Skip Navigation

Posts
38
Comments
138
Joined
3 yr. ago

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.

  • I hate that you're right about the electrolytes.

  • Yah NIMBYs really don't seem to understand that their neighborhood almost definitely already has a safe consumption site for one of the most addictive and dangerous drugs known to man. While opiate withdrawl can have fatal side effects, withdrawal from this drug can actually kill a person outright with nervous system dysfunction and continuous seizures until the person suffocates. And these locations actually distribute the drug in addition to supervising it's use. We call them "bars."

  • Oh I have guide on how to do this BTW. Lemme find it...

    Tasseography

    / "Tea Leaf Reading," and adaptable to other randomized splatter patterns

    I use this as an introspective / meditative experience. It's kind of like a complicated Rorschach evaluation of yourself that you can use to bring your subconscious thoughts forward. You just sit and meditate on your mental state in the context of your past, present, and future and in four primary domains (see below). It would work with any random splatter pattern: instead of a handle you would read it starting at where you're standing relative to the image and move your way around it clockwise starting at fire and proceeding through to earth. Although, as others have stated, beginning with food waste whether it's ravioli or the entrails of a slaughtered animal is likely not good even from a practical and non-metaphysical perspective on the concept of karma.

    Process

    1. Use a cup with a handle or identify / create a mark for the side the cup is held by.
    2. Brew a cup of loose leaf tea (not in a bag / infuser or poured through a filter).
    3. Meditate while drinking the tea.
    4. Leave only a small amount of water.
    5. Hold the cup upright in the left #hand
    6. Swirl the cup gently clockwise.
    7. Invert the cup over a saucer or dish.
    8. Wait at least a minute but not more than 5.
    9. Pick the cup up with your right hand.

    Regions

    See the [[Tree of Life.canvas|Tree of Life]] (this is part of an obsidian notebook)

    (Short version):

    • fire = inspiration / the soul
    • water = the emotions and close interpersonal relationships (family / close friends)
    • air = knowledge and more distant social relationships (coworkers, clients, and acquaintances)
    • earth = money, possessions, and other fruits of one's labor

    Simple Symbols

    Ebb, flow, and centering of #energy, #karma, and/or [[10. Wheel of Fortune|luck]]

    • Lines: efficient orderly flow of energy
    • Broken Lines: rapid chaotic flow of energy
    • Wavy Lines: long circuitous flow of energy
    • Arrows / horseshoes: directional flow. The arrow points to where the energy is focused / the energy collects in the curve of the horseshoe.
    • Dot / Solid Circle: burst of energy
  • lol your yiddish tho

  • Just because it would be a significant change to the comment you upvoted:

    We had a patient who was consistently verbally abusive and otherwise unpleasant during a long stay and completed after discharge and the most emotion I could summon was a melancholic relief that their pain had ended. We did not have the resources they truly needed and neither did anyone else. They were so deep in that despite being cognitively intact they were unable to meaningfully interact with anyone socially.

    They would have needed extensive social support and interpersonal skill building to be properly rehabilitated and nobody does that. Most of what we do for that type of patient is to get them sober and give them a second chance to seek help. Even that takes a lot of resources so we don't really have the resources to do more than point them in the right direction if we can even find a decent place for them to go. Many get sobered up and discharged to the bus stop with a month of pills and directions to a shelter that's probably at capacity.

    That was this person's only way out and I honestly respect their decision. At this point I've contented myself with caring for homeless people who are faking or exaggerating suicidal ideation of psychosis for 3 hots and a cot. Some of them are obvious but ultimately I don't want to be responsible for deciding who is and who isn't, and the deeper truth is that I'd probably do it too. And 3 hots and a cot is more and better care than I could give them pretty much anywhere else in this current system.

  • An inability to cope with people who don't get it and don't care to is a significant part of my social isolation.

  • I'm actually pretty pissed off that people are trying to take fentanyl off the market completely. It needs to be a highly controlled substance but to take it away from the burn ICUs and hospice units is wildly inhumane.

  • It's the fent fold / bent / drop / lean. Most likely fentanyl or carfentanyl, but almost definitely some kind of opiate (of which they're the most potent). Some of it might be neuromuscular / specifically opiate related but there's also just the practicality of it. The drug might be cut / mixed with another sedative for potency such as a benzo or barbiturate, but it also might be mixed with with a stimulant such as methamphetamine or cocaine to counteract the sedation.

    You'd want to counteract the sedation either to increase enjoyment (similarly to the relaxed buzz of a caffeinated alcoholic beverage) or because they feel too much distress from being sober / unsedated but also know that they're in an unsafe area to be sedated. Even if it's not cut with a stimulant they may still be forcing themselves to stay awake either because they know they've taken enough that they might stop breathing, or because, as I said, they know they'll get mugged or otherwise attacked if they relax into the high.

    Being homeless / generally in poverty is often too emotionally stressful to tolerate sober, but too unsafe to be navigated zonked, so they just put themselves into a never sleeping but never really awake haze until they either intentionally or unintentionally die or almost die or experience psychosis, in which case they either go to a morgue or to meet up with me on the psych unit.

  • 🤣

  • If you're happy you're happy (<3 from another RN)

  • Psych nurse protip: "I wanna be able to give this my full attention so we're gonna put a pin in this and circle back." Then you literally just leave, possibly mid-sentence if they're really that hyperverbal. Some acutely manic patients are so hyperverbal that I have to take their temperature under their armpit because they literally cannot keep their mouth closed around the probe.

  • I became a nurse with a personality disorder, although I've had two full years off DBT for it. I find most things in life are a lot less about what you can do and a lot more about what you're willing to do. Go in understanding you're going to have to work twice as hard for them to see you as half as good and you'll be fine.

  • A few months ago a patient was mad I wasn't stopping the ghosts from raping his butt all night every night (I'm not even slightly kidding), so he snatched me up bodily and shook me around a little. I got loose pretty quick and my coworkers showed up and he got a looooot of drugs. Went to the urgent care for some muscle relaxers to keep my back from seizing up from it (not the first time this has happened, and won't be the last), took a nap, went back to work next Monday.

    Employee health thinks it's bizarre how touchy I am about my back while not giving a fuck emotionally but like. The difference between this and my childhood is that my mom can't stop me from going to the doctor to keep CPS off our backs (it was my sister doing the hitting, my mother was just a rug sweeper).

    He actually apologized when I came back to work. He had been too paranoid to take the meds initially (and we didn't force any until he got aggressive) but once he was lucid he regretted it. Honestly even when he was psychotic he was still a sweet dude he was just terrified of the ghosts that were raping his butt all night. Thankfully, hallucinations are like THE symptom of psychosis that all three generations of antipsychotic work well on so a lil haldol easily told those ghosts to go on somewhere.

  • I've spent my whole adulthood working in hospitals. They're shitholes, every single last one of them. Do every single thing you can to never be in one.

    Drink water, plain water. Eat whole grains and leafy vegetables. Treat red meat like a dessert (and if you're morally opposed to meat, make sure you're still getting all your essential proteins). Find a physical activity you enjoy and do it at least three times a week. Either join an organized religion or specifically curate a group of people you do a weekly activity with who will come check on you if you suddenly stop showing up. And while you're at it pick a mindfulness activity that you either enjoy or that brings you peace (prayer qualifies but so can yoga or a lot of other things). Avoid nicotine and alcohol at all costs. Go easy on the weed, and avoid anything more interesting without guidance from either a medical professional or some kind of traditional expert on those substances. And if a competent doctor listens to your specific situation and tells you to do or not do something I've mentioned, listen to them instead of me.

    Decide who you would want to speak for you on your death or near-deathbed. Choose people both trustworthy and level-headed who will put your wishes over their own emotions. Choose multiple people, because it's not unlikely that any one person will be in the car wreck with you. Talk to those people about what you want to happen or not happen so they can best carry out your wishes. Sign some kind of legally binding paperwork that cements them as the decision maker, especially if your first choice is not the default the state would choose (parent, spouse, sibling, adult child, etc). You can write whatever you want then to do on the paper, but the chosen person will have the right to override it if they think you would want them to. So sign the paper but don't forget to TALK to them about it.

    And good luck because while this will give you the best odds, the universe might also just decide to fuck you in particular anyway.

  • If you wanna log your logs the old fashioned way with just a spreadsheet:

    Date / time

    • Small / medium / large
    • Bristol Scale
    • color
    • could also add odor or discomfort if you're worried about that

    On a second spreadsheet in that workbook, keep a food diary, because that's gonna provide a LOT of context (and you might discover some ways to be nicer to your tummy).

  • Imma pull a classic middle of the road ...thingy. Sometimes people use "I don't talk politics" to mean "I'm personally happy with how this part of the system is working so stop complaining" which is kinda shitty when they're not the one on the ass end of it. It's also cool to just have some crochet groups where the biggest drama is that I hold the hook like a knitter. Gotta decompress sometimes. Have the strength to do both and all.

  • me too actually!