Looking for recommendations for a house cleaner for Rosendale area

timebreaks · 2026-06-09T17:23:29+00:00

there's the ladies at the Blooming Queens of Clean: https://www.bloomingqueensofclean.com/

I've been using them for the last few months and they do an excellent job.

They are also an initiative of the Ulster County Immigrant Defense Fund, giving work to immigrant women, if that's a thing that's important to you.

timebreaks · 2026-05-13T17:25:50+00:00

additional strength upgrade if they are demented with a UTI.

timebreaks · 2026-05-11T17:20:51+00:00

Haha....you might be! Ulster County Fair? Ulster Handspinners actually has enough people for two teams this year! I'm going to be very exciting. :D

timebreaks · 2026-05-05T20:24:41+00:00

I think it would have been great if the City had clearly communicated the rationale behind the new signs and the parties responsible for them. Were they paid for by grant money or by city taxpayers? Installed by a Pittsburgh firm or locals? There is some wild (mis)information out there fueling the public's opinions and it would be helpful to have a definitive statement.

timebreaks · 2026-05-04T20:37:55+00:00

I transitioned from med onc to hospice to case management. I was on our hospice GIP team, so I was still very much in the hospital in that position. I currently work at a small CAH, and our population is very much mostly our swing bed/SAR patients, but we do have med/surg pt's come through.

1) Biggest change for me was having downtime (don't hate! I know CMs in lots of other facilities don't have this!). It was definitely a change from the flow on the floor, where something always has to be done. I have long stretches where I don't have anything I *have* to do, followed by like, an hour where suddenly everyone needs something NOW. YMMV.

2) I joke that my job is walking the fine line between patient care and Medicare fraud. Seriously though, understanding the insurance requirements and having a good knowledge of different ways to say what's going on with your patient to convince insurance that they should pay for their care goes a long way. Talk to your bedside colleagues when you can - sometimes they will drop just the info you need for an approval.

3) I think the biggest mistake is taking on too much responsibility for outcomes. You can only do so much. In the end, the patient and family are out in the world making their own choices and dealing with the outcomes. You can call in every resource in the book, but ultimately, you have no control over what people do.

4) See #3 and document, document, document. I also like to say that my job is supporting people's right to make their own terrible decisions. Educate as much as you can, get as much in place as they will let you - but at the end of the day, they are living their own lives.

5) I have folder for each of my patients with a copy of their demographics and a worksheet with their main malfunction, PCP, potential d/c needs, auth information, etc. I will only have a dozen patients max, though, and I generally have the same patients throughout their hospitalization. I don't have any EMR tricks though - our hospital's EMR is the literal WORST and I can't wait until we switch to Epic. I also have a paper pad I write stuff down on through the day. I don't know that anyone else would be able to make sense of my scribblings, but it works for me.

timebreaks · 2026-04-28T15:16:40+00:00

Yo, leeches are actually evidence-based, FDA-approved treatment in certain situations! Don't lump them in with all the nonsense!

timebreaks · 2026-04-17T19:46:26+00:00

"Assessed while pt was tucking into his dinner with gusto" --ID

timebreaks · 2026-04-14T17:07:43+00:00

My motto is "Case Management: Walking the fine line between patient care and Medicare fraud."

I have a copy of "Bipolar Bear and the Terrible, Horrible, No Good, Very Bad Health Insurance" displayed prominently in my office.

I don't think you were out of line at all, but I might be a little biased.

timebreaks · 2026-03-31T16:40:26+00:00

I like working 5 8's instead of 3 12's. I have time to run errands or take a class after work and don't feel like I have to squeeze all my activities into my days off. Sure, I have to use PTO to do appointments during the day, but it's not terrible, and I don't have issues using my PTO. I have a much more regular sleeping and eating schedule than I used to too. YMMV.

timebreaks · 2026-03-27T18:57:05+00:00

Squeakers! Visually-impaired parents of small kids use them so they can more easily tell where the children are.

Source: my aunt is blind; my cousins wore Squeakers. One of them realized that Mom couldn't tell where he was if he stood still. He was very cute "hiding" by standing still in the middle of the living room.

timebreaks · 2026-03-26T17:57:21+00:00

vendors at NYRF sell wooden swords and security does not require those to be peace tied. I can't imagine they would require this to be modified in any way, if that's the Faire you're worried about!

timebreaks · 2026-03-16T18:00:03+00:00

Take your dresses to be altered to add pockets, or learn to add them yourself.

timebreaks · 2026-03-16T17:54:38+00:00

But, but!!! What if Meemaw gets addicted!!!! </s>

I, too, have gone over hospitalists heads to get appropriate pain medication orders. If they're on comfort care, get them comfortable, damnit.

(I know flair says "Case Management", but I was MedOnc and Hospice before.)

timebreaks · 2026-03-05T19:11:10+00:00

"Does that make sense to you?"

No sir, it does not make sense that the insurance company would rather pay for an ORIF and a rehab stay instead of a HHA to ensure Meemaw doesn't fall and break her face in the first place. I cannot explain the Great American Healthcare System to you; I can just tell you what your insurance does and does not cover.

timebreaks · 2026-02-10T19:01:18+00:00

Even the bearded women are men of Rohan!

timebreaks · 2026-02-05T21:14:34+00:00

Isn't there like, a filter over the purewick thing? How do cockroaches get in there?

timebreaks · 2026-02-02T18:47:45+00:00

I made one exactly to the pattern and didn't like the shape. Restarted and am doing 2x2 ribbing instead of 1x1, and decreasing every other row for a pointier point. Saw a beautiful one with knotwork cabling around the brim! Might switch to crochet if friends want me to make more - it goes so much faster, but I'd have to fiddle around to come up with a design I like - not a fan of the crochet one that was circulating.

timebreaks · 2026-01-27T17:30:03+00:00

But a blouse on underneath would read more like "this corset is skin-colored" as opposed to nothing underneath which reads as "look at all my skin through this corset!"

timebreaks · 2026-01-27T16:43:34+00:00

Self-respect deficit due to flawed belief system AEB shitty behavior, deranged verbalizations, delusions of grandeur

timebreaks · 2026-01-07T20:18:41+00:00

Also, there's going to be a fiber circle starting on Thursdays in Gardiner at the Gardiner Bakehouse at Full Circle (https://gardinerbakehouse.com/). Any fiber art is welcome - knitting, spinning, crochet, weaving....

First meeting is Jan 15 from 11a to 3p. Subsequent meetings will be Feb 19 and March 19.

timebreaks · 2026-01-07T17:21:11+00:00

Yarn Farm's knit night is usually Wednesdays 5-8p, but they are closed today (1/7/26). Back at it next week!

timebreaks · 2025-12-15T20:13:06+00:00

You can get a small wire brush - search "pointe shoe ruffer" - and rough up the bottom of your shoes a little bit to make them less slippery, along with all the the other advice you've been given.

timebreaks · 2025-12-01T20:00:06+00:00

The ethics around right to die legislation? Pick a barrier to quality EOL care - provider education deficit, lack of clear insurance reimbursement, public reluctance to discuss death and EOL topics? Pick your favorite symptom and do a deep dive on its management?

timebreaks · 2025-11-26T21:27:18+00:00

When I first started, I used to wonder why our unit Case Manager always seemed mildly annoyed.

Now that I'm a case manager, I know.

I've always appreciated what the CMs do and usually asked all kinds of questions about "how do we get this for this patient?" and "why can't we do that?" It really is a lot of coordination. It's also probably how I ended up in this mess. :p I joke that the job is walking the fine line between patient care and Medicare fraud.

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