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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SLPT: You can make like 30-50% of your social circle think you're psychic (or just weirdly smart) by asking them to think of a number 1-10 and asking if it's 7.

Helps if they 're not huge nerds who spend all their time talking about the true definition of randomness and/or already have a number they consider the sexiest have reduced STEM knowledge overall, somewhat irrespective of other intelligences.

Apytele,

I have a lot of really REALLY fucked up ones. I’m an acute inpatient psych nurse but I’ve also had 4x inpatient stays of my own so I have a bunch of jokes that would leave my patients AND my coworkers speechless.

“Well I had a nuchal cord x4 (umbilical cord wrapped around the neck 4 times) so if you think about it, I’ve actually been trying to kill myself longer than I’ve been alive.

“So then they restrained me and gave me a B10&4 (twice the amount of medication usually given for agitation) and I woke up in a state hospital with my back seized up from the Haldol and anyway that’s how I found out they were hiring!” 🎉

“I’m almost definitely more suicidal than my patient right now.” - Me (who’s had chronic low-grade suicidal ideation since I was like 12, sitting “suicide watch” on a patient who most likely just said they were suicidal so they didn’t freeze to death overnight on the street. Honestly I respect the hustle, if the psych hospital counts as comfortable to you I probably don’t even wanna know what your other option was. The mental health crisis in America won’t go anywhere until the housing one does).

Apytele, (edited )

From inside the mental health industry it doesn’t feel like we’re pushing drugs because we’re too hooked on this model and afraid to be scrutinized; we all know none of this is actually getting solved until there’s widespread social reform. Being able to hand out the drugs just feels like the only tool we’ve been handed.

It’s like being on a tiny life boat boat full of life jackets in the middle of a sea of people thrown into the ocean. I could start pulling people onto my tiny boat but eventually that’ll sink it. I do have all these life jackets I can throw at them though, which will buy a little more time for somebody with a bigger boat to come along and scoop them up. I don’t think it’s the people in tiny boats handing out life jackets that’s the issue; I think it’s whoever actually does have the resources to actually come get them and just won’t. I also think I would be generous to say it’s that they don’t care when the truth is they’re actively benefiting from people being afraid of falling getting pushed into the water. And yeah, nothings really going anywhere until we stop dumping people overboard in the first place.

I’m going to abandon that metaphor before it loses its usefulness. But yeah TLDR, I don’t hand people drugs because I think it will fix them, I’m just trying to buy this person time until they can either fix themselves, or until someone cares enough to give them the support they truly need and that I don’t personally have in me right now. I guess I can’t speak for everybody in the industry but all my coworkers seem to know we’re at best just handing out life jackets and its ultimately on the patient and particularly society at large to not waste that extra time bought.

And honestly if you want one issue that I think will legit just solve about 3/4 of the mental health crisis it’s housing. It’s literally just housing. And not shelters, I’ve never met anyone who really feels safe in one, they all tell me they got beat or raped or stolen from in one. No we need to just start putting people in houses. But I could write a wholeass Manifesto on this (and I think I may have somewhere in my comment history).

Apytele,

Am psychiatric nurse:

This is a psychiatric issue, just not one that requires inpatient care.

Also we don’t discuss palliative care enough as a society eg: you are welcome to refuse treatment and suffer then die of your multiple chronic illnesses, but you will be much more comfortable doing it at home. I’m a DNR before the age of 30 for this exact reason: I wouldn’t do chemo or transplants or any of that either: just let me glide quietly into that good night on a slip-n-slide of benzos and opiates.

I agree with the MD that discharge is the best option. The bed will be much better suited to a patient that is able to perceive inpatient care as beneficial, because this man clearly does not.

Apytele,

☝️my mother in a nutshell. She said my grandmother warned her about what we now know as “The Second Shift” (working outside of the home then coming home and ALSO planning/doing most household maintainence tasks) when my mother was younger and was part of the first generation of women to work outside the home. But her understanding after years of this was somehow “mom was right” instead of “make him do his own laundry and if he refuses get a divorce.” At this point I’m just like women and the general cultural concept of femininity have shot ahead by miles in the last century. Men are welcome to do the same whenever they’re ready, but for now a lot of men are just coping by crab bucketing this shit and bringing women back down.

Apytele,

Get your bad-faith everything is fake reddit mentality off my post.

Apytele,

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

Apytele,

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

Apytele,

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

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,

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,

Flip an egg or pancake without breaking it.

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,

Tbh I have no idea what I was trying to type now.

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?

Apytele, (edited )

As a nurse I can do pretty much everything a chiropractor can that’s not horribly unsafe and unproven. I can advise on diet, exercise and herbal supplements, I can massage muscles and help someone stretch through range of motion. I even know how to use a fucking TENS/EMS device, and I could probably get certified in acupuncture if I wanted. The only thing I don’t do that a chiropractor does is sever spines and snap necks, and if that’s all they managed to learn with all that extra school they can keep it, lol.

TLDR; all the “doctor” shit they do is actually nurse shit and everything else is assault and battery.

Apytele,

“The beatings will continue until morale improves.”

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,

Newly admitted psych patient who was seriously invested in getting their personal sheets out of the belongings that came in with them. I didn’t really get it but I don’t understand like half the things that supposedly make people happy so whatever. I go to inventory the belongings real quick so I can get their sheets before they go to sleep.

So it turns out the family sent them with a full set of queen size silk sheets. We had to wrap the fitted sheet around the mattress and then some to get it to fit. Also in the bag were several (understatement) brand new brand name electronic devices. The clothes were also brand new and when I had the secretary look them up and there were several items that each could have paid my rent.

I had no idea what to do with all of it. Most of the clothes and the sheets were fine for the patient to have, but we don’t allow electronics out on the unit. We have a safe for valuables like phones and wallets and stuff but it was only a little bigger than a microwave and this person’s valuables would have filled it several times over.

It was like a real-life version of that scene from spaceballs where they find out they’ve been lugging the princess’s hair dryer across the desert. Not the indignant yelling obviously but just the first part where they open it up and just need to comprehend what’s going on for a second. It was especially jarring considering that most of my patient population is homeless. So like they’ll bring in everything they own (they don’t really have anywhere to leave it) but even when it doesn’t fit well in our storage it’s not usually 20 pounds of luxury goods that I have to figure out where to safely put before I’m on the hook for whatever the fuck all that cost.

Best part about the whole thing was that the chief complaint was capgras delusions. This family set this person up with all of this stuff to send them to the hospital and the pt literally thought they were all fakes. Like literally fake aliens or clones or whatever. Like damn that was some irony.

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