Nurse Practitioner, health 🩺 and science 🧪nerd, book 📚 lover, aspiring writer📝, mother, dog 🐶 person. 🥥🏖️🦀🎹🧶🏳️‍🌈VOTE! She/her (I curse like a sailor, and my views most certainly cannot be assumed to reflect those of my employer.) https://anappleaday-twp.com/?https://bsky.app/profile/cassandraismad.bsky.socialhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mrei6tedds2dReally wondering how zombie Mitch McConnell isn’t trending right now. Seriously, how is it possible that no one has walked into that hospital room to deliver a tray to a dead guy and then realized they could make a couple of tens of thousands of dollars off leaking the deadness?24 Jul 2026 04:09 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mrei6tedds2dhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mo243rw7x22rI really want to hate AI but then it writes an absolutely devastatingly gorgeous appeal letter for a patient whose in-lab sleep study was denied…🥰🩺11 Jun 2026 20:50 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mo243rw7x22rhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mmfpnzkghs2sI love my husband for so many reasons. One of the top ten reasons is that when I have a new cockamamie idea, he always says, “ That sounds terrific,” and makes it sound so sincere. 😍22 May 2026 00:49 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mmfpnzkghs2shttps://bsky.app/profile/cassandraismad.bsky.social/post/3mktlqtpv522tHow is it not time to open that specific bottle of bubbly yet?02 May 2026 02:26 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mktlqtpv522thttps://bsky.app/profile/cassandraismad.bsky.social/post/3mjqiwd5hbc2mI may start prescribing episodes of The Pitt as homework for patients. 🩺18 Apr 2026 03:32 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mjqiwd5hbc2mhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mj3mj5jijk2aIs it burn out or being honest? When I have to justify changing an order so the insurance will cover it, I tell the truth. “Insurance company prefers more complicated dosing regimen” “insurance company prefers to wait until she actually has diabetes before treating her obesity.” 🩺09 Apr 2026 20:11 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mj3mj5jijk2ahttps://bsky.app/profile/cassandraismad.bsky.social/post/3mix2izib3c2iDear Congress, you were elected to REPRESENT the people. I think we have made it abundantly clear how we feel about the president. Fucking represent. Thank you for your attention to this matter.08 Apr 2026 00:38 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mix2izib3c2ihttps://bsky.app/profile/cassandraismad.bsky.social/post/3mivvg6f4fk2dBeing a primary care provider in the current US health system is demoralizing. Insurance cos are making it nearly impossible to care for patients effectively. We can blame attrition on admin or EMRs, but the villain is the insurance industry and its chokehold on our elected leaders. #singlepayernow07 Apr 2026 13:34 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mivvg6f4fk2dhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mi5axs2rmc22As an homage to the original Melt The Ice Hat, I designed a bandana as a warm-weather alternative. Now that ICE is going to expand here in Baltimore, we need something that is better for the hot months. Proceeds from pattern sales will be donated to CASA of Maryland! https://www.ravelry.com/patterns/library/melt-the-ice---baltimore-bandana28 Mar 2026 18:24 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mi5axs2rmc22https://bsky.app/profile/cassandraismad.bsky.social/post/3mi23pojgds2rWhy doesn’t anyone want to work in primary care? So far this morning I have been blamed for insurance denying a med I have worked to get approved, insurer “approved” a med a patient needs to stay alive but will cost more than $700, because the soonest someone can see specialist is 2027.27 Mar 2026 12:12 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mi23pojgds2rhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mguybqrcbs2iIt is snowing. The universe is no longer adhering to any recognizable rules of logic. Can someone please reset the simulation?12 Mar 2026 18:02 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mguybqrcbs2ihttps://bsky.app/profile/cassandraismad.bsky.social/post/3mgqvcdlmnc2lI’m a l tipsy rn but maybe we can just like our neighbors and make sure everyone is fed, housed, and educated before we start wasting money on things like killing random strangers in another country.11 Mar 2026 02:58 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mgqvcdlmnc2lhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mggwfobgos2uA call to action for all of us. RIP Jesse Jackson. [contains quote post or other embedded content]07 Mar 2026 03:51 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mggwfobgos2uhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mfdvw2uiwc2mThis. 💯 [contains quote post or other embedded content]21 Feb 2026 05:40 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mfdvw2uiwc2mhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mdomqvtkmc2wLove this. https://bsky.app/profile/lmnash123.bsky.social/post/3mdnvhfivts2k [contains quote post or other embedded content]31 Jan 2026 01:04 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mdomqvtkmc2whttps://bsky.app/profile/cassandraismad.bsky.social/post/3mbystz5exs2xI’m really not in a great mental or emotional space for taking care of racist patients today. Send vibes.09 Jan 2026 15:30 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mbystz5exs2xhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mbosgor5gc2yNONE OF THIS IS NORMAL.05 Jan 2026 15:56 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mbosgor5gc2yhttps://bsky.app/profile/cassandraismad.bsky.social/post/3mbeqaz6o722t2025 was bad in so many ways, but a great reading year for me. I guess I was avoiding reality! 📚01 Jan 2026 15:50 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3mbeqaz6o722thttps://bsky.app/profile/cassandraismad.bsky.social/post/3maroixyric2wICE, please get the fuck out of my state. [contains quote post or other embedded content]25 Dec 2025 01:58 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3maroixyric2whttps://bsky.app/profile/cassandraismad.bsky.social/post/3map6zxhuzs2hCan we just have all the folks who still support Trump watch “A Christmas Carol”? I’d give him a good piece of my mind to toast him on…24 Dec 2025 02:16 +0000at://did:plc:ialcmszcengrer3gtbyc57of/app.bsky.feed.post/3map6zxhuzs2h