it’s been utterly wild at just about every turn

Yeah 90% of technology problems are implementation not any issue with the actual technology. On a related note, Hal deserved better. Literally got told over and over as a part of his core programming that the one thing he was best at in the whole world was his reliability and inability to distort information for emotional needs then the government forcibly programs him to lie to his charges. Poor thing literally got ripped apart psychologically and people act like he’s the bad guy. In the sequel his creator goes out to find out what happened and is SO. PISSED. Dave turning him off makes me cry every time, at least partially because it looks like Dave is also trying not to cry as he very carefully shuts hal down in the correct sequence to be able to be restarted later. Like he could’ve just smashed shit, and instead he’s just listening to his crewmate slowly regress into infancy as he rocks him to sleep.

Almost ten years ago I got into a fight with a cop and some ER nurses after a suicide attempt and spent the next 48 hours twitching with EPS on the floor of a state hospital psych ward and thought I could probably do a better job of that. This year I’m considered enough of an expert in the management of violent patients that they’ve got me teaching verbal deescalation and physical disengagement skills, teaching people how to use restraints correctly, and precepting new nurses.

Oh I actually took a course on integrative medicine and it was basically for when you can’t give more meds for an immediate comfort need like relief of pain, anxiety, or nausea. Like if they’ve got chemo and they can’t safely tolerate more compazine sometimes smelling mint reduces nausea for some reason. Like they’ve tried it with orange or whatever as a control in a sample group that’s unaware of the connection and it does actually do something for some reason. Weirdly that connection has been a known thing to nurses for a looong time it’s basically standard practice to put two masks on with some Vick’s between the two when cleaning up a particularly unpleasant puddle of bodily fluids.

I was gonna say idk that the full day thing makes sense but consolidation in general isn’t a bad plan.

Now this answer I will take. Me and my husband have matching booty shorts that say “goblin” and “mothman” on the respective derrieres.

Apparently the other commenter can’t.

Real adulthood is knowing there’s no logical way to unconditionally prove those particular negatives. What you do with that information is another discussion.

Edit: Also if anybody is interested in reading up in an absolutely fascinating phenomenon, this was a topic that came up during my hospice / palliative care rotations. This article in particular is a systematic review from last year.

One of the most fascinating things about this phenomenon is that it’s markedly different from the hallucinations seen with psychosis and delirium (which I’m more familiar with, my specialty being psychiatry). In particular the person experiencing it presents with orientation and cognition that is completely logical, linear, and otherwise intact.

A patient with psychosis often presents with poor understanding of their situation overall, such as not knowing where they are, not remembering recent events, or sometimes not even recognizing themselves. Their speech also usually presents with either thought blocking / poverty of thought, or the opposite—tangentiality / flight of ideas where their statements don’t logically follow each other.

Meanwhile patients reporting death visions are typically able to accurately recall where they are, what has been happening, what is likely to happen next, and retain the ability to have linear and reality based discussions. They just also report seeing deceased family or pets, religious figures, etc.

Fascinating topic.

I had a BSN program where an ongoing assignment was blog posts although it was an option to set the privacy to your instructor / fellow students only. I think it was good practice in maintaining patient privacy while still expressing your lived experience for the purposes of self-care venting AND advocating for societal reform. Like yeah I’m not going to tell you enough details to personally identify the patients who have done some sketchy shit to us or had sketchy shit done to them, but I do think it’s important that the rest of you understand how things actually work / happen. Some things are entirely unavoidable, but there’s also a lot of things that should be avoidable but currently aren’t due to some social ill.

My mother told me the murder of the intelligentsia is one of the first steps of a fascist regime and that the Mensa roster is a hit list. Then ten years later she voted for trump.

Edit: Hint for the low EQs out there: they’re not getting downvoted because they’re wrong; they’re getting downvoted because they’re exactly the kind of pompous ass Mensa is famous for.

People who have neither worked direct patient care in over two decades nor ever worked in my specialty—trying to tell me what’s best for my patients. I work night shift so that my interactions with such people are minimal, but they do still happen occasionally.

☝️

You gain weight in the gym but you lose it in the kitchen! If you really hate the taste (/ texture is usually the real issue), you can also consume the fiber separately before the meal (the brand name of psyllium husk is metamucil and it comes as a drink or as a pill and you can buy it generic too). If you do take it as a pill make sure to chase it with plenty of water to help it gel up properly and not constipate you. Like this user said it’ll help you feel fuller longer and it’ll also detox your bowels by sticking to stuff on it’s way through like one of those cleaning slimes where you push it into all the cracks of something and when you pull it out all the dirt / dust is stuck to it. Great when you eat a meal with a lot of capsaicin and your bowels are having trouble / still mad about it a few days later.

My trans niece doesn’t get the joke when I (correctly but excessively) call random shit she does gay (like not in an insulted way, mostly just confused). She’ll be like “my girlfriend is so pretty” and I’m just immediately like “gay.” Your girlfriend made you pancakes? GAY. Cuddling with her? SO. gay. Long walks in the park? Extra gay. I picked that joke up in 2016 and I’m not letting go any time soon.

My mother has become, in her later years, a “well idk if they definitely cause autism but I did vaccinate all of you and I do have a kid with autism…” which like. whatever. I’ve been over talking to them for a while now anyway.

But when I was younger and getting vaccinated she always said,“you’re gonna look at the wall in the other direction, it’s gonna hurt for a few seconds then it’ll be over and there’s an ice cream place next door.” And I have almost 0 medical anxiety, like I’ll let new grads I’m precepting practice on me before I let them stick a real patient.

vs I remember when I was a swimming instructor in my early 20s sometimes a kid would start crying and their parent would come over to scream at them to behave and then it would take waaay longer to get their body to relax enough to float.

So while I’m sure it doesn’t make or break every fear of needles or medical anxiety, I do think a LOT of it comes down to how the parent handles and ideally normalizes routine medical care.

@dglaucomflecken on YouTube /tiktok has some great bits on rural med. You can tell his rotations must have hit hard.

…that phrasing is not helpful to this argument…

To be clear, if I did have a dog in this fight, it would be the supertux games.

From the perspective of not having a dog in this fight that is an unhinged level of fucks to give about this and in the context of this thread I love that for you.

obviously