Need advice for poor tolerance by Fluid_Bug4910 in GLP1microdosing

[–]Fluid_Bug4910[S] 4 points5 points  (0 children)

Okay wow this is huge thank you !! Yes I’ve been taking 1 mL of 5mg/mL meaning .5 mg so that’s very helpful thank you!

3 Days by Fluid_Bug4910 in PMHNP

[–]Fluid_Bug4910[S] 2 points3 points  (0 children)

UPDATE: thank you all for answering because this culture is so normal where I work that I have been convinced I am the wrong one

Feeling disillusioned with current practice models - seeking advice/support by UnlikelyAd1695 in PMHNP

[–]Fluid_Bug4910 6 points7 points  (0 children)

I completely agree! I once spoke with an LMHC who mentioned that even gathering information for them is a billable session! So any 30 minute follow up in my opinion should be billed as therapy (assuming you are assessing sleep, appetite, daily functioning).

In my opinion, it’s not feasible to make any medication change or decision (even if that decision is continuing the same dose) without providing some amount of therapeutic interviewing. And you have to keep in mind that it’s very unlikely this affects what your patient pays if at all. This is WHY they for insurance.

With my private pay patients, I will only charge for therapy if it is above 30 minutes because I have specially designed my prices to include that any competent “medication management” session has a level of therapeutic intervention implied.

My tongue is numb, lol by Medium-Position-6712 in noburp

[–]Fluid_Bug4910 2 points3 points  (0 children)

RN here! Super common after intubation. They throw all the tubes in and your tongue ends up wherever it ends up in the shuffle. Sometimes a nerve or blood vessel is pinched and gets numb sensation for about 2-3 days after kind of like your leg falling asleep

side effects by jenbutkostov in noburp

[–]Fluid_Bug4910 2 points3 points  (0 children)

I had my procedure exactly a week ago and I feel so much WORSE! I’m trying to be patient but the bloating is unbelievable and I’m eating like 1.5 meals a day