Sterile_Technique
@Sterile_Technique@lemmy.world
- Comment on I don't know who The Rizzler is and Im not interested. 4 days ago:
50s dude could uno-reverse card that shit by breaking out the slang from his own teen years. Get all the gens conversing this way in one thread just for pure chaos-sake.
- Comment on Discord CEO steps down, replaced with former Activision Blizzard CSO as they work towards being a public company 1 week ago:
I want teamspeak and vent
xFire. God I miss xFire. It was better 10 years ago than any service before or since.
Iirc Yahoo frivolous-lawsuit’ed them out of existence. Q_Q
- Comment on I see you 2 weeks ago:
Hey a dopamine hit is a dopamine hit. Someone liking your post enough to upvote it is basically getting an internet first-bump. It’s not much, but getting that approval from people does feel good.
…we all have the super-power of literally administering a tiny dose of dopamine to nearly anyone in the world.
- Comment on This is so strange! Usually, they wait 15 days to elect a new Pope. We could be seeing history in the making. 2 weeks ago:
- Comment on oh yeeeeeee 2 weeks ago:
The real shitpost is always in the shitpost.
- Comment on Nintendo Switch 2 US price won’t increase after tariffs, but accessories will cost more 2 weeks ago:
- Comment on nature is music 3 weeks ago:
Where I disagree is that someone having a quote from a religious thing is invalid, when it’s not actively pushing to convert. Just kinda existing showing religion is there. But I guess we just have different perceptions of what passes for “down-your-throatism”.
I mean that’s something we can explore… the post is about some of the cool euphonic examples you can run into in nature or space. The top level comment I took issue with just popped in out of the blue with ‘yay god!’ …like, does the Quran or Bible or w/e say anything about the sound of the cosmos? By all means, share that - it’d relevant to at least some extent, even if it isn’t scientific.
Another approach - role reversal! Let’s say you’re really into knitting and you find some cool new design that you wanted to share with the internet; so you do. Then I pop in and say “Man, that reminds me: isn’t Satan just the coolest?! Freedom from tyranny and all that - everything just reflects back on what a quality god he is!” …your reaction would probably be akin to “…what the actual fuck? What does that have to do with knitting?” So even if I was a satanist, that wouldn’t be an appropriate time to bring it up; nor could I accuse you of being anti-satanist for pointing that out.
But that’s what I mean by religious down-throatism. I’m not calling for a ban on religious content, I’m asking that religious people use the same discretion you would with any other topic. Like, I really enjoy old-school RPGs, Symphonic Metal, Indian food, (and, and, and,) but that hypothetical thread about knitting isn’t an appropriate place to post about any of those either.
I’d wager that vast majority, if not all, of the negative response this comment chain started with was from that angle. As opposed to targeted religious bigotry, which is not and should not be tolerated.
- Comment on nature is music 3 weeks ago:
My beef is with religious down-throatism. I don’t care if it’s Islam, or Christianity, or Satanism, or the Church of the Flying Spaghetti Monster.
If you want to talk about your favorite ghost story, make or visit a community for it - it has no place here.
- Comment on nature is music 3 weeks ago:
That verse is used to justify rape. Not just rape, but entire slave trade networks that revolve around rape. (and that’s in today’s world, not some ugly footnote in distant history)
That you personally interpret it differently is moot: people’s actual lives are destroyed over a fairy tale, and that shit is absolutely evil.
I don’t think you’ll find any slavery where rape was in practice forbidden.
Yeah no shit, that’s because slavery, and the people who engage in slavery are and always have been abhorrent, as are systems that enable slavery regardless of religious vs secular context.
- Comment on nature is music 3 weeks ago:
That verse is used to justify rape. Not just rape, but entire slave trade networks that revolve around rape.
That you personally interpret it differently is moot: people’s actual lives are destroyed over a fairy tale, and that shit is absolutely evil.
- Comment on nature is music 3 weeks ago:
Quran 4:24
حُرِّمَتۡ عَلَيۡكُمۡ اُمَّهٰتُكُمۡ وَبَنٰتُكُمۡ وَاَخَوٰتُكُمۡ وَعَمّٰتُكُمۡ وَخٰلٰتُكُمۡ وَبَنٰتُ الۡاٰخِ وَبَنٰتُ الۡاُخۡتِ وَاُمَّهٰتُكُمُ الّٰتِىۡۤ اَرۡضَعۡنَكُمۡ وَاَخَوٰتُكُمۡ مِّنَ الرَّضَاعَةِ وَ اُمَّهٰتُ نِسَآئِكُمۡ وَرَبَآـئِبُكُمُ الّٰتِىۡ فِىۡ حُجُوۡرِكُمۡ مِّنۡ نِّسَآئِكُمُ الّٰتِىۡ دَخَلۡتُمۡ بِهِنَّ فَاِنۡ لَّمۡ تَكُوۡنُوۡا دَخَلۡتُمۡ بِهِنَّ فَلَا جُنَاحَ عَلَيۡكُمۡ وَحَلَاۤـئِلُ اَبۡنَآئِكُمُ الَّذِيۡنَ مِنۡ اَصۡلَابِكُمۡۙ وَاَنۡ تَجۡمَعُوۡا بَيۡنَ الۡاُخۡتَيۡنِ اِلَّا مَا قَدۡ سَلَفَؕ اِنَّ اللّٰهَ كَانَ غَفُوۡرًا رَّحِيۡمًا ۙ
“Also ˹forbidden are˺ married women—except ˹female˺ captives in your possession. This is Allah’s commandment to you. Lawful to you are all beyond these—as long as you seek them with your wealth in a legal marriage, not in fornication. Give those you have consummated marriage with their due dowries. It is permissible to be mutually gracious regarding the set dowry. Surely Allah is All-Knowing, All-Wise.”
Summary: rape is fine so long as you enslave the victim first.
…I liked my Lord of the Rings quote better, but that was removed. I guess off-topic fiction is only allowed if it’s religious. Allahu akbar.
- Comment on nature is music 3 weeks ago:
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
Oh! Well fuck, I way misinterpreted what you were saying then.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
I can’t stress enough that I’m a tech, the rock bottom of the OR foodchain, so my understanding is limited …and even if I was claiming to be some kind of doctor, I’m still just a random internet stranger, so some healthy skepticism is encouraged regardless. BUT I’ve spent most of the past decade working in rooms full of brilliant people, so I’ve picked a few things up during that time, so: some of what you’re describing is normal, like waking up during sedation, but some of it has me scratching my head. Like, there shouldn’t (dangerous word, I know) be a situation where you’re sedated and paralyzed, cuz that’s a recipe for the nightmare fuel this thread is talking about. If you wake up from sedation, you might feel groggy and like heavy limbs or not just lack the desire to move like when your alarm is going off in the morning and you’re just lying there in a state of apathy for a minute mourning the loss of your sleep… but… if you make a conscious effort to move or speak, you should (*) be able to.
And again, not saying none of that ever happened; it’d just be super abnormal to the extent of suspecting some kind of literal physiologic anomaly (which is possible!) or some kind of borderline criminal incompetence (or actual malice) on the part of your anesthesiologist.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
Yeah that’s super fucked up, and kinda roots back to your right as a patient to informed consent. Office staff shouldn’t be giving any kind of medical advice - if you have a question about a med, that’s their cue to call in a nurse or doc to come talk to you.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
Tolerance to pot equates to tolerance to a lot of anesthesia meds, and I think cocaine can fuck with it too, but idr why.
My advice: tell your healthcare team everything. Regular OTC meds, any supplements or herbals you use, alcohol/tobacco use, and a 100% accurate picture of any illegal shit you use. If you snort a whole gram every single night, tell them you snort a whole gram every single night.
Your anesthesiologist isn’t a cop: he doesn’t give a flying fuck about whether or not you broke the law. He does give a fuck about the chemistry currently swimming around in your body and how that effects your physiology / how it interacts with his own chemistry cocktail he’s about to squirt into your veins.
Full disclosure, if you admit to violent crimes, especially ones that are ongoing, he will have to report that to the cops (at least in my state - that could vary).
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
IDK shit about peds, but adult colonoscopy and TEE are both under sedation, not general. Broken arm depends on how they fixed it - if it was a closed reduction then it might have been sedation, but anything open would be general. Septoplasty is always general afaik.
Filing and vasectomy are usually just local anesthesia (numbing). That’s a whole different battle: docs can be impatient and like to start working before the numbing actually starts. You say OW! They get annoyed and push more local, wait 10 seconds, start working again, you say OW, they push more, etc. 10 mins into the torture, the initial dose is finally doing it’s job… but then the other 5 doses kick in and your entire head goes numb. I have that issue with local too - I don’t need more of it, I just need to give it more time to work its magic; so when I need a filling or something I’ll tell the doc to push the local, then take a coffee break or something and check back on me later.
Anyway, you kinda showcase my point: of the operations mentioned, only one stands out as for sure needing general anesthesia, so it sounds less like your anesthesiologist didn’t believe you and more like he just did a shitty job of explaining the kind of anesthesia you’d be receiving.
LOTS of people think they should be asleep for any and every surgery. I’ve had dozens of patients in the operating room nervously ask “shouldn’t I be asleep for this part?” and the nurse shoots an evil eye at the anesthesiologist as she explains “No, you won’t be asleep for any part of this.”
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
The thing is there are a lot of signs that start popping up when the anesthesia isn’t doing its job, due to tolerance or not having enough pushed. Your body starts to respond to the surgery way before your brain does, and we’ll start seeing muscle twitches or their vitals start to go nuts.
Not terribly uncommon for a surgeon, well into the operation to poke or cut something and the leg or whatever we’re cutting on recoils a bit. Surgeon gets annoyed and snaps at the anesthesiologist “Hey he’s getting a little light - we still got at least 40 minutes!” and the anesthesiologist will push a little more sauce and the signs stop pretty quick.
Point being, by the time you’d be aware of anything, your body will have been reacting to it increasingly dramatically.
Surgery aside - let’s say you’re sleeping normally and someone tickles your nose with a feather or something. Not enough stimulation to wake you up, but your nose might twitch or flare in response; with enough irritation you might even reach up to scratch your nose or move your head all without ever waking up - though by that point your very close to regaining consciousness.
Again, our physiology is weird, and meds do weird things to it, and I’m just a tech so I don’t know the nitty-gritty details, so I’m definitely not in a position to say it’s impossible. But those kinds of claims definitely fire off the bullshit detector enough that I’d be hesitant to take them at face value without a breakdown of how the patient’s physiology is different from everyone else’s or how the anesthesiologist managed to come up with a cocktail of whatever he pushed to allow for mental perception of being sliced open without any change to things like vital signs.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
Typically it’s just the epidural - they don’t even need local since once the epidural is done, they can’t feel any pain from the abdomen-down… they will still be able to feel pressure, which is fairly extreme given that it literally involves ripping major abdominal muscles in half; and the discomfort from that much pressure vs the discomfort from pain is kinda splitting hairs. Anyway… General anesthesia in a C-section means there’s some kind of emergency on the mother’s end, and once the drugs are administered the surgery needs to be done FAST because they can effect the baby.
Rummaging through a purse is a hilariously polite way to put it, lol.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
I feel like we do a crappy job sometimes of telling patients what to expect or differences in things like sedation vs general anesthesia. Sedation is just ‘makes you sleepy’ but you can wake from that sleep.
General anesthesia you’re out, and you stay out until the doc pushes the drugs to wake you up.
I think the vast majority of stories about waking up in the middle of surgery involve the kinds of surgery where that’s semi-expected. Like, we’re typically not going to give general anesthesia for something like a toenail ablation or other more minor stuff. People wake up during those - usually we have a drape over them, so thay can’t see the the actual surgical site, but they often need to be oriented - “Hey Mr. Jones, you’re at the hospital for your tow surgery remember? You’ve been asleep for about 15 mins - we’ve got a couple left to go, then we’ll get some dressings on and you’ll be good to go!” …completely normal. They won’t actually feel what we’re doing because of a nerve block or local anesthetic.
But, ^that after a few rounds of telephone game becomes some horror story about waking up in the middle of a big open abdominal surgery, feeling all the cuts but not being able to speak or move. Can that shit actually happen? Probably, idk… our physiology is super finicky and there’s always the chance you’re the next one-in-a-billion unlucky bastard with a previously unheard of weird response to one of the meds they use for general, but I suspect most of these tales are, again, telephone-game type deviations from something completely different, or just pure bullshit from square one.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 weeks ago:
Surgical tech here. We actually had a patient do that to us once. So with general anesthesia it kicks off with a drug called propofol, and once they push that it takes effect FAST. Like, within 10 seconds - you can be talking when they push it and your brain will just turn off mid sentence. “Yeah we took our son to the game last weekend; he’s a big fan of the quaaaaaaaaaaaaaa…” and your completely out. Anestheiologist does one last “Mr Jones? How are you feeling?” to verify you’re actually out, and then you’re getting intubated.
Anyway, this dude had a tolerance to propofol and he went in knowing that, but didn’t tall the anesthesia team. Did basically ^that, trailed off mid sentence, eyes drooped shut. Anesthesiologist did his “Mr. Jones?” spiel and the little bastard’s eyes pop open, looks straight and doc, loudly says “GOT YA!” and then his eyes roll back for real this time and he actually goes under.
Doc about had a heart attack. It was fucking amazing. 10/10
- Comment on Please choose one 4 weeks ago:
I’m REALLY jealous of you right now. That first play through hits fucking hard.
I made the full sales pitch for it a while back, so here’s a copy-paste of that. As far as donating to them now, afaik SureAI is still operating to some extent, but the folks who made Enderal have moved on to larger studios. You’d still be supporting devs, but not necessarily the ones who prompted the tip in the first place.
Anyway…
Official page here: sureai.net/games/enderal/
Original Skyrim version: …steampowered.com/…/Enderal_Forgotten_Stories/
2016 Skyrim re-release “special edition” version: …steampowered.com/…/Enderal_Forgotten_Stories_Spe…
You’ll need whichever version corresponds with the version of Skyrim you own. If you own both, I’d recommend choosing the version of Enderal that goes with the version of Skyrim that you play the least - because it uses Skyrim ’s assets, switching back and forth has been known to corrupt saves, so back up any Skyrim saves you care about.
Anywho, Enderal is set in its own universe - it looks and kind of feels like Skyrim because it’s built from the same blocks, but has nothing to do with the Elder Scrolls, or Tamriel, etc (barring a few easter eggs). New lore, new characters, new terrain, new music, new voice acting.
The company that made it is “SureAI” - indie dev crew that has nothing to do with AI. /shrug. It’s a predominately German studio, and while Enderal is available in English, iirc the English version is voice acted mostly by German native speakers who happen to know English as a second language. Reason for mentioning that is: be gentle in your judgment of the voice acting, lol. Along the main quest line, it’s pretty much all rock solid; some of the side quests and random NPCs… not so much. And the children NPC voice acting is fucking awful. The console command “TAI” (after targeting an entity) can be used to shut up an annoying NPC without breaking it - just TAI it again if you happen to need to interact with it for a quest or something later.
Speaking of the command console - don’t be afraid to use the command console!! Again, this game is built on Skyrim’s engine/assets, so it comes with all of Skyrim’s problems - e.g., step on a basket full of cabbage; get launched into low orbit. Things like quest items falling through the floor n’ shit can happen, so you may need to use the console to force a quest to progress or some shit - also save frequently, same reason. From a technical standpoint, some of the shit they do with Skyrim’s engine is mindblowing, but it definitely pushes that engine to its limits in terms of stability.
Not much of a sales pitch so far lol. The good stuff though: Enderal’s story is pretty wild. There isn’t really a traditional antagonist - instead it tackles concepts ranging from philosophical to religious to emotions / repressed emotions… this game WILL get under your skin, but in a really artistic kind of way. Very much a passion project by the devs.
Combat and skills are completely redone. It’s not like Skyrim where you can just shoot icicles up a mudcrab’s ass until your destruction level is 100. It plays kinda like an oldschool RPG where killing shit gives you overall-level xp, but raising skills requires skillbooks that you’ll need to find or buy. Also the things that were OP in Skyrim are no longer so - try the sneaky archer build in Enderal and you’ll get your ass handed to you in pretty much every encounter. I recall having a lot of fun with the 2H sword path; and the magic ‘schools’ are mostly redone (like iirc there’s a school of ‘Entropy’ that an entire talent tree dedicated to dark lifesteal type spells, and stronger attacks that use HP instead of mana) so read through the options, cuz a lot of them will be totally new.
Even with all the combat tweaks though, it plays pretty familiar to Skyrim, just don’t lean too heavily into Skyrim’s combat tricks.
The story though, and the way they tell it… holy shit. If you’re a bookworm, you know when you finish the last page of a REALLY good book, and then get hit by that kind of empty feeling as it sinks in that the ride is over, and you want more but know there’s nothing left? I’ve played a fuckton of videogames, and only ONE has ever hit me with that at its conclusion: and yup, it’s Enderal.
It’s a slow start, and there’s some jankiness in general like the occasional shit voice acting and technical instability, but if you can look passed that shit (and I mean, keep in the back of your mind that it’s a FREE passion project from an indie dev crew with no real budget), then this game will go down as one of your all time favorites.
- Comment on Solid voting advice 4 weeks ago:
Idk, but there’s only one way to find out. And 27,184 ways to verify.
- Comment on Solid voting advice 4 weeks ago:
- Comment on Please choose one 4 weeks ago:
I wouldn’t dream of sending a tip to Nintendo or any other large company, but I did send a tip to SureAI (game devs, nothing to do with the bullshit we’re currently calling ‘AI’) after playing Enderal. One of the best games I’ve ever played, zero ads or microtransaction BS, completely free. It was literally just a passion project by an indie dev crew. $60, cuz it’s as good as any AAA game I’ve played. They earned the fuck out of every cent.
- Comment on Motorcycle knowledge 5 weeks ago:
- Comment on You are not living in reality if you do not see the huge difference between THEN and NOW 5 weeks ago:
We really need more Luigis.
- Comment on You are not living in reality if you do not see the huge difference between THEN and NOW 5 weeks ago:
When you were my age
…when rich people eventually get medical immortality…
- Comment on You are not living in reality if you do not see the huge difference between THEN and NOW 5 weeks ago:
“when I was your age I -half- what they’re paying at mcdonalds now, and I paid for a car, a house, college, and and supported my wife and three kids with it!”
me: blood pressure increases
- Comment on I'm old 5 weeks ago:
100% they enshittified.
The shape is one of the give aways - dome-shaped nipple with that sand-paper texture. The new ones are concave and textured via cast or something, but don’t have that sand-paper feel. Along with that change, I suspect you’re right in that the sensor went to hell with em, cuz the new ones SUCK.
