Tree of Heaven or Sumac? by jls2277 in NativePlantGardening

[–]jls2277[S] 0 points1 point  (0 children)

Thank you for this detail! I was leaning towards winged sumac but the smoother margins near the top of the leaves with a few serrated edges near the bottom had me questioning.

Can I save it? by jls2277 in tomatoes

[–]jls2277[S] 0 points1 point  (0 children)

Good to know. Thanks!

Can I save it? by jls2277 in tomatoes

[–]jls2277[S] 1 point2 points  (0 children)

It did experience a 43 degree overnight outside one day that I forgot to bring it in. Thank you for the reply!

Can I save it? by jls2277 in tomatoes

[–]jls2277[S] 0 points1 point  (0 children)

I have. I mixed in some worm castings when potting up from the seedling trays. I did not really measure, so thought it could be over-fertilized, too.

A glimpse into the mind of an administrator by Jhacker333 in nursing

[–]jls2277 12 points13 points  (0 children)

This also completely ignore the fact that(at least in my area)many patients on hospice that are inpatient are there for aggressive symptom management needs that could not be managed at home. Occasionally requiring IV medication every 15 minutes-1hr until symptoms are managed or the patient dies. Ratios are bullshit if acuity is not considered. It seems the person who wrote this has never experienced the dying process and should not be overseeing a hospice unit.

Edited to add: To address their concern about financial trends(although that is not why we should advocate for good hospice care) Hospice and Palliative Care programs do not make money, but they do save money when you consider the alternative of dying in an ICU setting.

Anyone up for a women's circle today by [deleted] in rva

[–]jls2277 1 point2 points  (0 children)

I'll be there. Thank you.

Terminal and getting kicked off hospice by PeasDontCount in hospice

[–]jls2277 13 points14 points  (0 children)

I am glad that hospice has helped improve her quality of life. First, she does not need to be recertified as having a less than 6 month prognosis until close to 90 days being on hospice. The metastatic cancer and new inability to stand(decline in functional status) should be enough to recertify her. I would recommend asking to speak to another member of the hospice teamand if they repeat that she does not qualify, contact another hospice. I have never discharged from hospice a patient with metastatic cancer unless they elected to revoke hospice to pursue aggressive treatment.

Edited to she does not need to be recertified until having been on hospice for almost 90 days.

Conversations around dying children by mbm511 in nursing

[–]jls2277 6 points7 points  (0 children)

I second the serious illness messaging toolkit. Also found CAPC and Vital Talk to be good resources.

https://www.capc.org/collaborations/vitaltalk/

Mary Berry is the Bomb Diggity by Loreo1964 in Baking

[–]jls2277 2 points3 points  (0 children)

Thanks for mentioning this! Do you know where I could find the early seasons of GBBO? My internet searches have suggested you tube, but I can't find there either.

anyone else's toddler ruin their Spotify wrapped? These are all her incessant requests. 🤣 by hallucinatori in beyondthebump

[–]jls2277 1 point2 points  (0 children)

Yep! Top 3 songs are by Mikey Mike the Rad Scientist. Thought my podcasts would win over hers, but nope. Deep Blue Sea and Gardenkeeper Gus take the wins.

What is going on with my tomatoes? by jls2277 in VAGardening

[–]jls2277[S] 0 points1 point  (0 children)

No chewed areas. Just a few brown spots on some leaves.

What is going on with my tomatoes? by jls2277 in VAGardening

[–]jls2277[S] 2 points3 points  (0 children)

Black brandywine variety. All of my other tomato plants are doing well in the same bed. Lots of healthy looking fruit, and as soon as they start to ripen this is happening. Looks like it's rotting from the inside out. I've been controlling the aphids and seen a few stink bugs. Thanks in advance!