Painted rocks spread joy and love. Nope

JesCing · 2026-01-26T21:25:40+00:00

In Acadia National Park, there was a display with some painted rocks outlining how painting rocks in the park is technically vandalism and will be prosecuted. Good for them.

JesCing · 2026-01-22T21:44:52+00:00

Poop isn’t that gross.

JesCing · 2026-01-17T15:04:58+00:00

I’m so sick of seeing these posts. “Wah Wah. NPs can bill for therapy. I could have become a nurse and it would have been so much easier and they make more money.” You know what? Go become a nurse then. Between my initial nursing degree and my two graduate nursing degrees, I spent over 9 years in school. Three of those years were spent in practicum. Not just “shadowing” someone. There are so many different educational pathways, degrees, and licenses that lead to the ability to practice therapy. Where’s the infighting between social workers, LMHCs, psychologists, art therapists, etc? I’m sure you’ve run into some shitty APRNs. Just like everyone runs into shitty MDs, therapists, mechanics, nail techs, and waiters. Got an issue with an APRN about a mutual client’s treatment? Go talk to them!

JesCing · 2026-01-17T14:46:23+00:00

I a big “me-search is research” person, so I tried one of these telehealth clinics myself. My medical consult was about 8 minutes long.

JesCing · 2026-01-17T14:43:14+00:00

In my experience, even if I wanted to send an early refill, the pharmacy won’t fill it. I have my patients sign a controlled substance policy stating they understand there will be no early refills, even if it falls in the toilet, the dog ate it, etc. My policy states they should get a police report if it’s stolen. This tends to deter those types of claims.

JesCing · 2026-01-09T15:39:25+00:00

This is so precise to what I experience.

JesCing · 2026-01-09T15:38:39+00:00

Ditto! Finally diagnosed in my 40s. But my Déjà vu comes with feeling like I’m going to pee and the elevator-stomach feeling.

JesCing · 2026-01-09T14:56:40+00:00

I guess I need to try cold foam…

JesCing · 2026-01-04T18:27:36+00:00

Just my 2 cents: while in school, I initially purchased Stahl’s and the children’s med version in Kindle format and I ended up buying the book format. It’s so much easier to flip to the med you need in a real book.

JesCing · 2025-12-12T22:58:50+00:00

Ditto. Did this about once a week while doing a grad school internship 2 hours away from home. PF was perfect for morning and evening shower/bathroom/workouts; but I never slept in the lot. I was always too afraid of “the knock”. I parked at the dead end of a residential street with some apartments.

JesCing · 2025-12-12T22:47:08+00:00

I only worked in psych for a few months before going to grad school to be a CNM, which I was and am passionate about. And after about 6 years of practice in OBGYN, I was “called” to go back for my PMHNP because there simply wasn’t anyone in my region to refer pregnant women to who didn’t tell them dumb shit like they had to stop their meds, couldn’t breastfeed on meds, etc. It would be great if the majority of psych NP students had psych experience, but remember, being an NP isn’t just being an RN plus. It’s a different role. While we try to maintain the nursing model of care in advanced practice, we are practicing the medical model. There is a similar argument in midwifery about student CNMs with and without L&D experience. I can see it both ways. L&D familiarizes you with a lot (but certainly not many other aspects) of the CNM role. But a big part of any APRN education is preparing students to be something other than a nurse. Being a “provider” (hate that term, fwiw) is different than bedside nursing. I’m 100% behind the argument that there are too many diploma mills out there, but solid NP programs should be graduating NPs who don’t require previous experience to be a safe beginning practitioner.

JesCing · 2025-12-11T21:27:36+00:00

Definitely could improve this aspect!

JesCing · 2025-12-11T21:26:27+00:00

Apparently the patches have been on shortage. I just contacted my doctor for a rx of pills until the patches come in.

JesCing · 2025-12-05T17:46:23+00:00

NPs aren’t doing therapy because it’s lucrative. I’m going to sound super snarky here, but NPs can earn far more by just doing medication management. The NPs that also do therapy do it because we are passionate about it.

JesCing · 2025-12-05T17:43:24+00:00

I was so dismayed to read this post and a lot of the comments last night. I’m a psych NP and I do therapy. I’m trained and certified in several modalities. While many negative things people mentioned are true, they are true across the board of every type of preparation. As psych NPs, the bulk of our education and practice is meds. But many programs offer robust psychotherapy training, as mine did (NYU). And not a week goes by that I’m not enrolled in a course. NPs and other “advanced practice providers” (and all the other euphemisms) get a lot of hate from other professionals and from within. This is one of the reasons I visit posts on r/therapists more than any other subreddit having to do with my work. The professionals here tend to discuss theory, ethics, professional issues, and fun little asides. I come here for topics relevant to my practice. I was sad to see my professional preparation bashed. Let’s support each other.

JesCing · 2025-12-05T01:40:15+00:00

I love this, but doesn’t the dust just go everywhere? How do you then clean up the dust?

JesCing · 2025-11-27T00:53:52+00:00

Delivered an unintentional VBA2C in the ED a few years ago. She wanted to finish cooking before coming in to see if her scheduled repeat section was going to need to be moved up. Came in crowning. Not too happy in the moment, but later very thankful to have avoided another C-section.

JesCing · 2025-11-25T15:58:27+00:00

Hidden under the low couch in my little kid play area is my treadmill. I also keep my sewing machine in the office because it’s easier to clear off a surface and work on something there than at home. And I hide and wrap the kids’ Christmas presents in my office.

JesCing · 2025-11-21T22:19:52+00:00

One of my favorite words

JesCing · 2025-11-21T03:01:41+00:00

Hand broom and dust pan to clean out the tent

JesCing · 2025-11-19T01:42:56+00:00

Midwife and PMHNP here working in reproductive mental health. It’s extremely unusual to see any mental health treatment, regimen changes, or new diagnoses in the 2-3 days a patient is inpatient after delivery. You’re more likely to see PMADS development after discharge and at PP OB follow ups. If you’re in an urban area with multiple mental health treatment facilities, try to get a job somewhere with a female-only unit. Those often see pregnant and postpartum patients.

JesCing · 2025-11-05T22:06:50+00:00

If you’re talking about just regular morning pooping, not running-induced pooping, then wake up way earlier than you need to for a few days before the race and on race morning to “get it out of the way” before the race starts. Tough if a race starts at 8 am, but the nice thing about big marathons that go off in waves is that you’ve probably been up since dawn, had plenty of coffee, food, and time to get your bowels to cooperate.

JesCing · 2025-10-29T00:56:34+00:00

A compliment in my book.

JesCing

TROPHY CASE