Ughhh solar is so expensive now though and so many of those businesses are dying. I kept waiting for the subsidies but solar was not affordable :/

Now there’s no subsidies at all. Jelly.

My husband does this!! He watches this episode of Bobs Burgers every night. It works for him. Its his comfort episode

I did!! I used to lay awake and struggle to fall asleep. I also used to be okay as a college student and gamer getting 4 hours of sleep.

Thus, no more. I got a job I actively work 8+ hours and when I lay down now I KO within 5 mins and sometimes mid conversation with my husband.

I of course want to leave you with more tangible things to try.

Once, with my friends, we went to a spa with a salt room. Best nap I have ever had in my life. I was then inspired to improve my quality of sleep and these worked for me:

• Sleep face mask (I dont know if weight makes a difference?. Mine is unweighted)
• Weighted blanket. Make sure to look up the math on your size and weight needed
• Quality bed. (Nolah)
• Quality pillow (Coops Home Goods Pillow)
• If all else fails, reading in bed puts me to sleep.

I swear I’m an adult but my friends and I also have adult sleep overs lol. I have found some use white noise machine, ear plugs are among some things I haven’t tried but works for them.

Good luck on your sleep journey!

Not old and yes very true older adults naturally sleep less. But my sleep has changed significantly since I have aged.

Hmm there’s different types of blogs like cooking, travel, etc. Is there a certain type you are looking for?

I don’t actively follow blogs but an author I like is John Scalzi and he has a very active blog.

MrMoneyMustache I have known of because I aspire to FIRE :)

I got old.

Does Agent Carter count? I don’t think she’s a superhero?

Same! I think we just have to look at every proposal and every change and go from there.

The healthcare system is terrible and there’s so much chaos and dysfunction unfortunately. I find the need of these UM nurses and this specific nursing very bittersweet honestly. We get paid well and job security but our jobs came from so many people needing help to navigate the healthcare system. It can be rewarding getting what the patient needs but it shouldn’t be this difficult. There are also times we’re limited or restricted by the system… And we just work with what we can do. Its an interesting position to be in.

Of course. From the practices I’ve seen and learned from national conferences its never 100% AI. There’s still a nurse that is reviewing and a physician as well when needed.

Also not sure about Milliman, but for the InterQual Autoreview the accuracy is there. Its been out and in use since 2018. If it wasnt all the UM nurses would be griping. They are not people that are afraid of advocating for themselves. No way they’re not reviewing/auditing unless they want their license to be at risk. It’s more like an advanced algorithm that pulls from the epic EHR system. Labs values, icd 10 codes, iv antibiotics, vitals are some examples of things i would imagine it can pull with high reliability. Normally 1 day retrospective but to your point, if something is missing, can notify the attending Dr. Utilization review team is looking back at charts retrospectively and sending interventions and findings to insurance to get patients covered. And if something is missing, they will let the drs know and the Dr can ensure they add the nebulizer or whatever patient was missing going forward.

The charting documentation is a different thing.

Re: Her job. Sucks. There will be less nurses needed to do the same amount of work with technology. All of us knew this. I think the best thing to do as a UM nurse is continue what they’re doing, be a high performer and keep up. If you don’t keep up, 100% you’re going to go first. The quotas sucked while I was working in this position. I kept up. But mostly didn’t stay as it wasn’t for me. Felt very monotonous and missing direct patient interaction. Def important but unfortunate position needed as result of our dysfunctional healthcare system. Its bittersweet.

They are 100% remote. Correct. Best use is to keep the nurses and up the case load.

The healthcare systems that are really greedy will outsource the job to a different state or nation. Fortunately I think those are in the minority. None I’ve heard of in CA

This is a very different type of nursing.

Its a lot of data pull. Nurses are still there to audit which is their job. The clinical part is knowing the data, ensuring its there and telling the doctors if the patient doesn’t meet medical necessity by the insurance companies and what’s needed if they want their patient to be covered for services. Its the doctors making the changes not the nurses. Our healthcare system does this via chat BTW.

There’s not a lot of communication. I did it for at least two healthcare systems 10 years ago including Kaiser and still work with individuals at my healthcare system in this specific position. They just got more cases since its so much faster and simpler to do their job. And honestly, they’re helping more patients.

I know what you mean by it doesn’t seem like a checkbox sort of thing but it doesn’t change the fact that checkboxes are how they’ve been doing it for decades.

I just did a simple YouTube search example of checkboxes at 720 min mark and 10 min. That’s what its always looked like. You have nurses checking those boxes to send to insurance.

I already see some down votes but I really don’t care. Just thought I would provide some education on what this work really entails as I see in the comments that many people are thinking bedside nurses are being replaced which is definitely not the case.

Its not those types of nurses. Its utilization review nurses and honestly every nurse in this related field knew this was likely to happen and aren’t in disagreement with it. Bedside nurses (which hold greater power than other nursing in unions) have no idea what some other fields of nursing do.

Its actually good use of “AI”

How this position works is that you had nurses manually scanning and scouring different parts of the chart, manually typing down some of those findings, clicking check boxes anyways for medical necessity. Honestly, it was annoying and very administrative in nature. It took 20-25 minutes on average to do a review 10 years ago with most of it just reviewing the chart to put in your notes and check off boxes.

Technology has improved with navigators to more easily find the information so it quickened the time over the years to find the information. But I also knew this position was going to be the first place most places were going to implement AI. Why? Its honestly just pulling information. So whats going to end up happening in this field is that you’re going to need less nurses to do the same volume. Its honestly better use of this sort of nurse. Have them manage more cases and audit the information being pulled by whatever AI tech is being used (If it’s Interqual Autoreview, this technology dates back to 2018 and is tested). Because thats all they are doing anyways. It’s a medical audit. They do help more patients this way but the union won’t tell you that and disappointed that the Guardian didn’t explain the finer details.

I’ve been telling people this is going to happen for years and most people in this specific nursing field are not opposed to it because they all use it anyways already (at least in CA). You’re either using Milliman or Interqual for the job. There are no other software to use lol

Sorry this is long. Just frustrating article to read.

Something Very Bad is Going to Happen. I didn’t like episodes 1 and 2 but 4 and 5 changed whole series for me. Interested in where they are going. Good actors/actresses

I have an aluminum GT Zasker 97. It still holds up well but I ride a new one now since tech has evolved so much.

90s MTBs are awesome though.

Oh I haven’t heard or seen that one re: minor. The younger guys ive known about.

I have quite a few authors including but not limited to Martha Wells, Mary Roach, Matt Dinniman, Chuck Tingle, etc.

Then I have some Valkeries on my WNBA ball.

I have the cast of RE 5, Charles Martinet (he was the sweetest of all)!

Then some cookbooks signed like Richard Blais.

Mostly books and WNBA though honestly.

I too think it depends case by case. I note the severity of the offense and the impact of bringing something up. How ethically strong do I feel about it? Will the individual at least consider my words? Is it an allegation. If so, how confident am I in the allegation to be true?

I do often bring things up though because most people dont know a lot of things

I was trying to look up what the Madonna controversy or allegations are and found this article about allegations of human trafficking and sexual abuse but then I saw this article about Malawi where her previous staff became head of education and this article about her healthy children

If this is the controversy or allegation, I’m not personally convinced as an outsider looking in 🤷‍♀️. Seems to me that people are bothered by her sexual advocacy including lgbt+ rights and though not saying theres 100% chance of this but I don’t see any evidence of human trafficking or exploitation so far. The wrongful termination suit as well as Malawi’s stance on societal norms just leads me to believe they have agenda against her.

I was going to say I remember Law and Order SVU marathons all the time

Closer to 40 now! I think society has opened up to a lot of hobbies over the years. Used to be a closeted nerd myself as a female in video games but its nice that hobbies and fandom’s are more acceptable now than before.

I can see that! MTG is an older game… And used to be more for niche populations. Same as anime I suppose. I was wondering if its due to geographical location as well.