Nah he was just quiet senile instead of loud senile. I’ve had patients that are rather agreeable despite low cognitive function. They don’t wind up in the hospital as much and get discharged quicker because the agreeableness means they can accept home caregivers more safely, but they very much still need assistance with decision making. He wasn’t more coherent per se, just more able to cooperate with his handlers. Ignoring morality (a distressingly common occurrence throughout the history of humanity) is it preferable to have a leader who accepts control of the oligarchs more placidly or more chaotically? I don’t speak to my parents anymore for a variety of reasons (including politics) but one tiny spark of something they did get right was that trump is slightly harder to keep under control, and is accelerating the destruction of our broken political system, we just differed in opinion on whether the coming system is more likely to be better or worse.

How many people actually know their cat’s birthday? I wrote mines down on the vet paperwork as Valentine’s because it was September and they said she was probably about 8 months old.

I’ve had a couple of people ask how I stomach what I do for a living (acute inpatient psychiatry) and one of my answers to one of the aspects is that a lot of this was going to happen to them anyway and they may as well have at least one person there who’s been there and won’t be a asshole about it (or any more than I have to be anyway). Also everybody’s a mental health advocate who wants the poor sweet depressed babies to be loved more until they’re at a stoplight and a homeless schizophrenic on PCP starts wiping period blood on their car while yelling about how Obama filled their vagina with spiders. Some of us didn’t get the cute mental illnesses OK.

Well that also happens to me though.

Admittedly a lot of people think “voluntary” makes this a customer service situation where I’m not allowed to do that when the reality is that I just have to call somebody afterward to decide whether we’re changing their status to involuntary or kicking them out and calling the cops.

In that exact moment where I judge a threat to self or others I’m 100% allowed to use my judgment to neutralize the threat provided I a) maintain their hemodynamic stability and b) only do what is precisely necessary to neutralize that threat. Now that exact risk assessment doesn’t have as much formal training behind it as I think it should but it’s also usually at least partially a team decision and if the assigned nurse is newish there’s usually at least one nurse involved who has a decade plus experience (unfortunately these days that’s usually me). But like I said, there’s always a list of things I’m not allowed to do, but once significant threats of or actual violence happens, that list gets very short very quickly.

A lot of people think there’s this secret third option where they’re just allowed to buck up at my techs and throw things at them and that is just 0% ever a thing. I’ll let them get one incidence of bucking up at me or throwing something small at me like a small paperback just so I can truthfully document that I tried to go the least restrictive route, but I never ask my subordinates to take on that risk since they don’t have as many options to escape or get the situation back under control.

As an aside, I work inpatient psychiatry where it’s not so much that they’re always right as much as that it’s pointless and even counterproductive to argue. In those situations you don’t say “but this is a-” you say “I really wanna talk over the details of how to get you exactly what you want” then try to elicit the details of (to use this example) what they think a macchiato is.

Now, the reason I prefer working inpatient psychiatry as opposed to costumer service is that when they start yelling I get to say “oh, my apologies. I’ll come back when you’re more ready to talk about this!” and just leave. And then if they follow me to keep yelling…

The list of things I’m not allowed to do will always be longer than the list of things the waiter is legally not allowed to do. The waiter can legally just fight back, and I’m never allowed to do that. But the second they become significantly verbally threatening or physically threatening in any way, the list of things I’m not allowed to do to someone as part of my job suddenly becomes much shorter than the waiter’s.

Oh I would certainly think it’s the norm but I do wonder if there’s some culture somewhere that really is just that literal. Like shit we don’t know what the sentinelese (but they definitely give a dark sense of humor vibe).

I suspect it’s a more niche flavor but I’d be more surprised if they didn’t.

I honestly can’t tell if this is just my ADHD or if this is just an overly dense philosophical argument that in true internet fashion has just gotten completely out of hand. There’s no damn good reason for anyone who will never physically set foot in any of these places to have opinions on this topic of that complexity or intensity.

Like my opinion on the topic is mostly that my country should definitely stop giving Israel weapons and probably send the Palestinians some food water and medical supplies. Other than that I’m not personally going to impose my opinions overtop those of people who actually live there.

The answer to imperialism isn’t trying to align your views with whichever side you’ve decided is the most right then loudly philosophizing about it from thousands of miles away. It’s the kind of thing you can’t undo, you can only stop doing it. The answer to imperialism is to shut the fuck up and stop meddling. Now the internet as a whole isn’t great at that (especially not the shutting up part), and I don’t think I’ll ever find a space that’s free of it. So I’m just gonna go with the place that seems as agnostic on the most issues as possible and try not to overthink shit that’s, in the end, none of my damn business.

I have a folder of shitpost diagrams that is way too small and I appreciate you helping me add to it.

This is the kind of statement that is so far at the extremes of both vague and unhinged that it’s not so much that I don’t believe you as that I would need to see some kind of evidence of multiple specific and unambiguous incidents. TLDR; you can’t just say that kinda thing with 0 receipts.

db0 and sh. are my viiiibbbbbee

Who do you trust more, the neighbor who closes their blinds or the neighbor running around house to house trying to look in everyone’s windows?

Get a blue Mohawk and wear Hawaiian polos, cargo shorts, and tennis shoes everywhere. If you really don’t like what people see, change what they see. Or change the context they see you in. If you’re always hanging around a cleaners with other people who look like Italian mobsters and you look like you fit in then there you are. Whether it’s ultimately worth it to you to change your appearance or lifestyle is ultimately up to you. There are, ultimately, 4 ways to deal with a problem:

1. redefine / stop thinking about it as a problem
2. accept that the problem exists
3. be willing to do whatever you have to do to change the problem
4. be upset about the problem.

#4 is the only one I vehemently recommend against. 1-3 are all roughly equal in the amount of distress you will be left with in the end.

I love stuff like this. It turns out there’s whole hidden worlds inside all sorts of people’s average workdays and a lot of the time if you ask they’ll just tell you!

thicc as buttercream but sure

except they’re the ones holding the video and no cop who wants to continue being a cop is going to investigate anyone that could actually get them in real trouble. it’s been hard enough prosecuting anyone in the Epstein files despite TONS of evidence. how many people have fallen off balconies or just never came back from the yacht party that we don’t even know about?

Yeah the switch was a slow one for me. There was a long period where I was using both but it slowly shifted from using reddit more to using Lemmy more and a big reason was the usability of the ui. They really wanted to push me onto the app but it was so sluggish and every bug I reported about the web ui was met with “but did you try our app?” and like yeah I did and it was shit! It was bloated down with so many weird internal video features I didn’t even use (and probably tracking) that it was barely usable! Meanwhile boost just gets it done, consistently, and with like 0 bugs.

I would be so hyped to see a true dual Lemmy mastodon service that fully allows you to browse and post to both Lemmy and mastodon style feeds. Currently even kbin is really more focused on the Lemmy / piefed end and the microblogging function still requires the posts to be under a magazine meaning masto posts aren’t really browseable and they’re not really fully interact able from both ends. I feel like a service fully compatible with both formats would give a broader reach that would really allow fedi to grow. You’d be able interact with like half of fedi at the same time which would make it feel so much bigger and more comparable in scope to traditional social media.

Tbh the hose / sprayer kind is actually super handy for spraying out the bedside puke bucket. You can also use it for removing the large solids from reusable pads or incontinence garments or pet waste on a reusable or very rudely diy’ed puppy pad. I’ve spent so much time working with toilets that have a pull down nozzle for cleaning equipment that it’s just plain handy to have one at home for when the cat pukes on my favorite robe. You can also use it for a lot of types of food waste if you don’t have a garbage disposal.