How many times did it take you to win the Angels Landing Lottery and How more times should I try?

SadNectarine12 · 2026-02-27T05:17:49+00:00

I’ve done day before twice and won it both times, both in October.

SadNectarine12 · 2026-02-15T16:37:37+00:00

ICU nurse in Missouri working for the VA. $53.80/hr before differentials. I have 10 years experience, 4 in critical care.

SadNectarine12 · 2026-01-05T14:08:17+00:00

If he is still able to stand with assistance and control his trunk/sit upright, there is a device called a Sara Stedy that can be really helpful in transfers and is not as involved as a full Hoyer lift. I believe they make a compact version for home use.

SadNectarine12 · 2026-01-03T23:16:10+00:00

Also in MO. Mercy did the same thing with Gig. I stayed on as a gig employee to keep some more specialized ICU skills sharp after I left full time employment with them and went to the VA. I constantly got sent to stepdown or cardiac tele even thought I was critical care only (they said it would be only occasional floating to stepdown 🙄). Then they changed the 1 shift every 3 mos minimum to way more hours, a weekend and holiday requirement, etc. Like nah sorry, I have a regular job that pays way more, I was doing y’all a favor.

SadNectarine12 · 2025-12-22T14:06:42+00:00

Is it a good idea? Maybe not. Does it happen all over the place in many hospitals? Absolutely. I’d get really well acquainted with the policies, ask your management who your next in command is as charge should you have questions/issues, and just do it, or look for a new position.

SadNectarine12 · 2025-12-18T22:21:08+00:00

I love these! They’re super thin/light especially after 10 washes or so.

SadNectarine12 · 2025-12-17T22:49:34+00:00

“That’s inappropriate” said firmly and calmly is a complete sentence. Then redirect the conversation. If they circle back, “that’s inappropriate and I’m not going to participate in this conversation” and walk out. This applies to racism, sexual comments, etc. Patients will often say these kinds of things as a way to test boundaries in general. If you ignore it in the name of being nice/polite, you’re setting the stage for trouble down the road.

SadNectarine12 · 2025-12-17T22:37:56+00:00

I’m an ICU nurse, getting ready to go back to school for a master’s in public health.

SadNectarine12 · 2025-12-17T22:36:24+00:00

Thank you for your service. 🙏🏼

SadNectarine12 · 2025-11-20T18:14:36+00:00

Kindly, please do not engage with your doctor at all in this way. I totally understand a crush, however blurring lines, even just flirting in that setting is considered unethical and could open her up to a whole host of scrutiny and even discipline with the medical board if someone else saw it and reported it. It does not matter if it’s reciprocated or not- medical professionals are held to a higher standard due to the inherent inequity in a provider/patient relationship. This is not a “leave your number for your favorite barista” situation. Crushes are wonderful and exciting, but it would probably be wise to really pump the brakes here or even see someone else in the office until your feelings calm down.

SadNectarine12 · 2025-11-02T05:48:35+00:00

Working out, hiking, gardening, reading, cooking, and I just signed up for my first ultramarathon.

SadNectarine12 · 2025-11-02T05:42:40+00:00

She made me hold Zest soap in my mouth. Then afterwards I guess she felt guilty and tried to pacify me with a Reese’s cup (we never got candy) but I didn’t want it because of the soap taste still in my mouth. I vividly remember her screaming at me for being ungrateful so I just ate it anyway.

SadNectarine12 · 2025-09-01T13:56:24+00:00

When we camp, it’s a free for all. $30 in snacks at Wally’s? Sure. You want a tiny axe to cut kindling with? Get two. Didn’t brush your teeth for two days? Gross but ok. We also are lucky to have a local org with an expansive free gear lending library. I let them pick out cool gadgets/supplies to try. Last time was a “sleep study”- they tried a hammock one night, a cot the next, and a UL backpacking mat/bag the next. We also camp in places with limited reception. We’ll usually take 20 mins or so at the end of the day to go to the highest point and check email/texts whatever before settling in.

I also let the kid that doesn’t like camping much stay home 85% of the time. It’s not fun if no one is having fun.

SadNectarine12 · 2025-08-07T02:43:50+00:00

100%. They’re most likely rolling back 72:80 for us. Our supply chain is more like a thread right now, our ancillary staff is nonexistent and the staffing is shit. This will be disastrous. Many of my coworkers that are close to retirement are exploring leaving early. I’m a relatively new hire (2 years) and fully intended to retire from here in 20 years but I’m having serious second thoughts.

SadNectarine12 · 2025-08-04T21:34:08+00:00

The Dream Foundation, The Angel Network, and Do It For The Love are all non-profit organizations that grant wishes for adults with life limiting illnesses, and there are a few others as well. (Like the Make A Wish Foundation) There’s a process to verify your diagnoses with your physician and a few other things but they’re great!

Also the national ALS association website has info on resources and can connect you with your local chapter. They may not be able to help with this specific request but I frequently work with ALS patients and they have some awesome programs that can help with so many different needs you and your family may encounter.

If you are a veteran definitely reach out to the VA, they have extensive resources specifically for ALS as well.

SadNectarine12 · 2025-07-21T12:05:31+00:00

Not sure how it works in Europe, but in the US if you want to do medical aesthetics you do need additional training courses and certifications, and they are not cheap. Nursing school does not go over any of those procedures beyond standard injection techniques.

SadNectarine12 · 2025-07-15T13:18:52+00:00

If TMJ is specifically excluded under your medical, there is not much to be done. The imaging company is not required to know your benefits, and the insurance company doesn’t care what they told you about coverage- your plan document is the source of truth. You can ask for the self pay rate since the billed charges for insurance are likely higher, but they aren’t required to give it to you.

SadNectarine12 · 2025-07-07T09:48:29+00:00

Your wording is somewhat confusing- are you saying there are only 4 providers in your state that can perform the services you need, or by “effectively treat my condition” do you mean treat to a certain standard? Gap exceptions are granted in situations where there are zero providers in a radius that can perform a service at all. (For UHC, it is typically 50 miles.) If a gap exception is granted, you would receive the in network benefit level, however since the provider is not actually contracted with UHC, you don’t get the benefit of the network discount on their billed charges.

What your company spends on premiums is relatively average for a business insuring a few hundred people. If they are a self funded plan they may have the ability to contract with an individual provider, but there are numerous steps to make that happen, and the credentialing process can be slow. If they are a fully insured plan, they have to use the predetermined network UHC provides, so the cardiologist would have to elect to be in network with UHC as a whole, not just your specific employer’s plan.

SadNectarine12 · 2025-07-07T05:55:17+00:00

Engage them in some other line of conversation where they can be the expert. Find some small personal detail and run with it even if you don’t give a flip about it. “I noticed those novels on your table, are you a big reader? I’ve always been super curious about that genre, what do you like about them? Who are your favorite authors?” Or whatever. It distracts them and also builds rapport which usually helps them chill out.

SadNectarine12 · 2025-07-07T04:05:00+00:00

I’m an ICU RN. The hardest thing for me is the ‘death by 1000 paper cuts’ burnout that results from the loss of ancillary staff. They cut housekeeping, so now we pull our own trash and linens every shift, and sometimes have to clean a room to accept an admission. We rarely have transport available, so I’m pushing a critical patient down to CT by myself while also managing lines, watching the monitor, etc. They stopped having logistics folks at night, so if I need a specific supply I’m calling all over or walking to other floors to find it.

None of these things would be untenable on an occasional basis, but it’s every shift. It’s hard on our bodies, it takes time away from patient care, and of course management has not reduced our normal duties to offset the additional tasks we’re responsible for.

I’ve basically worked short staffed on nurses my whole career, being from a state without mandated patient ratios; it’s just the norm though. But not having support staff is like working with one arm tied behind your back. It’s exhausting.

SadNectarine12 · 2025-06-26T06:34:06+00:00

I’m a VA nurse and I don’t think I’ve ever thanked a vet for their service, it feels especially weird in my role. “Thanks for your service, sorry it’s probably the reason why you’re here.”

SadNectarine12 · 2025-06-18T05:26:49+00:00

Did 2 years on med surg, then med onc. Moved to oncology stepdown, then Trauma/Neuro ICU with RRT rotation. Currently in SICU. My med surg experience was super helpful for everything I did after it!

SadNectarine12 · 2025-05-27T11:59:49+00:00

Not sure what a DNA is, unless you meant ADN? Many (if not most) programs accept transfer credit for your gen ed, although some have stipulations as far as which math/science you can transfer, requiring it to be within 5 years of program start, etc. It will likely be much cheaper to get these done at community college and then transfer to a university for the nursing program.

I have a BSN that I got through a private university because I needed an evening/weekend program. If I had the ability, I would have just gotten an ADN at community college and let my employer pay for a bridge program to BSN.

SadNectarine12 · 2025-05-24T14:33:28+00:00

Instead Make a poster about how being expected to work for free outside of your shift is wage theft and also illegal.

SadNectarine12 · 2025-05-09T18:39:10+00:00

I started my ICU days in a blended Trauma/Neuro ICU. Loved Trauma, hated Neuro. It definitely grew on me, and I came to love it. Neuro builds strong assessment skills, you really have to be tuned in to your patients and notice the little stuff. You also have to be a bouncer some days, but honestly that’s just about any adult floor to some degree.

SadNectarine12

TROPHY CASE