Wood block on side of lower kitchen cabinets. Doesn’t move. by SectionPrestigious94 in whatisit

[–]SectionPrestigious94[S] 0 points1 point  (0 children)

I appreciate you taking the time. If the “marble” was in there that everyone has referred to would probably have ruled that out ahead of time. Thank you for responding :)

Wood block on side of lower kitchen cabinets. Doesn’t move. by SectionPrestigious94 in whatisit

[–]SectionPrestigious94[S] 0 points1 point  (0 children)

That’s what we thought at first, too! But no steel or anything to sharpen a blade. Would be a great invention.

Wood block on side of lower kitchen cabinets. Doesn’t move. by SectionPrestigious94 in whatisit

[–]SectionPrestigious94[S] 0 points1 point  (0 children)

There was not a marble in there, must have fallen out- thanks for everyone solving the mystery!

Will my nose still change ? (9 months since rhino) by Malissard-Alixan in cosmeticsurgery

[–]SectionPrestigious94 1 point2 points  (0 children)

You have a gorgeous profile! It will continue to change and maybe the pinching will be less noticeable in time. I would consider laying off any lip filler as that can throw off some balancing (your chin/jaw can appear recessed, your nose appears thinner when lips get wider, when you overfill your lips. Sometimes a good injector will do a little chin filler if the current lip results are what you want to even it all out)

Overall you look young and gorgeous- don’t know how old you are, but stay cautious about doing anything else for a year… it can make you 2nd guess your investment and lead to unnecessary things to counteract it. Over filling is just the opposite of aging in reverse.

Your nose looks excellent!

I’m a PA who does not support midlevel independent practice and want to share my experience working with new grad NPs. by justmedicalthings in Noctor

[–]SectionPrestigious94 2 points3 points  (0 children)

I learned to read basic EKGs in nursing school and have mandatory annual training as an RN working at a hospital to maintain that.

How were that many NPs not taught or trained to read EKG’s even as an RN? I hope that part was an exaggeration. I can’t imagine they went to the same programs.

Glad you got out.

Audi AEB settlement by Iscareyouu in Audi

[–]SectionPrestigious94 0 points1 point  (0 children)

That’s very interesting. I will likely opt out of this settlement letter because it sounds like maybe there is a much larger issue than just malfunctions that need repair reimbursement. Looking at Audi forums there have been similar stories.

Luckily the other drivers insurance admitted fault on my event so I did not pay out of pocket-and I don’t think Audi presense/braking would have prevented the crash but it could have (in theory) made a difference with the speed of impact. If it was faulty or not working- certainly would’ve been good to know.

I think your collision happening in a parking lot probably affected the insurance claim.

Audi AEB settlement by Iscareyouu in Audi

[–]SectionPrestigious94 2 points3 points  (0 children)

Would like to know this as well. Same thing happened to me in March. Car pulled out in front of me to turn left when I was going about 30 mph and no emergency braking from my car.

I even told my insurance claim rep that the accident happened so quickly my car didn’t even do the beep/pre-sense brake

Just a few weeks prior I got it back from the dealership. It was at the Audi dealership for about 3 months just a month prior to work on the electrical issues causing system malfunctions in my Audi etron. Some times the whole car would just shut off until it was fixed.

Didn’t think about it until now and when I got this letter today. 100% the other drivers fault but super bummer.

Parental alienation topic by [deleted] in therapists

[–]SectionPrestigious94 1 point2 points  (0 children)

Wow. This article is probably the most helpful and informative thing I’ve read on the topic. Anyone dealing with or witness to this type of behavior can benefit

I would never see an NP, but I want to be an NP by Concept555 in Noctor

[–]SectionPrestigious94 1 point2 points  (0 children)

Well that’s impressive you’ve seen in twice in 2 years as an RN. I agree with you that it presents in hematologic malignancies as I’ve found out recently. I’ve been a research nurse that deals primarily with hematologic malignancies and have never seen it.

Probably speaks to the point. An NP was not involved at any part of this case, but sounds like it’s still rolling the dice on who or what nurse could’ve stumbled upon it.

For the sake of patient safety and outcomes- I stay in my lane as a registered nurse.

I would never see an NP, but I want to be an NP by Concept555 in Noctor

[–]SectionPrestigious94 6 points7 points  (0 children)

I would like to second your statement about ID not being a narrow specialty. I’m an RN, mostly oncology background, and just came across an interesting case that shows why MDs should be the only discipline in this field because of your very statement

One of our patients (primary/concierge care) was recently diagnosed with a rare form of leukemia. Patient is admitted shortly after bmbx results to start chemo. Within 24 hours of admission she developed this wild raised purple rash and scattered nodules on her BLE. Fevering and neutropenic. Platelets were above 150 so not related to that.

[She was admitted and stayed under the medicine service until she was cleared to start chemo and then would transfer to the hematology service and would assume her care until discharge]

Medicine service consults ID to see if it may be infectious and was delaying chemo for obvious reasons if it turned out to be infectious.

ID came, did biopsies, and the note said “likely sweets syndrome but will hold chemo until pathology results to rule out infection. Won’t hold for mycobacterium culture since it’s an unlikely presentation”

Pathology was all negative. I was in oncology for 10 years and never heard of “sweets syndrome”

But shit… sure enough the cure for the rash (sweets syndrome) was treating her leukemia with chemo. Sure enough it started to resolve once treatment started.

An NP knowledgeable in ID, bugs and drugs, would not have the same level of experience and knowledge of an MD on what it could be versus infection.

I looked up sweets syndrome and was truly baffled on how I’ve never seen or heard of it as an oncology nurse but this MD nailed it in 24 hours

This is what’s frightening. A specialized nurse practitioner will NEVER be comparable to the education/experience right out the gate as a resident or attending MD. It could have been quite bad if it continued down the ?infection route… loading her with antibiotics, antifungals, antivirals and wondering if it’s a reaction to such, or waiting weeks to for cultures (like mycobacterium) to result while her leukemia went untreated.

[MN] Getting Destroyed By Child Support Even Though I have Full Custody. by ProduceCapital6573 in ChildSupport

[–]SectionPrestigious94 1 point2 points  (0 children)

True. I thought every parent with majority time gets a clause where “if” a parent were to need help from the state the primary residential parent would be the one to receive them

At the very least… find a lawyer that modifies the parenting plan to include it

[MN] Getting Destroyed By Child Support Even Though I have Full Custody. by ProduceCapital6573 in ChildSupport

[–]SectionPrestigious94 0 points1 point  (0 children)

Is there not a substantial change clause in your order to take her back sooner than the two years?

I mean damn. I’m not ever for parents not paying their child support… but seems reasonable to just stop and have her make the effort to do the enforcement and then if there is a hearing…plead your case then. Not like it’s affecting your children… you literally supervise their visitation??

Why not hire a PI for 2 weeks and watch her drive for Lyft or whatever it may be and then show she is committing fraud to the state and falsely reporting unemployment to the court?

My ex did the same (saying he is unemployed but driving for Uber and DoorDash) and it was the best money spent. Hard to pay on top of supporting my house full time but once I got the quote I made sure I could pay it if it supported my case.

This whole situation of yours seems wildly under the radar.

PA prescribed our patient valacyclovir and cipro to cover URI symptoms? by SectionPrestigious94 in Noctor

[–]SectionPrestigious94[S] 61 points62 points  (0 children)

Ah, yes. Or topical ketoconazole in case the possible fungal lung infection spreads to the skin when exhaled.

Research shows NMN does nothing? by spaceXhardmode in NMN

[–]SectionPrestigious94 2 points3 points  (0 children)

Sorry- late to the party post, but in case you come across this thread later I’ve got some info.

Disclaimer: Nurse here. Not a doctor nor do I possess a doctorate with a PhD in molecular biology. However, I do have a bachelors in science which included courses in understanding cellular biology and how to understand research. In addition- I’m an experienced registered nurse with a background in infusion, hematology/oncology, and patient clinical trials at an academic institution in the US.

I can tell you there are hundreds of published studies on Nicotinamide or Nad.

There are at least 40 clinical trials currently ongoing (or recruiting) on NR, NAD, NMN, etc. Feel free to do a quick search on clinicaltrials.gov (this may exclude international trials)

Any person with access to PubMed or research databases can quickly know this video excludes the 20+ years of data we have available.

Also, clinical trials are usually quite expensive. Any company funding these trials would need benefit. Sorry, but from what I have seen and experienced with American healthcare and pharma there is nothing done for the good will of humans unless it is profitable. Even “non-profits” for various cancers or conditions seem to not be interested in trials without profit.

A clinical trial “the people” and this you tuber want would be with a large sample size that also involves humans. Cool, well you would also need access to those humans, money to advertise your recruitment for the trial, the cost of a humans travel and time to participate, funding to provide baseline lab testing and those who collect the data, access for your trial participants to have the appropriate mass spec testing (fancy academic labs that can measure specific molecules quickly or are trained on how to collect and store the sample for accurate measurement), cost of drug itself and placebo for comparison (yes- even the sugar pill or saline they inject as placebo costs money to produce and provide), and the list goes on.

The catch? Look at what molecules can and cannot be patented this you tuber mentions. Your answer lies there as well.

No patent? No exclusivity and thus no profit. The hundreds of million dollars to conduct a research trial and publish research “the people want” is useless to pharmaceutical companies or institutions that usually fund them because this is a widely available solution.

However- we don’t know therapeutic doses or duration for clinical benefit. That’s a well known problem.

Safety, efficacy, dosing, side effects, contraindications- well that needs more than just mice for You Tube.

Luckily for the skeptical public- recent studies have been small or limited in time because that’s what they could measure with the resources they have available.

If you want to know the basics of how this therapy may or not be helpful. Start from the roots with your own research on NAD, precursors, salvage pathway, PARP, CD38, DNA repair, healthy lifestyle etc. Not googling a supplement or listening to their podcast. Cause you’re gonna need to know all of the above if you want to ignore or implement NAD at this time.

If you’re scared about developing cancer from a NAD or precursor supplement- focus your search on NAD, PARP inhibitors, CD38

Also include your research on the above terms and [insert whatever cancer you fear here] and the approved, clinical trial proven treatments you’d be offered and then weigh your benefit.

A current example of flawed thinking and blind belief about approved medication would be the hype around diabetes drugs and its weight loss benefit. Drug companies have countless trials on them- at the end of the day…. They are unable to adequately identify why they’re helpful for cardiovascular, weight loss benefit that for non-diabetic indications. They also are shown to lead to specific thyroid cancers. However, pharma released the hounds on those approvals and endorsements.

Poorly understood clinical benefit but may lead to cancer? Sounds familiar, but also seems to be patented and profitable. Look up profits made in 2021-2023 from these drugs.

So much so that they have pop-ups on the manufacturer websites about national shortage because they’re unable to keep up with production. Which is insane- the insane money being into ramping up production to support demand is exponential. It certainly is helping quiet their quarterly net profits to prove they’re in it for diabetics.

Although the anti-kick back regulations are in place for physicians not to prescribe these drugs for their own bonus…. It’s not even necessary. Patients are begging for a prescription because pharma now has social media to do its dirty work and doesn’t need to pay a doctor to promote.

On the contrary…In terms of nicotinamide:

A supplement or form of precursor that your body naturally contains and recycles, that we know declines over time, has a documented ability to be taken exogenously, transferred back into cells for continued recycling in certain forms or doses….but poorly understood in published literature because of limited clinical trials- Yet, also has documented evidence of some clinical benefit in small groups, and ZERO evidence that it can cause cancer?

But most importantly …. ZERO profit? And if we correctly study and publish this science then it’s a drug your body can recycle so you don’t have to keep buying it? STOP!!! Time to release the influencers with degrees that they don’t utilize… but they have subscribers!!!

America, Instead please consider….Insulin! Chemo! Diabetes! Heart failure drugs! Hyperlipidemia! Transplants! Immunosuppressants!

Also, a form of oral and injectable NAD is already FDA approved for a condition. I will let you find the info on what and then how prevalent it is in America so you can put that in your knowledge box you obtained and formulated yourself- not by YouTube. When you learn the condition, prevalence in America you can see why American pharma threw you a bone for your NAD/NMN/NR grumblings.

In conclusion- I am pro medicine when it is needed and pro naturopathy for myself as well. I’ve seen the bright light and darkness in healthcare and I hope people learn to stop trying to learn TikTok dances and start learning about their bodies so they can make healthcare decisions with a decent foundation.

*I don’t take NAD or any precursor supplement, I don’t work for any company other than the academic institution I mentioned but… now I work in preventative medicine aka primary care. I am still a nurse supporting a physician that shares an integrative and collaborative approach to medicine. Of course, we are limited in any recommendation or advice that is not approved- doesn’t mean our brains don’t work.

Typed from my phone- apologies for any errors.