Michelle Lew

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Hi there!

I’m a mom that an urgent care nurse practitioner. The purpose of my Instagram is connect with other to discuss the reality of motherhood and healthcare. I offer advice to nursing students on how to succeed and comfort mothers (or father) in parenthood through my failures and success. Sometime it’s difficult when you see/hear about picture perfect moms in the media and I went to provide some reassurance that they are not alone. Same thing in medicine. There’s so much pressure to not make a mistake. The anxiety that no one really talks about because “you have to fake it until you make it” attitude we have in healthcare.

Location Bellevue, WA
Country United States of America
Member Since JANUARY 08, 2021
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When I was in grad school... I was working full time and it was one of the toughest times in my life. Here are some tips I found helpful and wish I knew them at the beginning of my program: 1️⃣ buy a board review book 𝐀𝐒𝐀𝐏 (even if you’re just started your program). There was sooooo much to learn and comprehend! It took me longer to understand the material because I was so overwhelmed with the information! I reviewed the chapter that I was currently learning and the review book made all that information digestible (and gave me tips on how to remember it too!). 2️⃣ 𝐜𝐫𝐞𝐚𝐭𝐞 𝐚 𝐜𝐚𝐥𝐞𝐧𝐝𝐚𝐫 with due dates of all your assignments and quizzes/tests for the term at the beginning of the term. This ensures that you’re aware of when things are due and how to pace yourself. 3️⃣ 𝐩𝐚𝐜𝐞 𝐲𝐨𝐮𝐫𝐬𝐞𝐥𝐟! Just because a paper isn’t due until next month doesn’t mean you should wait to start it next month. Start your paper early (if you can) and add to it. This prevents you from having to BS your way through a paper the night before. 4️⃣ 𝐣𝐨𝐢𝐧 𝐚 𝐬𝐭𝐮𝐝𝐲 𝐠𝐫𝐨𝐮𝐩. They say the best way to learn is by teaching others. Your study group can also be your support group. I mean, they’re going through the same thing you’re going through! 5️⃣ watch review videos on the topic you’re studying on YouTube. My brain could only stand to read so many words until all the words started to blurred together. I found listening/watching to review topics made it easier for me to understand the material. 6️⃣ don’t get so hung up for not getting an A. The key thing is to make sure you understand the material instead of memorizing information for a test and then losing it later on. Getting a B or C in a class won’t make you a lesser clinician when you’re out in practice. Let me know if you have any other tips to add? If you’re a student, make sure to save and share with your fellow students.

Lets spend the day thinking of how we can add ʟᴏᴠᴇ into this world and actually doing it ♥️♥️♥️

𝐂𝐡𝐞𝐞𝐫𝐬 𝐭𝐨 𝐭𝐡𝐞 𝐰𝐞𝐞𝐤𝐞𝐧𝐝!!! While Sunday might be the end of most people's weekend, it is actually the beginning of my weekend. One benefit of working in an urgent care setting is my schedule. I work 3 days on, then get 3 days off, then back on for 4 days, and then off for 4 days. This schedule allows me spend more time with family, have appointments during the weekday, volunteer at my kid’s school since I’m actually off on a weekdays, and gives me some ᴍᴇ ᴛɪᴍᴇ (once the kids are back in person school). This week has been rough and I haven’t been able to get uninterrupted sleep. I need time to re-energize. I can't wait to catch up on sleep and spend quality time with family. What are some things you do to re-energize? What are your plan for this holiday weekend?

January is 𝐂𝐞𝐫𝐯𝐢𝐜𝐚𝐥 𝐂𝐚𝐧𝐜𝐞𝐫 𝐀𝐰𝐚𝐫𝐞𝐧𝐞𝐬𝐬 Month which means it’s a great time to talk about how human papillomavirus (HPV) vaccines can help prevent cervical cancer. More than 30,000 Americans get cancer from HPV every year. Most could be prevented with the HPV vaccine. The CDC recommends starting HPV vaccination at 11-12 years of age. About 40% of adults 18 - 26 years received one or more doses of HPV vaccine in 2018. I find that it can be difficult talking to parents about the HPV vaccine since some link it to sexual activity. Some parents are concern that giving their child the HPV vaccine is almost like telling them they are ok to have sex. I wanted to share some key points I include in my conversation with parents to educate them about the vaccine: 1️⃣ this is a cancer preventing vaccine. 2️⃣ besides helping to prevent cervical cancer, HPV vaccination can help prevent future infections that can lead to cancers of the penis, anus, and back of the throat in boys/men. 3️⃣ if the first dose of the vaccine is given before a child’s 15th birthday, they only need 2 shots instead of 3. 4️⃣ if the parents brings up sex, reassure parents that studies shows getting the HPV vaccine doesn’t make kids more likely to start having sex. Again, emphasize that this vaccine is not about sex, it’s about cancer prevention. 5️⃣ I reassure parents that this vaccine is safe. I’ve received it and I’m planning on giving it to my all kids when they turn 11-12. Share your thoughts on the HPV vaccine below 👇👇 #hpv #gardasil #cervarix #cancerprevention #cervicalcancerawareness #cervicalcancerawarenessmonth #girls #whnp #womeninmedicine #womeninhealthcare #nursepractitionersofinstagram #mamasinmedicine #healthcare #healthcareworkers #nurse #nurses #registerednurse #urgentcare #medical #nursing #nplife #nurseblogger #doctornurse #nursepractitioner #urgentcarenp #nursesrock #aprn #arnp #frontlineworkers

👶🏻 𝕓𝕒𝕓𝕚𝕖𝕤 𝕒𝕟𝕕 𝕗𝕖𝕧𝕖𝕣𝕤 🤒 Emmy developed a fever last week and I freaked the F out! I immediately thought about COVID because, well...we’re in a pandemic and it’s usually the first thing on someone’s mind when someone isn’t feeling well/sick. Emmy developed a fever the day after getting her first flu vaccine. I knew this was a possible response to vaccination but my mind still went all over the place (𝘰𝘤𝘤𝘶𝘱𝘢𝘵𝘪𝘰𝘯 𝘩𝘢𝘻𝘢𝘳𝘥). She was eating ok and was just a tiny bit fussier than usual, so I just kept an eye on her. Her fever spiked in that evening to around 101F and I gave her Tylenol before bed to make sure that she was comfortable while sleeping. I got a bit more concerned the second day when she wasn’t eating much and the fever came back that evening. Thankfully, her fever broke on the third day and she woke up with a rash the next morning. Right away I knew that my baby just had ROSEOLA! 👉🏻 𝘚𝘸𝘪𝘱𝘦 𝘵𝘰 𝘵𝘩𝘦 𝘯𝘦𝘹𝘵 𝘱𝘩𝘰𝘵𝘰 𝘵𝘰 𝘴𝘦𝘦 𝘩𝘦𝘳 𝘳𝘢𝘴𝘩. For those who are not familiar with Roseola, Roseola is a self-limiting (which mean it’ll go away on its own) viral illness that commonly affects kids between 6 months to 2 years of age. It’s spread through respiratory secretions and saliva, meaning that a kid can get it from breathing in droplets after an infected person (usually a kid) coughs, sneezes, or talk. They can also get it by sharing cups with an infected person. The most common symptoms are a fever lasting 3 to 5 days, runny nose, sore throat, cough, decreased appetite, or become more fussier. Once the fever subsides, a rash will usually appear. Roseola will resolve on its own so treatment is just making sure the child is comfortable while they are experiencing any symptoms. I recommend lots of snuggles. Tylenol can be given for a fever as needed. Thankfully, it wasn’t COVID!! 2 out of my 3 kids have had Roseola. For all my moms out there - did your kid ever get Roseola?

When I was a child, I never really spoke up about anything. When I did try to speak up, I was called “bossy” which made me drop the topic right away. I grew up with the mentality that keeping the peace was better than escalating a problem. I was taught to follow rules made by authoritarians. It wasn’t until I enter the work force that I started to notice that keeping the peace all the time wasn’t all that great. More importantly, 𝐢𝐭 𝐰𝐚𝐬𝐧’𝐭 𝐫𝐢𝐠𝐡𝐭. I still struggle to speak up. I’m actually terrified of drawing attention. What if I can’t find the right words to say what I want to say? What if I sound stupid? What if no one agrees with me? What if I’m wrong? All these insecurities (and more) are just excuses that holds me back and then I do nothing. I’ve been working to overcome these insecurities and learn how to be more courageous. I’ve done more things in the past few months to really put myself out of my comfort zone so I can grow and learn. Events in the world and in my own personal life has really caused me to self reflect and take action now more than ever. It’s a work in progress. I’ll check back in and let you guys know how it goes. 𝙊𝙠𝙖𝙮, 𝙮𝙤𝙪𝙧 𝙩𝙪𝙧𝙣. 𝙄𝙨 𝙞𝙩 𝙚𝙖𝙨𝙮 𝙤𝙧 𝙙𝙞𝙛𝙛𝙞𝙘𝙪𝙡𝙩 𝙛𝙤𝙧 𝙮𝙤𝙪 𝙩𝙤 𝙨𝙥𝙚𝙖𝙠 𝙪𝙥 𝙬𝙝𝙚𝙣 𝙞𝙩 𝙧𝙚𝙖𝙡𝙡𝙮 𝙢𝙖𝙩𝙩𝙚𝙧𝙨? 𝘿𝙤 𝙮𝙤𝙪 𝙥𝙧𝙚𝙛𝙚𝙧 𝙩𝙤 𝙨𝙩𝙖𝙮 𝙨𝙞𝙡𝙚𝙣𝙩 𝙩𝙤 𝙖𝙫𝙤𝙞𝙙 𝙘𝙤𝙣𝙛𝙡𝙞𝙘𝙩?𝙒𝙝𝙚𝙧𝙚 𝙙𝙞𝙙 𝙮𝙤𝙪 𝙡𝙚𝙖𝙧𝙣 𝙩𝙝𝙖𝙩?𝙒𝙝𝙖𝙩 𝙖𝙙𝙫𝙞𝙘𝙚 𝙘𝙖𝙣 𝙮𝙤𝙪 𝙤𝙛𝙛𝙚𝙧 𝙖𝙣𝙮𝙤𝙣𝙚 𝙬𝙝𝙤 𝙢𝙞𝙜𝙝𝙩 𝙛𝙞𝙣𝙙 𝙞𝙩 𝙘𝙝𝙖𝙡𝙡𝙚𝙣𝙜𝙞𝙣𝙜 𝙩𝙤 𝙨𝙖𝙮 𝙬𝙝𝙖𝙩 𝙣𝙚𝙚𝙙𝙨 𝙩𝙤 𝙗𝙚 𝙨𝙖𝙞𝙙? #selfreflection #selfreflecting #becourageous #speakup #womensupportingwomen #womenempowerment #student #nurse #students #studentlife #nurselife #nurses #nursesofinstagram #nursingstudent #studentnurse #nursestudent #mom #momlife #momblogger #womeninmedicine #nursepractitionersofinstagram #mamasinmedicine #healthcare #healthcareworkers #empoweryourself #goals #forthefuture #femaleempowerment

𝚈𝚎𝚜𝚝𝚎𝚛𝚍𝚊𝚢 𝚠𝚊𝚜 𝚑𝚎𝚊𝚛𝚝𝚋𝚛𝚎𝚊𝚔𝚒𝚗𝚐 💔 I am ashamed and scared for our future. My parents immigrated to this country with no money and three small children. We didn’t know any English or anyone here. My mom had to work 3 jobs. My dad worked nights and went to school during the day. My parents sacrificed so much for my brothers and I to live the American Dream. This isn’t a dream. It’s a nightmare. Our nation has become so vulnerable and it’s a shame. We are lost and there is just so much hate. I pray that our country can overcome this hate and come together for a brighter and peaceful future. 🙏🏼🙏🏼🙏🏼 #jan6 #brighterdaysahead #brighterfuture #democracy #brighterfuture #washingtondc #washington #capitalhill #twoamericas #capitallockdown #livesmatter #blacklivesmatter #justice #nursepractitionerforthefuture #forthefuture #nurseblogger #immigrants #dreamer #nursepractitioner #bipoc #america #americandream

🧘‍♀️Remember to take a deep breath throughout the day 🧘‍♀️ It’s the first Monday of the year! Many people are returning to the hustle and bustle of work. My daughter has resumed her distance learning. I still have two more days left before going back to work. I feel super productive today as I managed to tired out my toddler and baby so they’re both down for a nap. My house is still semi clean from the weekend. So now I get to sit and relax with some milk tea, an almond danish (so good from Costco if you guys haven’t tried it!), and some cantaloupe while scrolling through Instagram. I hope everyone is have a great day ♥️ BTW - i just found out it is bad etiquette to drink tea with the tea bag in the cup. I’ve been doing this forever to get a more intense flavor. Also, you’re not suppose to pick up the bag by its string and jiggle it, and don't wind the string around the bag while it's on your spoon and squeeze it dry. #teaetiquette #milktea #cantaloupe #almonddanish #takeabreath #firstmonday #mondays #backtoschool #backtowork #backtoreality

💉 𝐖𝐡𝐲 𝐭𝐡𝐢𝐬 𝐛𝐫𝐞𝐚𝐬𝐭𝐟𝐞𝐞𝐝𝐢𝐧𝐠 𝐍𝐏 𝐠𝐨𝐭 𝐭𝐡𝐞 𝐂𝐎𝐕𝐈𝐃 𝐯𝐚𝐜𝐜𝐢𝐧𝐞 💉 I had someone send me a DM asking if I could share my thoughts for why I got the COVID vaccine when there were no nursing mothers in the clinical trials for it. When it comes to breastfeeding, I look at recommendations from the Academy of Breastfeeding Medicine and the Infant Risk Center. I also reviewed the general recommendations from the CDC, FDA, and ACOG. All of these organizations agrees that the risk for babies from the COVID vaccine is pretty low. The risk and benefit of the vaccine should be compared to each mother’s individual risk for getting COVID-19. As a healthcare provider who has direct patient contact, my risk for getting COVID is higher. Another thing to consider is how way the vaccine works. These vaccines are 𝗡𝗢𝗧 live vaccines. Both vaccines use messenger RNA (mRNA) that copies the genetic code of the coronavirus spike proteins causing the immune system to develop antibodies to COVID-19. As for breastfeeding, little or none of these vaccine components would ever reach the milk compartment, or even be transferred into breast milk.  Even if they were, the mRNA would simply be digested like any other protein by babies. Antibodies and T-cells (your immune fighter cells) can pass into breast milk. I’m hoping this may occur to offer some protection for my daughter. Lastly, I spoke to my daughter’s pediatrician about the vaccine and we decided to that it was fine for me to get the vaccine. I did my research and feel confident about my decision. I hope this post helps any nursing moms out there. ♥️ #breastfeeding #breastfeedingmom #covidvaccine #mywhy #babiesofinstagram #fnp #whnp #womeninmedicine #nursepractitionersofinstagram #mamasinmedicine #healthcare #healthcareworkers #nurse #urgentcare #medical #nursing #nplife #nurseblogger #doctornurse #nursepractitioner #urgentcarenp #nursesrock #aprn #arnp #frontlineworkers #momlife #momsinmedicine #workingmom #breastfeedingmama

💉 I got it...FINALLY!!💉 I lucked out and got the first dose of the Moderna COVID vaccine on Tuesday. I wanted to wait a few days to see how I would react before posting about it. My arm is still a little be sore but that’s about it! A bit of personal information about me - I’m immunocompromised. I take a medication every week that lowers my immune system. I’m also breastfeeding my baby. I’ve read the vaccine information from the manufacture, CDC, FDA, ACOG, and ABM and have decided that despite have 𝐍𝐎 clinical data regarding the safety of this vaccine in nursing mothers, I still wanted this vaccine. Not only will this vaccine protect me by helping my immune system build antibodies - I’ll also be protecting husband, my kids, and my in laws that are not eligible to get the vaccine this time. This is called herd immunity and achieving herd immunity is how we’re going to get back to normal. I know this pandemic has been taxing on everyone. We all want to get back to normal and the only way to do that is through heard immunity. I know we don’t have enough vaccine for everyone just yet and the waiting can be scary, anxious, confusing, concerning, etc. Continue wearing a mask, keeping social distancing, and good hand hygiene. I strongly recommend everyone consider getting the vaccine and talk to with health care provider if you have any questions or concerns! ⚕️For my fellow healthcare workers, I got my vaccine through a pharmacy that was giving it out to group 1a only. My work has not be able to secure us vaccines yet. So if you’re wanting to get it sooner, check different pharmacies to see if they have it. ⚕️ I see the light at the end of the tunnel ♥️ #covidvaccine #moderna #igottheshot #hcwforscience #vaccine #covid #covid_19 #vaccinessavelives #vaccineswork #mywhy

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