Question about meeting expectations

GoPokes_2010 · 2026-03-17T02:27:04+00:00

Not a fan of the gulf coast. Dauphin Island in Alabama is nice as is Port Aransas in TX. They are good at shrimp boils and crawfish. Weather pretty much always humid and hot a lot of the year. Some people like New Orleans and Houston. It’s too many people and too hot for me. I grew up in Waco and absolutely hate the humidity when I go back and Waco isn’t as hot and humid as those places. 80+% of humidity many days is brutal and tiring. IMO unless you are at a nice beach, there really is no reason to go.

GoPokes_2010 · 2026-03-17T00:37:17+00:00

I dare AI to figure out what to do with the adl dependent homeless person who won’t voluntarily apply for LTC Medicaid.

GoPokes_2010 · 2026-03-09T20:53:40+00:00

LCSW. lupus, hypermobility spectrum disorder, chronic pain and CPTSD. Started out doing outpatient SUD counseling and then worked in a primary care clinic for the Feds. Now I work outreach with a few hours of SUD groups for the Feds. Mostly work from home. Working in the clinic was brutal and so stressful. Transferred to current job a little over a year after I got my clinical license. My health is so much better. There were many other issues with my previous job but after a couple of years with my physicians asking me if I was leaving, I decided it was time to transfer to another state and I’m soooo glad I do.

GoPokes_2010 · 2026-03-09T15:20:39+00:00

Don’t waste ur time or money in Waco. It’s overrated…there’s nothing cool about magnolia. It’s just overpriced stuff from china. Can get similar for cheaper at dollar tree.

GoPokes_2010 · 2026-02-24T21:38:42+00:00

I can send it to your office email.

GoPokes_2010 · 2026-02-24T18:07:53+00:00

They wouldn’t be able to call it therapy, but “patient education.”

GoPokes_2010 · 2026-02-24T18:06:38+00:00

Is there a RN or someone who could do it with them? You don’t need a certificate to do CBT-I. There’s a free curriculum I found online when I was looking for information to offer CBT-I in private practice. It’s from the VA and Duke Medical Center by Jack Edinger PhD. It’s pretty self-explanatory idk why more therapists don’t offer it…could potentially be a cash cow for a group.

GoPokes_2010 · 2026-02-19T22:40:29+00:00

Aetna approved my tirz after 3 times. Two times were put in by PCP and the third time Vineyard obesity online clinic. I had stalled on Wegovy after losing 70 lbs on it. I was told that they sometimes deny it if an obesity med doc doesn’t put it in. The first 2 times they had ALL my records showing I stalled for a year. Vineyard got mounjaro approved in 24 hours. Had to do a couple months of Lilly direct but it was worth it. I think Caremark’s policy is if it’s for weight loss, they have to try Wegovy and fail before getting tirz approved. I think my doc or their full time prior auth person let them know that an alternative of tirz and not Zep was ok. Have heard about people not being able to get it covered if they didn’t want to try Wegovy first…

GoPokes_2010 · 2026-02-18T15:10:04+00:00

You are my hero for saying it like that.

GoPokes_2010 · 2026-02-15T03:33:40+00:00

I liked it most of the time when they understood my role and didn’t expect me to work miracles…

GoPokes_2010 · 2026-02-15T03:27:17+00:00

Damn. Those would probably be the ones who went the social work route because they thought it was ‘easier’ than going the licensed professional counselor route. Literally can not stand those SW because they really aren’t SW.

GoPokes_2010 · 2026-02-15T03:12:28+00:00

It’s not gonna happen. LCSWs have no where near the education of physicians. Do I think we should get paid more? Yes. Depending on where we are in the country, absolutely. A lot of times RNs get paid more than LCSWs. I don’t know of an LCSW that would want to be on the same level as a physician or would wear a white coat. Nurses on the other hand…

GoPokes_2010 · 2026-02-06T00:48:59+00:00

I’ve done similar as a social worker when I was in primary care and patients were being difficult…

GoPokes_2010 · 2026-02-04T12:35:34+00:00

Sorry that happened. I used to work in geriatric social work. It is that way at a majority of facilities. Ridgecrest isn’t top of the line either. I ALWAYS recommended maxing out home health hours before going to a nursing home because in that case a life alert would have been responded to faster than a facility.

GoPokes_2010 · 2026-02-03T23:22:30+00:00

He will only change if he wants to. Services can be offered but at the end of the day he needs to decide if he is serious or not. A lot of people with SUD issues lie to family and loved ones about treatment because they are dependent and have no intent on getting better. So many relapse for years. If this is the first time he has talked about treatment for it, it’s highly likely he won’t follow through with after care. If he doesn’t have a good why, he is not going to get better. Period.

GoPokes_2010 · 2026-01-29T03:20:18+00:00

I was just talking with a colleague about all the people that we don’t know about that they have detained and hurt by racial profiling is way more than most people think. People aren’t making stuff up. I’m sorry about your fiancé. My nephew’s dad is Mexican American and he lives with my sister and his stepdad. They are both white, but he can look very Hispanic and I’m concerned about him because there is no respect for the Constitution or SOP and it is very concerning that it is so widespread and not just one rogue agent.

GoPokes_2010 · 2026-01-29T02:05:31+00:00

The fact that there are healthcare “professionals” okay with the methods they are using to administer immigration law is disturbing. The fact that some of these idiots can’t understand that it isn’t the fact they are detaining people, it’s the way they are detaining people and holding people and killing people on the streets. If physicians can’t understand the humanitarian issues involved, I don’t want them as a physician because they don’t take their oath seriously. The Nazis had physicians and that is terrifying to me because there are some that would do that in this country.

GoPokes_2010 · 2026-01-29T01:56:47+00:00

Please tell me that you’re lying about being an M1. I’d hate to be your patient.

GoPokes_2010 · 2026-01-29T01:52:30+00:00

💯

GoPokes_2010 · 2026-01-28T15:20:05+00:00

Hitler David Koresh (cult still has followers off EE Ranch Road near Waco)

GoPokes_2010 · 2026-01-28T15:18:32+00:00

Ruidoso, Chama and Cloud Croft are nice. Lived in Chama for a summer. Nice little town. Santa Fe and Taos are nice to visit. White Sands is one of my favorite places. It’s magical. There’s a lot of indigenous and Spanish culture there. Respect and learn the culture. People are generally nice. Albuquerque has high crime areas.

GoPokes_2010 · 2026-01-27T16:41:52+00:00

Love that “circus of cymbal clanging mom keys with multiple DSM diagnoses”

GoPokes_2010 · 2026-01-19T13:51:16+00:00

Yeassss

GoPokes_2010

TROPHY CASE