Obsession and Balders Gate 3

I guess some more curses and demonic like storylines lol

Awesome.

I have only watched one cooking show recently and its Next Level Chef. And without my partner, I don’t think I would have been introduced at all.

I have never watched Master Chef so I really can’t comment on that but there is definitely editing, production and cold food on Next Level Chef. The judges decide based on dishes and can take hours to deliberate (these decisions make or break peoples lives).

What is still real is the dishes resulted, the cooking techniques, ingredients used, etc. I’m not a natural cook and ive found entertainment and new knowledge from it. Also per my partner, Top Chef is made up of very talented and real cooks that have been James Beard Award winners and such

I recall articles citing it was really only meant to be one season but they made a second season because of $$$$

Wow TIL!!

Unpacking and Hungry Horrors. Both great games!!

I’ve also been doing one Sonic Generations stage a day :D When I’m done with those I’ll move into Shadow Generations!

Same book as you!!

Plus Yesteryear on audiobook.

Happy Birthday Sunny!!

Ive seen this in person. Super cool!

Hmmm…

• The Good Place
• Schitts Creek
• Abbott Elementary
• Modern Family -> Life in Pieces. I loved it but heads up, they did cancel
• Parks and Rec
• Full Metal Alchemist Brotherhood
• Spy X Family dubbed or subbed okay
• Frieren : Beyond Journeys End (my current fav)

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