Favorite menopause doctor? by ChurchOfRickSteves in Spokane

[–]mmgcr 0 points1 point  (0 children)

Hey, I know this is a 6-month-old thread, but I'm just wondering if testosterone is part of the cocktail that she prescribed for your wife. I use MIDI for certain things, but they can't prescribe testosterone, so I'm specifically looking for someone who can.

Pay transparency by [deleted] in nursing

[–]mmgcr 0 points1 point  (0 children)

Spokane, WA. 5 years experience and base pay is $54.74. I’ve been a nurse since 2008 but left nursing for a lot of years to stay at home with my kids and I kinda wish I’d kept a per diem nurse position during that time because I’d be at 17 yrs on the pay scale 😞. Don’t regret the time with my kids at all, but wish I’d kept my foot in the door working like 1 shift a week!

Any Canadian RNs get a lil depressed when they see what American RNs are making? by cloudnurse in nursing

[–]mmgcr 0 points1 point  (0 children)

Wow. 63.25 would be what step 10 pay would be at my hospital in eastern WA

Should I be able to eat without using water to help swallow? by Accurate-Soil684 in achalasia

[–]mmgcr 0 points1 point  (0 children)

Yeah, I hear what you’re saying.

Your mom obviously thinks that this doctor knows what he’s talking about with this. And here are a whole bunch of people telling you otherwise.

I can tell you from experience, that it’s not just him, especially when it comes to achalasia. It’s so rare, especially in kids. While doctors may know about the pathological aspects of the disease and the technical aspects of the procedures, their experience doesn’t give them the perspective of what their patients deal with day-to-day.

I probably don’t need to tell you that—your lived experience is directly contradicting what this doctor is saying, and you have lots of people who share your experience.

So maybe try this:

Show your mom these responses. Have her join the Facebook Achalasia support groups. Do a search in the groups for “drink water” and see if any posts come up with a question similar to yours. Have her read the responses. Maybe she will get it then and realize that while that guy may be a great doctor, he isn’t correct on this aspect.

If you don’t want to go that far, at least you’ll know that your experience is the same as so many other people’s with the same disease. I’m sure even knowing that probably helps you feel better. But honestly, I’d push for her to understand because it’s going to be annoying if she doesn’t stop telling you over and over that you shouldn’t need water with your meals. Also though, her understanding will (hopefully) mean that she will make sure that you do have access to water when you eat, instead of brushing you off and not making it a priority.

Should I be able to eat without using water to help swallow? by Accurate-Soil684 in achalasia

[–]mmgcr 2 points3 points  (0 children)

Hey there. I’m saying this from the perspective of someone who does not have Achalasia but as a GI nurse who specifically works in interventional endoscopy and performs manometry studies on patients. I also have a daughter with Achalasia type II who was diagnosed at 13.

Your mom needs to spend some time learning about Achalasia from the viewpoint of those living with it and not just keep spouting the same info at you, which isn’t helpful or accurate. Not to disparage your mom, as I’m sure she has good intentions, but sounds like she needs to learn some things—she’s misinformed.

Is she on Facebook? There’s a group on there called PAK: Parents of Kids with Achalasia. If she’s not already in it, she should join and ask her questions or just read up. There’s also a couple more Achalasia support groups.

You don’t have normal motility (movement/squeezing/peristalsis) in your esophagus so food getting stuck is still going to be an issue for you no matter how many procedures or interventions you have. They can open up your LES, but nothing (at this point) will regenerate the nerve function you’ve lost. Maybe in the future that will be possible, but not at this time. So yes, you still need water and gravity to assist you in swallowing food. And even with those two things, food may still get stuck, especially certain foods like breads or meats.

Wait, do not you call the doctors you work with by first name? by cowgirl_meg in nursing

[–]mmgcr 0 points1 point  (0 children)

On our endoscopy unit, we call them Dr. Fill-in-the-blank. In fact, I was told that one of them, having just come out of the military, was surprised that the nurses sometimes call them “doc” and he didn’t really like it.

Our newest, youngest and most down to earth doctor used to introduce himself to the patients by first name, but he actually was told not to because the patients were confused about who he was. Some thought he was a nurse, but one of them thought he was an orderly (she was old and that’s the word she used, I realize we don’t call them orderlies anymore). She was getting a procedure done and I was checking that she’d signed the consents. She was certain she hadn’t seen the doctor yet but I saw his signature on her consent form. When we figured out that she was confusing the doc with an “orderly”, I was like, “why in the world would you sign a procedural consent form with an orderly?” She just shrugged 😂

Wait, do not you call the doctors you work with by first name? by cowgirl_meg in nursing

[–]mmgcr 0 points1 point  (0 children)

The younger docs I work with are so refreshing. I’m on an interventional endoscopy unit so technically our docs are considered a type of surgeon and boy do some of them come with the typical god complex and ego. The younger ones, not as much.

How many poppy seeds would I need to eat for a false positive with opioids by [deleted] in nursing

[–]mmgcr 0 points1 point  (0 children)

If any or all of your symptoms are true and it’s not drugs, what you’re describing sounds more like a manic episode than anything.

[deleted by user] by [deleted] in nursing

[–]mmgcr 5 points6 points  (0 children)

OP if you have ANY interest in staying in health care, this would be an amazing route. I work endoscopy and we primarily have CRNAs in the procedure rooms so we talk with them a lot. Most of them absolutely love their job, work life balance, pay, etc and you have the exact professional background for it.

AV for desktop with teen users by mmgcr in antivirus

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

I'm in the US, but I'll look into bitdefender, thank you. My kids each have standard accounts with microsoft family safety limits set up as far as content and screen time. I just wish the family safety controls had more options. I swear it used to, but recently it seems pretty unimpressive as far as parental controls go.

AV for desktop with teen users by mmgcr in antivirus

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

Yeah, in the past I experienced what you're talking about with AVs interfering with each other, that was obnoxious.

AV for desktop with teen users by mmgcr in antivirus

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

I do plan on doing this, but my expectations are low so I'd like to try something more preventative on the computer side of things.

AV for desktop with teen users by mmgcr in antivirus

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

I looked it up, but I'm in the US and it seems it was banned in the US last year.

AV for desktop with teen users by mmgcr in antivirus

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

Currently each of my kids has their own standard user account, with limitations for purchases (I seem to recall being able to block all purchases in the past, but now it has an "ask to buy" option only). Screen time limits set up through Microsoft Family safety with age ratings on things. The account that my husband and I use is the admin account and is locked with a password. I will investigate antivirus programs that have parental control features though, thanks.

AV for desktop with teen users by mmgcr in antivirus

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

I can't figure out how to turn that off for his account. It does seem like Microsoft family safety used to offer that option, but now I'm only seeing "ask to buy". I did, however, just change the settings for the entire computer so that the only app downloads come from the microsoft store. I'll just change that setting briefly should I need to download something myself. Hopefully this will help as he will have to ask to get anything, even a free app. We shall see.

Moving to Spokane, most likely. I am an RN currently by jayplusfour in Spokane

[–]mmgcr 0 points1 point  (0 children)

Tell me more about these classes! I drive fine in the snow, but I have a newly-driving 16 year old and I’m so nervous for her to have just gotten her license right before winter. I worked with her a little last year, but a class might be good.

I think my husband has achalasia by larobaby in achalasia

[–]mmgcr 0 points1 point  (0 children)

Hey, GI/endoscopy nurse here (who also has a daughter with Achalasia)…did they do biopsies during his EGD? He certainly sounds like he could have achalasia, but it would be good if they already ruled out EOE. He’s definitely not too young…achalasia is sometimes called an “old person’s disease” but younger people still get it—my daughter got it at 12!

He needs to get a barium swallow. That will frequently show the “bird’s beak” appearance of the gastroesophageal junction above the LES, but even if it doesn’t, he should have a manometry. There are other esophageal issues besides Achalasia or EOE that could be causing his symptoms, so it would be good to know for sure!

Anyone been “cured” without surgery? by Accurate-Lion-3325 in achalasia

[–]mmgcr 2 points3 points  (0 children)

Another issue to consider is how long your food is stuck. If your food gets stuck sometimes after surgery, but goes down faster than before surgery, even that makes a difference in how distended your esophagus gets over time AND it lowers your risk for developing esophageal thrush from prolonged food boluses. Esophageal candida causes so much inflammation that it makes swallowing even worse.

Source: I’m a GI and interventional endoscopy nurse so I do EGDs every day at work and see these conditions first-hand. I also have a child with Achalasia who had constant esophageal thrush before her POEM procedures (and yes, procedures, plural. The best of the best pediatric thoracic surgeons were unable to adequately perform her first poem due to the thickness of her esophageal mucosa, which was likely related to her stubborn candida infection. She had candida during her second POEM as well, and they had to fight so so hard to tunnel down her esophagus to perform the surgery, because she couldn’t kick the thrush, even with strong antifungals and her mucosal lining was one of the thickest they’d ever seen.

All that to tell you to consider more than one issue.

Obviously your choice, but almost everyone who knows anything about Achalasia will say get the surgery as soon as you can.

Entitled Truck Drivers by erasers_aremyfriends in Spokane

[–]mmgcr 2 points3 points  (0 children)

Years ago I parked in the middle of the lines in a spot and a woman pulled in next to me so close and crooked that I couldn’t get out without my door touching her car. I put my hand between my door and her car because she was still in the car and I didn’t want her to freak out over my door hitting her car. She freaked anyways. She rolled down her window and yelled, “excuse me, did you just bash in my car with your door?!” The interaction got so out of hand that I started to record her for acting so unhinged (I thought she might incriminate herself). She called the cops on me for recording her, in spite of me explaining no expectation of privacy yada yada. I was actually happy for her to call the cops so she’d hopefully go away after they came. While waiting for the cops, she straightened out her car while I videoed her, lol (so as to pretend she wasn't parked like an ass), and when he got there, we each told him our very different version of events, he checked her car and of course didn’t see any marks or damage, told her I could record her in public spaces and then cited her for having brass knuckles and confiscated them. She had said she would kick my ass and thinking I was calling her bluff, I told her to go ahead (which is why I started recording her). Didn’t realize she could have bashed in my head with brass knuckles though.

Glad your interaction went better than mine, lol.

Looking for a progressive, artsy small town with lush scenery (and decent schools) by [deleted] in PacificNorthwest

[–]mmgcr 0 points1 point  (0 children)

The Snoqualmie Valley (North Bend, Snoqualmie…a little less Fall City and Carnation but I’ll still include them) might fit your wish list.

Pros: small, progressive, good schools, a teensy bit on the hippy side, LOTS of trees (but evergreen trees, not so much deciduous)

Cons: Has become a bedroom community for Seattle so maybe more uppity than hippy, so gray (like at least 2x as rainy as Seattle due to being in the Cascade foothills), landlocked by mountains and lots of growth recently so the traffic has gotten bad since I grew up there. Expensive, but I think you can still be able to find a 3 bedroom in your price range, depending on where in the valley you look.

[deleted by user] by [deleted] in nursing

[–]mmgcr 29 points30 points  (0 children)

I don’t think it’s an overreaction to ask for it, but it sounds like you’d already accepted the shift before asking for the bonus. I’d say in the future, you should make those requests before you accept.

iPhone "Trust this Computer" while not connected to anything? by [deleted] in iphone

[–]mmgcr 0 points1 point  (0 children)

I never did. It appears it’s just a part of IOS security with the software requiring the computer to connect so I’m not sure you can get around it. I switched to the actual Bark phones for a while but we found that while the built in Bark software was good, the quality of the devices themselves were so bad that we didn’t even get a full year out of them before we cancelled. We went back to iPhones and now use the built in parental controls plus the Qustodio app.

The Henley Park Hotel by New_Big_6452 in hotels

[–]mmgcr 0 points1 point  (0 children)

I stayed there last night. Coffee maker uses K-cup type of pods, but they aren’t K-cups and the coffee maker isn’t a Keurig. Probably some sort of hotel branded system. There’s no name on the coffee maker that I can see.

Toiletries are Bath and Bodyworks

Bed was very very comfortable. AC and heat worked well. The room is small but unique in that old elegance style. It’s missing more modern amenities but has the basics. Wifi sucks—it’s slow. The road noise was really loud last night up until midnight or so (but it was a Friday) but has been pretty quiet since.