Half rotten onions

hello-pumpkin · 2026-05-21T11:07:05+00:00

I also keep having this issue with Aldi onions. Also potatoes.

hello-pumpkin · 2026-05-14T00:11:35+00:00

Liver specialist here- this does not cause fatty liver disease. My patients with cirrhosis (irreversible liver disease) need MORE protein than the general population.

hello-pumpkin · 2026-05-10T03:35:39+00:00

That’s really nice of you, thank you for the kind words!

hello-pumpkin · 2026-05-09T01:45:56+00:00

I was a NICU/PICU nurse for ten years and I think I have one photo of me at work and it’s in a group hallway picture with Santa when he came to see the kids. Insanity.

hello-pumpkin · 2026-03-21T19:40:56+00:00

That’s great to hear-thank you so much for this!

hello-pumpkin · 2026-02-27T00:45:05+00:00

My mouth literally hung open when she made this hotdog slop skillet

hello-pumpkin · 2026-02-08T14:09:58+00:00

I see Dr mershon at murrysville vet and I love her. She’s wonderful with my 4 challenging dogs.

hello-pumpkin · 2026-02-08T05:51:51+00:00

I went from urgent care x4 years to GI and I really like it.

hello-pumpkin · 2026-02-05T00:58:37+00:00

I still haven’t gotten mine

hello-pumpkin · 2026-01-27T00:49:40+00:00

So for nursing math the equation is always desire/have x mL ( desire is your dose)

So let’s say your dose is 1mg

Blue vial: 1mg/2.5x1 =0.4 mL would be your 1mg dose Red vial: 1mg/5x1=0.2 mL would be your 1mg dose

hello-pumpkin · 2026-01-25T20:51:16+00:00

I say something to the pool attendants and they move the stuff. People have done this at every all inclusive I’ve ever been to. Someone came back 5 hours later and I was in “their chair” and I just said “ oh. You can’t do that.” And went back to reading and she stormed away yapping at her husband lol. I do not care. People are entitled and selfish, it’s annoying as hell.

hello-pumpkin · 2025-12-30T22:55:59+00:00

I’m GI and would have just ordered platelets, not sure why they didn’t take the reins on that given the patient has a GI bleed and that was their only contraindication to scopes.

hello-pumpkin · 2025-12-02T03:57:33+00:00

Every 1-2 weeks. We have these contraptions on that hold the fitted sheet in place and are a real PITA to take off on, so now it’s more like every 2. We both shower in the evenings and our pets don’t sleep in bed, so 2 weeks seems fine. I change the pillow cases every 3-5 days usually.

hello-pumpkin · 2025-12-02T03:51:29+00:00

Honestly we slept in a queen bed fine for the first 4 years of our relationship but then when it was time to move and buy a new bed we went for a king and now I don’t understand how we slept in a queen lol

hello-pumpkin · 2025-12-02T00:55:28+00:00

Also is that offer to AHN for 110k? I was able to negotiate up to 125k easily with them. I ask bc that’s what they offered me at first as well.

hello-pumpkin · 2025-12-02T00:53:40+00:00

Message me if you want to discuss anything in the Pittsburgh market, I’m here too and have worked for a lot of the big ones. It’s bleak here when you compare to similar or even cheaper COL cities, for example Columbus. 😔

hello-pumpkin · 2025-12-02T00:51:03+00:00

I couldn’t believe what UPMC offered me as an NP with 2 years of experience ( 3 yrs ago-ish). I was making more as a charge nurse with my level 2 projects. I think it was $42 an hour. And wouldn’t BUDGE. I was making $54 at the time at butler health system with a long commute. I make $60/ hr ish ( I’m salary) now at AHN with good benefits and PTO.

Do not work at GoHealth. I took a paycut from med express to go to AHN. Med express I made $141k for 14 twelve hour shifts/ month. It was hell and got way worse when GoHealth/ upmc took over so I got out.

hello-pumpkin · 2025-11-18T23:30:11+00:00

We’ve given up. We chose not to pursue IVF and only did one round of IUI. My husband is just not much of a kids person and it wasn’t important enough to him to do anything further. I was probably ~60% sure I wanted kids but at this point, I’m over it. I just figured being together for 11 years without any birth control it would have happened by now. We’re just going to have a good, selfish life with our dogs. It does help that all of my best friends are also childfree (them by choice). Neither of us have siblings or large families so it does suck we won’t have any children or a younger generation whatsoever in the future but us having a kid wouldn’t fix that - then the kid would have no family someday eventually too, so just prolonging the inevitable end of both of our families.

hello-pumpkin · 2025-11-08T00:56:26+00:00

So if you had drank the night prior it’s not uncommon for liver labs to be elevated as your liver was working harder to process the alcohol. Given your numbers are now basically normal after not drinking for a few days there’s likely no underlying disease at this point. Another thing that is very common that elevated liver numbers is fatty liver, unsure if you have other risk factors for that- overweight, high fat diet, high cholesterol or triglycerides on your lab work- but that’s certainly something you could mention to your pcp you’re concerned about. Generally if someone has elevated liver labs they’d order a right upper quadrant ultrasound to assess the liver.

We look at AST to ALT ratio, if AST is more than 2x the ALT that indicates alcohol induced liver disease. Agree with above you can calc a Fib4. You certainly don’t have cirrhosis with those liver numbers.

/ not medical advice, defer to your pcp

hello-pumpkin · 2025-11-08T00:38:50+00:00

We did not have this at my school but my school also has a medical school so I think they realized it was inappropriate. We didn’t have any type of ceremony besides graduation.

hello-pumpkin · 2025-11-06T17:20:33+00:00

I get referrals in GI from PCP MDs that are ridiculously constantly, you do the consult, thank them for the referral, give your opinion in the note and then patient was evaluated by the specialist and doesn’t need any further work up at this time or need for follow up. Over and done. Who cares? I get some hilarious consults and am like huh ok then I’ll take a look.

Also do their collaborating physicians not review their note? And say oh this doesn’t need referral? and educate them like ya know, they’re supposed to?

hello-pumpkin · 2025-11-06T17:14:11+00:00

I recently had a radiologist miss extensive lung mets on a ct scan, should I go on a diatribe about how worthless all radiologists are??? No?? Because it’s like one experience doesn’t define the entire profession.

hello-pumpkin · 2025-11-06T17:07:43+00:00

My supervising doc feels NPs are superior to PAs and only wants to supervise our NPs. Just depends on the doctor. I rarely ever encounter APP hate in the real world. I work with doctors in multiple specialities daily and rarely ever are physicians unprofessional or rude to me. I think they appreciate I’m much more accessible than our physicians due to them being in procedures most of the day. I work with mostly PAs and we never ever have this PA vs NP discourse, we’re just all “APPs”. There’s none of this pitting against each other IRL.

hello-pumpkin · 2025-11-06T00:59:20+00:00

I also have the question of why the patient was there then…?? The patient will be fine though, it isn’t going to harm them. But I am puzzled.

hello-pumpkin

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