[–] 32 points 10 hours ago* (last edited 10 hours ago)

It's rare, but sometimes I do wonder with some patients.

It's obviously somewhat unarguable if it's just the more ideological "they're listening to all of us and generally invading our privacy." Usually then I'm just like, "TRUTH, but also please either put the pants back on or go to your room."

But then there'll be a woman who says the voices telling her to wash her hands until she bleeds are a symptom of the black magic her ex is using to track her. And I'm like: girl, u crazy about the black magic thing. All they need is a fuckin' AirTag, and he probably is tracking you. So then you call the cops to take down the report, and they're like, "We can't arrest the dude for black magic." And it's like, no shit, she's bonkers. But could you at least double-check that the dude isn't stalking her?

There are so many patients who tell me super fractured stories. They're impossible to untangle in a way that could even approach a formal pursuit of justice. But based on the details they're able to express coherently, I genuinely wonder if the story is true.

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  • [–] 2 points 15 hours ago

    One of the techs yelled at me one night because I was gonna come back for the spilled juice later and she was like I COULD'VE GOTTEN IT SOMEBODY COULD HAVE SLIPPED and I had to be like shit girl you right, you right.

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  • [–] 1 point 17 hours ago* (last edited 16 hours ago)

    Honestly I feel like this is part of why everybody is so fussed about Lindsay Clancy. They finally have a woman to talk about. Just send her to prison like you do with any man who lived through it. You can go NGRI if you really want I'm sure some men do too. But like. It's a thing that happens the only difference is it's usually men so now we have all this very public discourse about whether or not it was postpartum psychosis or not and it's fucking up the juries just getting her safely removed from the public in a clean and orderly fashion. My honest take it that it could have been PPP, I've definitely had PPP patients where the husband is constantly pressuring the treatment team to bring the woman home to take care of the kids for him while she's still plainly psychotic. I also wasn't there and she wasn't anyone I knew or one of my patients so maybe it's also just none of my business? I could go either way on whether she spends the rest of her life in a prison or psych ward but it shouldn't take half the country to pick.

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  • [–] 5 points 1 day ago* (last edited 16 hours ago)

    (Not a doctor, definitely not YOUR anything)

    Does it say no sugar or no caffeine?

    A bunch of stuff in this post piqued my attention. TIL some departments of transportation will require sleep apnea testing for a commercial driver's license if the person meets certain criteria including being overweight.

    Anyway I also did a decently deep dive into sleep study instructions like this one from The Cleveland Clinic I don't see anything about sugary beverages in any of them. What I do see is a few things about alcohol and a looooot of stuff about caffeine. And I know if you were just listed coke, iced tea, lattes, monsters, etc your first thought might be sugar even though they're all caffeinated too.

    Either way you're probably screwed because iced tea is also caffeinated but double check the specific instructions the place doing your sleep study gave you and their cutoff time because I'm seeing a bunch of different things on specific cutoff time, and I suspect it has to do with the clinic's daily scheduled 'bedtime routine' timetable. Overall though it's not so much of whether or not they'll let you take it as much as there being good odds you just fail it.

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  • [–] 4 points 1 day ago* (1 child)

    I'm the exact opposite, all my sensory problems are in my hips range of motion and groin, and I hate the sensation of rain / mud (or at work, bodily fluids) on the heel {especially if it's somewhat worn with hanging threads). High waist, baggy seat and crotch, and an inch or so short of skintight below the knee has been amazing.

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  • [–] 9 points 1 day ago*

    People ask me why I don't like working on the subacute / general side of the unit and weirdly enough the creams is part of it. Technically it's all routine non-oral medications like inhalers and insulin but the amount of patients over there who are literally mostly just depressed because they have age related chronic pain and have like 3 different creams for their knees and backs and like no flexibility so I gotta get down on the ground to butter these people and because they're in pain all the time they're mega cranky and tell me I'm doing the leg buttering wrong like mf butter your own legs then! Nah give me acute where they just scream in my face and try to punch me. At least I'm not getting yelled at while ALSO having to butter some legs. That and the amount of people on general that check into the psych ward voluntarily then complain that it's uncomfortable. I've never gone voluntarily. I'd rather have to run around doing my best to comfort and console someone that's actually involuntarily stuck there.

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    I'm relatively certain I know his name. He's either a Senior or a Junior. Various people have called asking for one or the other including, possibly, a debt collector.

    One of the two died, probably about two years ago. There were like two or three people right at the beginning who were just trying to find the guy but at the time I thought like maybe he changed his number for a reason? Then very early on, someone called saying they'd heard he had died and was hoping he was still alive and would pick up, because they'd lost touch. I'm also pretty sure he was a churchgoing Christian. I think a lady from his church was one of the people trying to reach out.

    That's most of what I have, but also I've never met him or spoken to him. None of it came from anywhere official. It's just the stuff people say when they think when they've gotten the number wrong except they're all asking for the same person.

     

    cross-posted from: https://sh.itjust.works/post/68073118

    I really wanna know how dogs decide where to piss or shit. Like there seems to be some kind of contemplation / decision making process and I'm just fascinated by the concept of nonhuman sensory perception.

    I would like a way to collect survey results that would allow the residents of my apartment building to select where in the surrounding blocks their dog chose to relieve themselves that day.

    Is there any established software or service that has this feature?

     

    I really wanna know how dogs decide where to piss or shit. Like there seems to be some kind of contemplation / decision making process and I'm just fascinated by the concept of nonhuman sensory perception.

    I would like a way to collect survey results that would allow the residents of my apartment building to select where in the surrounding blocks their dog chose to relieve themselves that day.

    Is there any established software or service that has this feature?

     

    I’m designing a meme tarot deck: majors are memes, courts are wojaks, and pentacles are (probably) bitcoin. What other internet culture objects / symbols could stand in for the other suits?

    • Wands: (staves / clubs) Fire; energy, ambition, creation
    • Cups: (chalices / hearts) Water; emotion, connection, intuition
    • Swords: (knives / spades) Air; thought, conflict, communication
     

    cross-posted from: https://sh.itjust.works/post/67815568

    Storytime: a patient came into my unit with a controlled medication (I don’t remember what maybe oxy? Ativan?). Per policy, I was waiting for the pharmacy tech to come up, verify my count, and take it down to their safe. It might take a minute, so I got my count done and left the medication in its destined serial-numbered bag, visible on camera on the counter in the med room.

    When I count pills, I fold a clean sheet of printer paper into a tray, with the sides folded up into lips. The four corners make little diagonal ears. I sort the pills into piles of five with a clean spoon to make them easier to count, then use one of those diagonal ears to funnel them back into the bottle. I got somewhere in the 50–100 range.

    The pharmacy tech comes up. She has a specialized tray (they usually look something like this) with a cylindrical, prescription-bottle-sized funnel that snaps down over one side, and some other carefully designed features to facilitate this exact task. The equipment itself was interesting but not the really cool bit.

    She pours the bottle out onto this specialized tray, but she doesn’t need to group the pills. She literally just eyeballs the 50–100 random splatter of pills that falls out onto her flat tray and immediately calls out my exact, carefully tallied count (which I had not yet told her).

    She then, in one fluid motion, tips the tray just enough to slide them all down into the funnel side, slaps the funnel closed over them, and tips whole tray up and down so the contents of the funnel fall down into the bottle. We complete the sign-off and seal the bottle in its security envelope.

    I’m frequently reminded that nurses are kind of the Swiss Army knives of the healthcare system. I can do 90% of the ancillary staff’s jobs in a pinch, but it’s WILD to watch the fluidity with which each of those tasks is done by someone who does that one specific task all day long.

    What’s a super-specialized skill or talent you’ve seen that completely impressed you?

     

    Storytime: a patient came into my unit with a controlled medication (I don’t remember what maybe oxy? Ativan?). Per policy, I was waiting for the pharmacy tech to come up, verify my count, and take it down to their safe. It might take a minute, so I got my count done and left the medication in its destined serial-numbered bag, visible on camera on the counter in the med room.

    When I count pills, I fold a clean sheet of printer paper into a tray, with the sides folded up into lips. The four corners make little diagonal ears. I sort the pills into piles of five with a clean spoon to make them easier to count, then use one of those diagonal ears to funnel them back into the bottle. I got somewhere in the 50–100 range.

    The pharmacy tech comes up. She has a specialized tray (they usually look something like this) with a cylindrical, prescription-bottle-sized funnel that snaps down over one side, and some other carefully designed features to facilitate this exact task. The equipment itself was interesting but not the really cool bit.

    She pours the bottle out onto this specialized tray, but she doesn’t need to group the pills. She literally just eyeballs the 50–100 random splatter of pills that falls out onto her flat tray and immediately calls out my exact, carefully tallied count (which I had not yet told her).

    She then, in one fluid motion, tips the tray just enough to slide them all down into the funnel side, slaps the funnel closed over them, and tips whole tray up and down so the contents of the funnel fall down into the bottle. We complete the sign-off and seal the bottle in its security envelope.

    I’m frequently reminded that nurses are kind of the Swiss Army knives of the healthcare system. I can do 90% of the ancillary staff’s jobs in a pinch, but it’s WILD to watch the fluidity with which each of those tasks is done by someone who does that one specific task all day long.

    What’s a super-specialized skill or talent you’ve seen that completely impressed you?

    submitted 2 weeks ago* (last edited 2 weeks ago) by [M] to c/gnostic@sh.itjust.works
     

    You know what animal kills the most humans (other than other humans)?

    Mosquitos by way of malaria.

    You know what animals kill mosquitos?

    Bats, lizards, frogs, toads, and spiders.

    Roaches, fleas, bedbugs, termites, and ants are other common household infestations that those spiders in your walls would love to (help) keep under control for you (when it comes to ticks we gotta talk about chickens but that's a whole different post).

    Understanding the material world you've been subjected to means understanding which organisms in this simulation are actually on your side.

    This has been a public service announcement.

    cross-posted from: https://lemmy.world/post/52665422

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