Doesn’t matter how famous the architect who made the toilet was if there’s only one of them per 100 people at a tourist event compared to the one per 10 any other time of the year. I’ve seen lots of fancy toilets but none of them have been able to hold 10 butts at once.

right like this is a whole new level of unhinged

A lot of the times our hospital security show up to my deescalation classes after leaving a job in corrections. One of the things we often commiserate on is that they got into corrections and I into the state hospital to try and help other people grow and heal but what happened is that we got caught in a loop of “what am I going to see next that I’m going to have to report?” I’m now working for a psych unit in a regular hospital which still has it’s flaws but none comparable to the state.

First you see a patient spit in the face of a staff member who has to be physically held back from hitting them (they actually told us we’re allowed to restrain our coworkers if that happens), then you see a staff member get called racial slurs and they get up in the patients face and yell at them and you have to get between them and tell your coworker to take a walk but it’s hard to get them to do that because it’s 2am and there’s no other techs on the unit and they know the nurse isn’t gonna come out to help you before it’s too late. And those reactions make sense and you wonder why they’re packing you in with so many patients that your coworker can’t just walk away. And then you see somebody posture and yell at a patient who’s just all around rude but again it’s 2am and you can’t make it to 7 with just one tech.

And you also know that you’re going to need to choose the moment that it’s too much and that’ll be the end. Because if you stay after that you become the “them” in the “us vs them” and one day you’re going to face a violent patient at 2am and the tech who’s with you will leave you alone with that patient because “I don’t want you to report me too.”

And if you’re smart, you get out before it gets that far. One day a nurse asked me what I’d seen happen and I told them (truthfully) that I’d been at lunch and had no idea what they were talking about and they cut the conversation off. And I had no idea what patient or staff member it would’ve been about (as far as I could tell all of the patients were the same as before I’d gone to lunch) so I couldn’t have reported anything anyway. But I had to ask myself if I had seen something what would I have been asked to cover up?

I said that to that hospital security worker coming from corrections and there was this instant look of recognition. Anybody who’s worked corrections or for the state will tell me something similar happened to them, or worse. And I just… You either get out or something awful happens. I’m so grateful I was able to get out before I personally got pulled into something. You think you’ll be able to be different but that system is just so much bigger than you. And it’s not because I’m a better person it was luck. Part of it was luck that I had enough formal and informal education to know what was coming but some of it was pure grace of the universe luck.

And people who are outside of it living their happy lives will tell you they want a better system, but they will never truly be willing to put in the work needed to change it or even give you the resources to do it yourself. Like I’d been a patient at that state hospital previously and went back as a staff member to try and help and being a staff member was just so much worse somehow. I’m grateful that it gave me the experience to do what I do now and be an authority / teacher in the management of violent patients but it was hell while it was happening (I was also in therapy for other stuff at the time and was sooo fortunate to be given that opportunity to properly contextualize the experience as it was happening). No one who’s never been through that will ever really understand.

Libre office was too clunky for my usage. OnlyOffice is FOSS, lightweight, and cross-platform to mobile.

This person is either at least mildly psychotic or fucking with you. It’s wild that people are down here in the comments offering evidence when the entire concept is entirely absurd. This isn’t an age or intelligence or experience thing this is a “this person is unhinged, don’t interact” situation.

It’s doing the mirror to the men, and allowing for the destruction of physical spaces that would normally provide them with healthy socialization and outlets for testosterone.

My thought is that it also implies that there’s a good chance dinosaurs sang.

Astroturfing was a thing long before llms, and the ideologies largely haven’t changed. If you weren’t already thinking critically about what you read you were screwed anyway. Which people largely weren’t and, as a result, were largely already screwed anyway.

I had an old coworker who had given MAGA organizations her life’s savings. She was working well past her planned retirement and wound up getting a head injury when a patient bopped her on the head three times. She shouldn’t have been put in the position to work high acuity psychiatry in her 70s. She was going to retire destitute but after that nobody could deny she just wasn’t safe to work anymore. And to the day she retired she kept saying trump was going to reward her any day now. I know somebody here is gonna talk shit but aside from being too damn naïve she was such a kind soul. And I’ve only ever worked psych as a nurse but she’d done all kinds of things like oncology and wound care so if I had a patient with a medical problem or who needed an IV placed she had my back. She’d rant to the high heavens about the lizard people but damn if she didn’t know her lab values and meds back to front. I hope those grifters rot in hell.

Most offenders I’ve interacted with have no specific attraction to children at all. They want to rape someone and children just happen to make ideal victims by being smaller and weaker and depending on age and upbringing may not even realize a crime had occurred or be able to advocate for themselves. Most of the offenders would have / often had also raped the elderly or disabled if given the chance. They would even attempt to prey on the smaller or weaker staff members or other patients if given the opportunity.

There were a few edge cases of profoundly psychotic / ID patients who genuinely just didn’t know any better but again it was rarely a specific attraction and more of an overall disinhibition, they would generally also have trespassing, petty theft, and property damage charges and were showing their genitals to just about anyone. Violent and sexual intrusive thoughts can be a part of some OCD presentations but the thoughts usually go away when the underlying anxiety is treated with medication and behavioral therapy. Pts with violent and sexual intrusive thoughts also pretty much never offend, to the extent that I never really interacted with that population until after leaving forensics. They’re a super high suicide risk though due to not understanding the actual psychological mechanism of the thoughts (self-reinforcing through anxiety, not attraction).

I’m not saying attraction to children doesn’t exist, but when we’re taking about the actual issue of child sexual assault it’s just an unproductive line of discussion that relates very little to the actual core issues. The “can’t help being attracted” is mostly pop-psychology TV shows use to tell a more emotionally charged story.

Now that said, we do have a huge issue as a society with allowing the high of righteous fury to interfere with victims actually receiving justice. Those accused have just as much of a right to due process as anyone accused of any other crime. Interfering with that right either creates massive overreach by the legal system or in individual cases damages evidence that would be used to fairly prosecute an offender. It also creates a social environment where people protect their offending loved ones out of fear for them, when they should feel secure in the knowledge that while they will probably always love the offender, they can and will be safely separated from the rest of society (or at least be forced to live under monitoring and away from possible victims) for the rest of their natural life.

I mean it’s a shitty take and really doesn’t evidence good understanding of the topic (I used to work forensic psych and have met a LOT of pedophiles) but as far as shitty internet takes go it’s meh at most and wild to me that you went to the effort to dig that out from two weeks ago for this discussion.

I read “premium premium” which is both spiritually similar and also just fucking hilarious.

deleted by creator

Or physical therapy. I’ve never seen either of the major clotting labs abbreviated “PT.” You typically say PTT for prothrombin time or INR for the PT-INR.

Easier to write. We spend 5 minutes talking about you at handoff (and I need to write down everything AS the other person is talking) then I have to write a mini essay about each person by morning. Abbreviations are highly specific to specialty (ROM = “range of motion” in most specialties but “rupture of membranes” in obstetrics), but much easier than writing things out. An example from my specialty might be:

SI / attempt r/o. BIBA GSW LA + lig marks neck (suspect DV but pt denies). WC placed, CT (-). Hx DM2 diet managed.

Which is to say

Ruling out a suicide attempt. The ambulance brought them to the ED for a gunshot wound to the left arm and strangulation marks on the neck. We’re pretty sure the spouse did it but the patient is refusing to talk about how it happened. The wound consult is in and they did a CT of their neck already, no severe injury noted. History of diabetes, but it’s type 2 and managed by diet (as opposed to insulin).

…which is like 3 times as long.

…now guess what it means if a patient is S.O.B.

deleted by creator

Honestly your gut is more central to your existence than your brain. There’s plenty of organisms out there that are just a tube, and not all of them even have two ends!

I’ll raise you the time I decided to be menace and put a blister pack back in the pyxis like this:

(to be clear, this was neither a high alert med nor a narcotic)

I had a BSN program where an ongoing assignment was blog posts although it was an option to set the privacy to your instructor / fellow students only. I think it was good practice in maintaining patient privacy while still expressing your lived experience for the purposes of self-care venting AND advocating for societal reform. Like yeah I’m not going to tell you enough details to personally identify the patients who have done some sketchy shit to us or had sketchy shit done to them, but I do think it’s important that the rest of you understand how things actually work / happen. Some things are entirely unavoidable, but there’s also a lot of things that should be avoidable but currently aren’t due to some social ill.