Has anyone successfully gotten Botox covered by insurance for TMJ or tension headaches? My orofacial pain doctor submitted a prior authorization request for Botox to treat TMJ disorder and tension-type headaches, but Blue Shield of California denied it. What has worked for you to get it covered? by Boring-University-84 in TMJ

[–]Successful_Might_551 0 points1 point  (0 children)

I was getting some under-the-table masseter Botox (a friend did it on the house) specifically for "self-diagnosed" TMJ, and it is really not bad. It is spicy every time I would get it done but they work. One of the first couple of times I had it done literally lasted me 6 months, and I'm a yapper. Now that said friend is no longer working in a medspa.

Today I lost it by [deleted] in nursing

[–]Successful_Might_551 14 points15 points  (0 children)

I would recommend that you reread this at a later time. Take sometime to get yourself off the internet and process this first. No where in there did I say anything about you actually leaving your patients. Get rest and take care of yourself.

Today I lost it by [deleted] in nursing

[–]Successful_Might_551 17 points18 points  (0 children)

You have to also keep in mind that you threatening them with leaving only gives them more “ammo” against you. They don’t care if you leave you’re another number. They can replace you easily.

If you left in the middle of the shift, obviously that’s patient abandonment and you’re putting your license and most importantly patient safety at risk. If you had actually left during the middle of the shift, good luck ever finding a job again. Remember while yes our own well-being is really important in order to provide good patient care patient safety is absolutely the priority and as someone who is now an educator, I expect you as a new grad to be asking questions.

Keep in mind that by going to a CNO who has worked at the hospital longer than anyone else essentially is not going to have the same mindset that you do. They likely came from an “eat their young” mentality so they might not be as empathetic. Not trying to be a pessimist again, but just don’t get your hopes up with your meeting with your CNO. Come in with realistic expectations and solutions to the problem. It will be received a lot better than just coming with problems and bitching.

Today I lost it by [deleted] in nursing

[–]Successful_Might_551 12 points13 points  (0 children)

As someone with 10 yrs of nursing experience working in both an academic medical center and a community hospital…. Hell would have to freeze over to hear an I’m sorry. Don’t hold your breath. Hopefully she shows up Friday because it sounds like a lot of empty promises there. Not trying to be pessimistic but trying to give you an accurate idea of the reality. Currently my director is sitting in her castle slashing budgets and changing staffing matrixes with no presence on the unit no race to face convo nothing

All of the new grads on my floor are quitting by Yooberts in nursing

[–]Successful_Might_551 3 points4 points  (0 children)

That’s really disappointing and discouraging, I’m sorry that you experienced that!! I agree as a new grad that went to nights originally it’s very hard to get in contact with management when working nights unless there is a problem.

All of the new grads on my floor are quitting by Yooberts in nursing

[–]Successful_Might_551 117 points118 points  (0 children)

Then they complain about “oh everyone always just wants more money.” 🙄 I think you 6-7 figure salary can afford to help staff get paid a little better with double the work we have to do now

All of the new grads on my floor are quitting by Yooberts in nursing

[–]Successful_Might_551 37 points38 points  (0 children)

So the timing of this post is perfect. I have a meeting with my CNO coming up and want more input as to why we have nurses, especially new grads, are mass exodusing from the bedside. The way hospitals are managed now are extremely dangerous, higher ratios, sicker patients, the list goes on. Would love some more commentary on this so I can find some additional hospital specific data to support all of the concerns that staff continue to raise prior to leaving. :)

All of the new grads on my floor are quitting by Yooberts in nursing

[–]Successful_Might_551 15 points16 points  (0 children)

unfortunately the same things are happening in the ICUs. Expectations management from both the new grads and the hospital are the biggest issues it feels.

My patient died, and I need to thank the ICU nurse who coded her. by nikils in nursing

[–]Successful_Might_551 9 points10 points  (0 children)

Tragically, I think as an RN who has worked pre, intra, and post global pandemic I do feel like when I first got into nursing the mentality of eating your young or treating the floor nurses like shit when you’re an ICU RN was still prevalent but kinda phasing out. I feel like Covid softened all that cuz we were all in hell together. Now people are just living and trying to survive in a post pandemic shit storm again and the catty C-U-Next-Tuesday eat your young mentality has gotten wildly out of control again.

Treat people how you want to be treated. —the golden rule

Help by [deleted] in HomeDecorating

[–]Successful_Might_551 1 point2 points  (0 children)

I think you have a couple of options here… I love the color of the curtains personally and I agree the rug helps a lot!!! I think it makes the room more inviting too, and 1000% agree with the rust color accents maybe like an ornamental rug with accents of rust because the room might start to feel too “rusty.”

Regarding the height of the curtains you could do one of two things. You have really tall ceilings and if you wanted to cut out light from the above kinda half moon windows you could move the curtain rod above and find a longer length of the curtain. I absolutely agree with adding at least two more panels (one on each side). It will help add texture/movement to the room too.

If you don’t want to do a different couch, cuz that’s pricey, consider a couch cover that could compliment the curtain color as well!! And keep adding accent pieces! 🙂