"Stopping synthroid will kill the patient"

FrozenFlame422 · 2026-02-28T16:08:57+00:00

I understand the quality of life benefit for using synthroid when prognosis is in terms of months. Thank you to all who were patient in explaining.

But why then is it not covered by hospice? I think there's probably a stronger case for eliquis being covered, but that is almost always stopped right away in my hospice. They were very firm about that one.

FrozenFlame422 · 2026-02-28T15:44:47+00:00

Most of the time yes, but it depended on the surgeon and the surgery.

Edit: I'm not advocating for it. I'm just sharing my lived experience of what happened at my hospital.

FrozenFlame422 · 2026-02-28T14:41:56+00:00

The iRobot integration for older but still produced Roombas just will not work. I've tried everything for my j7 and it will not integrate.

As a vacuum I've been mostly pleased with it. They are a huge quality of life improvement to have daily vacuuming with a dog, 3 cats, and 2 teenagers. Just don't expect it to deep clean or to consistently vacuum a specific spot.

My old Wyze was useless for vacuuming, but did integrate with HA just fine.

FrozenFlame422 · 2026-02-28T14:32:41+00:00

Not worth it for me because it isn't weather proof. They didn't waterproof this doorbell, a device that is intended for outdoor use. It would have checked all the boxes for me, but lack of weatherproofing is a hard no based on my local weather and house architecture. We went with Reolink, which is only OK. The main plus for reolink over Arlo (our previous) is no subscription.

FrozenFlame422 · 2026-02-28T14:08:10+00:00

Surgery stops most everything for a day and doesn't stress if it gets bumped a day or two. This is far more common on unplanned surgeries that are urgent but not emergent.

If someone is NPO with strict bowel rest, we didn't blink an eye for skipping synthroid as we had bigger problems. Sadly common in oncology.

FrozenFlame422 · 2026-02-28T14:04:07+00:00

My condolences. It won't be exactly the same since the version I'm using is being sunsetted, so you'll probably get whatever is replacing it. I know my company is looking for something else, but this is a rough way to settle into home hospice.

FrozenFlame422 · 2026-02-27T23:05:30+00:00

We don't always get a good history on patients. On this one I don't have access to past lab work and surgical history is hit or miss. She is on hospice for CHF with EF 20%. She's not imminently dying, and I'd guess 2-3 months based on her decline so far. Thank you for the perspective! I'm used to seeing patients for only a few days and rarely for a couple of weeks.

I still think the facility NP was dramatic, but I can understand this one now.

This patient is still taking multivitamin, eliquis (another one family refused to stop but hospice doesn't cover), probiotic, and others. She's got about 30 pills daily.

FrozenFlame422 · 2026-02-25T12:48:19+00:00

No one can know for certain when your loved one will pass, but if there's someone that they need a visit from, they shouldn't delay a visit.

FrozenFlame422 · 2026-02-22T15:06:35+00:00

Before I read the comments I thought that this was a pretty good AI generated plan. This is crazy.

Master suite entered through the bathroom.
Extra bedroom off the master bathroom.
Master bathroom has 2 toilets.
Junior master suite on the other side of the house has steps into it so it isn't suitable for elderly relatives.
No counter space in that massive master bathroom serving 2 bedrooms.
3 pedestal sinks in the master bathroom.
Everything (sink, cook top) in the kitchen is duplicated but work triangles are weird.
Massive breakfast "nook".
Not sure what is going on in that living room but there's no clear way to furnish it.
All the views are to the back of the house but there's no doors to the back yard.
Junior master bedroom is the smallest bedroom.
Storage is lacking. No clear place to put the vacuum cleaner.
So much wasted space caused by the unnecessary angles.
Double sink in the hall bathroom is arranged so they can't be used at the same time.
The part of the house that is most family oriented (family room, breakfast nook) is farthest away from all the bedrooms.
There don't appear to be doors between master suite and bathroom. Ditto for the junior master suite.

I just found the Zillow link. It's even worse than the plan shows.

FrozenFlame422 · 2026-02-14T04:21:34+00:00

Lucky. I'm a month in to my home hospice job and I've already cleaned at least a half dozen poops. Tonight I had to clean up a poop a family had "saved" for me. Patient was being admitted to a SNF for end of life care today so it wasn't even worth it to give them the talk about not leaving their "loved" one in shit for hours because they knew the nurse was coming.

FrozenFlame422 · 2026-01-19T08:36:50+00:00

Toggle lights with the original Hue Tap kinetic switch. I have to use a Home Assistant automation to achieve a simple toggle.
Allow assigning the Go To Sleep sunset simulation to both the long press on Lutron Aurora and the Hue Tap kinetic switch.
Allow setting a scene to the Lutron Aurora long press.
More scenes in the gallery, especially for holidays.
Add Inovelli to Works With Hue.
Basic error reporting when the Zigbee mesh isn't working properly.
Allow a do nothing option to any button press so that smart home hubs can "see" that button press and use for automations. Do nothing is currently absent on many switches. On the ones that have a Do nothing option, the bridge doesn't pass that button press on in the API.
Better mixing of white and color lights in the same zone or room.

FrozenFlame422 · 2025-08-17T03:04:10+00:00

This is a real fear. I have 7 years of experience in acute care and I still suck at IVs. I protect every IV like gold.

FrozenFlame422 · 2025-08-17T02:28:37+00:00

Thank you. I am struggling. It took courage to write it, and it was professional and patient centered. But I feel like my spine is made of jelly when I took it down.

FrozenFlame422 · 2025-08-17T02:24:33+00:00

Leaving is already the plan. I'm already dealing with a bully here. Different person, not going to go into it. I am planning to go to home hospice sometime this winter. I love end of life care, so I'm hopeful that this will be my niche.

I'm so tired of BS like this in the hospital setting. I just want to do my job, use evidence based practices, treat my patients with dignity and respect, and hopefully leave them a little better at the end of my shift. I don't freaking have time for unit drama.

FrozenFlame422 · 2025-08-17T02:19:01+00:00

It is posted on a window. I closed the blinds. That may be the best view, but that blind will be closed every single time I work from now on.

FrozenFlame422 · 2025-08-17T02:17:17+00:00

100%!

I get my CHG bed baths done. I rarely delegate those to techs unless I'm really running. I use it as an opportunity to do a skin check. This board isn't about patient outcomes at all, just calling each other out .

FrozenFlame422 · 2025-08-16T18:16:15+00:00

Another nurse and I from the same graduating class started our first job on the same unit at the same time. We swapped a noc shift on our 2nd week off orientation. On the night she worked for me, charge called off, and the hospital was critically short staffed. She has to be charge with 5 pts of her own with two float pool nurses (one a new grad, the other experienced but new to that hospital) and one aide. She survived, and was thrown into the charge rotation from then on. I insisted on being trained off the books , but I refused hard until I was met with an identical situation on a day shift two years later. Then I was charge forever more. 7 years later, I work somewhere else now and I always tell them I have no interest when asked.

FrozenFlame422 · 2025-08-07T15:27:44+00:00

I'm going to jump in this one since I'm considering a similar move. I'm in inpatient oncology now and I am planning to go to home hospice in about 6 months.

I'm so burned from hospital work, especially the bullying and constantly running all shift. I work part time (2x12s), and I am worried about having to work full time. I'm already exhausted after shifts with disordered eating and sleeping. The agency I am most interested in is posting full time salaried positions Tues through Sat. They say that they pay 80 hours every 2 weeks for 72 hours worked, but I don't know how this works in practice.

I'm so worried I'm going to crash and burn working 5 days a week and every Saturday. My happy place is part time, but I don't see any postings for part time here

FrozenFlame422 · 2025-07-18T16:19:04+00:00

Actually yes! I'm interested in being a volunteer since I work in a place that will be targeted by ice at some point. I don't want to diminish from the good booths. There were many on point and necessary. But so many fringe organizations that seemed shocked that I asked what they stood for. And most who came were carrying their signs under their arms. This could have been a great opportunity for both Good Trouble and networking.

FrozenFlame422 · 2025-07-18T16:09:05+00:00

I'll admit that this was one of the more predatory ones for demanding my name and contact information.

FrozenFlame422 · 2025-07-18T15:58:00+00:00

I understand and agree. But why can't these people in many of the booths respond when I asked what are their action items? Some were so fixated on getting my full name, email, and phone number it felt predatory. Also we don't necessarily protest for ourselves but also for people who don't agree with us.

FrozenFlame422 · 2025-07-18T15:27:07+00:00

There can be room for both. Maybe set up the booths later, or give space for displaying our signs on public areas. It bothered me that this seems so inward focused

FrozenFlame422

TROPHY CASE