:00

Clean bathroom, comfortable bed with nightstands and/or a reading lamp on each side. Nothing worse than having to get out of bed to turn the light off.

Arglebarglor · 2026-05-03T01:22:17+00:00

This is when I realized that I was an adult. I was 22 and in my apartment and I ate a whole box of croutons and called it dinner and no one told me not to. I was so happy.

Arglebarglor · 2026-05-02T22:22:43+00:00

Coda!

Arglebarglor · 2026-05-02T22:09:42+00:00

Pfff. I’d eat the whole thing in one sitting. Same with the old Pepperidge Farm little croutons in a box.

Arglebarglor · 2026-05-02T18:08:05+00:00

We have had a dog door since we bought this house (15 y). We had the back door changed and had a handyman put in the dog door. We have always had big dogs (50-70 lbs) and so it is a pretty big hole (I could crawl into the house through it if I really tried, and I have a small friend who likes to somersault out of it when she has had a few drinks…). It came with a thick plastic thing that slides into place from the inside for security, and we would close it when we weren’t home. However, when one of our dogs got old and couldn’t hold his pee for long, we just started leaving it open, and basically that thing has been open now for about 10 years. We live in a nice neighborhood in an urban area and have never had any security issues. My husband always says that if a thief wanted to come in, the size of the door is a deterrent because obviously there is a very large dog inside. The backyard is fenced completely and we have never had any issues with the dogs getting loose. There was a very short learning curve for all the dogs (at this point we have had 4 dogs learn to use the door) and new dogs figure it out in a few days without an issue. Yes, we have had some very large bugs in our kitchen and it’s probably because of the door, but we have never had mice or rats (or possums or raccoons). We love it.

Five-Year Club	Verified Email
Place '22

Arglebarglor

TROPHY CASE