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What happened was, in the last update when I added some other config options and set default values for their numbers. That caused all the other options that I didn't have default tags for to default to false (turning off all the items for new players).
I released a patch that fixes this for all future players. For anyone that was affected by this, you can turn all the items on in the config menu manually, or, you can download the latest release of Nurse Overhaul and in the config menu for the mod, click "Revert to Default" and then "Save Config." Items should be enabled after that.
If that doesn't work, just leave another comment and I'll take a look at it.