Content That A&Ox6 Likes

Content That A&Ox6 Likes

A&Ox6, BSN, RN 12,524 Views

Joined Apr 16, '12 - from 'Starbucks'. A&Ox6 is a Psychiatric Nurse/Student Advisor/Writer/Speaker. She has '2' year(s) of experience. Posts: 590 (51% Liked) Likes: 886

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  • Jun 30

    Losing 50 pounds in 90 days does not sound very "healthy" to me. It would require a drastic change of habits that is just not compatible with the human psyche. It is a "diet" that is a short term fix and almost always results in regaining the weight and then some.

    A slow sustained weight loss due to realistic changes in eating and activity is a lifestyle change people can do for the rest of their healthy life.

    This "article" sounds like a sponsored ad. The very title is distasteful. Ick.

    I have used a free on-line fitness forum to lose 40 pounds this year. A slow 1-2 pounds a week strategy is what is promoted by the most successful "losers". So many new people will comment that they are looking for the quick magical answer to their life long problem of obesity. They are quickly reminded that magic doesn't exist and quick weight loss products only work on their wallet. We don't need nurses advocating the quick weight loss nonsense.

  • Jun 30

    Quote from NotAllWhoWandeRN
    The idea that overweight people lack "self control" is a really harmful one.
    I concur. Although I now fall into a normal weight range for my height (130 pounds), I have had severe insulin resistance since puberty. Those who have never dealt with insulin resistance scratch their heads and say, "If only those fatties would exhibit self-restraint! If they're not hungry, why do they keep eating?"

    Insulin resistance sets up a vicious cycle of biochemical reactions in the body that keep you feeling ravenously hungry during every waking minute. Although I'm not a diabetic, Metformin was the only thing that curbed my hunger and helped me derive some energy from the food I was eating.

    Those who have never had a weight problem can blame the fat person for his/her lack of self-control. However, the fat body habitus is often a proxy for another insidious issue transpiring within the person. Insulin resistance does not react well to a "move more, eat less, calories in, calories out" prescription, which causes the person to feel hungrier than ever.

    Milder cases of insulin resistance can see weight loss with a carbohydrate-controlled diet combined with some exercise to stimulate insulin sensitivity within the cells. Severe, longstanding insulin resistance cases will only respond to more drastic measures such as Metformin, intermittent fasting, low carb high fat (LCHF) eating, and sometimes bariatric surgery.

    By the way, 80 percent of the overweight and obese are insulin-resistant. Their bodies are trapped in a cycle that promotes fat storage. Insulin drives fat storage. Remember that before you blame the fat person for lacking willpower.

  • Jun 30

    If you're going to make me wear googles and earplugs to simulate being elderly I need my cane. So I can bop you in the head.

  • Jun 29

    But....there are no studies that prove part time APN students are not successful....

  • Jun 27

    You don't want AN to be come ineffable?

  • Jun 27
  • Jun 24

    Uh oh!

  • Jun 23

    Quote from pixiestudent2
    I was asked "if you were an animal, which one would you be and why"

    I replied "a monkey, because they have thumbs"

    I did not get the job.
    Clearly, their loss ๐Ÿ‘๐Ÿ‘๐Ÿ‘

  • Jun 23

    Epi pens I have had are single dose only.

  • Jun 23

    I lost 210 pounds in one day.


    i kicked the first husband out.

  • Jun 23

    Quote from NotAllWhoWandeRN
    And that poor ixchel could use a sign-up thread so she doesn't need to go hunting everyone down and messaging separately.
    Quote from A&Ox6
    Or maybe a rotation?
    You know, I'm kind of into this idea.

    Here's the deal...

    About 3.5 months ago, I went on FMLA for a medical emergency. My PCP had mercy on me and wrote me out until surgery that was scheduled for mid-April. I scheduled that back in January, with full support of management.

    Unfortunately, the 5 weeks off PRIOR to surgery complicated things. First, for the emergency that created the need, second, for the almost lawyer-worthy issues that came of it, third, I needed every second of my 12 week FMLA for surgical recovery, but by mid April, I'd used up 5 weeks.

    After receiving verbal assurance that I'll be worked with at the end of FMLA, I went through surgery. Now, at ten weeks, I've been off for 3.5 months and my brain just can't be further removed from nursing most days. I have a giant pile of ideas for this thread when I make my weekly OPs while I'm working. While I'm not? It's a struggle!!! And I feel like keeping the thread fresh and relevant really does need a good OP.

    A lot of you have stepped up in a pinch, and I love you for it! If any of you has some ideas for a really dynamic, fun OP, get in touch! I also love it when students or nurses from specialties other than my own chime in because you're looking at nursing-relevant topics that I am not. It keeps things varied! Interesting! And most importantly - we all actually learn something. That's kind of the point, right? Part of it, anyway.

    So, yeah, if any of you wants in on OPs, I'm still out for at least 2-3 weeks, possibly a few more months if my recovery doesn't jumpstart soon. I do have thoughts for this week, but after that, who knows what I'll have!

  • Jun 22

    And that poor ixchel could use a sign-up thread so she doesn't need to go hunting everyone down and messaging separately.

  • Jun 22

    I learned there may, just may, be a light at the end of the tunnel.

  • Jun 22

    Pink Mets shirt!
    Black yoga pants!
    Flip flops!

    Yes, I'm at school. No kids, data entry out the wazooooo!

    (But, I'm still fetch, yo.)

  • Jun 21

    I learned this week that when you have iron deficiency anemia, you can crave ice chips. I had a detox patient ask me to get her level tested and when I asked her why she thought it was off she stated that she has been craving ice chips lately. For her, in the past, this has been a sign of iron deficiency anemia. Got the order and we got the results: sure enough, she was right! I did some research and learned that a common symptom of iron deficiency anemia is pagophagia. This has led to some speculation that pica can be due to a nutritional deficiency. I am glad that I listened to her and I thanked her for teaching me something new that I don't think I will forget!

    I also learned a few weeks ago that I got in to a PMHNP program starting in August. I am super excited and, although it wasn't my first choice school (I am still waiting to hear from that one), I figure I can always complete the first semester and then if I get in at my choice school I can transfer some credits. Now if only my boyfriend and I could find a house (he travels for work out of state A LOT) that is between his job, his kids and my job, life would be great. If anyone has land in Iowa we can build a tiny house/put an RV on I would love it

    Lastly, I learned that getting a patient coordinated care so she doesn't fall through the cracks when she moves out of state is more difficult than I anticipated. When you have Medicaid you can't pick up prescriptions in another state, but you can't sign up for Medicaid in your new state until you have lived there 30 days, and getting in to a psychiatrist takes MONTHS where we are located. Luckily, I think between the small town pharmacy and a good timed IM injection, she should hopefully be clear. I wish things could be easier for people sometimes.


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