Nurse practitioner fellowships in orthopedics

Greetings HealthcareWriting community,
I am a nursing, medical, and health writer, WhatsApp +1 (475) 666-3803 for immediate assistance with your research, essays, case studies, and assignments.
I'm thrilled to connect with fellow enthusiasts at the intersection of health and writing. As a healthcare writer passionate about communicating complex medical topics effectively, I invite you to join me in building a vibrant community right here on HealthcareWriting.
What's HealthcareWriting all about?
This subreddit is a space dedicated to the unique challenges and opportunities presented by healthcare writing. Whether you're a seasoned healthcare professional looking to share your knowledge through the written word or a wordsmith intrigued by the world of medicine, this is the place for you.
WhatsApp +1 (475) 666-3803
What to expect:

1. Discussion and Advice: Engage in conversations about the nuances of healthcare writing, from crafting patient-friendly materials to navigating medical jargon.
2. Resource Sharing: Share valuable resources, tips, and tools that have helped you in your healthcare writing journey.
3. Collaboration Opportunities: Connect with fellow writers, healthcare professionals, and editors for potential collaborations.
4. Feedback and Critique: Seek constructive feedback on your healthcare-related writing projects or offer your insights to others.

WhatsApp +1 (475) 666-3803
How can you participate?

1. Introduce Yourself: Share a bit about your background and what brings you to healthcare writing.
2. Ask Questions: Have a burning question about healthcare writing? Ask the community for insights.
3. Share Your Work: Proud of a recent healthcare writing piece? Post it for feedback or simply to inspire others.
4. Networking: Connect with professionals in the field, from healthcare practitioners to medical communicators.
5. Today's Topic: What are some of the healthcare, nursing and medical writing styles you like?

Feel free to share your favorite healthcare writing resources, ask for advice on specific projects, or discuss any challenges you've encountered. Let's make HealthcareWriting a supportive space for growth and collaboration!
Looking forward to exploring the world of healthcare writing together.

2 years now - I have had severe sharp pain in my hip socket. Gets almost unbearable when I do incline. Saw a surgeons nurse practitioner and I’m getting imaging soon.
I am active and I love hiking but it’s been made almost impossible to anything that’s not a flat, easy trail.
The surgery seems rough, with a long recovery. I don’t mean to catastrophize prematurely but I’m really over having medical issues and I just wish this wasn’t a thing..

In an era where technology is revolutionizing healthcare, telehealth has emerged as a game-changer. Nurse practitioners (NPs) are at the forefront of this transformation, utilizing telehealth to enhance patient care and accessibility. Jade Guerra, an experienced nurse practitioner, shares her insights on how NPs are leading the charge in telehealth services.
https://reddit.com/link/1d35j2n/video/vrnphbsj7b3d1/player

We’ve been married for 3 years and together for 7. We have a 4 year old together and I am 7.5 months pregnant. He also has a 12 year old son that lives with us 50% of the time. I work full-time and some hours as a nurse practitioner and he is a dental hygienist working 4 days a week. We’ve been to therapy in the past 2x. First time was premarital counseling with a woman that was a patient of his (which in my opinion was a biased setting to begin with, but didn’t really help anyway). Second time I let him choose therapist because I was already on the verge of leaving… so, he picked a black middle-aged male and after 6 or so sessions my husband said he didn’t like the therapist because he felt the therapist was only concerned about my feelings. We split our bills about 50-50, but if I’m completely honest, I probably spend more due to groceries, necessities, insurance, etc. I don’t wait on him to take out the trash or bring the trash bins in after trash day. He does not do anything extra for me such as wash my car or fill up my tank. But he does move my car on trash days so I don’t get a ticket. I do most of the cooking now a days, majority of the cleaning, all the laundry, and make sure our younger one is bathed and in bed by a timely manner. My stepson is obviously more attached to my husband, so he takes the reins when it comes to him. However, his stepson does poorly in school academically, he is constantly in trouble with school where we get phones calls and emails weekly about fights, disrespecting teachers, etc, and the school does not want him back next year. I’ve expressed my concerns about his behavior and lack of consequences that follow but nothing has changed. He is finishing 6th grade and has the math skills of maybe a 4th grader and reading comprehension of 4th grade level. He has ADHD but his mom and dad have yet to get him assessed, put him in therapy on medication although I’ve expressed how important this is plenty of times. Now we are planning on paying an additional $1200 per month to put him in a private school next year without any type of evaluation first. Summer is around the corner and I’d prefer he be in an educational summer program but instead he will be in Florida for 3 weeks on vacation and probably a sports summer camp when he returns… not only does he perform well below average in school, he has a poor attitude, does not help around the house, talks back, and has everything a child can dream of (vacations, BMX bikes, skateboards, surf board, snowboard, phone, and constant outings such as beach and camping trips) this is extremely frustrating because he does not work for anything and in my opinion, these are all privileges that should be earned.
Outside of our children… I work 4 day shifts per week and 1-2 night shifts per week. I make dinner roughly 3-4x, a week, breakfast when I can and clean up the kitchen afterwards. I’ll order food when I feel exhausted or don’t have time to cook and of course my days off are used to grocery shop and clean the house. I’m constantly moving because I hate a dirty home, mind you… our home is not squeaky clean what so ever but it’s not filthy. We are cluttered by my husband’s habit of buying little trinkets and starting home projects and not finishing. He loves to work outside in the backyard, tend to our dogs and build things which I have learned to let him do without complaint even if it’s 1-3 hours a day outside after work while I’m indoors cleaning, cooking and helping with homework. He eventually wants to perfect his woodworking craft and sell furniture so I am trying to be supportive. He goes to the gym after work when time allows and I’m able to pick up the kids. He plays golf, basketball, does to shows and has nights outs every month. We both have independent time but since I’m pregnant I’m more at home resting than being out. There are days where I get to rest but majority of the time, I have to be proactive to maintain the household. There are wonderful things about my husband, he is silly and the fun parent with the kids. He always wants to be out of the house on the weekends to enjoy being outside and not cooped up in the house. He is carefree, loves to sing and dance and a carefree attitude. I rarely complain and when I do, he says I complain too much.. I’ve learned to let a lot of things go but there are times when I feel overwhelmed. I feel my energy does not match his at times because many times my mind is worried about finances or groceries, or not feeling appreciated. We’ve been together for 7 years and he has never planned a trip for us, he just recently started celebrating me on my birthday and Mother’s Day the past year and a half because I’ve cried about it over and over again. There’s been Mothers days and Christmas where he hasn’t gotten me flowers or a gift. Birthdays where we stayed home because he didn’t plan any dinner or a meal. I finished nurse practitioner school last year and I felt that it was looked over by him and he wasn’t proud of me. We did not celebrate my achievements and I’ve expressed this to him throughout school because with each class or milestone, he was always the first person I’d tell but the reaction I got was so minimal.. when I finally finished, I was met with a congratulations hug and kiss at home. I hate to come off as spoiled, but I always remember how I would celebrate him for his birthday or imagine how we’d celebrate his achievements. I’m almost 8 months pregnant and I can see myself feeling the weight of another child added to the mix and wonder how I can maintain this home and my happiness. I know I shouldn’t depend on a man to be happy but I do depend on my husband to validate my feelings and provide me with a space where I feel loved and heard. I wrote this on a whim… help.

From childhood to college to working years and unto death, women are increasingly favored over men for at least the past few decades in America. And not enough people realize this will come with significant costs and downsides to America as we age.
1.)
Teachers give higher grades to girls than to boys with the same academic ability. And the bias is evident across different types of schools and for different teacher characteristics, suggesting teachers are hard-wired to give girls higher marks. The size of the gap is considerable and could have significant long-term consequences, both on college admission and employment prospects:
Researchers compared the results of standardized anonymous tests taken by almost 40,000 15 and 16-year-olds in language and math with the grades the same students were awarded in classroom tests. While the results of the anonymous tests followed the expected pattern, with girls outperforming boys in languages and boys doing better in math, in the non-anonymous classroom tests the girls scored higher in both subjects.
And the disparity could mean the difference between boys getting a pass and a fail in some subjects.
The average grade for girls in language was 6.6 out of 10, compared with 6.2 for boys, and in math it was 6.3 for girls and 5.9 for boys, just under the pass mark of 6.
https://www.tandfonline.com/doi/full/10.1080/01425692.2022.2122942
https://www.forbes.com/sites/nickmorrison/2022/10/17/teachers-are-hard-wired-to-give-girls-better-grades-study-says/?sh=7f95fbef70a6
EDIT TO INCLUDE ANOTHER SOURCE: https://www.tes.com/magazine/archive/teacher-stereotyping-means-higher-marks-girls-says-oecd “Teachers are awarding girls higher marks than boys who have the same ability, partly because they “hold stereotypical views” about pupils’ academic strengths, a new report on the gender gap in global education has found.
The study, published today by the OECD (Organisation for Economic Cooperation and Development), analysed students’ marks in reading and maths.
After taking into account their performance in the organisation’s Pisa (Programme for International Student Assessment) tests, it found that, across the OECD, teachers “generally reward girls with higher marks in both mathematics and language-of-instruction courses”.
https://journals.sagepub.com/doi/full/10.1177/00220574211025071#body-ref-bibr40-00220574211025071
Gender differences in teacher ratings of academic performance, social skills, and externalizing behavior were examined from fourth through seventh grade in a group of 1,023 students from 65 primary schools….Gender differences in academic achievement in elementary school FAVORING girls have been a CONSISTENT finding in international research for decades.
2.)
For the class of 2022, women comprised 58.6% of all bachelor degrees.
For the class of 2022, women comprised 57% of doctorate and professional degrees. As we know, people who have degrees tend to make more money, widening the growing pay gap between men and women.
https://educationdata.org/number-of-college-graduates
3.)
Working women already earn more than men on average, per hour:
The New York, Washington, D.C., and Los Angeles metropolitan areas are among the cities where young women are earning the most relative to young men. In both the New York and Washington metro areas, young women earn 102% of what young men earn when examining median annual earnings among full-time, year-round workers…
However, even among full-time, year-round workers, men and women devote DIFFERENT amounts of time to work. Men under 30 usually work 44 hours per week, on average, compared with 42 hours among young women.
https://www.pewresearch.org/short-reads/2022/03/28/young-women-are-out-earning-young-men-in-several-u-s-cities/
In healthcare, at least 53.7% of the next generation of doctors are all women. One medical school even BOASTED about the fact that OVER 65% of its student doctors were female.
Please also keep in mind: 22% of women doctors choose to work part time, and 9% of male doctors choose part time. This only exacerbates the doctor shortage in America, as the field continues to grow in favor of a female ratio.
Other healthcare jobs with good pay are dominated by women:
87% of all registered nurses are women.
88.8% of nurse practitioners and 78% of physician assistant students are women (average 130K salary).
https://www.ama-assn.org/education/medical-school-diversity/women-medical-schools-dig-latest-record-breaking-numbers
4.)
Women are living longer and longer than men.
As life expectancy at birth in the US decreased for the second consecutive year, from 78.8 years (2019) to 77.0 years (2020) and 76.1 years (2021), the gap between women and men widened to 5.8 years, its LARGEST since 1996 and an INCREASE from a low of 4.8 years in 2010.
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2811338#:~:text=As%20life%20expectancy%20at%20birth,of%204.8%20years%20in%202010.
5.)
Healthcare funding is heavily slanted towards women. Example:
The NIH spending for prostate cancer in 2015 was US$288 million, which is LESS THAN HALF that for breast cancer…The difference between public funding and disease burden is even more striking in the case of COPD: NIH invested a mere US$97 million, almost SEVEN TIMES LESS than for breast cancer, although COPD killed 292,000 Americans, SIX TIMES MORE than breast cancer.
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2811338#:~:text=As%20life%20expectancy%20at%20birth,of%204.8%20years%20in%202010.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836059/#:~:text=The%20NIH%20spending%20for%20prostate,43%2C000%20people%20died%20from%20it.

Hi Health profession outsider. Saw the legislation change this week. What is the difference (in simple terms pls) between a nurse practitioner and a medical practitioner ?

Hi guys! I’m a 25F and I’m a BSN prepared RN. I’ve been a nurse for a little over 2 years now and I have lots of debt bc 17 year old me had no idea what I was doing. I have 32k in federal student loans that I pay $116 a month for, I’m not really worried about those but I unfortunately got sucked into private loans. It took me 5 years to get my degree, I had to retake a class and with COVID things got a bit delayed.
I had Sallie Mae loans and my interest rate was 13.75% and I deferred payment all throughout school… keep in mind I even went to a state school and commuted 2 out of 3 years even though I lived an hour and a half away. My grand total for private loans was 128k that I have gotten down to 117k at a refinanced of 6.2% rate… 5.95% on autopay. I started aggressively paying them within the last 9 months and I pay $1,500 a month. I also have a car payment of $550 and my insurance is $140 a month. Those are all of my bills.
I make $46 an hour and clear roughly $4,200 a month without any overtime. Im considering graduate school to become a nurse practitioner. I don’t want to do bedside nursing forever, but I don’t want these loans to hold me pay. I would strongly prefer NOT to defer on my private loans while in graduate school, I still want to keep making payments. My job will pay $5,000 a year and I can take 1 glass at a time up until I get to clinicals so that will make it more affordable. Also the university I want to go too is affiliated with my hospital system so I will get 25% off tuition, plus I can apply for scholarships at my job and potential school. NP school with no scholarships or tuition reimbursement is about 38k for the entire program.
I know I have a lot of debt… it’s super overwhelming but I’m living at home for a very very long time and I’m trying to do the right thing and make this situation right for myself. Becoming an NP I would get at least a 20k bonus on my salary off the bat just as a starting salary.
What do you guys think? I wouldn’t take out any loans for grad school and go slowly so I can pay for it and obtain scholarships while still paying down my private student loans. Is it worth?

I planned on taking my nursing school's class for perioperative nursing because I loved my OR rotation, but literally 2 days before the class applications opened COVID hit and they didn't have the class until after I graduated. Now I have 3 years of "nursing" (psych nursing where I'm a glorified pill pusher) and am really looking into a change of scenery. There are a bunch of Operating Nurse positions open in my area, but I know I don't have the knowledge or skill-base to get a job (much less succeed if I get a job by some miracle). None of the hospitals in my area offer fellowships or transition programs for nurses changing specialties, so I feel very trapped. Will there be adequate on-the-job training or a sort of pre-job training that I will hopefully have to attend? The job descriptions state "Certification Specialty preferred", so there's no "requirement" perse.

My husband is an orthopedic surgeon and cannot take more than a week off at a time, and realistically cannot be up for hours on nights before surgeries. Our (very active) toddler will be 2 1/2 when baby is born. He does not attend daycare nor do we have anyone local who watches him - I care for him 24/7. I’m terrified for the next newborn stage. We had an INCREDIBLY rough time with sleep/colic/feeding with our first, but my husband was just starting his career as an attending and had much more time to help out. Now with a toddler to care for and less help, I know I can’t do it alone.
What’s the best approach? Hire a nanny who can watch our toddler during the day while I take care of the newborn and rest? Send our toddler to daycare? Hire a night nurse? I know we are extremely blessed in that we can now afford this type of help. Would love any tips to help get through this next stage!

TL;DR, 12 year old male neck lymph node incredibly swollen for 6 weeks, other accompanying symptoms. (Yes, we’ve been to PCP 3 times, ER twice and still no answers except a referral to a surgeon.)
Back in early April, my son had the flu (tested positive) and 2 days later the skin around his right eye became swollen and a rash covered his face m. He had a small swelling of a neck lymph node. I took him to his PCP and they said it was most likely allergies, but to go straight to the ER if it worsened. It seemed to resolve itself in a couple of days.
Three weeks later, in the first week of May, the same eye swelling happened, but this time it was accompanied by a swollen lymph node. It was moderately sized, enough to cause concern. I took him to the ER and they said it was likely allergy induced and prescribed clindamycin.
After about 5 days, his eye and face had improved but his lymph node kept growing larger. I took him to the ER again, and the doctor did blood work; a CBC and cultures. She advised to stop taking the clindamycin and put him on amoxicillin instead.
The next night, he woke me up trembling uncontrollably, scared. I checked and his temperature was 98.1. I comforted him back to sleep, but he immediately woke up and projectile vomited. I checked his temp again and it was 102.3. I gave him ibuprofen and after 15 minutes he said he felt fine. I almost took him to the ER for a third time but he said he felt much better so I decided to let him sleep. I checked his temp all night and once the fever broke he stayed around 97-98.
The next day, I took him to his PCP (however, a nurse practitioner had to see him), and she said his CBC came back normal (no excessive white blood cells) and that the cultures were normal as well. She also said the vomiting was probably caused by the antibiotics. She kind of blew off the fever, didn’t really say anything except the lymph node might be a reaction from the virus (the flu from a month ago), and we made a follow up appointment for today to see his actual PCP.
So today, his actual PCP didn’t have any answers and told me she was referring him to surgery. I asked why, and she said to “keep an eye on it just in case”. I asked if it was something to be concerned about and she gave a vague “not really” answer.
I still have no answers. I will wait to see what the surgeon says, but my question is:
Should I get a second opinion? His blood work being normal is a good sign, but they don’t have a definitive answer or diagnosis, so what can I do? Will the surgeon biopsy it? What more can I do? This anxious mother needs to know.
Also, his appetite has gone down and he seems more tired than usual, but he just went through a growth spurt and he’s going though puberty. He has also been experiencing constipation, a feeling of “fullness”, and excessive thirst.

I have been a nurse for nearly 10 years and have a considerable amount of experience in ICU, PACU, same day surgery, hospital management, infection control, and now I’m the director of nursing at a long term care facility. I’m considering going back to school to become a CRNP. I generally like being in leadership, but I genuinely miss the medical side of things. I didn’t come into nursing to get into administration or business, and it’s frustrating on many levels, including the lack of work-life balance, as I have an almost 1 year old with the hopes to continue growing my family. For all you nurse practitioners out there: do you feel like the market is oversaturated? Is it worth taking on the time and expense to go back to school? Any perspective is welcome - thank you!!

Was filling out new hire paperwork for residency this morning in H.R. and overheard an NP in a managerial role encourage a new nurse hire to complete an NP program. His reasoning was that much of the coursework is online and "easy" and can be completed while being employed. He went on to mention how there are plans of expanding NP roles throughout the hospital system and how they're trying to "break-in" into certain departments. This is not the first time I have heard midlevel providers or NP students describe their career path as easy.
I'm just venting because I have NEVER heard anyone state that being accepted into medical school, completing medical school, residency, or fellowship was easy. In fact, everyday i'm reminded how challenging residency will be.

Hi, I am a rising freshman in college and I am not quite sure what to major in– which is okay! My college provides a year or two to really decide what you want to declare in, and in all honesty, you can forge your own major.
However, I recently interned at a safety net clinic and found that I actually really enjoyed it. I was a quality-assurance auditor and basically just recorded whether or not the provider washed their hands, but shadowing the providers was a great opportunity to get a taste of what being a medical provider is like. The providers were super cool too, and some voiced their grievances and others gave good advice about what kind of person makes a good/happy provider.
Overall, I felt that a job in medicine- whether that be as a doctor, nurse practitioner, nurse, or even in administration- is something I would be happy doing. I really like helping people, and I would characterize myself as a very kind, a little shyer person who likes to learn.
However, my parents and siblings have also voiced that I do not truly understand what I am getting myself into, which is also true. I don't really have a sense for what medical school is like, apart from it being very difficult. I also don't really have a sense about what this is like long term. Additionally, my mom pointed out I am someone who isn't really the most hardworking or with the best work ethic. I wouldn't say this a wrong assessment, but I did juggle varsity athletics, heavy academics, and other extracurricular commitments, and missed a few assignments over a long year.
Thoughts?

Hey all,
VR&E has been working on the paperwork for the retro of my GI Bill for a year and a half. I was told it would take 6 months. I am almost done with my master’s degree and have been taking federal loans up till this point. I am in a nurse practitioner program and last semester I ended up having to take an extra class that was added to the program, I would have had to graduate a semester later if I didn’t pick it up. I ended up going over my loan amount a couple grand.
My rep has been an absolute ghost for the last 6 months. I have emailed, called, sent letters, and even showed up to the building one time. Every time we do talk he says the same thing “my boss kicked it back after a 3 hour meeting, I have to get more paperwork from the VA and undergrad college.”
I’m starting to get a bit frustrated, I am not sure who to go to in order to get some over sight on this. I had thought about messaging my congressman, but that feels extreme. Anyone else had this issue or advice?

As someone who has been a nanny for eight years, I've worked with different age groups and dealt with various family situations. Initially, I thought it made sense to go straight into teaching because I have extensive experience with children and families. However, after giving it more thought, I've realized that while I could become a good teacher over time, I don't see myself in that profession for the long term. I don't want to invest time and money in a degree just because it seems logical.
I want to challenge myself more because I am smarter and more capable than I often give myself credit for. Nursing, on the other hand, presents a much greater challenge and offers numerous career options, such as becoming a midwife, RN, or nurse practitioner which is someone I would love to jump into straight away once I complete my Diploma. The diverse placements in nursing allow you to explore various areas and find your true calling.
I've always been comfortable with aspects of the medical profession, such as handling blood, needles, and other bodily fluids. While I believe I would excel in teaching, I've had enough of behavior management and dealing with parents over the past eight years. As much as I’ve loved my job, I struggle to envision managing a classroom of 20+ kids and then going home to my own children.
I understand that teaching offers good initial pay and holidays, which appeals to me as someone who loves traveling. I am scheduled to start my Diploma in Nursing soon, and if it turns out that I don't enjoy it, I can always pursue a Bachelor's in Teaching. This alternative path would take about the same amount of time to complete as becoming an RN or Midwife. Although I do feel Ultimately confident about the decision I would still love to hear any advice in case I have missed anything.

My Psychiatrist recently prescribed me guanfacine because I'm not currently working or going to school... She said it's hard to find a baseline to see how it actually works since I don't have a set schedule? Although I wasn't in school or workimg when she prescribed it to me this January.
This psychiatrist office has always been kind of shady so I don't know if this is a weird thing or just how doctors work? I have been taking 10mg extended release ritalin and a 5mg immediate booster for the afternoon, and I felt nothing... I've been having more restless nights and I told the nurse practitioner at my psychiatrist office and they suggested I drink more water because it'll help me sleep??
I've been going to my PCP and they've tried two other meds to help me feel less restless... Neither have worked so I had to switch to a over the counter sleep aid. I even did blood work and they found nothing wrong......
Is this normal for my psychiatrist to prescribe me guanfancine now? I mean I'm more confused why I even took ritalin because I was home most of the time even when she prescribed it to me... And what does having a job have to do with taking ritalin...?
I've been prescribed many psych meds, muscle relaxers, and other medications when I was seeing my previous psychiatrist. For awhile I was taking almost 9 pills a night that were extremely high doses prescribed to me, so now I'm weary of Doctors just trying to give me a pill that will supposedly help me. I've eventually worked with my PCP to whittle down to one pill in the morning and two different pills at night...
I really would appreciate any advice or help !!!!! :(

Went in for my 6 week ultrasound. There was no heartbeat and baby was measuring a week behind.
I kept asking questions but my nurse practitioner who administered the ultrasound didn't seem concerned. I just sat there stunned and asked if everything would be ok and she seemed completely unphased and said to take it easy.
I haven't experienced any bleeding, only menstrual-like cramps. I am so worried and I don't know what to do

So this is my second abscess. I got my first Bartholin cyst in March. I didn’t know what was happening by the second day it was like acorn size and I went to planned parenthood and the nurse practitioner told me it’s just a cyst it’s gonna be there and then referred me to a gynecologist to see in like two weeks. Over the next three days it tripled in size and I couldn’t walk or sleep so my friends took me to the ER and they were very nice and told me it was a bartholin abscess and then drained it. Like everyone says on here, most painful experience in my life. I’m 28 and was so shocked I’ve never heard of them. Now of course Its the week before my period again and I noticed swelling so I immediately got heating pads, prid, tea tree oil, vit E oil. And took off work to prevent a golf ball abscess again. But it just blew up over the course of three days again, even with home care and no sexual activity. Went back to ER two days ago. But after the drain they put a catheter in this time Now I’m scared and annoyed because I’ve been reading all your stories about how the catheters are useless and I’m worried I’m gonna have this in for a month for no reason Please tell me if I should just go have them take it out? Also it’s been two days of it, and there’s less blood puss today and just yellow, do they get infected themselves? There’s no swelling really, other than the balloon in me. They gave me prescription ibuprofen basically for the pain.

Hello,
I recently applied for a medical treatment humanitarian visa for my mother, who is ill in West Africa. I've received a receipt letter but no further updates. Her health isn't improving, and time is of the essence . I'm 22, studying to be a Nurse Practitioner, and my husband works as an engineer; im also a U.S. citizen.. I can also file for a relative visa for her. Can I file both the I-131 and I-130 together? I'm concerned about her approval for the humanitarian visa. Any other advice would be greatly appreciated.