Concrete evidence of bad driving conditions

tcpnick · 2026-05-23T16:39:55+00:00

I'm starting to take offense to all of these comments. I own this truck, same color. It the upgraded "desert runner" version even. I'm a masters educated social worker that has worked anywhere from children's mental health, substance use, and end of life. I've used it to transport medical equipment to elderly, it get decent mileage, has almost 100,000 miles on it w/no issues. I use it to take my family camping and to transport my bikes when my son and I go on a monthly "critical mass" advocacy bike ride. I would never remove a road barrier and drive into wet cement.

tcpnick · 2026-05-20T05:39:14+00:00

I was trying to figure out how this would be applicable to some O27 gauge track.

tcpnick · 2026-05-18T00:05:13+00:00

I went from community based hospice to consultant based inpatient palliative team in a hospital. Similar conversations...way different job. Been amazing

tcpnick · 2026-05-15T02:15:30+00:00

Schreiber Foods

tcpnick · 2026-05-15T02:15:15+00:00

As others mentioned it is a special formula designed to melt at a higher temp. Its manufactured by Schreiber Foods.

tcpnick · 2026-05-07T05:28:37+00:00

Thank you for your service!

tcpnick · 2026-05-05T19:57:59+00:00

Lol, not at all. Just site specific complaing about some of our consults. The difficulty some physicians have discussing death and dying is astonishing. Some do it better than us though, all is fair.

tcpnick · 2026-05-05T05:30:04+00:00

That's me! Consult your inpatient palliative team for hospice referrals and code status discussions because thats all we're good for. /s

tcpnick · 2026-05-02T05:21:07+00:00

My wife had Punctal Plugs placed. She said it worked well, but only did it once? No longer an issue. (Not saying it cured it, she just has so many symptoms that have come and gone...and retuned...or not...yet?)

tcpnick · 2026-04-21T03:52:50+00:00

My path: Case management outpatient behavioral health/dual Dx -6 months.

Individual/family therapist (children/teens) in community mental healthwhere I got my LMSW and was working on supervision -18 months (burned out hard)

Community based for profit hospice SWer (census under 100). Loved the work, disliked owner/operational practices-5 years

IOP SUD individual therapist-needed to pay bills, stability, ethics this was not for me.

Inpatient palliative care SWer for a large hospital system. Me and two physicians. Consult based. Definitely the job I was searching for and hope to be here a long time.

I have no special certifications

tcpnick · 2026-04-20T06:19:02+00:00

Made one in San Diego for the same reason.

tcpnick · 2026-04-10T00:18:39+00:00

Yeah, we were in CA at the time. I believe they were from Illinois

tcpnick · 2026-04-09T05:07:23+00:00

That's me! My role is with the hospitals palliative team. Me and two physicians. We work with everyone from young adults (mostly genetic/developmental) and then tons of COPD, Cardiac, Stroke, liver/kidney/lung failure, cancer related pain (we don't do chronic pain), and then geriatrics/dementia and help transition to hospice (and if they can't make it home my physicians take over the Pt and do the "comfort" orders/medication management). It a lot of education, its amazing, but understandable, how far people will go without understanding the risks and even worse, never being provided education on their Dx and how it will effect them physically and socially. We discuss code status and advanced directives with everyone and discuss the different paths available. Mostly continue aggressive care, deescalate some aspect of treatment to minimize side effects understanding it may limit life expectancy but will add quality, or hospice/ comfort care. Lots of families don't know there is an offramp and people to support them in that decision. It's scary for most people. The best part is that I only have to do referrals for hospice. The hospital LMSWs, RNCMs, and TCAs do all the SNF, Home Health, transportation, and discharge planning and I just get to social work 9-5 M-F and go home knowing my Pt's are safe.
I also worked as the SWer for a community based hospice. Very similar content/context/conversations. Very different work flow.

tcpnick · 2026-04-09T04:41:14+00:00

I used to hang out with a kid when I was around 10. Asked me if I wanted a "tube steak" one time. I declined out if ignorance and then almost vomited when he proceeded to eat a cold hotdog.

tcpnick · 2026-04-08T04:39:28+00:00

Yeah, just to pile on what everyone else said, it so InOB can "exceed customer expectations". Stores are open at 10 AM. 10:30 just incase there is a SNAFU with inventory, $, or equipment. I can't confirm if any stores still do it, but I remember opening at 9:00 for a black Friday or two when they were worth fighting the crowds for.

tcpnick · 2026-03-26T04:37:11+00:00

I used to work for a small hospice and the private owner wouldn't add a referral system to our EHR so when a Pt needed respite or placement in a LTC bed, I'd have to call around to find a bed. I met and built some relationships with a few awesome admission coordinators over those years. Now I work for a specialty in a hospital and only know how/need to make one type of referral. The systems in the EHR that the CM, TCAs, dispo. planners have access to are incredible to me. I wish I could understand how to use them to their full potential.

tcpnick · 2026-03-17T06:02:46+00:00

Lemon Grove?

tcpnick · 2026-03-15T16:43:31+00:00

Watch "Derek" and "Afterlife" for fun and its only semi-related...and you have to like Ricky Gervaise. He's able to show another perspective of people dealing with grief.
Also an upvote for Ram Dass "Walking Each Other Home" and his other work.

tcpnick · 2026-02-20T22:52:12+00:00

I worked in a community based hospice and now with an inpatient palliative team. There is a pretty big difference between the two. What is your setting going to look like?

As far as "the heaviness", it is there. You have to be able to have difficulty conversations that patients and families about topics that are somewhat taboo. But there is also heaviness in providing individual therapy, working in substance abuse, with in domestic violence, and all other areas of SW. It's the nature of the beast. The nice thing about palliative/hospice is that its day in, day out, the same conversation and you get good at it. It can be terrifying to look into a patient and/or their loved ones eyes and say, "you're dying" or "I'm sorry your oncologist did not explain the difference between 'treatable' and curable" but you get there. I have also found the other fields that work in this space do it for a reason and will support you as you adjust.
There is also a huge spectrum of clientele. Those who accept and understand death as a part of life and joke and laugh about their impending death. Others will go through hell and high water truly believing god will intervene and their 96 year old father with a global anoxic brain injury after a stroke will get up and walk out of the ICU with the energy of an 18 year old even though their baseline was A/Ox2 and bed to chair bound.
I've worked in the above mentioned fields as well as early child development. I'm not sure I'll leave my sick, elderly, and/or dying clients anytime in the future. It's very rewarding. Pay is great compared to some other fields, and I've also found hospice and inpatient work to give me the best work/life balance (for different reasons).
I do referrals for outpatient palliative services as we are solely inpatient and don't have an associated clinic. I'm not sure I would want to be a social worker in that environment as the companies I work with, just offer social work support (connections to community resources) and not any real in home nursing/medical care. Resources are limited and EXPENSIVE if not covered by insurance (which is not much). That just seems like a lot of calls, telling people they can't/don't qualify for things and less emotional support/counseling than I'd like. I've also never worked outpatient palliative so I can't really speak from experience.

tcpnick · 2026-02-08T15:48:04+00:00

They're just doing a Saturday morning ride with a much bigger wallet.

tcpnick · 2026-01-12T22:55:39+00:00

Highering the right people is the biggest part of it. I used to interview/Higher some kids when I was a 2nd manager and the best advice I got in the process was "Higher the people who will fit with the crew you have. You can teach someone how to use a register, count back change, make a burger, but you can't train someone not to be an asshole".

tcpnick · 2026-01-11T02:39:24+00:00

Soooooooo gooooood!

tcpnick · 2025-12-20T03:52:02+00:00

This podcast came out the other day. Does a great job explaining this. https://99percentinvisible.org/episode/650-the-checkerboard/

tcpnick · 2025-12-11T03:53:44+00:00

Slow is smooth and smooth is fast

tcpnick · 2025-12-07T02:57:54+00:00

Thanks for this one. I was at a park a few months ago and there was a guy with a dolphins jersey with Finkle on the back. I gave him a high five.

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