!!!

what specialty are you thinking? Gonna ride your experience back into OR or switch things up? I hear PACU is a super chill gig and they usually prefer an ICU background but you could probably squeeze yourself in!

My thought is that it also implies that there’s a good chance dinosaurs sang.

Just generally rude and running all over everybody’s boundaries at a whim

We went to move a patient to another room the other day because they were confused and trying to do unsafe things so we wanted to move them somewhere closer to the nurses station so we could keep a better eye on them. This conversation was also being had by way of a translator on video call on a work phone so we start guiding them down the hall while they’re confusedly babbling and I’m trying to keep the translator close in case real words happen to fall out that I need to understand.

Then the translator hollers out “please don’t give me a shot” and I was fumbling trying to get the phone close enough for the patient to hear me be like “NONONO we’re just moving you to a different room!” That translator earned her money that day. She was just about crying on the call by the end. There was other stuff about the overall situation that was also depressing but that moment in particular was very NO NO NO NO that is not what’s happening honey! Like I will if I have to but there’s about 20 more things I’m gonna try first!

Honestly this is just another example of why I had the translator app installed on all the work phones instead of just the iPad on the stand. So many people give up too quickly when the patient is confused and the translator can’t make sense of it and they don’t like pulling up the iPad on the stand because they don’t want to trip on it while running away or get hit with it but like. I’m a ten year veteran of talking people out of dumb decisions and the talking is actually pretty key, even and ESPECIALLY when the dumb decisions are actively happening.

Being neurodiverse and scoring well on standardized/IQ testing doesn’t excuse being an utter menace.

If you want something specific, simple, and believe it or not evidence based to do:

Do a simple, repetitive task that uses both your eyes and hands

• crocheting / knitting
• coloring
• simple arcade / phone style games such as Tetris, candy crush, or snake

…while listening to instrumental music. Jazz, classical, lofi, or EDM are all great options, but you might also consider a video game soundtrack

This will gently stimulate your subconscious to get some processing done kind of in the way walking / water aerobics is good for physical rehab.

lite.duckduckgo.com is my default search engine. I have other more specific searches for stuff like Wikipedia and sepiasearch, and I use duckduckgo regular for shopping.

As a psych nurse my rules for a gunfight are that the ER security checkpoint with the metal detector and x-ray bag scanner better have found and removed the gun by the time the patient arrives on my unit. One day they didn’t and I was VERY put out. Absolutely miffed. I wrote a very stern email in the morning.

iirc there was some torture manual out there (I wanna say CIA) that mentions (by description) bratty subs. That said I feel like everybody knows by now that torture is basically useless when it comes to obtaining information that isn’t immediately verifiable anyway and such things are (mostly) trivial. There’s other, way worse, reasons that people do such things.

fuck I love oglaf ty for reminding me

Why do men sleep this way? I watch people sleep professionally and it’s definitely a thing. It doesn’t even appear to be sexual for the most part dudes just like…? instinctively…? sleep cupping their weens with one or both hands…? I would be fascinated to hear some AMAB perspectives on this.

Astroturfing was a thing long before llms, and the ideologies largely haven’t changed. If you weren’t already thinking critically about what you read you were screwed anyway. Which people largely weren’t and, as a result, were largely already screwed anyway.

idk probably just really weird like everything else they’ve ever done for me. It’d be one of many grand sweeping gestures that just emphasizes how little they were actually willing to emotionally invest in me day to day. Like cool but could you have maybe just have not spent my entire childhood telling me I’m not good enough. Like I can practically hear my mother saying “well it doesn’t matter whether or not our kids are what we wanted it’s still our jobs as parents to sacrifice everything for them.” Like bitch just don’t then. I’d rather you just didn’t if it meant I could get away from your constant backhanded “love.” I’ve been passively suicidal since like 14 years old and have multiple thoughts of harming myself daily because of the way they raised me. I’ll just go on to the next life myself than keep dealing with them or let them keep trying to guilt me into being the person they wish I was, thank you very much.

Yeah it’s one of those "things that separate us from (most) animals. We can ask “what if” and simulate the probable result with a decent amount of accuracy completely internally. It’s a really cool feature if you know what to do with it, it’s just sometimes it runs some really weird simulations “just in case.”

I genuinely think that there’s a point in every political career (probably at about the mid-to large city level) where you go to a networking event and they take you into a back room with a kid and tell you to rape them on camera or your career ends there. I don’t think it’s possible to reach any position of real power without letting the existing powers have some kind of blackmail material on you.

I’m not questioning your compliance I’m reframing your perspective. You’re interpreting it as the former because rejecting it entirely is easier than shifting your perspective to one that’s less pessimistic of both yourself and others. You’re having difficulty hearing a perspective that puts work ahead of you instead of the ease of just deciding failure is inevitable and laying down to die where you are. The fundamental dialectic of DBT that you are utterly failing to grasp is that it will ALWAYS be true that you are both doing the best you can currently AND can do better in the future.

My current major players are seroquel for sleep and strattera during the day. I decided to try lamictal a few years ago just to see if it was bipolar and idk that it really helped but even with the dose maxxed it has basically 0 side effects so I just never stopped. I would think I would have noticed either a feeling of increased calm or often I have patients who report that it makes them feel “depressed” just because it’s been ages since they were actually euthymic and they’re using mania as their definition of normal.

The biggest thing I’m trying lately is clonidine vs guanfacine to stop the weird apocalyptic nightmares. I might have to stop the seroquel sometime in the next year because after about a decade I’m starting to grind my teeth and I’ve been trying to think what I’ll try for sleep instead. I’m not typically a fan of SSRIs due to the anorgasmia but ultimately sleep goals will take priority. If I was gonna switch that up though I’d probably have to take a week or two PTO to experiment, I’m pretty careful with my meds as it concerns work.

Like I said in my other comment, your med list is not long at all, I’ve been on more different drugs than that all at one time and most of them don’t even start working until you’ve been on them for like a month, AT LEAST. It honestly just takes time and if you’re not willing to take it slow and be open to input from providers you trust you’re gonna have a bad time.

I had an old coworker who had given MAGA organizations her life’s savings. She was working well past her planned retirement and wound up getting a head injury when a patient bopped her on the head three times. She shouldn’t have been put in the position to work high acuity psychiatry in her 70s. She was going to retire destitute but after that nobody could deny she just wasn’t safe to work anymore. And to the day she retired she kept saying trump was going to reward her any day now. I know somebody here is gonna talk shit but aside from being too damn naïve she was such a kind soul. And I’ve only ever worked psych as a nurse but she’d done all kinds of things like oncology and wound care so if I had a patient with a medical problem or who needed an IV placed she had my back. She’d rant to the high heavens about the lizard people but damn if she didn’t know her lab values and meds back to front. I hope those grifters rot in hell.

I love him so much.

Holy shit that goes hard.