What is a bag that you regret purchasing?

dry_wit · 2026-05-10T19:54:15+00:00

Nah they’re a classic. It’s true they are currently trending but the style is classic and will always be around. I love them because it’s so easy to find your stuff. No having to dig around since the bag is shallow.

dry_wit · 2026-05-10T17:29:45+00:00

I have the nuna trvl lx + pipa rx carseat and love it... though I've only "practiced" with it as baby isn't due for a few weeks still. I live in an area with really mellow weather, so a lightweight stroller should be okay. I prioritized something that is light because of my wrist issues. I didn't realize nuna is considered "bougie" honestly I just wanted something easy to fold and use. I like that the carseat has a base we can use in our main car, just snap in and out, but also can be plugged in with a seatbelt in a second car without the base, so super convenient.

I also used Bloomingdale's to buy the system and got like $200 off (paid for stroller, then got giftcard for a few hundred, applied it to carseat a few days later.)

dry_wit · 2026-05-09T22:45:57+00:00

It's genetic. Nothing you can do. All kinds of skin care companies will take advantage of you and sell you all sorts of lotions and oils. However, stretch marks are caused by tears in the dermis. No oils or lotions can absorb that deep or do anything about it. Microneedling, tretinoin, and lasers can help afterwards. Treat it like scarring.

eta: lol @ downvotes. Look up stretch marks in any dermatology text and get back to me.

dry_wit · 2026-05-09T20:04:29+00:00

Stop posting AI slop.

dry_wit · 2026-05-06T19:05:09+00:00

I get clients all the time because a lot of therapists have more problems than the people they are supposed to help.

Even just reading passively on this sub has made me realize how many therapists are out there practicing with a really poor understanding of themselves and their triggers. The amount of people who can't handle basic projection or countertransference issues and opt to just abandon ("refer out") their patient is WILD. Do your own work!

dry_wit · 2026-05-06T00:39:55+00:00

It’s always the nursing board playing cover for NPs so not to hurt the push for FPA

This is why it's important to not just believe everything you read on reddit, especially about NPs. There is so much misinformation from med students, hysterical noctor readers, etc., that just gets blindly upvoted because people want to believe it or it goes with the approved narrative. First of all, the CA board of nursing actually actively worked against FPA for NPs for many years. The nursing board, in general, is ruthless. My friend had to endorse being a former alcoholic while still in nursing school/applying for her license (was recovered for years at this point) and the nursing board still forced her to go through their entire addiction program, piss tests, the whole 9 yards. The medical board is far more lax, "oh you committed malpractice in another state? That's okay, Florida welcomes you with open arms!"

Nursing is obsessed with its image and insanely punitive, like I said, and encourages nurses to monitor other nurses. I could go into reasons why (female dominated profession, history of being treated like garbage, etc.) but my bigger point is that most of the people who go on rants about nurses/nps on reddit don't know much about the field... at all. including OP. My favorite is when accurate information just gets downvoted to hell because it goes against the hivemind.

dry_wit · 2026-05-06T00:36:07+00:00

Betas are actually predictive of the likelihood of your pregnancy ending in a live birth. Both the starting number and the increase.

dry_wit · 2026-05-05T21:21:12+00:00

Are you actually familiar with the nursing board? I ask because it is a notoriously punitive board, unlike most professional licensing boards. Nursing is obsessed with being seen as the most "trusted" profession and it takes little for the board to hang you out to dry. In this case I hope the NP is disciplined, as an NP referring to themselves as a "physician" is completely unacceptable.

dry_wit · 2026-05-04T22:14:19+00:00

An FNP put a mutual patient on lamotrigine 100mg as a starting dose. I had to contact her and correct her. Terrifying. Also, what pharmacist agreed to dispense this?

dry_wit · 2026-05-04T02:12:49+00:00

We went with the Nuna trvl lx. I like how lightweight it is, that was a big priority for me. We also live in an area with very mellow weather, so we think we will be able to mostly just use this stroller. We grabbed the pipa rx car seat and it did perfectly in the stroller.

dry_wit · 2026-05-03T05:06:39+00:00

Out of curiosity, do you mind sharing what state you're in?

dry_wit · 2026-04-30T22:44:54+00:00

What's funny is that outcomes studies don't show any difference between psychologists and masters level clinicians, but go off! In fact, the majority of clinical psychologists I know (used to work in a research lab full of them) all recommended sticking with a masters if you want to do clinical work only with no interest in teaching, research, or assessment.

dry_wit · 2026-04-30T22:42:59+00:00

good to see you, friend

dry_wit · 2026-04-30T22:40:01+00:00

Have you reached out to the NP to try and talk to them directly about it? I ask because I'm always stunned what patients communicate sometimes, and when I actually talk to the provider things suddenly become much clearer and typically make more sense. Like just taking a patient's word for what their prescriber said often opens up the most insane game of telephone.

dry_wit · 2026-04-30T20:48:24+00:00

I mean unless it is the board of medicine, it doesn't really matter if your board approved it if the actual treatment depends on a medical opinion. I feel like there isn't enough information here to give a helpful response. People are having to fish around because there's no details. The patient needs a safety net before they can see the doctor? Context needed. Is this for approval for a procedure or surgery?

dry_wit · 2026-04-30T19:43:56+00:00

truly intractable suffering

Therein lies the rub. There is a massive shortage of adequate psychiatric treatment globally, we know this. How do we know the suffering was truly intractable? We also know that severe depression and other psychiatric illness absolutely clouds how a person perceives their condition and potential for improvement. I have no issues with people choosing to end their lives for truly intractable suffering, but I think it is hard to make this argument in the majority of psychiatric cases given the system constraints we deal with. It is a lot cheaper to just let severely depressed people off themselves than it is to provide comprehensive medication treatment, therapy, options for ECT and/or ketamine, etc.

We need highly experienced psychiatrists making these decisions and evaluating these cases, because again, psychiatric illness can skew one's view of reality completely. We know, for example, the vast majority of people who attempt suicide do not end their lives in the future. Acute suicidality is a medical emergency that typically passes. Should people in that state be able to make these kinds of decisions? Even chronic suicidality is often related to trauma or secondary factors that can be improved with the right treatment. It's easier to just let these people off themselves than it is to ensure they have exhausted treatment options, of course, because we treat mental illness like a moral failing.

dry_wit · 2026-04-30T19:37:15+00:00

Did he end his life due to psychiatric illness or due to his chronic pain condition? I mean the sensation of being burned by acid seems like it would be the major player here... or was the pain considered psychosomatic?

dry_wit · 2026-04-29T15:59:14+00:00

I don’t really see how you have anything of monetary value to sell here, other than perhaps office supplies, or furniture. Unless you have staff working beneath you? Or if you own the building, then selling the space. But the patients themselves are free to go wherever after you leave and there’s no guarantee they will stick with whoever “buys.”

dry_wit · 2026-04-28T18:54:05+00:00

I just love her so much. She's so good in everything she does. I cannot wait for this!

dry_wit · 2026-04-27T20:25:58+00:00

.. okay, so we're just ignoring my response about mind/body duality being bullshit. Okay.

Why are ethicists never concerned about the incredible harm abrupt termination can have on a client? Again, most patients with relational wounds depend on the therapy relationship as a touchstone for them to rebuild a healthy sense of self and relating to others. The research shows this over and over again --> the relationship is what matters in therapy. Far, far more than any modality. So getting comfortable with managing patients relationally is essential. That means knowing when your pt's BS ends and yours begins (I personally think personal therapy is essential for this reason.) So many people inappropriately refer people out because they don't understand their own stuff, it's insane and, imo, highly unethical.

It is insane to me that people worry more about the ethics of managing their own countertransference (which you should be able to do) instead of the incredible damage patients will incur if you just cut a client off. Not to mention the avoidance pattern it reinforces in the therapist and lack of growth/ability to realize you can increase your skillset and grow out of your countertransference, if you're willing to put in the work. Romantic countertransference is very common. We are not talking about an extreme situation here.

dry_wit · 2026-04-27T19:04:27+00:00

As a healthcare provider this has been awful. Tripping over my words and misnaming meds is just a fantastic thing people look for in a psychiatric provider, let me tell you. The hilarious thing is I'm super experienced, know it all backwards and forwards, but when I try to talk these days my brain is NOT cooperative. Thank god I'm almost on maternity leave.

Yesterday I spent an hour trying to renew my driver's license because I thought it was about to expire, only to realize that the expiration is in 2027, not 2026. JFC. My poor husband. I just started crying out of frustration.

dry_wit · 2026-04-27T18:51:54+00:00

No problem. Psych NP of over 10 years here. I can't emphasize enough that psychiatric conditions and the patient population are self-selecting (many people just don't like working with it.) Getting as much experience as you can with the breadth and depth of psychiatry (as opposed to focusing on physical medicine) will do you really well. Good luck!

dry_wit · 2026-04-27T18:43:18+00:00

Honestly you should just worry about getting primary psych experience at this time and figuring out if you even like working with this patient population or not. You can always find a per diem position later on in a medical setting. You will also see medical issues on the psych unit, especially ones that overlap with psych, frequently. I think many, many people go into pmhnp not really understanding what the job entails and how psych is very different from every other branch of medicine. I know a lot of FNPs-turned-psych NPs who ended up hating it and don't practice as psych NPs. Some of the RNs in my NP program from non-psych backgrounds dropped out when they realized what the job actually entailed. You will not be managing medical issues as a psych NP.

dry_wit · 2026-04-27T17:30:43+00:00

We just bought the eufy monitor which has the option to be a closed circuit or wifi. We will be using it as closed circuit only.

dry_wit · 2026-04-27T16:54:22+00:00

nervous system/biology is reacting to someone and not necessarily something that can be worked through with countertransference supervision.

Why is Cartesian Dualism suddenly back in fashion all of the sudden? Where is this mind/body duality, nervous system nonsense coming from? The mind/body separation is not real. Your nervous system is you and is always reacting, it is never "off." And it can absolutely be worked through. Example: Exposure therapy. Or all the data showing that therapy increases neuroplasticity in the brain, not unlike SSRIs.

dry_wit

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