I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I’m going to troll you back. FAFO.

  • 21 Posts
  • 209 Comments
Joined 3 years ago
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Cake day: June 12th, 2023

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  • I have 4, one for each decade of life

    1. Stargate SG1
    2. Anatomy, Physiology, Psychology, and Sociology of Sex
    3. Violence prevention, deescalation, and management in inpatient psychiatry (which became my career)
    4. Western Esoteric spiritual practices including Tarot, Astrology, Tasseography, Palmistry, and the myriad religious beliefs that they syncretistically evolved from

  • a) most of the time you actually don’t want to know. You take precautions with everybody, half the time knowing just makes it harder to pass dinner trays.

    b) they also just. hire brand new adults with highschool diplomas. give them a two week crash course in psychiatry. then just. “Here’s the criminally insane men!”


  • It’s also not hard to do casually without having to grovel. My nursing subspecialty is violence management and I frequently respond to things with,“thank you for reminding me, I’m going to go do that now!” and,“I hadn’t realized that was your preference, thank you for letting me know!” or,“that’s a good thing to point out I’m glad you’re being an active participant in your care!” You don’t even have to say you’re wrong half the time you can also just regularly tell people they’re right.



  • Yeah I worked with criminally insane men for two years before moving on to normal acute psychiatry. For the most part they’re just sad and petty. There was only one that ever truly gave me the heebie jeebies and one after in regular acute. In both cases though I did not know what they had done until later; in the moment there was just this instant visceral NOPE feeling.



  • Ever since nursing school when I wake up in that post-REM haze my brain goes “reposition: right-side-lying to supine” then two hours later “reposition: supine to left side lying” then two hours after that down into prone. I’m like a lil half-conscious rotisserie chicken…

    My daytime sleep schedule has hubs and I in a temporal bedroom divorce and he very much prefers things that way. Sometimes on the rare occasion that I have to sleep at night he storms off to the couch in a huff.



  • Honestly that dude and the person super into dragon sex are actually the best trolls I’ve met. 100% harmless and it’s wild how many people DON’T just hit the block button when they find them annoying. They’re like a built in litmus test for whether a Lemmy user is a fully developed adult who can avoid getting entangled in dumb conversations (which apparently you are).


  • Apytele@sh.itjust.workstoAsk Lemmy@lemmy.world*Permanently Deleted*
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    8 days ago

    One dude got into a highly uncivil argument about what constitutes “real physics” on a post of a tumblr screenshot with overwrought prose about… (tbh I don’t remember now but I’m thinking electromagnetism?) then reported the other user. Don’t get me wrong it was bad tumblr prose but like. It’s a genre some people like and a staple of tumblr culture which the comm was about.

    Anyway I temp banned them both (I think I did accidentally remove too many comments but anyway) because they were having a toddler level squabble with profanity over tumblr poetry. One of them called me some kinda profanity so I permabanned them and they made a post on power tripping mods and pretty much everyone was like "you know we can still dig out the comments AND your DMs and you’re kinda just a menace… right? Like I woke up and pretty much everyone had already defended me. Anyway I blocked them and moved on with my life. People need to use the block button more often tbh.


  • Honestly I’ve spent a good part of my career working with men specifically in acute mental health environments and 90% of the time when a man expresses a lack of sexual attraction I’m relieved. The other 10% is indifference, but the amount of times they yell at me about how ugly I am and I’m like “…good…!?”

    Like tbh there’s a not insignificant chance I’m just a gay dude but like. I’m not in a rush to decide. And in the meantime if not looking how they think an AFAB should keeps more men able to interact with me nonsexually that’s basically 100% beneficial. And honestly women aren’t great either (they’re not usually as pushy either but on the rare occasions they are they’re way worse). Tbh that’s probably why I’m a gay dude; bitches (in a romantic context) be crazy I just wanna drink a beer with my male bestie (now 💍) and talk about whether yeast or dogs have been symbiotic with humans longer.



  • Unless it’s a private practice, it’s probably not the psychiatrist that wants to use that tool, it’s probably an initiative on the part of the larger organization. There’s good odds that the practitioner themselves is even against it themselves. That said, this sounds like one of the lower risk use-cases; what you’re describing is more of a souped up dictation software more than it is truly generative AI.

    TLDR; don’t let this stress you. Do what feels right for your own care. And, ultimately, keep your own records and notes about your own symptoms day to day vs what treatments you’re trying at any given time. Also do your best to educate yourself on what the meds are supposed to be doing, especially what symptoms (not disorders) they’re supposed to be treating. Taking the initiative to track your own care in detail is what’s really going to get you the best results anyway.



  • At least you were kinda trying to do the right thing. We had a resident who insisted we hold a man down for a POC glucose fingerstick just because there A1C from a week ago said the EAG was like 400 and we had a court order for psych treatment.

    Like sir. I’m not starting the precedent of restraining this man 4x daily to stab his fingers. He’s probably been living at 400 for months (if not years), a week or two more waiting for the antipsychotics to hit isn’t gonna do all that much more damage. Also idt the paperwork was completely in order to apply medical treatments under the psychiatric court order (not that I was super concerned about a homeless psych patient being able to hire a lawyer anyway but–). You you know what’s gonna really convince this man that both diabetes and hypertension really are government conspiracies to torture him? Restraining him 4x a day to stab his fingers over them.

    Anyway he didn’t call the senior resident. ALL the nurses told him no so he called his Attending. at 9pm. ON A SATURDAY.

    spoiler

    she told him no