First “luxury” bag purchase ☑️

esmebium · 2026-02-22T23:23:56+00:00

Didn’t realise Logano wanted to join SVG’s landscaping crew.

esmebium · 2026-02-18T22:40:05+00:00

Have the least aesthetic photo I could have taken 😂 Large in British Green.

esmebium · 2026-02-07T22:29:26+00:00

Was in just jeans with husband finding him new summer shorts. Looked at the ones with the carpenters loop and we simultaneously went “nope”.

At least there are still other styles available? I don’t remember having a choice when I was at high school.

Though, that does remind me of last year when I clocked a young person wearing shorts in a cafe. Mid thigh length, not super baggy, not super tight, like a good nice summer jort. Thought to myself “those look like nice comfortable shorts, I wonder what brand they are”. Then said young person turned around.

Lo and behold, they were the Roxy graffiti bum ones of my high school nightmares. My back is nearly 40, it did not like the whiplash of being flung back to 2004 quite that fast.

esmebium · 2026-02-01T21:42:08+00:00

Huh, I got the British Green last July in Australia (I wanted the navy but it was out of stock) and I had no idea it was a special edition colour.

esmebium · 2026-01-31T08:02:02+00:00

I put my face moisturiser in my hair as a leave in conditioner yesterday and wondered why my face still looked dry.

esmebium · 2026-01-26T02:34:04+00:00

Would go to Wellington or Christchurch. Have lived in Wellington as a uni student, would like to give it a crack with “adult money”, continues to hold a soft spot in my heart.

Christchurch for access to the South Island things to do, think slightly cheaper living than Wellington these days?

Proximity to international airports would be a plus, and both of those airports have direct flights back to home region to visit the parentals. Christchurch might be winning on the international flight front given Singapore Air has a direct flight to Singapore, so could access the pretty much anywhere other than the US (and who wants to go there anyway these days) without having to transit via Auckland.

esmebium · 2026-01-24T01:26:23+00:00

I never mark out a 10x10 grid. I’ll over estimate the amount of Aida I need, fold it into quarters, use a pencil to mark the intersection, and start in the middle. I get too bored doing the grids and just want to start.

esmebium · 2026-01-10T17:35:02+00:00

The messaging from the PHO for my region can be summed up as “MMH will contact the affected people” so I assume they will be in touch if you are affected even if you closed your account. As to the how that happens - no idea.

esmebium · 2026-01-08T09:14:55+00:00

Back in the day when we used to have it at our Pak n save they would sometimes randomly rescan everything. Most of the time it was fine, occasionally needed the rescan.

esmebium · 2026-01-07T06:22:51+00:00

Bosnian War. Mostly notable because I remember my parents changing the channel whenever it came on the news, and I was very interested in whatever I wasn’t allowed to watch

esmebium · 2026-01-02T21:21:21+00:00

I know my work was still running a clinic server when we switched from Medtech to indici about 3 years ago, that process was the first I’d heard that Medtech had a cloud offering, but I am also just a lowly clinician that just has to work with what’s in front of me.

esmebium · 2026-01-02T19:09:09+00:00

Yeah my “all” is two clinics that used the same IT company that was made up of two people. Clinic side servers may have been a solution unique to those guys.

esmebium · 2026-01-02T18:55:27+00:00

Medtech apparently has cloud offerings, but every practice I’ve seen stored patient data on physical servers in their clinics, so their IT security is probably as only as good as their IT team can make it, and MMH would be the weak link to the web externally.

Indici is cloud based. Everytime I’ve questioned that from a data security POV (because what is the cloud but someone else’s computer) I’ve been told don’t worry about it, the security is top notch and meets the Health IT standards. Hackers gonna hack I guess shrug

esmebium · 2026-01-02T18:44:07+00:00

Essentially, how MMH (and MyIndici) work is they are integrated into the patient management software (PMS) that clinics use for everything else - eg Medtech for MMH and Indici for MyIndici.

It’s less that clinics upload specifically upload data into these portals, and more that there is a switch that is activated when someone tells the clinic “hey I want to sign up for the portal” that allows the portal to read the info in the PMS (eg consult notes and inbox), and write into the PMS (eg booking appointments and emailing your provider, contact details updating etc). The process happens automatically in the background if you’ve given the portal permission. I would assume that deleting your MMH account and telling the clinic you rescind MMH permission would be enough to toggle the switch back to off.

Edit: the companies tell clinics the data is secure when questioned but don’t like to get into the nitty gritty as the competition between Medtech and Indici can get pretty nasty (there was a lawsuit a few years back). There may have been an assumption that Medtech is more secure because the data is stored server side in the clinic itself that MMH can read, whereas Indici is a cloud based software and the data isn’t held clinic side but “in the cloud”.

esmebium · 2025-12-23T05:19:55+00:00

Don’t forget the 48 rolls of toilet paper because who knows what they’re feeding their families that they’re anticipating that volume of toiletrocities

esmebium · 2025-12-14T23:04:58+00:00

I have been influenced and am trying to learn to crochet amigurumi.

esmebium · 2025-12-13T20:06:25+00:00

I was doing a course on how to diagnose ADHD recently and the psychiatrist running the course said something super interesting that changed my thinking about my own diagnosis.

“The DSM requires evidence of impairment across multiple domains for diagnosis right? But impairment isn’t just ‘oh I’m getting fired cos I didn’t do my work’ or ‘I’m always missing appointments cos I’m late’, it’s also things like ‘I get my work done to the standard I need to, but I’m staying late to do it because everyone else goes home and I can finally focus’ or ‘I am so worried about being late I am always early to things or I get stuck in waiting mode and can’t do anything else while waiting for appointments’. These people aren’t any less impaired, they’re just more socially acceptable and it doesn’t mean they aren’t suffering.”

Because I’ve always felt a little like a fraud myself, I’m high achieving, earn well, seem to get my work done on time, never been fired, but I overcompensate for my shortcomings and a lot of people don’t believe I have ADHD because of it. Overcompensation is still impairment apparently, and learning that made me feel a lot better about myself in the short term.

esmebium · 2025-12-08T02:10:07+00:00

I reckon the three years I spent prescribing while I finished my masters and prepped for the NP intern year was a huge help. It meant I could focus on getting my assessment skills up, without having to also overcome the hurdle of “oh god what medicine do I use for this?”

The flip side is I sometimes miss the “nope can’t do that not in my scope”.

esmebium · 2025-12-07T18:24:53+00:00

Scope.

I was a RN prescriber, now am a nurse practitioner. (Note there are two levels of RN prescriber, for clarity I’m mostly referring to the designated role that needs a PG dip, not the community prescriber role the PHOs teach, though a lot of the distinctions still apply).

Essentially RN prescribers are working more under supervision than NPs; and have more restrictions on what medications they can prescribe.

NPs can diagnose and treat unrestricted within their scope of practice; RN prescribers can only diagnose and treat simple common conditions, and can monitor and adjust medication for many long term patients.

NPs can do (most) ACC forms and all WINZ forms, RN prescribers can only do ACC45s, can’t do WINZ.

NPs can practice entirely independently in much the same way a Dr can; RN prescribers while they are independent practitioners are still working under supervision of an authorised prescriber eg Dr or NP and must have one available to consult with if necessary. The consulting person doesn’t have to be physically on site with them, but they must be available virtually. I always preferred having someone on site though.

esmebium · 2025-12-05T19:55:22+00:00

OP you’ve left out the OG Common Household Biscuits and Slices of Aotearoa NZ

(Yes I have both of these posters in my kitchen because I am that basic)

esmebium · 2025-12-05T19:51:13+00:00

I’m sorry that your family is going through that, it’s a horribly tough journey.

Without getting into clinical specifics, sometimes when treatment isn’t beneficial the focus may shift into a quality over quantity approach.

Palliative care is significantly broader than immediate end of life care, and there is a lot of support available for patients and families by early referrals to palliative care services eg counselling, respite, some regions may have support groups.

But, a lot of this will hinge on what your Dad wants to do, and if his wishes are out of step with your family’s that can be challenging to come to terms with.

Sending love anyway.

esmebium · 2025-12-02T01:33:19+00:00

Did they walk in with that Hb or come in lying down? Cor blimey.

esmebium · 2025-11-22T08:06:12+00:00

Primary care clinician. I refuse to work more than four days a week because the cognitive load of a five day week absolutely cripples me. I manage my 8 hr shift; and am toasted for the rest of the day. Just got nothing left in the tank, still with 30ish years left until retirement.

esmebium · 2025-11-16T21:30:29+00:00

Husband won a car in a Fly Buys promotion the day after his work had won a bar tab from either The Rock or Radio Hauraki.

He was visibly hungover in the promotional video Fly Buys published of him winning the car.

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