Apytele

@Apytele@sh.itjust.works

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.

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When did you know a career was either the perfect or the worst match for your personality?

I’m trying to give someone advice on choosing a career that will suit them better than the one they’re in and hate. I wanted to get together a list of good questions for them to ask themselves so they can use the answers to compare options like “do you prefer to work sitting or moving around,” “do you want to not work...

Apytele,

This is actually pretty solid. I’m firmly in the “passion” category, and while I’ve gotten better at it over the years, I often struggle to remember other people just have careers and jobs, and find true fulfillment elsewhere. Now that said, my passion pays somewhat poorly (but steadily!) and isn’t even slightly competitive (I’m even considering leaving the field at this point) but it’s something I care a lot about being done well.

Apytele, (edited )

There’s some excellent analogues in the Healthcare industry, particularly allowing new nurses to train each other. There’s basic standard practice things going completely ignored because they’re just not getting passed down. They’re not getting passed down because admin types are pushing the people who know those things out of their roles (experience costs $$) before they can pass that knowledge on. It’s a mess. And, as you say, experienced professionals have earned enough respect and have enough confidence their practice to call admin on their bullshit (I’m running into a lot of this lately, and am starting to get pushed out myself).

Apytele,

My partner works in food service and always comments that despite what conservative Kens and Karens think, you really don’t want adolescents to be the primary handlers of things you put inside your body, especially not that last little bit where they’re supposed to cook off all the bacteria and viruses.

Apytele,

Jesus yeah I completely believe you.

Apytele, (edited )

They attempted to rape them. Frequently. I prevented the ones I was present for.

Apytele, (edited )

It’s a psych hospital with a unit specializing in people with charges, not a prison (where they should have been). If a patient were genuinely suicidal they would need to be immediately accessible to the staff member responsible for preventing it. Additionally, seclusion, even with the legally required assigned observer, requires justification and a doctor’s order, and in this case it’s impossible to justify because seclusion is specifically contraindicated in high suicide risk (see above).

These are all clinical guidelines and often even state regulations that make perfect sense and save a lot of lives in the situations they’re designed for. The issue is that assessing suicidal ideation has to be done almost entirely based on subjective reports of symptoms (internal thoughts), and there are almost no objective outward signs. The only objective outward signs that exist immediately beforehand (previous attempts count as a lifetime risk increase) are prepatory behaviors, and a) the patient typically actively hides those behaviors and b) they’re not assessable immediately in the moment; they have to be caught by regularly and directly observing the patient. Our other option is to start asking suicidal people if they really mean it and/or just kicking them out if they sound enough like they’re lying and to say the least current clinical guidelines do not support that strategy.

It doesn’t take long to learn how to take advantage of such a system if you’re the kind of man that likes assaulting young women. I’ve met a lot of men who struggle to understand the sheer quantity of these men that exist and that often they’re released right back out into the community for a variety of reasons that do and do not make sense but are all perfectly legal.

I also have had a lot of male patients do this now that I no longer work forensics, but there’s less of them and they’re usually not as bold. They’ll usually just take a lot of time dressing and undressing in front of the sitter, walking around the room naked, making inappropriate comments about the sitter’s appearance/ activities they would like to engage in, needling them for personal information, etc and that’s just bothersome because they’re literally trapped with the patient (it would obviously be a firable offense to leave a patient on suicide watch). These are the times I do my best to get a male sitter (assuming the patient isn’t just equal-opportunity, which is fortunately rare), and short of that I just make sure to rotate people through so nobody has to deal with it too much any one shift.

Female patients do so far, far less, but when they do they are usually a bit bolder about it, which can be troublesome. I also generally assign same sex sitters when possible, but I specifically avoid sitting male staff with female patients as much as possible just because unfortunately delusion-based sexual abuse claims are likely to be followed further in that gender combo than vice-versa.

Apytele,

Excellent example of a “small” job people don’t realize could accidentally kill someone!

Apytele,

Not surprising to me in any way, I did exactly that while in school (among other unlicensed healthcare roles).

Apytele,

I often wish more of my adult psych patients’ parents had done some reading about psychosocial development and how to support the child at each stage but more importantly I pretty much always wish they’d cared half as much as you did to even ask that question.

Apytele,

Meanwhile if I look like one of those great danes that thinks it’s a chihuahua in the lap of any man under 6 foot and few have considered that unthreatening.

Apytele,

My middle school music teacher was mean so I didn’t take her class again. There were a lot of authority figures who felt I needed to toughen up in one way or another and I gave up on a lot of things because of that mindset.

Apytele,

“The beatings will continue until morale improves.”

Apytele,

Flip an egg or pancake without breaking it.

Apytele,

Checklists suck, especially to go through repeatedly but they realistically save more lives than any of the more dramatic heroics.

Apytele,

Ngl I actually would though

Apytele,

Excellent. Please continue to keep us posted on this situation as it develops.

Apytele, (edited )

I feel like it’s actually less developed areas that are getting hit the hardest by this kind of thing. The fossil-fuel ridden cities can just burn more to crank the AC up. It’s a perverse irony and digging the hole deeper, but if this was fundamentally the kind of problem where the people doing it faced the most direct consequences, this situation would never have devolved this far.

Apytele,

It’s actually a very good thing! It’s an extension of creativity, which has been one of humanities’ greatest assets throughout history. Being able to think up a wide number of possibilities of ways to respond to the world is super helpful, but you do have to have a good sense of which ones are bad, and very few are nearly this obvious.

Apytele,

I like thegirlwiththedogs ’ wisdom,“As always, we disarm our opponent before battle.”

Apytele,

A lot of good other answers. Do you have anyone in your life you trust to help you communicate with the doctors and other medical people if you get too overwhelmed or if they have trouble understanding you? Because you should call that person if you have them to let them know how you’ve been feeling and that you’d like some help / support at the doctor’s.

Libre Office stuck in full screen/no menu mode

I have ribbon controls, but I don’t have the menu above that. Also, Libre Office (I use Writer mostly but the launcher also) has made itself full screen, and that interferes with the panel (which I keep on the left side). I have had to resort to Alt-F4 to quit. How can I get menus back? Will I be able to get Libre-office to...

Apytele,

You can’t just F11 out of fullscreen?

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