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@AkratiGupta-fz1sz 9 күн бұрын
What about varicocele?
@RealWorldNP 9 күн бұрын
You know I haven't seen that myself and I don't see anything on my resources that suggest that varicocele can cause hematuria. That would be something to look into futher!
@marcmarlonnewyork 10 күн бұрын
How about if the micro-albumin is 63?
@RealWorldNP 9 күн бұрын
Yes, 63mg/day would be in considered in the "microalbuminuria" category
@nadiamohamed-gi9or 10 күн бұрын
This!
@teresatarango3992 18 күн бұрын
I think your videos are perfect ty for what you do
@RealWorldNP 16 күн бұрын
Thank you for watching!
@rebeccasigari4025 18 күн бұрын
This was so helpful! Thank you ❤
@RealWorldNP 16 күн бұрын
Glad it was helpful!
@nicholegraeber2590 Ай бұрын
Thank you
@RealWorldNP Ай бұрын
You're welcome!
@Michael-bt6ht Ай бұрын
Ty
@RealWorldNP Ай бұрын
You are so welcome! Thanks for watching ❤️
@carlasmith4567 Ай бұрын
I have this 😢
@RealWorldNP Ай бұрын
I'm sorry to hear that. I hope this video helps you. ❤️
@teresatarango3992 Ай бұрын
Thank you so much I’m so glad I found you because you have been so helpful I was getting so discouraged I’m in my seventh month of practice and it has been a huge challenge thank you so much for all your encouraging videos and all your education
@RealWorldNP Ай бұрын
You are so welcome! I'm glad this is helpful to you.
@bolanleogunsanwo393 Ай бұрын
Can you do a redo of this video as it applies to current situation in the job market
@RealWorldNP Ай бұрын
Great suggestion! We'll add it onto our list of possible topics :)
@jinsu0504 Ай бұрын
thank you. It was very informative.
@RealWorldNP Ай бұрын
Glad it was helpful!
@ceciliahaffnerjatta3071 Ай бұрын
What an impressive individual 👏 🙌. I am inspired!
@RealWorldNP Ай бұрын
Thank you for the kind words!
@m.j.gonzalez6281 Ай бұрын
This video is too late for me. After 4 years and a lot of burn out I decided to quit as FNP and return to be a nurse. Im currently working as a Public Health Nurse and hapier than ever. As a NP I had too much responsibility, few support and worked as crazy. Sad but true. A vacation didn't fix anything.
@RealWorldNP Ай бұрын
I'm so glad to hear that you are happier than ever! I'm sorry you didn't receive the support you deserved as an FNP. I hope your journey continues to be a happy one. ❤️
@hudiefatahat4964 Ай бұрын
Your video so interesting and you appear very kind
@RealWorldNP Ай бұрын
I'm glad you found it interesting. Thanks for the kind words!
@garethcostanza4698 Ай бұрын
Would it be possible to get a mental health professional interview?
@RealWorldNP Ай бұрын
We will keep that in mind for the future. Thanks for asking!
@bluefamily3937 Ай бұрын
The NUMBER ONE time suck for me is the technology. I spend more time rebooting the computer, waiting for the server to come back on, logging in, verifying my identity..on the phone with IT Support....at least an hour and a half just this morning...drives me nuts!!!
@RealWorldNP Ай бұрын
It's SO tough - that used to happen to me at my first job all the time. Usually when it comes to systematic change (tech upgrades, etc) I usually recommend collaborating with colleagues and making a written case (like "paper trail" with emails) to management to let them know how big of a challenge it is, so there's more impetus to change where they can/make it a priority
@hudiefatahat4964 Ай бұрын
Lovely lecture
@RealWorldNP Ай бұрын
Thanks a lot!
@ruthramirez7430 Ай бұрын
Amazing 👍
@RealWorldNP Ай бұрын
Glad you enjoyed! Thanks for watching.
@bluefamily3937 Ай бұрын
How do I set my day up ina systematic way?
@RealWorldNP Ай бұрын
Everyone is different - I think there's a trial and error/practice that needs to happen for everyone. I tend to structure my days with coming in a bit early to look at who's on the schedule, reviewing labs/documents/phone notes/refills that need addressing, then only checking back in at lunch time and the end of the day so I can stay focused on visits/charting. For me it's about finding a rhythm, and trying to stay as focused as I can and not get pulled in a million directions (not always possible). Any other things that have helped you so far?
@bluefamily3937 Ай бұрын
How do you know what measure requirements are due?..mine always show up at rhe end after I've seen the patient, then i have to backtrack...any pointers to prevent the backtracking??
@RealWorldNP Ай бұрын
It's nice when EHRs let us know ahead of time - it may be helpful to have a quick text reminder for yourself to check the metrics/measurements needed to chart at the start of the visit, and/or letting your management/IT people know that that would be a helpful adjustment of the EHR to get those prompts at the beginning. Some offices, the medical assistants are trained to ask those sorts of questions - PHQ2, tobacco use, etc.
@bluefamily3937 Ай бұрын
@@RealWorldNP thank you for that suggestion. Practicing at the nursing home, I am my own staff. Your tips are valuable. This transition has been ..... difficult to say the least.
@bluefamily3937 Ай бұрын
I feel soooooo slooooow with all my charting...and time management is awful!! How do I improve?
@RealWorldNP Ай бұрын
It's so tough - a lot of it is practice over time. I love quick texts to help with common chief complaints. It looks like you saw the time management video, hopefully that one helped! Her book is also great if you want to check that one out
@duke01000 Ай бұрын
Thank you , great video
@RealWorldNP Ай бұрын
Glad you enjoyed it!
@raveenar1613 Ай бұрын
Helped a lot! Thank you!
@RealWorldNP Ай бұрын
Glad it helped! Thanks for watching.
@FeleciaVictoria618 Ай бұрын
How do you chart against the extra problem if you don’t address it?
@RealWorldNP Ай бұрын
This is tricky - if it's something that has a plan that's substantial and needs to be followed up on, it should be charted. But some things are conversations and you have to use your judgment there, because not all things like "quick questions" need addressing each visit. I definitely struggled with that at the beginning but I think over time you develop that clinical judgment to discern what needs comprehensive addressing versus is sort of just a conversation
@lightworker4429 2 ай бұрын
Can you explain + vs ++ etc?
@RealWorldNP 2 ай бұрын
Overall it correlates with the amount of blood present in the sample but it's dependent on a few factors! Tricky to answer in the comments here, but we definitely go into depth with interpretation inside the Lab Crash Course if that's something you'd like support with! www.realworldnp.com/labs
@Practitionher 2 ай бұрын
This has me so excited to take my CNM boards and start working 👩🏽⚕️ going into private practice (OBGYN) as a new FNP/CNM in a few weeks . 🍀 🤞🏾🫶🏽
@RealWorldNP 2 ай бұрын
So exciting! Good luck on your journey. Thanks for watching!
@PinayNanayNurse 2 ай бұрын
I truly love this episode. I can really relate to it. Thank you for being an inspiration. 💕
@RealWorldNP 2 ай бұрын
Glad you enjoyed it! Thank you for watching! 😊
@lisaalward6832 2 ай бұрын
Great info to understand the big picture!
@RealWorldNP 2 ай бұрын
Glad it was helpful!
@amora5085 2 ай бұрын
What would neurological causes be?
@RealWorldNP 2 ай бұрын
No neurological causes that I'm familiar with - typically renal, urologic, or "mimics" from structures in the area (perineum, anus, etc) or medications/foods/false +
@lisaalward6832 2 ай бұрын
As a NP student this info was so helpful.
@RealWorldNP 2 ай бұрын
So happy to hear this was helpful for you!
@bluefamily3937 2 ай бұрын
" In community with NPs..." there is one? Where? point me to it? I need an NP community
@RealWorldNP 2 ай бұрын
Hey! We don't have a community as it stands right now, but definitely check out the mentorship waitlist page as we investigate options to support NPs- www.realworldnp.com/mentoring
@lisaalward6832 2 ай бұрын
This is great information. Thank you
@RealWorldNP 2 ай бұрын
Glad it was helpful!
@benjaminlew7003 2 ай бұрын
Hi, Liz - I came across this insightful video after a search on hyponatremia. I have a question about when to go to the E.R. If someone receives a sodium value of less than 130 in an outpatient PCP setting, is it always required to go to the E.R. for a recheck (as you discuss at the 7-min:30-sec mark)? Would rechecking via non-E.R. means ever be appropriate (such as returning to the PCP)?
@RealWorldNP 2 ай бұрын
Thanks so much for watching. Unfortunately for safety and liability reasons, I can't answer specific cases here, but it's a complicated answer. I'm familar with VERY rare cases that can be assessed closely outpatient but this has been under strict guidance of a nephrologist and due to a known diagnosis, managed by renal and in a collaboration with a nephrologist & PCP. We talk more about specific patient cases inside the Lab Crash Course, though, if you want to join us there and ask inside the community (www.realworldnp.com/labs).
@Chaitea3800 2 ай бұрын
thanks, so helpful. My professor sent us a link to this video to accompany her lecture. I have more understanding now!
@RealWorldNP 2 ай бұрын
Glad it was helpful!
@ruthramirez7430 2 ай бұрын
Amazing.. thank you 🙏
@RealWorldNP 2 ай бұрын
So glad you liked it! Thanks for watching.
@estherrono3289 2 ай бұрын
That was great! Thank you
@RealWorldNP 2 ай бұрын
Glad you enjoyed it!
@biancadmomof3911 2 ай бұрын
You are a gem. Thank you for being so transparent and loving! Can't wait untl next time!❤
@RealWorldNP 2 ай бұрын
Thank you so much!!
@drreyeswellness3870 2 ай бұрын
examples with videos would be nice
@RealWorldNP 2 ай бұрын
Keeping this in mind for the future. Thanks for watching!
@lillip8419 2 ай бұрын
Thank you. Have a great break and hope you return when you are ready!😊🙏✨✨🦋
@RealWorldNP 2 ай бұрын
Thank you for the kind words!
@asmith8042 3 ай бұрын
Awesome information ❤
@RealWorldNP 3 ай бұрын
Thanks for watching!
@patricetalley7685 3 ай бұрын
Watching in 2024🎉🎉
@RealWorldNP 3 ай бұрын
SO glad to hear it!
@middlesys9180 3 ай бұрын
Such an encouraging interview. I'm not sure where she lives, but a lot of the Ortho jobs go to PAs. Did a lot of ortho in the ED as a tech and RN and have always loved it.
@RealWorldNP 3 ай бұрын
I'm glad you enjoyed this interview! Thanks for watching.
@milenmengistu2402 3 ай бұрын
Hi, can you please state the current guidelines for ASC-US, for age younger that 25 and older than 25? Thanks.
@RealWorldNP 3 ай бұрын
ASCCP guidelines for <25 with ascus is one year follow up and >25 with ascus recommends HPV testing. I highly recommend the ASCCP app for situations like this to use in clinical settings.
@bectiff83 3 ай бұрын
Hi, I am in Australia and have just started my study for transition to NP. I needed this video today thank you 🙏🏼 because I’m already feeling overwhelmed and like I want to give up 😢
@RealWorldNP 3 ай бұрын
I'm so glad this video was helpful! I'm sorry you are feeling overwhelmed.
@jenniferbockrath3791 3 ай бұрын
Liz, you are saving my life. I am a 20 plus year RN who just started my new job as an NP. I am struggling. This helped me tremendously, just knowing what I am experiencing is normal is helpful. Thank you!
@RealWorldNP 3 ай бұрын
I'm so glad!
@judypeng4748 3 ай бұрын
Good to know cardioversion not working when enlarged atrial
@RealWorldNP 3 ай бұрын
Thanks so much for watching!
@DustinLeeYT 3 ай бұрын
This video is so helpful, especially with the rise in requests for GLP-1 medications. Thank you for these tips and info!
@RealWorldNP 3 ай бұрын
Glad you found it helpful. I am thankful for a new tool in the provider arsenal.
@nickolassmith2781 4 ай бұрын
This video is amazing! I just started as a new grad in primary care and I am so excited to start implementing these principles in taking a good history!
@RealWorldNP 3 ай бұрын
Good luck!! you got this!
@chiarawallace5027 4 ай бұрын
Hi Liz! I'm starting my first NP job next week, and your videos have been very helpful in preparing and calming nerves! I love your optimism about this coming year and the shifts ahead. I also loved the comments about "what is enough" ... Regardless of if I like my job, I don't want to be finishing notes at 6pm. Thanks for your contribution to the NP world!
@RealWorldNP 3 ай бұрын
Good luck!! I am glad you find the content useful😊
@marybraker1083 4 ай бұрын
Can tooth infection also affect your lungs and how
@RealWorldNP 3 ай бұрын
A severe prolonged tooth infection can cause sepsis, which can ultimately affect respiratory function. That is the most obvious cause that I can think of. I’m sure there are others. a good history and physical will point most providers in the right direction.