Anecdotally, I’ve heard it said that librarians and archivists often envy the thoroughness of that tagging system.
…on the other hand my partners immediate response to this image was and I quote,“Well, if you think about it, the John F Kennedy assassination really just a complicated fivesome— six if you buy into the grassy knoll theory.”
Oh hey! This is exactly what a DBT values assessment is for! I have my patients do them all the time. Y’all want worksheets? Here’s the page from the bootleg “what to do if you can’t afford therapy” resource I made a while back.
KoL is still a thing??? I should go back to that it was pretty great.
The quoted portion:
they were not tart but instead were…
The beginning of the article:
The flavour is tart and acidic.
I also think it’s pretty funny they mostly say it’s a cooking apple; they’re my personal favorite to eat straight. I would’ve said something like one of those that dissolves into grit in your mouth is better for cooking, but idk if that’s just because I can’t picture doing anything better with them. I can’t for the life of me remember which of the reds it is. I’m pretty sure it’s red delicious or mcintosh, maybe jonathan. I wanna say it’s red delicious because I remember thinking they weren’t very delicious. I know whichever one it is softens a great deal when cooked because I do remember thinking turning to mush would be an advantage when cooked. But the mouthfeel was just horrendous imo.
I’m an inpatient psych nurse. I see there are already 40 answers, so what are your specific ones for me?
I began my psychiatric nursing career working as a behavioral technician on a unit for criminally insane men. I worked there for two years and was even promoted to lead tech in charge of making the assignments for all the technicians for the shift.
Other shifts and other units were sending staff members to the ER at least every few months related to aggressive incidents. Not us. Only thing was a guy had a stroke near when I was starting and while I think the job did do it to him, I think it happened over the many years before I worked there.
Two months before I left I sustained the worst injury I ever did at that job taking care of criminally insane men …I shut my own finger in a door.
I was rushing too much while grabbing hygiene / shower supplies for a guy one morning. Big heavy solid wood heavy latch and hinge with a long metal strike plate running top to bottom psych ward door. The tip of my finger swelled up twice as big, the nail turned black and eventually popped off. Looked weird as shit for a few months.
Meanwhile one time I was helping separate two guys where one was trying to bite the other guys face off and I kinda blacked out for most of it but I do remember seeing the other guys jaw working trying to gnaw at the guy I was holding. Anyway apparently there was a point where I was under both of them on the floor because like three people came into the restraint room while I was with face-bitey to ask how I was and as the adrenaline wore off it turned out I was a little scuffed up and bruised up…
But holy shit did shutting my finger in that door hurt so damn bad I legit thought I was going to lose the finger and it took over a month to heal!
I mean he’s doing better than my parents.
Am an RN.
When you elevate the head of your bed (In this case to help the fluid drain out of your head / sinuses), don’t put the extra pillows under your head, put them under the mattress. you’ll fall to the side as the pillow pile collapses too much to be useful while you’re half awake, but if the whole head is up you just gotta wiggle your way back up if you wake up congested. You can also stuff extra blankets and stuffed animals or whatever else you have under there for extra lift (although at a certain point if you don’t have a footboard the mattress will start sliding down. You could also try sleeping in a recliner chair if you have one.
All fluid used in a neti-pot MUST be sterile, or you’ll get brain worms / amoebas. You can get sterile saline from the wound care / bandage aisle in the pharmacy, or you can make it at home but make sure you let the solution cool so that it is NOT boiling before putting it in the neti pot.
Traditional Medicinals Throat Coat with slippery elm is the GOAT for sore and scratchy throats, which can happen as the fluid drains.
Also did you take real sudafed or fake sudafed? Phenylephrine is literally a placebo. Pseudoephedrine is the stuff you want but you may need to show ID for it because it can be used to make meth.
Where tf was this when I was a kid?
(Can’t watch right this second but assuming this is the same short story I read years ago) this is the only afterlife I’m willing to believe in. Either this or a combination of this and the gnostic afterlife where we’re all splittable and recombinable parts of one larger soul.
I forget why, but I strongly associate this concept with the time I passed out from dehydration at work for like 30 seconds and I remember was walking on a pebbled beach and talking to someone. Don’t remember who or what we talked about though.
One day interpreting those watermarks will be a form of archeology…
deleted by creator
The most code I know is turtle LOL (and to be clear I’m talking about the one for like, kindergartners where you draw geometric shapes by lifting and putting down the pen with the commands)
also if I did know something else the first thing I would do would be something like powerdeletesuite for reddit. I know it doesn’t get rid of stuff posted to other instances but it would likely auto-delete a lot of them unless the instance specifically wanted to block me from doing so, and a big part of why I do it regularly is that it keeps me fairly obscure. Every time I comment on this people are like “what you put on the internet is forever” and like, yeah, but I don’t have to make it easy to find.
I’ve kinda wished there were more tools to create my own algorithms and move them between accounts or even share them with others. Like grouping cross-instance comms of the same or highly similar content into one feed. Would be nice to just lump all the asks together to scroll through when I want to interact or something. Or having my own search terms that find me more positive content. Would be cool to have more ways of finding stuff I’m interested in it would just help a lot if there was some transparency and self determinism in the process.
oh SHIT. yooooo ok so
sepsis is one of those things a lot of hospitals have special codes for (the other big one is strokes). There’s certain critical conditions that have such a profoundly higher chance of survival and meaningful recovery if they’re caught and treated very quickly (like, within 2-3 hours of the first signs), but that also have fairly complex evaluation / testing for treatment (brain imaging for strokes, blood testing for sepsis). So while a “Code Blue” is somewhat universally for an unresponsive / pulseless patient and calls the resuscitation team, you would call a “Code Stroke” or “Code Sepsis” for a patient who is (possibly) not unresponsive yet but is showing specific signs of that specific condition.
So what the specialized code does is activate multiple people in the hospital at once with one call, to get all those specific things done as fast as possible. Lab knows they need to get blood cultures, the MD knows they need to be at the bedside assessing, the RN is making sure venous access is established, pharmacy is waiting for the doctor’s antibiotics order so they can approve it and send it up as soon as it’s in. None of these people need to talk to each other or communicate (at least not a lot) to get all of that done immediately. In fact in some hospital systems those people might be notified just by the RN or nursing assistant putting in vitals that match septic shock criteria and as soon as it’s confirmed certain people may be able to do things that would normally require a direct doctor’s order as part of a predetermined protocol that the hospitals medical board decided on ahead of time. Like normally IV fluids would require a doctors order but the protocol can authorize the RN to start running them while the doctor is still on their way up to the unit. All of this exists, again, because early diagnosis and treatment is so critical.
To be able to do the sepsis testing at the bedside is wiiiiild and could radically change some of those algorithms / protocols.
right now? you’d have to find me first, and I doubt that it’s worth it for you. There’s also other logistics you would have to figure out that also probably wouldn’t be worth it for you.
at my place of work? The environment is so controlled that you just… probably won’t succeed. Most people also don’t even notice the stuff I’m actually doing to maintain my safety. The biggest thing is before the patient is even on the unit making sure there’s nothing in the environment they can hit me with that would really hurt. One advantage I’ll admit I have over the cops is that I’m 99.99% certain that no one in the environment has a gun (the 0.01th time was the night the ER really fucked up*). But there’s also no corded devices, no IV poles or oxygen tanks to hit me with. Even stuff wide / long enough to get some leverage with like a dinner tray is made of styrofoam. Even the shitty coffee is lukewarm instead of boiling (sorry but I do what I gotta do).
Most people also don’t notice that if they’re even anxious I’m usually between them and the door or even if I’m letting them have a sightline to it for their own peace of mind I’m still closer. If they’re actually mad I’m definitely between them and the door and whether or not they can see them I have at least one person for backup right outside the room, possibly 2 or more. I’m really just not that worried about it and I’d rather focus on what I can actually practically do to resolve the problem. Is there some comfort measure I can help with like warmth, cold, food or water? I’m not giving you a steak dinner for cussing me out but I can probably do peanut butter crackers and some water if you’re just hangry. Do you wanna talk about your legal status and what the judge is actually going to look for while deciding whether or not to commit you? Do you just wanna yell at somebody for fifteen minutes? I can do most or all of that with some detail-based caveats.
If none of that works and you’re actually trying to hit me or even yourself (but talking does work like 85-90% of the time) there’s always haldol and if that doesn’t work I’ll try geodon and so on and so forth down a decently long list of options until you’re either better able to control yourself or unconscious. If I have to lock you in a room or strap you to a chair until it hits I can do that too (the paperwork sucks tho). If you’re on something real wild like PCP and can’t be sedated without respiratory collapse you’ll probably have to be detoxed in an ICU probably strapped to a bed and possibly intubated. But the confidence that I have the resources to handle most of the possibilities and that I have people to call if I can’t makes it a lot easier to not overreact to being called slurs and just focus on what the actual safety risks are in the situation and what actually needs to be done to resolve the problem.
On the street? When I’m not in my scrubs I dress like a hobo and it’s very obvious that whether or not I’m actually a tweaker (unless you count caffeine which is technically a stimulant) I’ll probably lose a fight but I also will be taking either a testicle or an eyeball with me and you may or may not get a choice. Again, probably not worth it for you, probably not even worth interacting. Most people don’t interact beyond polite mutual acknowledgement of our existences. My scrubs only barely cover my overwhelming feral raccoon aura.
Here’s real footage of me when admin comes through with our traditional consolatory pizza and cookie offerings:
I was gonna say, women have been getting sick of men and turning into bog witches for centuries now, probably longer. The more socially acceptable version was nunneries for a while, since men need to feel like they’re in control of that some way or another. I’m the city apartment version where I’m becoming a night shift vampire /other undead into tarot cards and Gnosticism.