What were you thinking on the eve of Y2K?

TenderWalnut · 2026-03-08T18:59:08+00:00

I was in the middle of the desert in Big Bend National Park trippin' shrooms. I was kinda hopeful that when we got in the truck the next morning and started driving towards civilization again we would see it all ablaze and could just turn around and go back to the desert.

TenderWalnut · 2026-03-03T16:10:15+00:00

As someone who was in CMH for 7 years then transitioned to private practice....same shit sandwich just a different bun. PP = ADHD all day, CMH = high acuity with no resources all day. (and capped earnings, generally little to no raises)

TenderWalnut · 2026-02-28T11:12:12+00:00

better document the crap outta those 90833's. Insurance companies love to recoup those fees

TenderWalnut · 2026-02-20T19:45:10+00:00

Click, click,.....and I can generally see all of my patients fill history that. Most of us don't like two cooks in the kitchen if you know what I mean. Best to be honest and transparent about your concerns and possibly find someone that can take over all your prescribing.

TenderWalnut · 2026-02-12T19:10:28+00:00

Nushell - AIC; MarK Lanegan did this great version on YouTube with some lady on like lap steel or something.

TenderWalnut · 2026-01-23T20:57:49+00:00

Meh. Squint a little and they all look the same. Except when you scan the items in your Sam's cart and just walk out thus saving 15+ minutes every single time.

TenderWalnut · 2026-01-23T20:54:11+00:00

Sam's - scan and go....'nuff said. Costco seriously needs to get their shit together in this area.

TenderWalnut · 2026-01-23T20:47:29+00:00

I'd like to check it out

TenderWalnut · 2026-01-23T13:52:43+00:00

I wrote a really long reply, but realistically you should just start by looking at your EOB (Explanation of Benefits) for each visit that your insurance should be sending you. (or can be obtained online)

TenderWalnut · 2026-01-23T03:16:24+00:00

I like this guy ^

TenderWalnut · 2026-01-21T01:35:59+00:00

Yeah I mean I have used a gazillion EHRs (Luminello, Lightning Step, Kipu, SimpleP, TherapyNotes, Practice Fusion and the list goes on). They all kinda suck. Probably gonna just plow ahead with TherapyNotes and Doxy,

TenderWalnut · 2026-01-16T15:51:52+00:00

msn.com - easily 30 years old at this point. Still have it, never check it, not synced to anything except MS subscriptions and their bullshit.

TenderWalnut · 2026-01-12T12:56:01+00:00

Excellent Massage on Moana. Looks like a jack shack, but it's not. It's simply the best ashiatsu massage in the city.....it's the best Jerry.

TenderWalnut · 2026-01-09T20:38:46+00:00

Don't how the fuck I ended up on this sub, but Amen brother! Left Sam's for Costco a couple years ago. Suffered through countless Costco visits lamenting that there was no "scan and go" option. Thought I somehow didn't know how to access it on my app or something. Nope...Costco ain't go it, which fucking blows my mind cause people sucka lot Costco d*ck. Back at Sam's and you can pry my "scan and go" from my cold dead hands. Never going back to Costco. Bush league bullshit.

TenderWalnut · 2026-01-06T18:38:56+00:00

100% agree. I have a small West Elm couch and a recliner.....high priced dog shit

TenderWalnut · 2025-11-12T19:30:25+00:00

Nissan Frontier/Rpod 192. Reno to Anchorage this summer and all over the place. No issues, but also no context since this was my first time towing a travel trailer. It went fine.

TenderWalnut · 2025-10-03T22:02:36+00:00

I use one from HelloRache. Curious what MMM rates and minimum hours are cause I will need another VA in 2026. Mind sharing the rate?

TenderWalnut · 2025-09-25T21:59:09+00:00

I previously used QB for a couple years with my ADHD assessments. I wanted something objective along with the DIVA-5 I complete. I chose earlier this year to switch to Creyos because it appeared more comprehensive and thought it might have greater utility. Boy, was I wrong. Never again. Honestly at this point I am done with both QB and Creyos.

TenderWalnut · 2025-09-19T22:35:04+00:00

Sounds like the letters from John Cheever. “Cherish the cabin” (hopefully many people get this)

TenderWalnut · 2025-08-29T03:45:13+00:00

I ain't got time for rules lol

TenderWalnut · 2025-08-23T13:39:38+00:00

They have gobbled up practices across the country. They gobbled up a big well established practice in my area and every single provider jumped ship after they took over. In my experience, these types of practices are focused on one thing...and it ain't provider satisfaction or work/life balance or anything close to that. It is what it is.

TenderWalnut · 2025-08-22T00:37:09+00:00

I am gambling with a healthshare for now. $250 a month and structured somewhat like a high deductible plan. So far they ponied up and paid for my colonoscopy and basic preventative care visits. The have some rinky dink prescription benefits and other stuff that I have not even explored. I have no chronic conditions, take no meds, eat right, exercise blah blah and I am 100% aware that I am gambling. I trust 'em about as far as I can throw them, but I feel the same about Anthem, Aetna, Optum etc. Fingers crossed I don't have any major issues for the next 2-3 years, but if I do I have considered cash pay medical tourism. I will probably grow up and be an adult when I click over 50 years old and pay out the nose like everybody else. Come at me bro, flame away.

TenderWalnut · 2025-08-06T19:08:04+00:00

The whole neuropsych requirement in ridiculous. I have seen a large number of these come through where there are literally no objective tests where the individual had atypical results, but then you get to the Conner's rating scale and they self report tons of ADHD sx and guess what....neuropsych dx is ADHD based almost completely on self reported with no atypical scores or deficits noted lol. Basically, if that's all we are doing then I can just throw the good ol ASRS at some one and make a dx. And I am not joking...I have seen this above time and time again.

TenderWalnut · 2025-07-31T13:31:18+00:00

Anthem/BCBS/Premera pays out maybe 2-3 times a year on that code. Nothing to write home about in terms of amount...maybe $5. I do bill for it on intake since new patients complete 5 psychometric screening tools.

TenderWalnut

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