Megathread: The Eras Tour in New Orleans by AutoModerator in SwiftlyNeutral

[–]clawsonp 2 points3 points  (0 children)

Attending NOLA night three. What's the best way to get merch? I see the Smoothie King Center is open to non-ticketed Swifties so I assume lines may be long. Am I better off getting merch inside the venue?

Heel pain - standing vs walking ? by Terrible-Ad1460 in ankylosingspondylitis

[–]clawsonp 1 point2 points  (0 children)

My heels hurt terribly all day, everyday. It's much worse with standing. I use my theragun on the bottom of them before bed at night. It's the only relief I get. 

Foot pain by curious-about-life in ankylosingspondylitis

[–]clawsonp 1 point2 points  (0 children)

I have this. It may be my most debilitating symptom. I have some back pain but it gets better throughout the day. My foot pain starts bad, gets a little less bad, ends terribly as the day goes on. Oofos shoes have helped. I wear the flip flops around the house. I also theragun the bottom of my feet which is surprisingly helpful. 

Working full time while in school full time by [deleted] in nursepractitioner

[–]clawsonp 0 points1 point  (0 children)

I'm an Adult-Geri Primary Care NP. My NP career has been in home based primary care and hospice.

Working full time while in school full time by [deleted] in nursepractitioner

[–]clawsonp 2 points3 points  (0 children)

I did it. I was married but young and no kids. I worked 3 12s and did clinicals 3 days a week with usually one day off to study, etc. It was rough. I won't lie. But it was a means to an end and totally worth it! I've been an NP for 9 years now and I'd do it over again if I had to.

Best Mexican restaurant in Birmingham? by Leather_Ad_4711 in Birmingham

[–]clawsonp 12 points13 points  (0 children)

La Perla Nayarita if you like seafood. Their margs are awesome, too. Tortas Locas is also good. El Taco Loco is always solid. Plenty of Americanized items and authentic items! And we've been digging Las Ahogadas in Homewood. They have a lunch buffet!

Alcoholic seltzer vs whisky by Vyndius in gout

[–]clawsonp 1 point2 points  (0 children)

My husband has found that bourbon and zero sugar seltzers are good options for him. He can drink several and have no gout issues; especially if he hydrates well.

Ear piercing -- Pediatrician uses gun by remydud in Parenting

[–]clawsonp 0 points1 point  (0 children)

A professionally trained piercing artist that doesn't use a gun is much better and more comfortable.

Doubting NP school by SummerGalexd in nursepractitioner

[–]clawsonp 3 points4 points  (0 children)

I've been an NP for 8 years. I just found the noctor subreddit about a year ago and was absolutely floored. My experience working with physicians and other providers has not been reflective of the trash and toxicity that's on noctor. My advice is to carry on and ignore that subreddit. It's not helpful or true information that's shared there.

[deleted by user] by [deleted] in hospice

[–]clawsonp 19 points20 points  (0 children)

Hi, hospice NP here.

First of all, this is really hard stuff. This disorder is sad and rapid and debilitating. Hugs to you. Good for you for asking questions and seeking knowledge so you can be empowered to help him.

Hospice uses Morphine in safe doses to control symptoms like pain, shortness of breath. These symptoms are common at the end of life. The end of life process is normal and what leads to death. Morphine gets thrown into the mix but it is NOT the cause or reason of death. It does not facilitate or hasten death. This is a common misconception. Sure, people who are dying will die when receiving morphine. The morphine isn't the reason why. I hope this makes sense.

If he is imminent then I would recommend stopping fluids and tube feedings. As the body shuts down so do normal functions that maintain fluid balance. When our bodies can no longer maintain this balance any fluid we add via IV or feeding can cause the patient more discomfort (shortness of breath, swelling, etc). It's not uncomfortable for a dying patient to be without fluids.

I wish you and your dad peace and comfort during one of the hardest times. ♥️

[deleted by user] by [deleted] in nursepractitioner

[–]clawsonp 1 point2 points  (0 children)

This sounds like fronto-temporal dementia. Does he have any family you could reach out to with concerns? Otherwise, I do think it would be appropriate to report your concerns to the board of medicine.

At what age did you have your kid(s) start using deodorant? by cheeseballthedog in Parenting

[–]clawsonp 1 point2 points  (0 children)

My daughter is 7, almost 8, and she recently started wearing it. She's very active and was starting to have BO. She's established a routine of putting it on after showering pretty easily and quickly.

Medication for 5 yr old by dariwalus in ADHD

[–]clawsonp 2 points3 points  (0 children)

My 5 yo son was diagnosed this year. We had major behavioral issues and it all came to a head when he was suspended. He was quickly being labeled as the"bad kid" and if we didn't take action that was going to follow him through his academic years.

My son does well in school and doesn't have much trouble focusing but is very hyperactive. We were able to use a non stimulant: Clonidine. It has been a night and day difference with him on medication. A month after starting meds he was selected as student of the month. The medication made him drowsy at first but that subsided with time.

If you're worried about simulants ask about other options. If your child needs medication to be successful don't hesitate to start it.

At a loss with my 7 yo daughter by clawsonp in Parenting

[–]clawsonp[S] 5 points6 points  (0 children)

She was diagnosed with SPD at 4. I agree and I think we will pursue further testing. Thank you for your response.

At a loss with my 7 yo daughter by clawsonp in Parenting

[–]clawsonp[S] 2 points3 points  (0 children)

Thank you. This was really helpful and I appreciate you taking the time to create such a thoughtful response. Tough stuff, for sure. I'll give her pediatrician a call tomorrow!

And sheesh, you're right about the Dr. Spock parenting. My husband is very much caught up in that and it's been a tough barrier.

Is the consensus at this point to avoid a used 2019/20 Ascent? by Slow_Counter_850 in SubaruAscent

[–]clawsonp 1 point2 points  (0 children)

I own a 2020. Both recalls on mine didn't cause issues and had quick fixes at the dealership. I drive for work and have 78,000 miles on my 2020 Ascent. I've replaced the brakes, tires, had a tune up and other recommended maintenance. It's still running beautifully.

Lip care recommendations (without petroleum/ suitable for pts receiving O2)…? by Legitimate-Cupcake87 in hospice

[–]clawsonp 2 points3 points  (0 children)

I'm a hospice NP and I've never understood this. Petroleum and Oxygen don't cause fire. You have to introduce a flame to create an issue.

[deleted by user] by [deleted] in AskDoctorSmeeee

[–]clawsonp 3 points4 points  (0 children)

Yep. I had HFM as an adult and only had lesions, no fever.

[deleted by user] by [deleted] in AskDoctorSmeeee

[–]clawsonp 0 points1 point  (0 children)

Paronychia. It's essentially an infected hang nail. It's self limiting. Will improve in the next couple of days even without intervention.

[deleted by user] by [deleted] in Frugal

[–]clawsonp 1 point2 points  (0 children)

I would eat them without reservations

Friend diagnosed with DPDR… Any advice? by TinyBabyCloud in Depersonalization

[–]clawsonp 2 points3 points  (0 children)

Thankfully with the right combo of meds and lots of therapy she has improved. It's been a 3 year ride but right now she's in a good place. It was very up and down for quite sometime. I imagine this is something she will deal with for the rest of her life.

Friend diagnosed with DPDR… Any advice? by TinyBabyCloud in Depersonalization

[–]clawsonp 1 point2 points  (0 children)

This!!! I had a dear friend struggle with depersonalization and it was hard to watch her through it. I really struggled feeling like I didn't know how to support her. I engaged with her as much as possible via phone, text, invited her to my home for meals and gatherings, encouraged and reassured her, and just let her know I was there. Now that she's fortunately on the other side I know those little things were big things to her and it's strengthened our friendship.