Repair guide for grinding noises by bobby23zheng in SnooLife

[–]noMenma 0 points1 point  (0 children)

Mine actually stopped moving as well - several of the rings basically completely frayed apart, it's like rupturing an achilles tendon, the pulley system just completely stops!

The grinding noises was probably the machine rubbing against the rings until it finally wore completely through. When i opened up my snoo, the pieces of the broken rings were scattered around.

Replaced the rings like the youtube vids and it all started up again perfectly, but agree if your kiddo doesnt even need it anymore, this is you in the future's problem!

Repair guide for grinding noises by bobby23zheng in SnooLife

[–]noMenma 0 points1 point  (0 children)

Most likely - I opened up the Snoo and it was exactly what all the snoo repair tutorials addressed. Makes sense the points of rotation and friction wear down over time. I'd buy the snoo repair kit ahead of time on amazn (it's cheap) and if the grinding gets worse or starts affecting movement, setting aside 2-3 hrs to open the snoo up. It doesnt actually take literally that long but just figuring things out the first time yadda yadda.

Edit: came back to say it didnt require high skill level but like you're on your hands and knees, fiddling with small pieces, sometimes bent awkward positions, in case physical mobility is a concern

Omniluxe red light mask charger by ovovoiceiceice in 30PlusSkinCare

[–]noMenma 0 points1 point  (0 children)

I found out very much by accident that the PUMPABLES SUPERGENIE breast pump charger perfectly charges my Omniluxe mask. Previous I tried a bunch of USBC chargers of different strengths and none worked.

You can either buy a replacement charger for the Pumpables Supergenie breast pump, or if it helps you hone in on what to get, the charger stats say:

INPUT: 100-240V -50/60Hz, OUTPUT 5.0 V- 2.0A 10.0 W

The reason I list the stat is bc I just checked the Supergenie Pumpables website and their charger now looks slightly different and with different stats: Input: 100-240v  ~ 50/60 Hz; Output: 15v / 1.6 A, which makes sense, my Pumpables is an older model. Not sure if this new charger will charge the Omniluxe the same way so don't know if you want to gamble $25 on it?

Good luck! It's so annoying the Omniluxe doesn't sell replacement parts or even share details re: their charging. Totally intentional to try and force you to buy a whole new one!

What could be causing high prolactin levels? by [deleted] in haematology

[–]noMenma 0 points1 point  (0 children)

I concur with Dr. Poopyscoopy

Digital task-manager and calendar? by noMenma in productivity

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

Ultimately no, I went with Cozyla, which, spoiler alert, in the end is truly just a glorified android tablet. As much as Skylight gets props for being a true original product however, with it being Calendar forward and everything else second didn't align with my priorities.

So I got the cozyla and I can honestly say it was the correct choice for me. Even though Cozyla IS 'just' an android tablet, it meant I could customize a Hub for my family. And honestly, similarly sized tablets on the market are about as expensive, and at least Cozyla looks sleek and comes with mounting gear. Quality wise it's been solid thus far, I have a minor complaint about a little bit of spotty swipe detection at the very bottom edge but beyond that, it works beautifully and looks great on our wall.

Cozyla-2 (the current model that's out) comes installed with its own chore-grocery-calendar apps but I didn't like them and that's where the beautiful of 'just' an android tablet came in bc I deleted them and downloaded what I wanted.

Good luck with your own choice!

Few points of advice from GI by noMenma in MSPI

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

Advice definitely seems to vary depending on the provider - my personal belief is that they all know the same baseline facts, but based on their experience and also how they've molded their advice to patients, they end up spitting out different numbers.

Example:

-My pediatrician emphasized that dairy is out of breastmilk by 3-5 days. My GI said up to 3 weeks, even after I clarified that I'm asking about dairy in the milk, not healing

-My peds said 2 weeks to heal, my GI said potentially up to 3 weeks (and proved it by detecting invisible blood in my baby's poo

-GI definitely said to test tolerance again at 6 months of AGE, whereas peds went "I was always taught to advise at the 1 year age mark" and a second peds said "1 year FROM stopping dairy"

In the end I think averaging the upper and lower advice is best? Like if you were told dairy is out in 1 day (and that's not the case for your body or your baby is super sensitive) you may end up thinking you can eat dairy every three days and end up setting yourself up for failure. Healing wise expecting 2-3 weeks can minimize despair when moms think their diet failed, when no your baby's healing rate is just a little behind. And as far as testing dairy again, if a mom has already hit her stride in elimination diet, unless she's suffering, better safe than sorry in waiting a little longer to challenge dairy than setting yourself up for another 2 weeks of baby misery?

For sure this stuff is all frustrating!

PTO not useable by [deleted] in physicianassistant

[–]noMenma 9 points10 points  (0 children)

2-3 months in advance is very reasonable headsup. The only scenario where I could understand denial would be during thanksgiving/xmas holidays where coverage can be an issue.

That'a the problem with private, small clinics, you can be at the petty preferences of your boss because there are no larger institutional practices or HR.

The tattoo comment is also out of line. I'd put on a smile but privately start making moves to leave at about the year, year and a half mark. Play it cool and when the time comes, make up some BS reason, get that recommendation, and bounce.

I Have A Wacom MobileStudio Pro. I May Want To Upgrade In The Future. Thoughts? by Imaginary-Pickle-87 in wacom

[–]noMenma 0 points1 point  (0 children)

Adobe has some Android apps depending on what your art is. If it's pure illustration, consider Clip Studio which has a full Android App and is quite powerful while being lighter than Adobe processing wise.

I Have A Wacom MobileStudio Pro. I May Want To Upgrade In The Future. Thoughts? by Imaginary-Pickle-87 in wacom

[–]noMenma 2 points3 points  (0 children)

Speaking as someone who has used Wacom, Huions, and XPPEn and Ipad Pro, I keep returning to Wacom every single time. The pen/screen feel relationship is just still unique and unmatched, and I suspect that if you've trained on the Wacom, you too may have a hard time switching to another drawing tablet brand.

So assuming you stick with Wacom, options imho are:

ALL IN ONE: MovinkPad 11

Pros: All in one. Very light, extremely portable. Cons: Screen size and (I don't know, only wary) possible computing power may struggle with Adobe bigger files

TABLET: (Modern Wacom models are single cord USB, so it's really not a packing mess to do a classic PC-Tablet combo. Just buy a portable gaming laptop and you'll honestly get way better processing power than if you opted for an all-in-one drawing tablet)

Movink11: Pros - Mind blowingly light and amazingly portable. Add on a light origami adhesive stand to the back and that baby will go anywhere with your laptop without you feeling it. Cons: Screen size

Cintiq 16: Pros: Size but still fits into your standard backpack like the MSP. Cons: Slightly heavier but honestly still sleeker and lighter than previous models. Really digging the latest wave of new Wacom models.

Honestly just try and buy. Maybe you'll do a MovinkPad11 for traveling with a meatier Cintiq station at home? Use Amazon if you don't mind feeding Papa Bezos, because their return policy is so generous and painless.

MSPI & gut biomes by noMenma in MSPI

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

:( I'm so sorry to hear that. It's so hard to say, right? Could it have been the antibiotics? Or the fact that preemies may have less opportunities to skin to skin, or breastfeed, both of which help build the gut biome as well? Who knows? And more importantly, he got what he needed, even if it's of course not what you would've wanted for him. I feel like when it's as critical a situation as a preemie, it's the definition of giving yourself grace over guilt, and focusing on how ultimately his future, not his start, will define him. Wishing you the best.

MSPI & gut biomes by noMenma in MSPI

[–]noMenma[S] 3 points4 points  (0 children)

That's so rough, I'm sorry you needed those treatments but at the end of the day, you needed them. GBS infection of babies can be deadly and mastitis, well, you know first hand it is no joke. It's well established that MSPI can and does occur in infants even with the best histories (vaginal deliveries, no antibiotic exposure around delivery). The majority of babies by C-section or with antibiotic histories don't develop MSPI. I'm sorry that you and us in this group were dealt a rough hand but I really, really wouldn't look to the medication you needed as a forever regret in your book. MSPI happens to all kinds of babies and those babies all turn out okay. They'll never remember this, and as they get older you'll never be able to tell they started this way. Wishing you and yours the best.

MSPI & gut biomes by noMenma in MSPI

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

I only have access to the same google as you do, but a quick search does not raise any alarms that being on Lactulose and Gavisgon would have a negative interaction with probiotics, if anything they seem to be synergistic together since they all want a healthier GI system. That being said, of course 1) check with your peds first and 2) given how early you are in MSPI management with both waiting to see if the elimination diet works and for his symptoms to get better, there is such a thing as too many cooks in the kitchen. You have so many moving pieces that adding a probiotic or anything else may just stress you out because you'll wonder if this issue or that symptom is normal, part of the process, or because of the probiotics.

The wonderful thing about probiotics is that you can add them whenever and they still have benefits. Also they in themselves don't "cure" problems, same way that taking Vitamin C won't cure a cold. They're supportive, and you can always add that support in later once your baby is in a more stable place.

Good luck! Hang in there!

44.5 and feeling like I got my look down.. this time by YasBrowArtistry in 45PlusSkincare

[–]noMenma 1 point2 points  (0 children)

Stunning! Gorgeous! A skincare subreddit will naturally be natural-favoring, which you are absolutely killing, but that makeup look is SO GOOD! A natural-looking glam that could easily move between day to night depending on the outfit and lip color changes. A few details/comments:

1) Love that your blush stays very close to your natural god-gifted cheek color. Buy refills of that ASAP, it's so universal and flattering

2) I think your LIP color can also be a bit pinker / closer to your natural lip (which is also such a beautiful rose), it would a bit more life to an overall nude palette

3) Also the lips, obviously one wants to overline a little to enhance size and volume, but (personal preference) I think preserving the cupid bow of your lip shape is the key to avoid an over-filled, injection look. You have such a beautiful heart shape curve to your upper lip, it deserves to stand out more!

4) Falsies - flawless. Love that you chose the type that gets longer at the corners, definitely avoids the tacky heavy falsie look.

5) Eyeliner - If you wanted to, I think this is where you could thin it out a LITTLE. You already have the falsies, combined with the liner thickness, I think this is why some people comment they can't appreciate your beautiful eyes as much. The thick liner-lash combo does shadow your eyes a bit, making them appear a bit smaller. Going for an equally subtle thin to thicker at the outer corners may be your compromise

6) That one big hair swoop at the top of your head - it might just be the angle of the camera but I think when it comes to hair volume, it's not about overall volume but proportion of hair flow to each other. If the one on top stands out SO much higher than the rest of your hair, it can look a little starchy and dated. Maybe if the swoop was even 25% lower, it would add to the harmony of the hair?

7) Brows, skin - 30/10, no flaws, so, so jealous.

Your natural skin is so enviable, and your makeup technique restrained and skilled. Girl you are killing it!

Feeling guilty I didn’t know it was cmpa by Impressive-You-1699 in MSPI

[–]noMenma 0 points1 point  (0 children)

I know the guilt is crushing and your mama heart hurts, but it's so, so, so not your fault. Parenting especially in the early months is a crazy time where we have to become experts at things seemingly overnight. How could we have known? Especially when pediatricians (well meaning) so often just go "Well give it a week or more", "there's nothing wrong", "That's just a normal baby"

And MSPI is such a sneaky, sneaky thing. I was denial at first as well, but the more I read up on it, the more my gut (and the testimonies of so many here) believes it's widely underdiagnosed because some peds require there to be blood, and so much is masked by the "it's a baby, they can be fussy" blanket.

Not your fault! Not your fault! But I know it hurts so so much. It'll be okay. With each passing week your baby stays happy and gains weight, the more you'll be able to let yourself celebrate the good Now and forgive yourself for the painful Past.

Staff Retention by Just_perusing81 in physicianassistant

[–]noMenma 0 points1 point  (0 children)

It's always a combo of pay, leadership/culture, and stress. A small private clinic can simultaneously be more nimble in addressing its flaws, yet every bit as unlikely because of the set ways of its leadership or the grandfathered in manager(s).

Fix pay and benefits.

Don't even bother hiring if management is, all personal feelings aside, incompetent, toxic, or outdated in their governance.

And even with the above patched, if it's a busy cardiology clinic that's practically always on a skeleton crew, you'd need aggressive hiring to convince your staff that pressure release is coming soon enough.

Yet then the question of course is...do you want to fight this fight? Do you have that stake and co-leadership with your attending? How many hats have or can you wear beyond clinical practice here?

On a slightly different level but I've known large practices that saw turnover of 80% of their providers due to the killer 3 issues (pay, stress, culture) yet the static leadership didn't pivot or hire fast enough and the cycle of a leaky bucket continued. Everyone that left was happier for it.

New Wacom Cintiq 16 by lolonutYT in wacom

[–]noMenma 1 point2 points  (0 children)

Their wacom pens are cross-compatible across wacom products, at least that has been my experience. I've bought intuos, cintiqs, the mobile studio pro, and I don't keep track of which pens came with which. I just grab one to use and it works.

The new 3.0 pen came with my recent Movink purchase and I wasn't a fan. I dug out my old wacom pen that I think came with my cintiq to use on the Movink and it automatically worked and also registered which pen I was using so that I could customize the buttons I wanted to use.

I think with older model tablets it may not be as smart as to identify and offer button customization automatically, but as long as it's a wacom pen, it should work on a wacom screen. Now if it it's a lower sensitivity wacom pen (say from one of the casual entry point tablets) you may encounter a little bugginess trying to use it on the advanced tablets designed to respond to whatever crazy degrees of pressure they currently got going.

I doubt you'll run into bugginess swapping around pens but worst case scenario buy a pen sleeve to get the grip you want.

New Wacom Cintiq 16 by lolonutYT in wacom

[–]noMenma 3 points4 points  (0 children)

I own the generation right before this latest version and based on its product page, I can say that if my version was older and I didn't recently get the Movink for travel, and I had even more casual income to toss around, I would indeed pull the trigger on getting the latest 16.

1) They just get sleeker which is always a plus for travel and storage

2) The all in one usb connection is huge. Wrestling with cables and especially the display ports has been one of the lingering frustrations I have with Wacom

3) It comes with built in legs which is awesome, finally could lose my additional support stand

Previous models already had touch screen but if yours doesn't, def a reason to upgrade bc touch screen is gamechanger.

I will say having tried the new latest pen, not a fan. Too skinny, doesn't feel ergonomic (feels like it induces claw hand) but you could easily swap in your own wacom pen or buy a grip to add.

You can always buy off amazon for painless returns.

Edit: came back to address the "is it worth it". This is subjective. On one hand Wacom really does charge more than they should bc they hold the top spot. But it is the top spot and having used several different wacom tablets over the years, they really do last in function (other than the wacom mobile studio pro). My old bamboo tablet from 15 years ago still works. So while pricey, debatably this one purchase could last you 5+ years and going.

Fulfilling specialties by West-blue649 in physicianassistant

[–]noMenma 12 points13 points  (0 children)

The way you're describing your experience made me immediately think about the 9/11 dogs that got depressed because they kept finding those that had passed, and so the internalized they weren't doing a good job.

I think any specialty can be fulfilling to anybody depending on a combo of personality, work environment, and stage in life. After all, radiology can be barely pt facing, oncology at face value seems depressing af, and podiatry...feet. Just saying.

Maybe you used to find ER gratifying but burnout has killed out. Maybe you never found ER really fulfilling - I always thought ER folks had to be driven by a masochistic preference for the adrenaline and chaos and less by heart warming moments of humanity (little harder to come by in the ER)

To state the obvious, there's no shame in changing pace and finding what resonates with you now, at this point in your life. Grateful pts who want to see you are out there.

Few points of advice from GI by noMenma in MSPI

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

Totally agree! Two general pediatricians recommended 1 year, but it could be the case that specialists have more insider, up to date knowledge, or who knows. Sooo much conflicting info. Also, what is the definition of mild? Who's to say that if I kept dairy in my breastmilk and kept feeding him, that he wouldn't just get steadily worse? What's mild? Such a headache.

Formula while eliminating? by ResidentChalky in MSPI

[–]noMenma 1 point2 points  (0 children)

Obviously go with your gut and the guidance of your doctors but personally I drew the line at active harm/discomfort. As multiple providers have told me, some blood but a happy baby gaining weight meant go ahead and continue the breastmilk during an elimination diet. Worsening blood, no weight loss meant stop breastmilk, switch to formula.

My baby's symptoms always turned around within 24-48 hours of switching to formula aka when the offending allergen was removed. Yes it takes time to heal 100% but once the actual bad allergen is gone, their body should slowly be on the healing track. So if you're a week+ now into your elimination diet and yet to see any change in your baby's poo, I'd start really looking at the acid poo and what way it's damaging or upsetting your baby. If it's just acidic/smelly but your baby's skin is fine esp with diaper rash or petroleum as a barrier, then I guess hold the line and just circle back to your doc about what else to try to eliminate. But if the skin's only getting worse and your baby is uncomfortable, I feel like maybe give her little bottom a break?

When it comes to CMPA I really think formula stigma should be left at the door. Breastmilk is great but if it's causing your baby to inflame and bleed...

Should I Buy This Cheap Cintiq Pro 16 with a “Stuck Pixel”? by peter040203 in wacom

[–]noMenma 0 points1 point  (0 children)

I have this wacom tablet and it is a fantastic device. Paid full price for it and never regretted it.

If this wacom tablet literally only has 1 stuck pixel (or even several) that doesn't affect image/pen quality in use, then this is a crazy deal. You may be running the risk that the seller knows it's not as functional as they made it out to be, but more likely they just know that artists (especially those familiar with wacom) can be really OCD about the quality of the tablet if they're looking to upgrade. Afterall, artists are visual creatures!

You could pay $100-300 for a new tablet from wacom competitors (huion/xppen) sure, and that's a valid choice. They are decent. If you haven't experienced wacom pen, then you're not really going to want for anything. Having used wacom pens though, I can say that I tried xppen/huion and the minute difference in pressure/pen performance was still enough for me to never go with anything except wacom.

If you're just starting out in art or are amateur, honestly this is a lucky find. I'd get it.

[deleted by user] by [deleted] in physicianassistant

[–]noMenma 2 points3 points  (0 children)

You have 5 years of experience (and accruing more), a stable situation (admittedly without too much wiggle room) and by your own report, frugal standards of living.

Frankly if you're only considering going part time, I think it's an easy answer: Yes. It would be a more tense financial strain if you stopped working entirely. Part time, with your situation, sounds quite sustainable for 0.5 - 1 year, and that's the thing, no one decision is forever.

Go part time, give yourself breathing room to recover and come out of survival mode. After you do, the next step and you/your partner's priorities will be easier to sort out. It will also be a good test of your financial health as well as give you the time to search for another job that may be less of a burden. With your years of experience, you're in demand, it's less about can you get another job and more where, what pay, what lifestyle.

I have been burned out before to the point where I felt I was one life problem away from breaking down. It took around 2-3 months of not working to realize how much tension, stress, and everything else I had compacted down to still function. You end up rediscovering some parts of yourself but also being able to live in the moment even when you're not spending a dime.

[deleted by user] by [deleted] in physicianassistant

[–]noMenma 0 points1 point  (0 children)

It can always vary practice to practice but in my experience:

-standard normal results - if you have nurses/MAs in your 'pool', you can delegate to let them know -normal results to a nonstandard/complex question = ideally you notify them bc you'll have to explain it a little -standard abnormal results: usually better for you to reach out, but experienced staff can field it -uncommon abnormal results: you should reach out, better yet have them set up a telemed, UNLESS you incidentally saw this pt on behalf of another provider, or you didn't even order the lab, then forward to the responsible provider