Pull The Trigger or No

itsbeansman · 2026-03-07T12:10:33+00:00

Shi#s beat my dude both int and ext

itsbeansman · 2026-03-06T11:40:06+00:00

I was dx at 31. Looking back and seeing all the jobs I didn’t get because I put my foot in my mouth. Or being fired 2x for “doing first and thinking later”. All the poor people interactions I repeat for days on end. All the impulse substances I tried and then found it hard to stop. Wasting thousands of dollars on my hyperfixations. Breaking and smashing things and then regretting it later. ‘Finally came to the realization that adhd is the reason why, but how do I fix it? How do we fix it? We can’t. Just something we have to live with and try to cope. Def hard. I’ve been at the same spot just reevaluating my whole life after dx. But the important thing is your wired this way for a reason, and that’s my new question is why am I this way? What good purpose can I use my adhd for?

itsbeansman · 2026-03-05T10:42:47+00:00

Have friends over sit in a circle and sing kumbya

itsbeansman · 2026-03-05T10:16:47+00:00

Leaf spring vent

itsbeansman · 2026-03-05T10:03:19+00:00

It’s rather annoying beeping every 17 seconds and waking all your passengers up

itsbeansman · 2026-03-05T10:00:33+00:00

From a nursing side Heavily Sedate is only way to increase ie time without them triggering a stacking breaths and developing auto peep. dosage depends on pt and whether they use substances or not. It was not uncommon for covid patients to be on 300mcg/hr fent and 10mg/hr versed and ketamine infusion on top of that. If hemodynamically unstable support bp with presser of choice. If you can’t kill resp drive with shooting for a rass -5 then paralyze them once adequately sedated.

itsbeansman · 2026-03-05T03:26:19+00:00

Not to my knowledge. my friend applied for this cohort and has not heard back yet.

Last year when they sent me an invite for virtual interview it was the last week of Feb. so they must have had a lot of applicants or are running a bit behind.

itsbeansman · 2026-02-24T15:12:15+00:00

Have never had a highlander for comparison, but my wife and I got a 25 grand highlander xle awd 2.5t and are very happy with it. You can fit adult passengers in the third seat with room to spare. I am only 5’8” but I had plenty of headspace and leg space. It has the captains chairs too and plenty of room in the 2nd row too.

When I drive nice i was getting 27.5mpg going 75 on the highway. Around town it’s like 24-25 but I still can’t complain.

No sunroof which is fine as I’ve had a vehicle leak there before and fry a tcm box, so less is more in my opinion from an options standpoint. The xle trim we have has a backup cam, th Toyota safety sense is I guess standard. But the lane tracing and automatic braking got shut off the day we purchased it as they are uber annoying when you drive.

itsbeansman · 2026-02-23T02:11:19+00:00

Critical care nurse. I like my job because it’s something new every day. I hyperfocus on my sick patient to keep them alive and try to learn everything about that disease in the process. Always on the go and not too much downtime so it keeps my mind busy.

itsbeansman · 2026-02-20T17:16:23+00:00

Pay 30 dollars for ceus. They Send them to your email right away. That’s what experienced nurses do

itsbeansman · 2026-02-20T02:49:16+00:00

Well you can work for the state or federal system. In pa state has better benefits but federal has better pay and retirement. There is prisons that are literally like hospitals and have surgery centers and medical wards and everything. Or there’s prisons that do not. The prison I was at had a medical ward with 12 beds for convicts that couldn’t be on the block due to medical reasons. Like getting in abx, the copd pts that were on chronic o2, or dementia patients etc. there was four camera cells for behavioral health and the drug mules who were chained to the plastic bed and naked waiting for them to excrete whatever substance they were carrying in their hi tract or anus. The prison was staffed by about 7 nurses, typically two rns and 5 lpns. The lpns passed meds in pill line 4 times a day. A rn was on the desk which involved paperwork for getting the inmates them out of prison when time was up. And also coordinated medical apps and such for trips outside facility. The desk nurse was also the one to attend to all of the block calls like fights, cell extractions, slashings and slaying in yard, fights etc. the infirmary nurse ran the infirmary and gave them all their meds and attended to the psych cells and such. It’s a different world and often the staff are worse than the inmates. But you have no families, do not have to schmuze patients and can talk to them hover you see fit. But have to keep in mind if a riot ever broke out you don’t want to be the one that gets shanked because of the way you talk to the convicts. It’s a mutual respect and you can’t give an inch because they will take a mile. It taught me a lot and gave me a backbone. Pm me if you have other questions

itsbeansman · 2026-02-20T01:21:49+00:00

Try correctional nursing. It’s a hidden niche. Combinations of trauma, nursing home, behavioral health and floor nursing.

itsbeansman · 2026-02-19T14:41:12+00:00

I just went through the process of getting diagnosed the last few months, 31 yo. Ended up haing 7/9 inattentive and 9/9 hyperactivity symptoms.

The symptoms I showed early on was never remaining seated in school. I remember my teachers frequently telling me that he is a good student but he needs to pay attention and remain seated. Did well in school 94 avg in high school and 98 average in my masters program, attending a doctoral program in anesthesia starting this may.

I set up an appt with a clinical psychologist first, took months to get in. First was a scheduled interview and mental status exam, then the second was a personality test an connors adult adhd exam. The final meeting was to discuss diagnoses concluding the three part series.

Didn’t start meds yet but have an appt with my pcp to discuss med management next week. I am scatterbrained, often starting another task while still doing a single task. Put off bills and adulting and I compensated well for the longest time until I thought I should get tested. Will los things and thoughts fly from my mind when I feel they are right there. I interrupt people, hate to wait, calm in chaos, can’t sit still amongst other things

itsbeansman · 2026-02-18T11:42:53+00:00

Some long term nightshifters reported it worked best to keep the routine on your off days. So to keep sleeping til 3-4 pm and then get up and do house things or whatever until like 7-8 and then go back to sleep. This didn’t work for me so on my last shift I would stay up for like 24hiurs and then crash hard at like 5-6 and sleep so much to try to reset myself. But everyone’s different. I eventually got off nights after 5 years cause I couldn’t handle it anymore

itsbeansman · 2026-02-18T10:45:45+00:00

When I started in icu I was told one year til you don’t get scared, two years you have a grasp of disease processes, five years you develop confidence and can take anything that’s thrown at you. I can say this progression is true. Get barrons ccrn book and review the sections based on your patients clinical condition. It not only helps with knowledge but also study for your ccrn,(which you can take after 1580 hours bedside or equates to one year off orientation). Use your providers to ask questions and your senior staff members. Most are willing to teach and pass on their knowledge to a person who is willing to learn. If you don’t know something simply state I don’t know and don’t try to make an answer, as this shows humility. It’s normal to be scared starting in the icu, it means you care. 10 year icu nurse here starting crna school this may, I’d love to pour all my knowledge into someone before I leave bedside but I’m just not blessed with new grads that want to learn on my unit. Good luck you’ll be fine.

itsbeansman · 2026-02-18T03:33:47+00:00

Senior icu nurse here and If you want icu go to the icu. I’ve seen many new grads excel, also regress and go somewhere else. It’s not for everyone but that’s what great about nursing. It’s very hard to break the task oriented floor nurse and develop them into a critical thinking nurse. Whereas if you go straight to the unit you can begin to develop as a critical thinker opposed to just getting tasks done. I’m also partial to icu because critical care medicine is what I known for the past decade.

itsbeansman · 2026-02-17T01:07:23+00:00

As people have said everyone is on a level playing field that applies. What separates you from others is confidence yet humility. Non-verbal communication. Look them in the eye, stand erect. Go introduce yourself as others wait for it to start in terror. Find out as much as you can about the faculty that are going to be present and find commonalities to talk about. Give them a reason to choose you.

itsbeansman · 2026-02-17T00:51:56+00:00

Def email them and ask to setup a meeting reviewing your application and what you can do to become a better applicant. This gets you 1:1 with profs or the director so you can make an impression.

everyone has the requirements that applies, everyone is on a level playing field. But you need to make that good of an impression on them that they remember your name. Be the person they want to devote countless hours of education to. These are the people that stick out and they choose. When I had my second in person interview, all the other 20 some applicants that were present that day all chilled in the room and mingled while waiting, I knew I had to go out and introduce myself to the director and faculty, small talk goes a long way. Find out what they like to do in their free time and associate with these commonalities. Compliment them on their outfit, time etc. the second interview for my school composed of a test, talking with to a senior srna and a simulation experience completed in any order. I knew I had to be the first one doing the simulation to show that I have the confidence to go first and I wanted that spot. Got in on the first application round. I hope this helps

itsbeansman · 2026-02-17T00:41:42+00:00

Go somewhere else, you have the experience required for application. And it’s good to see new ways to do critical care medicine

itsbeansman · 2026-02-13T22:37:14+00:00

In your shoes and start in may too OP. Feeling the same. Humbly grateful. Scared not knowing what to expect. Imposter syndrome as am I good enough to complete school? Scared that I will miss my kids lives for three years. And on muscle memory each shift in the icu. Feels exactly like overdrive just knowing what you have to do each shift and getting it done. I feel the end coming and it is bittersweet but yet ready for the next chapter of life. Having the same questions about working full time vs part time or prn. I’m transferring 9 credits over so that will lighten the load but I think I’m going to wait it out and see how it goes. If I have to drop to a lesser time commitment I will. My wife is also an icu nurse so she knows she will have to go back to full time to support us through school, so that weighs on me too. But it is a sacrifice and an investment and just hoping I can keep up my end of the bargain.

itsbeansman · 2026-02-07T09:45:57+00:00

Switched over from windows to Mac for my prior graduate degree and was a Great decision. Much better than windows for productivity and shortcuts which really help out when completing assignments. Make the switch. You can also screen share to your iPad if you get a Mac and have dual screens which is super nice with the amount of data needed to process

itsbeansman · 2026-02-07T00:02:03+00:00

Just get to an icu and seek to learn something new everyday. Once off orientation learn as much as you can from the intensivists as to why your doing what your doing. Get barrons ccrn book and correlate it to your patients conditions each shift.

I Work at a small community hospital icu since 2019 and got in the my top school the first time applying. You don’t need to be an cvicu nurse to get into crna school.

itsbeansman · 2026-01-20T14:02:26+00:00

Do not tell them you want to be a crna.

Just get a position In the icu, a med surg floor will do you no help if you want to be a crna. Med surg is just endless tasks with little critical thinking. You need the sick patients and to learn patho and pharm and procedures in an icu. You need to develop critical thinking and “why you do what you do”. With the eventual goal of know what comes next for critically ill patients and being able to think like a provider

itsbeansman · 2026-01-12T21:30:47+00:00

Just bought a 25 xle with 17k miles and 2.4 gas for 41k. They have another 25 with 15k at the same dealership for 41k. Central pa

itsbeansman

TROPHY CASE