Apytele
@Apytele@sh.itjust.works
- Comment on I cannot imagine what lawsuit led to this 22 hours ago:
Honestly my issue with the way the US handles these things is that if wealth was distributed more equitably and fluidly we wouldn’t need to be half as litigious.
If getting your car damaged didn’t mean your only transportation to and from work being nonfunctional in a way that would require several months worth of wages from that job to fix, you wouldn’t need to focus as much on who specifically changed lanes wrong, you’d just fix it. And if you could just go to the doctor and get care, and easily take time off work to heal, a little bit of muscle tension would be easy to catch, treat, and heal up from well before the possibility of lifelong career ending injuries came into question.
If we were able to have the resources and time to just handle most small things, we wouldn’t have to be constantly holding every individual working class individual personally liable for which direction they sneeze in. Litigation could be saved for serious and repeat offenders. But no, squeezing every last time out of the working class is a feature, not a bug.
- Comment on Anon remembers 1 day ago:
Yeah except each acute episode is typically compounded and they’ll steadily get less and less of themselves back after each one. More people really need to compare “I feel robotic” to the three patients we’ve had over a year who need nursing home level of hygiene care because they’re constantly covered in their own bodily fluids but who are too confused to safely tolerate anyone touching them without being heavily medicated.
One of them will fall asleep with a hoard of papers they stole from other patients in the dayroom, then be too confused to get out of bed to go to the bathroom. So they just soak the entire bed and pile of papers in urine then scream at you when you try to get them out of bed or take away the urine soaked papers. The skin of their genitals will go through stages of red and peeling until we can keep them medicated enough for a few days to let us apply barrier cream and get it healed, but we can’t keep them that medicated all the time because they’d fall and crack their head open. If we try to clean them without medication they scream hit and Terry to wrestle with you while soaked in bodily fluids.
More people need to know that that’s their future if they keep letting manic and psychotic episodes burn their brain out like an overclocked CPU.
- Comment on Fair's fair. 3 days ago:
And there’s a lot of right to repair fights. If you think a Honda trying to lock you out for not taking it to the dealership for an oil change is bad, just imagine how bad it is for somebody with a combine that costs most of that million.
- Comment on Finally, Common Ground... 4 days ago:
This is my gripe with tankies. One of the most salient points of 1984:
“It was now impossible for any human being to prove by documentary evidence that the war with Eurasia had ever happened.”
“Oceania was at war with Eurasia: therefore Oceania had always been at war with Eurasia.”
All war is fake except the class war.
- Comment on 102% 4 days ago:
Honestly I wonder if some of it isn’t people in super remote areas or otherwise disconnected from conventional communities. If you live on a mountain with no internet or TV and drive into town once a month for groceries or live in an underground mole people tunnel system it’s probably easier to not give a fuck. Like obviously these things will still affect you, but not in any immediate way that’s gonna slap you in the face tomorrow.
- Comment on My culture also loves music, dancing and telling stories 4 days ago:
Or a Presbyterian church service.
- Comment on If WW3 breaks out, who is going to be on which side? 1 week ago:
Maybe I’m being pessimistic but I feel like the immigration paperwork is gonna ask “has he been convicted of a crime” and not “has he been convicted of a real crime?”
- Comment on American exceptionalism 1 week ago:
Honestly the research on exactly why this happens is sparse enough as it is. It’s basically impossible to do truly conclusive studies with tobacco because of how dangerous it is. We can’t even technically conclusively say that tobacco causes cancer because to truly scientifically assert that you’d have to do a randomized controlled trial. To have a truly randomized controlled trial you would have to randomly select people from the overall sample and tell them to start smoking for the purposes of the study (otherwise you can’t rule out there being some third thing that both causes the cancer and causes people to want to smoke). And because we know tobacco is insanely addictive and are all but that one millimeter short of proving that it causes cancer, no medical ethics oversight body would ever allow a study that requires participants to start smoking.
- Comment on idk abbout this one discord 1 week ago:
Hubs wanted to sell some used household goods but everybody is on Facebook marketplace and using venmo and cashapp and shit these days and I’m just like. And now his friend says he wants to use zelle for me to go halvsies with him on hubs Christmas present. Fucking marks of the beast!
- Comment on Anon's wife hears voices 1 week ago:
Eh I’m a borderline in a relationship with a bipolar. We could never bring kids into this but tbh neither of us should probably be having kids even with other partners and it’s nice to have somebody who gets it.
- Comment on If WW3 breaks out, who is going to be on which side? 1 week ago:
They’ll happily take my nursing degree but I’m not leaving without hubs and he has an old weed-related charge that would probably impair immigration to another country.
- Comment on Its been 84 years 1 week ago:
could be SSRIs
- Comment on American exceptionalism 1 week ago:
It also paralyzes your cilia so it’s not improbable (cilia are the little hairs that line your breathey tubes and rhythmically beat to push gunk up and out). It’s actually why the smokers cough usually gets worse a few days after quitting then stays worse until you’re finished hacking up all the built up tar. Your cilia wake up to your respiratory tract fucking trashed like WHAT THE FUCK IS THIS.
- Comment on Beans n Corn 1 week ago:
My first thought when I saw this was damn this is freaky and they haven’t even brought in the third sister yet…
- Comment on [deleted] 1 week ago:
I hate that you’re right about the electrolytes.
- Comment on should I go back to my old job now that several people, some of them more knowledgeable than me have told me they don't understand my decision to quit it? 1 week ago:
If you’re happy you’re happy (<3 from another RN)
- Comment on Women would rather do drugs than go to therapy 1 week ago:
- Comment on Are people with High functioning autism allowed to become police officers? 1 week ago:
I became a nurse with a personality disorder, although I’ve had two full years off DBT for it. I find most things in life are a lot less about what you can do and a lot more about what you’re willing to do. Go on understanding you’re going to have to work way harder for them to see you as half as good and you’ll be fine.
- Comment on ‘End-to-end encrypted’ smart toilet camera is not actually end-to-end encrypted 2 weeks ago:
If you wanna log your logs the old fashioned way with just a spreadsheet:
Date / time
- Small / medium / large
- Bristol Scale
- color
- could also add odor or discomfort if you’re worried about that
On a second spreadsheet in that workbook, keep a food diary, because that’s gonna provide a LOT of context (and you might discover some ways to be nicer to your tummy.
- Comment on Microsoft spent two years and $1B developing the Kin mobile phone line, which failed after just 48 days in 2010(May 14-June 30) due to poor sales. They blamed Verizon for not promoting it enough 2 weeks ago:
me too actually!
- Comment on Anon is smart or dumb 2 weeks ago:
Oh hey I spent my 20s jumping guys like you. It’s all those things you mentioned. A guy that’s decently hygienic and decently unlikely to just rape me if I needed to back out was basically my entire checklist.
- Comment on An argument for using plastic straws: 2 weeks ago:
Trepanning, or as it’s now called, craniotomy, is where a section of the skull is removed / bored through. It’s mostly done for cerebral edema where there’s pressure inside the skull and on the whole brain (it can even fatally herniate the brainstem which means shoving it out through the bottom of the skull like a play dough extruder).
It’s wild to think that there was actually a reason ancient cultures did it. They way overused it and for the wrong things during certain time periods and it was horrifying that they were doing it without anesthetic, but I’ve also heard that it results in a basically instant return to orientation. So the few patients it would’ve worked on would have gone from deliriously speaking in tongues (I know it’s not any real language but that kind of confusion does at face value sound like something that would require an exorcism) and would suddenly just… wake up. Possibly with a spray of puss out of the wound.
There’s a lot of old timey medical stuff we still do, it’s just now we do it with anesthetic and sterilization. Medically sterile maggots are used to clear out dead and infected wound tissue and some surgeons who work on structures with delicate vasculature like hands will use leeches to prevent swelling from blocking off bloodflow to the area while it heals. I’ve spent most of my career working at places that do electroconvulsive therapy (again, under anesthesia) for severe treatment resistant depression and catatonia (like so bad they can’t move or eat and need to be turned, cleaned and fed with a tube), and one time I worked with a patient who had had a frontal lobectomy (used to be called a lobotomy) for a severe seizure disorder that wouldn’t respond to medication.
Anyway Gage’s case was more on the subject of localized trauma and what injuries to the brain a human can survive. In particular it began our understanding that frontal brain injuries are usually much more survivable than ones to the rear.
- Comment on Anon is eyemaxxing 2 weeks ago:
You don’t want them to look more muscled; in fact you want them to look more relaxed and happy.
- Comment on An argument for using plastic straws: 2 weeks ago:
This is funny because I do actually have a strong background in psychiatry which has a fair amount in common with both neurology and psychology and Phineas Gage’s case is actually a pretty famous one in regards to the historical evolution of those fields.
- Comment on An argument for using plastic straws: 2 weeks ago:
yeah it read plainly as a reference to me but people also tell me other people don’t know the kinds of things I do a lot of the time.
- Comment on I was diagnosed with early onset dementia and alzhimers. Is there safe guards I can put it up so I don't screw or kill anyone? Like who do I contact about being denied to own a gun? 3 weeks ago:
Oh hi I’m a psychiatric nurse!
Most important: Pick the three people you trust most in the world, put them in order of who you want making decisions for you the most, then talk to your doctor about what paperwork you need to sign for that. Then talk to those people at length about how you want to die and what would make you feel the safest and happiest day-to-day. Think about what things you do for fun / relaxation, what kind of music you like you listen to, etc.
If you’re up to it, I also highly recommend Wellness Recovery Action Planning. It’s more designed for people who are more likely to recover, but it’ll give you a template to go off to communicate your day to day needs in a written format for your legal decision makers and healthcare professionals to make you feel safe and comfortable as you progress through these next few stages.
And I can’t stress the music enough. It’s the part of your brain that’s likely to keep working the longest. Make two playlists, one to dance / have fun to, and one to relax / sleep to.
Good luck and I really hope you’re able to find trustworthy people to make decisions for you because without them to actually carry out your wishes, literally anything else you decide on now is completely moot.
- Comment on Happy DB Cooper Day to those who celebrate! 3 weeks ago:
Honestly it’s not even the CPR that particularly bothers me, it’s the intubation and the stuff after. I’ve worked with so many patients who don’t have a lot of working neural tissue left and their family just has them medically tortured for years because they want to see them blink occasionally. Next time I update my documents I think I’m going to add that if my family wants something to happen to me that I have to be held down for, they have to be in the room. If they can’t stand to watch / listen to me while it happens, they’ve no right signing off on it.
- Comment on Happy DB Cooper Day to those who celebrate! 3 weeks ago:
um. yeah. they do that after regular surgery too. a shitton of sedatives will do that. ect is somewhat associated with temporary memory loss but it wears off just as quick as with a regular seizure.
- Comment on Happy DB Cooper Day to those who celebrate! 3 weeks ago:
there is actually a huuuge overlap between anticonvulsants / antiseizure medications and anti-manic agents (mania being the opposite of depression).
- Comment on Happy DB Cooper Day to those who celebrate! 3 weeks ago:
Oh yeah electroshock therapy is actually something we still do. I’ve worked at two places actually who do it. They put the patient under full medical sedation like they would for surgery (they even have a little mini recovery and PACU in the ECT suite). In fact the only main difference between an ECT suite and an OR suite is that the actual procedure room is just clean, not fully sterile since they’re not actually opening the person. On the floor we have to observe all the same pre-op and post-op precautions, like NPO (nothing to eat or drink) after midnight, and changing them into clean clothes in the morning. We don’t have to do a chlorhexidine scrub (again not sterile) but showers are encouraged (sometimes the patient is too sick to tolerate even a bed bath though). Our only special precaution is that we have to stop all anti seizure meds the night before because the whole point is to induce a seizure.
They just put electrodes on kinda like they would with an external defibrillator to stop an abnormal heart rhythm (except obvs they put them on the head, not the chest). Then induce a controlled seizure that lasts like 60 seconds or so, then use medications to stop the seizure if necessary. In fact it’s almost exactly like a heart defibrillator in that we’re turning their brain off and on again to get it to work! Funny that that works with organs like it does with computers! 😅