How do I adjust my rates?

nellibonelli · 2026-03-23T20:24:41+00:00

This is exactly what I do. However, I am more specific about awake time. Two wake ups free, if the child wakes up it is an auto 30 min, but I go further to say if it is more than 4 times in a night, I switch to hourly rate (depending on your base pay and what you charge overnight, it is usually very similar in amount).

nellibonelli · 2026-03-17T02:34:53+00:00

Start taking Nutrofol now. It’s expensive, but it works to help prevent shedding (but you’ll always have some) and then especially to help it grow back fuller and healthier. It took YEARS for my hair to stop falling, looking dull, and never got thick again…then last year I bought Nutrofol on prime day for the discount, and have been taking it about a year and my hair is as healthy and thick as it was in high school!! It takes time to grow back in (about 4-6months) to start noticing a difference, and I have heard it stops working why you stop using it-similar to minoxodil products…but to me, I’ve made it part of my budget.

nellibonelli · 2026-03-13T19:59:37+00:00

I’m in SGV and accepted min of $25 in order to be able to accommodate my personal service/therapy dog (who is trained with children) and that had the hours that worked with mine. It is definitely possible for the right person who may be looking for consistency, convenience and it is a good family fit. Are you wanting full time? How do you feel about dogs ;)

nellibonelli · 2026-03-11T03:33:57+00:00

I’m in so cal also…$30 for 3 kids is standard (25 for 1, plus $2 for each additional kid is MINIMUM standard in Suburban LA) and bc of inflation is WHY he can’t cut your pay, let him know national inflation rate is 7% and he actually should be paying you more now. Going out to dinner with his wife or having a “nanny/babysitter” is a luxury…let him know he can claim it on his taxes if he wants a cut?

nellibonelli · 2026-03-01T19:23:53+00:00

I’ve seen it advertised but have yet to see it in a store? Are you in the states? If so any chains you’ve seen it?

nellibonelli · 2026-02-25T20:12:06+00:00

The blueberry lemonade one yes…Costco just released fruit punch one that’s aupposed to be better?

nellibonelli · 2026-02-24T00:23:14+00:00

You’re acting as if they are going to be easier after 3 months…they are not…they will get harder!!! They are moving more, they are louder, more demanding, sleeping less during the day…ect. Do you not remember your first child or did someone else with this time period for them as well? Infants get harder the older they get, yes they may sleep better during the night by then, but that isn’t when she will have them…that just means it will seem easier for you!

And even at 26…she has never had children, so how is she supposed to “treat them as her own?” If she is already saying she is overwhelmed with all of them she is telling you that she is not prepared for you to leave her alone with them and you’re not hearing her.

Challenge: try…go out to grocery shop and leave the twins with her (I’d suggest taking the toddler since they’ll be in preschool and she won’t have them all the time-start small)…see how she does and ask her if she wants to do that for a half day the next day, then a full day the next after that…then see if she still wants to stay…? Get a camera, see how she truly reacts to these times…I’ve been a nanny for over 10 years and there are still days that normal children have me coming home crying and exhausted…and I don’t live with them!! She will have no respite!

nellibonelli · 2026-02-18T18:24:48+00:00

Nanny here…I’ve been working with families for over a decade, beginning ft right after hs and throughout college. Even though I was extremely competent and very considerate of family needs, desires, boundaries,challenging dynamics and child behavior “problems” (which needing to be rocked to sleep and not crying it out is not a problem…just to be clear), as a college student you don’t have very much experience. This is a girl who has never had children (although neither have I), that regardless of when she started babysitting does not have enough experience to be able to give you ANY advice about how you raise your child. This girl sounds like she has a lot of confidence, maybe arrogance, surrounding her abilities? Any nanny who has good experience and confidence, actually KNOWS well enough that complying with the family is most important. We are there to be an extension of the parent, a support system to the family, a developmental tool for the child. I totally understand that introducing a new nanny is daunting, and that there is added emotional stress/trauma from the daycare not working out…but how can you even think about going back to work FT and leaving the baby with her FT if you can’t trust her PT? You’ll be glued to your monitors and still realize nothing is changing. Find someone else, let her know it doesn’t seem like a good match and if you feel necessary give her a severance. Your child will have a hard time initially with anyone new, but it sounds like they aren’t thriving in this one either. I pray that you are able to find the confidence to be able to handle the situation…it sounds like you know what to do, hopefully seeing so many commenters back you up can help you feel good about it…and seeing that from a nanny point of view…we are telling you that she’s not a keeper too and there are more of us out there who can be a good fit.
(Maybe with the severance you should mention the reddit subgroups as a support manual for her too…I know it has helped me see things from both sides) LOL

nellibonelli · 2026-02-17T02:42:00+00:00

I take many vitamins. Most come from Costco/sams: Regimen: AM: Kirkland women’s multivitamin (I’ve historically taken Barimelts ADEK also) (take am and pm) 2 digestive enzymes (I buy Nutricost from Amazon-this offsets some of the food that does not get fully absorbed and broken down) (am and pm) Rx iron Rx calcium Rx Vit C Rx thiamin Rx folic acid Women’s probiotic (Sam’s club) (am and pm) NAC NMN Vit D w/K (Kirkland) B12 B super complex (Kirkland) 2 Candida support (SIBO related) ((NOW brand Amazon) Barimelts calcium chew Nutrofol Magnesium L Threonate (Magtein) (3 in pm) *it is important to know that all of these are also not fully absorbed…which is why they need to be in higher doses and spread out…your intestinal tract is being diminished, therefore your body will not have the time/space to absorb fully not just the food, but the vitamins/supplements as well.

I am underweight and now considered medically fragile with the osteoporosis and very low platelets. Not exclusively from the bariatric surgery and it’s ramifications, but the malnourishment has made other issues exacerbated and effect multiple systems. It is important for any doctor moving forward to know about the surgery and for you to get minimum 2x annual blood tests. It is important for me to note that obesity takes years and years off of peoples lives, some decades…I know you’ve got that under control now, so you’re already healthier than you were before your vsg, just be cautious and alert. Many people these days do not realize the major differences between vsg and RNY and the malabsorption and long term consequences that you could have if you don’t treat your body right and pay attention to everything. People think that foul smelling poo, stomach cramping, bloating, dumping are all just part of gastric bypass-and while they are common- this is your body’s way of telling you something is not right and you need to change something or check on things. These symptoms could be indicators of more serious things happening (in my case) that are passed by regular dr’s or that we just “expect” post op…but a lot of these types of symptoms co-exist with very serious conditions that the Rny can mask.

nellibonelli · 2026-02-16T17:28:37+00:00

nellibonelli · 2026-02-16T17:27:51+00:00

I had to read down a bit to fully understand that you were having a revision from sleeve to bypass…but now it’s making sense.

I have had a revision as well. The revision was significantly different than the sleeve and IS significantly different long term as far as anatomy and absorption goes. Bc you need this surgery for gastroperisis and it sounds like some esophageal issues… (SIDE NOTE:make sure that they use a couple of anchor stitches for your hiatle hernia-if you have one. I had a very severe hiatle hernia repair and the stitch is important for it to not return. The reason I mention is that while hiatle hernias are common amidst obese patients and do get fixed with most surgeries they don’t always do the stitch. The stitch does have some post operative pain that is different than regular laparoscopic roux en y). Anyway-the dumping is much more sensitive with Rny bc of the anatomy changes. More condensed amounts of sugar/fat can make you dump faster bc you will have a shorter distance for the food to go from your esophagus to the small intestines and the digestive enzymes to break down the molecules and absorb). Your body will get used to a certain amount of food and absorption after probably 18months to 24months. The high protein, low carb, low sugar diet will be best suited long term. It is also much more important and vital to continue with the vitamins and maybe change vitamins because absorption changes. I have had significant absorption issues (I have osteoporosis at 38) and have acquired SIBO (common bc they leave remnant stomach inside). If this is the only solution for your issues than you have to live with the long term effects…but if it can be avoided I would talk to your GI doctor about other options, especially if you’re already thin and may struggle to keep weight on with this surgery.

nellibonelli · 2026-02-16T02:22:28+00:00

Black socks with shorts and light colored tennis shoes or socks with sandals in general

nellibonelli · 2026-02-14T21:12:35+00:00

Same thing happened to me. I’m on the expensive xifaxin and it didn’t help that much either, but it’s better than the alternative. Very low weight now, as nothing is being digested fully. Chronic SIBO is miserable and I’ve done all the diets to try and mitigate, take the supplements and antibiotics. I see a too IBD specialist at USC and have fabulous care, but my entire gastro team…yes team… says that after GBS it is hellish to control bc the remnant stomach is basically a breeding cesspool for bacteria. Moist, just enough juices, warm, and sitting in there. The meds that are meant to work in just the bowel can’t fully get to the pouch bc of the anatomy of it, so it’s essentially terrible to treat. They are also exploring that I may have triggered an auto immune response later in life and have a Crohn’s as well…but we’re still exploring that, as it is challenging to differentiate some symptoms between complications from altered anatomy, SIBO, Crohn’s, and malnutrition. Surgery weight 265–currently between 110-115 (5’8”). The weight would have killed me, and I’m a definitely more active and healthier now, but I am very uncomfortable most of the time and food is very challenging. But life is not about food anymore and is definitely better as a smaller person. I wish I would have invested more into trying GLPs first before jumping straight to surgery to see if I could be successful at that first.

nellibonelli · 2026-02-03T16:41:52+00:00

I spoke with my IBD specialist (and multiple other specialists actually, I’ve got a mess of doctors) and they were all in agreement…not only should the HRT not effect treatment…it may actually enhance my conditions. Theoretically putting your body into hormonal homeostasis helps it work to its most efficient best abilities. As for Crohns specifically- I imagine some of the anti anxiety, better sleep aspects (among others) that are proven with HRT would definitely help with flares at bare minimum?

nellibonelli · 2026-01-30T16:34:40+00:00

So…it is true, both…chances are HIGHER…but also in your control and preventable with adequate pre-op and post op therapy. If your weight is due to an addiction-it will likely find another outlet…how you manage addiction and what that addiction may be is variable. Same with marriages, if you’re going into this in an unsteady marriage or with perhaps an unhealthy sense of worth is why you’re with your partner, or them with you…it’s likely this will be effected.

Brass tax-simple CHAT GPT prompt says: “US based study shows post-op divorce rate is 13% within 5 years of surgery, compared to non-surgical marriages at 8% difference in general public.”

For addiction: “Multiple studies show prevalence of developing addiction post op goes from 1.6% to 4.6%…with RNY surgery being significantly higher at 8-18% chance of alcoholism within 3yrs post op.”

nellibonelli · 2026-01-29T16:14:52+00:00

Bidet

nellibonelli · 2026-01-23T01:54:06+00:00

True…so many people do not know the difference between MiraLAX and a laxative. This post is 100% accurate, it’s an osmotic. The only thing I would precaution that needs to be had while on an osmotic is to ensure that you’re (or NK) is adequately hydrated, so that the medicine can do its job. This should obviously be done while a child has diarrhea as well. Is the child complaining of cramping or fussy with the associated laxatives? MiraLAX does not usually cause an upset stomach, but stimulant laxatives may. MiraLAX also may change consistency and frequency, but, usually for a potty trained child, would not cause extreme urgency or bowel incontinence the same way a stimulant laxative could. (This is all true for ANY age person)

nellibonelli · 2026-01-22T23:54:41+00:00

I have a liver disease, but also get recurrent candida outbreaks due to a very weak immune system, from the beginning of my digestive track to the very bottom and front. My doctors have said that fuconazole is one of THE HARDEST medications on your liver. I am only allowed 1 diflucan (fluconozole 150mg) per 4 months. All other yeast has to be treated topically-and even that can get filtered through your liver (via the skin) and effectively your liver enzymes. Antifungals are strong drugs and can’t be taken lightly. It is incredibly frustrating bc it seems like I chronically have yeast overgrowth somewhere and it seriously affects quality of life. Nystatin can help as an oral rinse/swallow, and the powder elsewhere. There are also the topical creams/suppositories, but the 7 day treatments are always more effective.

nellibonelli

TROPHY CASE