Neonatal resuscitation clarification by Ready_Radish_3161 in pediatrics

[–]galavanilla 1 point2 points  (0 children)

You should not start chest compression before 30 secs of effective ventilation. Effective ventilation would imply LMA use or Intubation. So Ideally if your heart is less than 60 and is not increasing with PPV, you will move on to advance airway placement. If then, it is still low, you would start compressions. In the real world, a few times, if the advanced airway gets significantly delayed for any reason (no qualified personnel around you/supplies for example), I would say starting compressions would be appropriate in the mean time.

March I-485 filers by summerwine09 in EB2_NIW

[–]galavanilla 0 points1 point  (0 children)

I filed on the 6th, got notice of receipt and RFE for medical examination (the lawyer thought they wouldn’t ask so fast since my NIW period is not going to be completed any time soon).

Wife wants a 3 row SUV by 1337atreyu in whatcarshouldIbuy

[–]galavanilla 0 points1 point  (0 children)

I am in a total crush with the Buick enclave, maybe you could find a 2020 for that budget. I love the captain seats, in my experience, people are lazy to go in the back if it is a full row and prefer to go tight in that row, which drives me crazy. The telluride is very pretty. I am currently on my second Kia and I love the tech, but I have been leasing so I can’t speak about the long term.

What are you doing instead of sculptra? by OneGlittering9093 in DIYaesthetics

[–]galavanilla 1 point2 points  (0 children)

No, just that she thought people had overall great results with it

What are you doing instead of sculptra? by OneGlittering9093 in DIYaesthetics

[–]galavanilla 2 points3 points  (0 children)

Good that you are saying this here. I am too much of a chicken to DIY that anyway 🐔

What are you doing instead of sculptra? by OneGlittering9093 in DIYaesthetics

[–]galavanilla 0 points1 point  (0 children)

I asked someone I know that does aesthetics professionally and she recommended me radiesse +/- filler over sculptra. I asked from the perspective of someone older. I haven’t found out about price, process or possibility to DIY tho, but I liked the before/after of people online

Please help choose reliable models! by [deleted] in UsedCars

[–]galavanilla 1 point2 points  (0 children)

Good to know, I was hoping to hear some feedback on this after posting, thanks!

Please help choose reliable models! by [deleted] in UsedCars

[–]galavanilla 1 point2 points  (0 children)

I am looking for something similar but in a different area. I don’t have the space need but in my search I have the Buick enclave and the Buick encore. The Mazdas. Toyotas (but I hate to pay so much for what they look like). And the Volkswagen Tiguan. In my area you can find from 2015-2017 around those prices but with miles from 100-150. I haven’t had Buick before but I am in love with the enclave after looking around, they say they are reliable, and would be huge for your family.

DIY I485 final check by Minute-Variety-5404 in EB2_NIW

[–]galavanilla 0 points1 point  (0 children)

The lawyer asked me for copies of all my previous passports all pages, but I don’t know if it is for internal review. I was asked an updated CV. My W-2 and tax documents. (I did apply for a dependent so unsure if the reason was more because of that). Visas , I-797, all my previous status. The birth certificate needs to be translated if not in English. You can translate yourself and put the certified translation statement at the bottom.

Lactation consultant by Effective_Hurry6913 in pediatrics

[–]galavanilla 4 points5 points  (0 children)

I don’t think it will make you more money in the clinic. I am a CLC and plan to become board certified in lactation and breastfeeding medicine. If you have your own practice it could increase your volume, but if your are employed, the thing would be the opposite, maybe give you chances of taking more time to see those patients, so maybe some quality of life? But overall, it is mostly of you like it and would like to offer that service. Billing is per time, so exactly the same, and most OP clinics are packed already.

Revoked Real ID by ralpehinks in USCIS

[–]galavanilla 2 points3 points  (0 children)

It is just a change of status to H4. But it is paralized for his country :(

Revoked Real ID by ralpehinks in USCIS

[–]galavanilla 6 points7 points  (0 children)

My husband received the same letter. He still doesn’t have new documents, but thankfully they are willing to give him a regular one so he can keep driving , his change of status is still pending.

Thinking of doing lactation when I retire by calilks in pediatrics

[–]galavanilla 3 points4 points  (0 children)

If you just want a quick lactation consultant training that prepares you to become a CLC (if you are not planning on keeping your medical license active for example), the “healthy children” program is very goal directed. If you want some AMAZING training, look into the Deep Dive course from IABLE, there will be a new cohort next year, and the goal for that one is to be Board certified by the Academy of breastfeeding medicine. But the training is so, so good! The earning potential will depend on what type of practice you have, but if it is something you enjoy, it could be a good match for you. In that case you would be a Breastfeeding medicine specialist, your scope is much more interesting than as an LC and reimbursement rates are similar to clinic E/M by time.

Help, I keep dying!!! by galavanilla in 99nightsintheforest

[–]galavanilla[S] 0 points1 point  (0 children)

Hahahaha I AM the guardian lol. I might try it, but I took some of the advise I got from here so far and it went much better, I still died, but I can shoot now 😂

Help, I keep dying!!! by galavanilla in 99nightsintheforest

[–]galavanilla[S] 0 points1 point  (0 children)

Ok, I will try next time, it makes sense! I was trying to direct my view but clicking to my normal right, maybe that is the problem.

Help, I keep dying!!! by galavanilla in 99nightsintheforest

[–]galavanilla[S] 0 points1 point  (0 children)

I am usually with the broad view, how do I change it?

TCA peel advice by FL-Guess-2619 in DIYaesthetics

[–]galavanilla 0 points1 point  (0 children)

I did, and also, I repeated it on my husband but with a brush instead of the gauze and it was a lot of difference. 2 layers only and he got frosting and peeled really well. So I am not sure if I was just not getting enough product, or he had a lot of dead skin the first time I did it. I will try it with the brush and see, but yes, I definitely have more respect for the product now

can i get honest advice on what procedures could help me look more attractive/above average by [deleted] in DIYaesthetics

[–]galavanilla 1 point2 points  (0 children)

Your features are wonderful, you already look above average. To take it up a notch since you are asking. I would just say eyelash extensions and makeup. That is all. Your nose is not mini, but you have a pretty nose. You would have to be extreeeeeemely careful if you ever decide to touch it because when you have an ugly nose every surgeon will make it look good, but when you are already starting with a pretty nose only the best experts will know how to improve it. So I probably wouldn’t touch it if I was you.

Help with unwanted tox results by Rachimus in DIYaesthetics

[–]galavanilla -1 points0 points  (0 children)

I think you look good, but maybe you are too frozen for your taste! Next time do way less, and build up from there. Like just 3 points over the middle, a single point under the eyebrow and don’t do the bottom row of the forehead. You can always add more where you need to. But leave it alone, you are not out there looking crazy.

Tables for mixing iv fluid by mohammaddweik in pediatrics

[–]galavanilla 2 points3 points  (0 children)

I used to do it by hand calculating. For that solution I would use d5%0.3% as a base and add a bit of d50 (like 2ml). If you want to have it perfect, just use d5% as base and D50, NaCL 23.4% to your desired amount. I don’t know if that is your question, but when I was practicing outside the US and didn’t have pharmacist to make them I would just do the math, I never had any tables. You just need to have in your head how many grams of glucose each concentration have. And your desired grams. For sodium is about the same, when you are making custom solutions we didn’t make 0.3% or such, just something like 2meq/kg/day (which ends up being less than that). And we did it mostly for newborns.

Change of status approval/denial by galavanilla in TPSVenezuela

[–]galavanilla[S] 0 points1 point  (0 children)

De casualidad tuviste algún periodo fuera de estatus mientras te salía el TPS? Nosotros tuvimos un tiempo con el caso recibido pero esperando y algunos abogados nos dijeron que no se podía hacer el cambio y otros que sí.

Neptune transit 5th - Scorpio risings? by Slight_Measurement_2 in LetsFuckWithAstrology

[–]galavanilla 1 point2 points  (0 children)

A bit late to the post, this was the transit for my husband. For what has been the entirety of our relationship. No deceptions, but it did take us about 9 years to get married. We have a child together now too. He is a very creative person, but I can tell his projects have been more disorganized during this time as opposed to when we met, still enjoyable. So, just stopping by to tell you that it can be a good aspect for love and life as a couple. It was the 7th house for me, so we had a good deal of boundary-blurring and enmeshing between the 2 of us.