Car is the easy answer. I don’t drive much anymore as a commuter so I’m buying as much hauling strength as 20k will get me.

It’s funny that this is about work life balance because I’m trying to catch some sleep before my fourth twelve in a row and my acute psych nurse brain just went nooo nooooooo oh noooooooooooo but assuming you never experience significant mania, psychosis, or delirium, I LOVE that for you.

Fuuuck we got an Amish patient one time, manic as hell (and you have to be pretty damn hyperreligious for your Amish family to get you committed) and EVERY time we had to tussle security would come out of it like “DAMN we were NOT expecting that from a first glance!” Wiry little thing but once you’d had to deal with it first hand you found out a few things about old-fashioned farm work!

DOB opens you up to ageism, but I agree that it’s probably the least problematic item. A lot of other trans spec people do NOT like hearing that they should avoid changing their sex on their ID / other documents unless passing is an immediate safety concern. I’m already highly uncomfortable that the government knows what genitals I had as an infant. I have no interest in giving them any more information on how I currently dress or how that might or might not be related to my current genitals. They just do not need to know. It’s proprietary information.

I do think there needs to be some kind of granular way to educate people on how to identify and disrupt abusive power structures. The problem is that society changes so rapidly that however abusive power structures are described is quickly adopted and DARVOed¹ by the person already in power to describe people they don’t like. The second you start talking about wokeness and cancelation they start wordspamming it into (hopefully just) meaninglessness.

This fight has gone on since before written history and will probably continue until long after we are dead. It’s the same way a niche anti-establishment death cult became a major world religion by just becoming a new oppressive regime. The message got taken and twisted to the ends of the powerful like all such messages do. No one has yet figured out a way to unambiguously preserve that meaning over time. If it’s even possible, it won’t be happening soon.

1. Deny, Accuse, Reverse Victim / Offender

I wanna know where the other social supports are. If neither of you have family that give a fuck where are her mom friends and where are your dad friends so you guys can pool childcare? (There are also other configurations, the gendered model is just the most common).

Some gnostic Christian sects took their Zoroastrian roots a little more seriously than mainstream Christianity and argued that the God of the old testament is actually the demiurge.

The demiurge is an evil / misguided shadow of the true God caused by Sophia (the concept of pure wisdom) attempting to reproduce without the male half of her syzygy. As a result, the demiurge was created and dragged her out of heaven when he fell and tried to recreate heaven with the bits of her soul he still had. Humans on earth are just the little bits of Sophia’s soul tapped in the shadow of heaven that he made. Eventually they will reach gnosis (similar to the Buddhist Nirvana) and ascend back out of the kenoma (shadow heaven) and back into the pleroma (true heaven). Jesus (who was also the serpent in the garden of eden) is the male half of Sophia’s syzygy who came to earth for the second time to awaken the sparks of her soul so they can ascend.

I’m simplifying some things and smoothing the narrative to make sense since the reason Gnosticism never did as well as mainstream Christianity is the lack of a consistent narrative with which to create in-groups and out-groups to wage holy wars over, so the ones that did wiped them out. And for example I do consider myself gnostic but I mostly stay away from the metaphysical stuff other than in ways that they represent concepts important to a healthy life like mediation. I hope you enjoyed reading though!

Yeah menstruating is nbd for me but it would’ve been cool to stay out for this UTI.

Depends on the reason it’s being taped but yeah, 99.99% with you, that’s how I do it most of the time.

ty this always struck me as odd but yeah that makes prefect sense now that I see it written that way. Obviously it’s a marketing thing. Obviously!

You’re not wrong. Should it be different? Absolutely. Will it be different? Maybe someday in the distant future.

But ultimately what’s most likely to happen is that the average person is going to keep pressing the dopamine buttons on their pocket rectangles and telling the world about every fart that exits their buttcheeks and if you don’t do that you’re going to get slowly pushed out of society in a similar way to the Amish or Mennonites.

It weirdly reminds me of the mark of the beast from the book of revelation. Apocalyptic literature does so well not because it predicts the future but because it follows the repeating patterns of the past. The world as humans know it has ended and been replaced by something new and utterly bizarre more times than history has recorded and will probably continue to do so more times than we can comprehend.

Each new version of humanity has people that get left behind, or alternatively, who refuse to submit to something horrible no matter how much bigger than them it is. It’s a completely valid stance to take and one I will probably take myself but you do have to make peace with the fact that the rest of society is almost definitely going to pick the dopamine buttons over you.

If you can accept being disconnected, then by all means, live your best life. I’m certainly planning to (although it’s also important to recognize that this is not a purely binary decision).

Orange is the New Black.

This is my favorite reply everyone else can go home.

Tbh I think creating new terms just muddles medical records over time because now when you go into a field you have to learn not just a disorder, but also everything it’s been called throughout the last 50-100 years in case you’re going through the records of a patient older that 50-70 years old. I think the public needs to be better educated on these things. And when they keep doing it anyway that just kinda is what it is. That said there’s definitely room for phasing out diagnoses and replacing them with entirely new ones that differentiate or combine what we currently know as our knowledge of them evolves.

First of all I love this question. My suggestion is that you shuffle a deck of cards, flip them over and note their exact order, then shuffle again and note the order again then keep shuffling and checking the order until the deck resets to the original shuffled order. It’s gotta happen eventually, but it might take you a while. In fact a lot of people have studied that very specific problem and there’s actually really good odds that every shuffled deck you’ve ever held has been the only deck of that order in history. So, yes, it almost certainly has happened somewhere, but good luck finding it.

Nah. Might be a botany student finally connecting those last few neurons on this subject.

Between States with more or less lax laws on liquor, firearms, explosives, tobacco, etc, there’s usually various merchants immediately on the side of the border with more lax laws.

Depends on what you call a mistake. I was interacting on ich iel a while back (I don’t speak German but the meme had clear meaning as a fellow nurse) and they said chat gpt had almost perfect grammar but that it translated “median basillic vein” as the “median basil vein” (like the herb).

I mostly write porn.

One story is years old and it’s an illithid that runs away from the commune with a captive they couldn’t quite make into a thrall. I’ve hit a wall with that one because they’ve run away to the drow now and I suck at political intrigue. I think I need to go back and delete even a few of the chapters on ao3. I’ve gone back and forth over the years as to whether or not to keep the sex scene but I’ve got it mostly written the story just isn’t there yet.

One is a femdom alternate reality where society has just always been matriarchal. Instead of having women who act more masculine and beat men and make them crawl in the floor and eat shit while wearing panties or whatever it’s just a world where all the same stereotypes exist they’re just exaggerated in a way that flatters women more than men. Like “boys will be boys” is an idea used to keep men out of politics and academia instead of an excuse for bad behavior. The big thing examined is how lower class men are considered disposable for the purposes of dangerous jobs.

I’m currently working on a fanfiction for the consentacle card game about a first contact delegation where the aliens are like “ok so before we establish an embassy we need to figure out how to have safe sex because we know it’s gonna happen” and the humans are like wait so the rest of the universe is also horny all the time? And they’re like OBVIOUSLY.

I also half finished a Blake’s 7 fic before my fascination with the show died back and now I’m worried I wouldn’t be able to finish it with the same faithfulness to the source material that made it so appealing to readers to begin with.

DNR @30 bay-BEE

Not up close and personal but it was enough.

Inhaled meds work almost instantly, 99% of oral meds take up to an hour to even hit the bloodstream, often more to hit peak blood concentration. If inhaled meds aren’t working you don’t have time for an oral med to work; at that point you’re tubing the person.

A corticosteroid also has way too many side effects to be taken long term, like another user said. Long term you’re talking one of the more targeted immune modifying drugs like singulair.

Now what you would still use a corticosteroid for is an acute exacerbation that’s not an emergency. So like, pneumonia where you’ve got the person on a shitton of antibiotics and you need their inflammation to sit down and shut up for a second while they work. So their throat hasn’t actually started closing up yet but it might try if you don’t use the steroid.

Hope this helps.

(I do see some people saying best practice is shifting away from this; I work psychiatry so our patients aren’t always getting top of the line care. I take whatever bones the hospitalist deigns to throw us, LOL)