Apytele
@Apytele@sh.itjust.works
- Comment on Someone, I'm thinking with multiple accounts, is downvoting EVERY comment I make. Mildly aggravating, mostly sad for someone like that. Can I find out who and just block them? 1 day ago:
Most offenders I’ve interacted with have no specific attraction to children at all. They want to rape someone and children just happen to make ideal victims by being smaller and weaker and depending on age and upbringing may not even realize a crime had occurred or be able to advocate for themselves. Most of the offenders would have / often had also raped the elderly or disabled if given the chance. They would even attempt to prey on the smaller or weaker staff members if given the opportunity.
There were a few edge cases of profoundly psychotic / ID patients who genuinely just didn’t know any better but again it was rarely a specific attraction and more of an overall disinhibition, they would generally also have trespassing, petty theft, and property damage charges. Violent and sexual intrusive thoughts can be a part of some OCD presentations but they basically never offend and the thoughts usually go away when the underlying anxiety is treated with medication and behavioral therapy. I’m not saying attraction to children doesn’t exist, but when we’re taking about the actual issue of child sexual assault it’s just an unproductive line of discussion that relates very little to the actual core issues.
Now that said, we do have a huge issue as a society with allowing the high of righteous fury to interfere with victims actually receiving justice. Those accused have just as much of a right to due process as anyone accused of any other crime. Interfering with that right either creates massive overreach by the legal system or in individual cases damages evidence that would be used to fairly prosecute an offender. It also creates a social environment where people protect their offending loved ones out of fear for them, when they should feel secure in the knowledge that while they can’t stop living them, they can and will be safely separated from the rest of society for the rest of their natural life.
- Comment on Someone, I'm thinking with multiple accounts, is downvoting EVERY comment I make. Mildly aggravating, mostly sad for someone like that. Can I find out who and just block them? 1 day ago:
I mean it’s a shitty take and really doesn’t evidence good understanding of the topic (I used to work forensic psych and have met a LOT of pedophiles) but as far as shitty internet takes go it’s meh at most and wild to me that you went to the effort to dig that out from two weeks ago for this discussion.
- Comment on Why in hospitals, is 'gun shot wound' appreciated as "GSW"- 2 days ago:
Or physical therapy.
- Comment on Why in hospitals, is 'gun shot wound' appreciated as "GSW"- 3 days ago:
Easier to write. We spend 5 minutes talking about you at handoff (and I need to write down everything AS the other person is talking) then I have to write a mini essay about each person. Abbreviations are highly specific to specialty, but much easier. An example from my specialty might be:
BIBA GSW to LA (iso suspect DV but pt denies), also ligature marks to neck. WC placed, CT (-).
Which is to say
The ambulance brought them to the ED for a gunshot wound to the left arm. We’re pretty sure the spouse tried to shoot them and it looks like they tried to strangle them too, but they won’t admit it / is covering for them. The wound consult is in and they did a CT of their neck already, no severe injury noted.
…which is like three times as long.
- Comment on Let them fight 4 days ago:
Epigenetics does play a role in a way medications are starting to be able to address (basically there’s extra little hormones and stuff your DNA makes when recent generations have been stressed, so if the great depression hit your great grandma particularly hard your genes might still think you need to hang onto some extra fluff just in case). But yeah a lot of it is social stuff that just isn’t going anywhere like McDonald’s being the only place you can get calories at after job #1 and still be on time for job #2.
- Comment on Meetings 5 days ago:
Ours just repeatedly tell us not to give patients the remote and list off all the incidents that have happened in the past month related to people giving the patients the TV remote. I never have and never will but at this point I’m kind of surprised we haven’t had to get it back from endoscopy yet. I’ve been thinking about starting a rumor that we did for funsies.
- Comment on The way my fuck-ass pharmacist makes up the remaining pills in my bastarding prescription 1 week ago:
I’ll raise you the time I decided to be menace and put a blister pack back in the pyxis like this:
(to be clear, this was neither a high alert med nor a narcotic)
- Comment on It's called traditional medicine sweety, look it up 1 week ago:
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.
- Comment on How open are you about yourself to others online in general? 1 week ago:
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 about 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 unavoidable but currently aren’t due to some social ill.
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
…that phrasing is not helpful to this argument…
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
To be clear, if I did have a dog in this fight, it would be the supertux games.
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
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.
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
obviously
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
Honestly I like the slow reveal that the Ellimist was also a massive dick. It’s like realizing the Vorlons aren’t actually “good.”
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
lol blakes 7 is actually the fic I’m returning to work on right now.
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
especially when it was giving southern us more than other types of wars for independence
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
yeah I’m slowly working my way through it while doing other stuff on my days off
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
oh got now I’m thinking about the whole disintegrating thing again
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
I’m so glad none of those things meant what I thought they meant when I put them into ddg
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
I do not know, but thank you for sharing.
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
OK so like. Yes that is literally the question here. Are you gonna give us the slightly cooled by the passage of time B5 hot take or…?
- Comment on What're your strong opinions from an aged / dead fandom? 2 weeks ago:
No that’s valid tbh. Genres are 100% a part of fandom. I always admired the steampunk aesthetic but never had the resources to get into it. I’ve loved the bits that overlap with stuff like stardust though!
- Submitted 2 weeks ago to [deleted] | 131 comments
- Comment on What are some common or everyday *unforced errors* to be wary of? 2 weeks ago:
I get what you mean but I suppose we both at least know what we’re getting into and respect the consequences of talking shit.
I’ve been thinking about this a lot lately actually; I think I’m just naturally someone who needs spicy relationships. I’ve had people call me toxic but tbh my husband now that I’ve been with for five years total doesn’t feel that way because he gives just as good as he gets. You can’t go into the restaurant and order the 5 alarm chili then get mad at the cook. You ordered it; either eat the damn thing or admit you were wrong and if that was hard for you maybe order mild next bout.
- Comment on Some people prefer corn for some ungodly reason 2 weeks ago:
I’m sorry you OP. It’s an IBS nightmare. I’ll have it popped but that’s just because it’s so convenient.
- Comment on I cannot imagine what lawsuit led to this 3 weeks 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 3 weeks 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 weeks 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... 3 weeks 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% 3 weeks 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.
