Apytele
@Apytele@sh.itjust.works
- Comment on Vibe 21 hours ago:
Psych patients actually do this a lot. Some places I’ve worked actually have protocols for it that include stuff like having the bathroom locked and only unlocked for supervised use, or having the water only be cut on when the contents of the toilet have been verified (also helpful to have water shutoffs for psychogenic polydipsia because they WILL drink their way into a hyponatremic seizure and they dgaf if it’s from a toilet) but also for the flushing usually they’re limited to one set of clothes and bed linens, one towel / washcloth, and have to ask for small quantities of toilet paper as needed. Then they yell at you about having to ask you use the bathroom like they didn’t flood the unit the unit three nights in a row. Motivations vary but the most common is wanting to feel in control of something and it can be difficult to try to find safe things for that kind of person to be allowed control over.
- Comment on The Elder God 1 day ago:
Oh I legit notice a spike in mania cases this time every single year. Idk if it’s making people manic as much though as it is that they would also be manic in February but they’re too busy having seasonal affective depression instead.
- Comment on Hot enough for ya? 1 day ago:
Just because their corpses are there doesn’t mean their shit isn’t!
- Comment on Shitpost 5 days ago:
Funnily enough this was actually taught to me as a precipitating factor to constipation in a hospitalized patient. If they’re a coffee drinker and / or cigarette smoker at home, and their morning coffee + cigarette has been replaced with shitty weak hospital brew and a patch, their bowel muscles might forget they actually have a job to do. Not that you should encourage bad habits, but you might need to mindfully replace them with another laxative or in some cases just accept that people do things that are unhealthy and you’re not going to fix 20+ years of substance dependence in one stressful AF hospital stay. Still can’t let them actually smoke cigarettes but maybe some gum or a lozenge.
- Comment on Anon ups his fibre intake 5 days ago:
I literally have to take metamucil daily to not shit liquid multiple times daily. It is baaaaad. But when my stomach has been super irritated for a while because I haven’t been keeping up with it that first properly fibered shit feels like a kitchen sponge running all the way through me. I feel so clean afterwards. I’m convinced it’s the only real “cleanse.”
- Comment on In this day and age is it possible to create a commune? With majority of vegetables coming from one acre and all put in to get wifi to our subdivision? So the bill is not that high? 1 week ago:
yes it’s very likely to either get torn apart by interpersonal tensions such as infidelities or economic power struggles or just devolve into a new age cult of some kind, and usually some combination of all three from what I’ve seen of those kinds of communities.
- Comment on Is it wrong or uncommon to judge people primarily on their worst moments/acts? 1 week ago:
working in psychiatry for as long as I’ve had, the people I admire most are actually the ones who are just decent every single day. the ones who know everybody’s kids names and remember everybody’s birthday. I don’t know how they do it. I became the person who helps pull apart people trying to bite each other’s faces off because idk how to remember birthdays and I was hoping it would be something people appreciate but day to day it actually doesn’t. the people who make the biggest difference in people’s mental health are people who know how to plan a good Friday night get-together and how to follow up when they haven’t heard from one of the invitees for two weeks in a row.
- Comment on [deleted] 1 week ago:
I think we should make all work legal. They can be here, they can receive wages, their kids go to school. as As long as they don’t commit any crimes just let them exist, whatever.
…but hiring someone without a visa should be extremely illegal. Like decades in prison illegal. Should fix the rampant human trafficking pretty quickly. A lot of these employers do it because they don’t have to worry about treating the workers fairly. They should be terrified of illegal workers telling on them. And after they’re done telling on one human trafficker let them go find another job and tell on him too.
If we were tossing people in prison for hiring illegal immigrants their job market would dry up immediately and the problem would resolve very quickly.
- Comment on I can't keep up with the brain rot 1 week ago:
I mean it was genuinely good sex advice the best saliva to use as blowjob lube is 100% the thicker mucus from the back of the nasopharynx vs the thinner saliva generally produced by the mouth.
- Comment on Instead of asking all my stupid questions separately, could I just get a ton of "How to Adult" type resources in the comments? 1 week ago:
Also, psych nurse protip - this is how you use this to talk someone out of a panic attack. Use the above conversation template plus the following nonverbals / paraverbals:
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start by reducing stimuli (think five senses!). Reduce the noise and lights, and try to get away from any particularly offensive smells or sensations.
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you can try to get the crowds and stimuli out of the area, but it will probably be easier to move the person panicking. Getting crowds of people to do things is very tricky. It’s usually just easier to move the one person.
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talk at about half to a quarter of your usual speed and volume
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use common English words (no SAT vocab). Enunciate clearly, and don’t use more than one conjunction / more than two ideas per sentence. Their brain can’t chew / digest as much as all at once.
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Do not stand directly in front of them and especially do not corner them. If you feel unsafe you can still stay closer to the door than they are but try to stand slightly to the side to give them line of sight to it.
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if you want to practice / really up your game, learn to deepen your pitch slightly / resonate / speak from your chest while still keeping your volume down. Imagine James Earl Jones reading a meditation script on YouTube. This has an added benefit if you work with seniors, most age-related hearing loss is in the upper pitch ranges.
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- Comment on Need clean laundry in the apocalypse 2 weeks ago:
the other downside is that I don’t feel like it’s my place to be the one rioting out in the streets because I specifically picked a patient population that will be THE FIRST to be abandoned. Many of my patients have physical as well as mental disabilities. We have at least three ID patients right now who would just get prostituted at best, and a good portion of the homeless people willing to fake or exaggerate psychosis or suicidal ideation for a bed are often doing it because they also have a bum leg or a broken back and won’t make it on the street for an extended period. If I quit my job it’s not some spoiled rich bastard who’s going to suffer, in fact they’ll probably do slightly better for not having to pay my wages. I’d probably adapt ok to health outside the system (I’m already making do with it’s scraps on the daily) but I just… I’m trying really hard not to think about the “wellness camps.”
- Comment on Need clean laundry in the apocalypse 2 weeks ago:
i didn’t think things through when I chose a job that would be needed through the end of the world.
- Comment on "Can i ask you for a favor?" Is it rude to say no? 2 weeks ago:
my usual answer when I’m suspecting some kind of boundary-pushing behavior is “well you can ask…” …but I have to hear out my psych patients, you don’t owe strangers the same obligation.
- Comment on It's a rule 2 weeks ago:
the counting of birthdays specifically was what was interesting to me but I’m sure it’s in there somewhere.
- Comment on It's a rule 2 weeks ago:
this fascinates me please provide search terms for me to do additional research.
- Comment on It's a rule 2 weeks ago:
months. hang on Mom is trying to make me eat peas.
- Comment on This guy saved more than 150 lives in the "Miracle of the Mojave" 2 weeks ago:
It’s still going my partner is super invested because he’s a huge fan of his work. Meanwhile I’m looking at this like it has huge implications for all high reliability industries including stuff like ORs, ERs, nuclear power. I have difficulty watching because I struggle with cringe humor but I’m loving the overall topic.
I should also point out that public safety / high reliability industry workers just gotta be cringe sometimes. A plot point in one episode is that the miracle on the mojave pilot was a huge fan of evanescence and one of the most played songs on his ipod was “wake me up inside” and like. yeah I knew an ER nurse who loooved shinedown. you don’t get into those industries unless you’re an overdramatic bitch.
- Comment on Technichally-wrong community. Here here, peepostin' lika pro 2 weeks ago:
It is pride month
- Comment on Technichally-wrong community. Here here, peepostin' lika pro 2 weeks ago:
The person who empties the urine bag has entered the chat! Image
- Comment on Bait or r*ta*d*ti*n. Call it. 2 weeks ago:
I have a decent among of patients that label could apply to and I don’t like seeing it used at all. A few weeks ago I was consoling a patient who was angrily crying because they perceived someone had used it to refer to them. I’m unsure if it was reality based; they do hallucinate and I didn’t personally witness it but its far from impossible, but they were absolutely distraught. Using it pejoratively AND censoring it means you knew it was fucked up and did it anyway.
- Comment on So it begins... 2 weeks ago:
Stalin, iirc.
- Comment on Who did this 😂😂😂 2 weeks ago:
- Comment on Who is Sodium Lauryl Sulfate and why is she in my toothpaste? 😡🤬😡 2 weeks ago:
No but you’re a petty lying bastard; we both know that sample wasn’t clotted when I sent it!
- Comment on Who is Sodium Lauryl Sulfate and why is she in my toothpaste? 😡🤬😡 2 weeks ago:
Foaming agent. She gets everything nice 'n… lathery.
- Comment on Anon goes camping 3 weeks ago:
everything has outliers
- Comment on Anon goes camping 3 weeks ago:
I feel like boiling PLUS the Brita would be a pretty solid combo. Boil to kill everything then Brita to remove the remaining inert sediment. I can’t think of any metals or anything that there would be enough of in river water to hurt you after you’ve killed anything that was alive.
- Comment on Pull to enter, you say? 3 weeks ago:
I mean I do think suicide should be legal but I also don’t think we should let people just do it without making them stop for a second and be evaluated to see if there’s any better options for them.
- Comment on Pull to enter, you say? 3 weeks ago:
oh yeah should have said it’s a nom not a full
- Comment on Pull to enter, you say? 3 weeks ago:
As a psych nurse who’s worked a unit with door alarms, somebody is going to have an aneurysm if they have to reset that alarm one. more. GOTDAMN MOTHER-FUCKING TIME.
- Comment on submissive 3 weeks ago:
