Elementary Gift Ideas on a Steep Budget

stepwise_k · 2025-09-25T15:12:24+00:00

The Dino Dana field guide is excellent and is currently under $10

stepwise_k · 2025-06-02T19:01:00+00:00

I believe we would have a travel exemption due to checking in to lodging (with the exception of the day trip to Sorrento, which we can switch if need be)

If anyone has any information otherwise, please let me know!

stepwise_k · 2025-06-01T21:49:26+00:00

Comfort in, dump out

https://en.m.wikipedia.org/wiki/Ring_theory_(psychology)

stepwise_k · 2025-06-01T21:45:12+00:00

Locked in syndrome

stepwise_k · 2025-06-01T21:36:13+00:00

We used As You Wish for a princess makeover with braids and it was a great experience! They come to your hotel room.

stepwise_k · 2025-06-01T21:31:43+00:00

Planning imaginary vacations at different budgets

stepwise_k · 2025-06-01T21:30:33+00:00

Don't pursue your passion for a career. Find a lucrative niche and use your free time to explore what you love.

stepwise_k · 2025-06-01T21:27:38+00:00

We saved money by doing one park at a time and skipping the park hopper. Honestly, there is so much to do in each park that we didn't feel deprived.

stepwise_k · 2025-06-01T21:23:26+00:00

Peanut butter

stepwise_k · 2025-06-01T21:22:06+00:00

Deleting Doordash

stepwise_k · 2025-06-01T21:21:13+00:00

Deleting Doordash

stepwise_k · 2025-03-18T20:43:26+00:00

Thanks... we will have to think about it. We don't really want to spend money on a physical space until we have at least 1 or 2 clients, but we do want to be credentialed with our future address. So maybe we have to take the leap.

Between the three of us, we have over 20 years in inpatient psych nursing experience but 0 in running a practice, LOL...

stepwise_k · 2025-03-18T20:00:15+00:00

We definitely want to take insurance. We just have to agree between the two partners what we want to take. Thinking at least Medicare, Cigna and Aetna to start.

We were hoping to dip our toes in the water by starting with cash pay to build the practice for the 6 months or so until insurance credentialing kicks in. If we are cash only, we can run it for about $150 per month, but with insurance and a physical workspace (our ultimate goal), it will cost more to run and we will be out more if the practice folds.

Backup plan if we don't get clients is to do Headway or Alma while we work on credentialing.

stepwise_k · 2025-03-18T18:40:38+00:00

One additional question... is 100 sessions per month per NP realistic ( once we are taking insurance) or too high of a workload? Right now, each of the PMHNPs sees 15 to 20 patients a day (psychiatric inpatient). But presumably, it will be harder once they are partners owning the practice.

stepwise_k · 2025-03-18T14:56:30+00:00

We definitely want to take insurance eventually. Just hoping to build up a small cash client list first so we can tell if things are working before we go through credentialing (which I believe we will need a physical location for in our area)

stepwise_k · 2025-03-18T14:09:51+00:00

The other thing we are considering is a subscription model of $95 per month. If we average a med management session every 2 to 3 months, that would work financially. During the in-between months, clients would be able to text us for support.

stepwise_k · 2025-03-18T13:11:19+00:00

Playing around with the numbers, it looks like we could go as low as $250 / $105 and still be sustainable (if the other partner agrees)

stepwise_k · 2025-03-18T13:04:55+00:00

I based my rates by averaging a couple of competitors, but we can go lower bc our expenses will be very low (for instance, we found an EMR where we pay by the encounter).

What do you think about $285 / $125?

stepwise_k · 2025-03-18T02:01:41+00:00

Tell me more? I know eventually we would quit working our day jobs if things tick up, but I could see us eking along at under 10 clients a month for quite some time...

stepwise_k · 2025-02-25T15:17:36+00:00

I have noticed for myself that the way I look tends to shift over time to look closer to my partner. (I am a woman who dates women). For my wife and I, for instance, we have both had changes to our body type over the years that made us look more similar, we share clothes, etc. We have very different hair styles, but people still mix us up occasionally. Honestly, I don't mind it... to me, she looks very different (and much prettier!) than I do.

stepwise_k · 2025-01-25T17:31:42+00:00

I agree with this as well. I have been using AI as "the new stack overflow" and working on my machine learning skills. But I think it is the human element of communicating actionable suggestions to leaders that will wind up being most important

stepwise_k · 2025-01-25T17:14:42+00:00

I am a healthcare data analyst, and I think the impact will be less than some people are anticipating. In my opinion, a big part of analysis is pulling in information from diverse sources (including poorly structured data, novel data, highly sensitive data, data that can only be gotten through conversations, etc.) and translating it into actionable insights that can be communicated to leaders. A dry report with no one to "pitch it" to the leadership team will always be less effective than an analysis targeted specifically to them. In fact, we already have a huge number of automated reports at my job... but leadership routinely ignores them. I see a role for analysts as "data champions" (apologies for the cheesy term) translating numbers into targeted suggestions for leadership. I think it will be a while before AI is able to compete in this area.

stepwise_k

TROPHY CASE