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1 yr. ago

  • here's a markdown formatted quit plan for your notes app (based on this) with bullets for common answers to the questions that you can delete if they don't apply / keep or add ones that do.

     
        
    # Quit Plan
    
    ---
    
    ## Quit Date
    _Choose a date within the next two weeks._
    
    **Quit Date:** [YYYY-MM-DD]
    
    **What to expect**
    - **1 week:** Nicotine is out of your system  
    - **2 weeks:** Physical withdrawal symptoms fade  
    - **1 month:** Habit- and emotion-driven cravings may continue  
    
    ---
    
    ## Reasons for Quitting
    
    - Feel healthier / Live longer
    - Save Money
    - See my kids grow up / set a better example
    - Look healthier / smell better
    - Reduce stress between uses
    
    
    ---
    
    ## Triggers
    _Knowing your triggers helps you plan around them._
    
    ### Emotional
    - Feeling stressed
    - Feeling anxious
    - Feeling down
    - Feeling lonely
    - Feeling bored
    - After conflict
    
    ### Situational
    - Talking on the phone
    - Drinking alcohol
    - Watching TV
    - Driving
    - Finishing a meal
    - Drinking coffee
    - Work breaks
    - After sex
    
    ### Social / Environmental
    - Bars or parties
    - Social events
    - Seeing someone else smoke
    
    ---
    
    ## Coping Strategies
    
    ### If your hands or mouth need something to do
    - Hold a straw or pen and focus on breathing
    - Fidget with a coin or paperclip
    
    ### If you use tobacco to manage stress or mood
    - Slow breathing or short bursts of exercise
    - Talk it out with someone you trust
    
    ### If boredom or restlessness is the problem
    _Keep a short “craving list”:_
      - [TASK]
      - [TASK]
      - [TASK]
    
    ### If you feel irritable or anxious without nicotine
    - Consider nicotine replacement (patch, gum, lozenge)
    
    ### If you used tobacco for energy
    - Light exercise
    - Regular meals and healthy snacks
    - Adequate sleep
    
    ### If you used tobacco for pleasure or relaxation
    _Substitute another reward:_
      - Music
      - Movies
      - Saving money for something specific
    
    ---
    
    ## Remove Reminders
    _(Before Quit Day)_
    - Wash clothes that smell like smoke
    - Clean your car
    - Discard tobacco, lighters, ashtrays
    - Place coping tools where tobacco used to be
    
    ---
    
    ## Support (Optional)
    _Quitting is easier with backup._
    - [NAME / ROLE]
    - [NAME / ROLE]
    
    ---
    
    ## Personal Notes
    
    
      

    ...and if you're a transgirl I'd like to add to your reasons list that estrogen + smoking significantly increases the coagulability of your blood. I've had several transgirl patients with DVTs / PEs / strokes even who did not know that can happen!

  • Almost every other animal dies pretty quickly after having their last round of children / losing fertility, but humans live almost twice as long. Elders have a literal hardcoded purpose in human evolution.

  • honestly they're also for the profoundly physically disabled homeless who the hospital can't ethically justify discharging to the street but who are too violent or otherwise behaviorally acute to be discharged to even the worst nursing homes. But as soon as EMTALA is overturned and unethical discharges / refusals of care are legal they'll get discharged to the street right away.

  • better than 66

  • idk I think people shouldn't be able to sell their children into marriages at 14 years old just because they don't share my beliefs that that's horrible. Meanwhile they think that an abortion harms a child in a way that outweighs b the mother's right to decide whether or not her body gets used as life support and I don't. I think whether or not it's important to meddle in other's private and family lives is actually a fairly complicated question.

  • I'm using owncloud for that but (don't hate me) I'm having to use chatgpt a LOT for the initial configuration. There's a lot of stuff I'm having to learn to get back into it and it's really good at searching docs by fuzzy match, pointing out what part of a function block isn't working, and drafting individual function blocks to experiment with (I'll comment out the original, paste in the chatgpt one, test it, etc). It's a much better experience than a decade ago and I haven't gotten emotionally abused by a more experienced person on stack overflow or reddit once yet.

    I've got owncloud running as a lan only service so it just auto syncs my calendar, contacts, and a few folders of documents / pictures I like to keep with me but only whenever I'm home. Right now I'm just also configuring the same old computer to do some basic media / retro gaming on the TV and the hard part right now is configuring magic mirror as it's idle display to keep hubs and I straight on our calendars and tasks (and show some family photos). Nothing major just as I get back onto Linux after ten years it's nice to not get called lazy and stupid while I'm learning.

  • I'm also shocked to see that pornhub, xhamster, and xvideos are all 20+ entries down. Maybe the internet isn't for porn, at least anymore. What is this world coming to? LITERALLY???

  • uh oh

    Jump
  • no but the above is what I tell my coworkers when they ask why so many of our trans patients act cluster b AF. It's partly because our sample, being inpatient, is gonna have a higher incidence overall, but it's also because that constellation of behaviors is caused by a very specific type of relatively lowkey but super chronic trauma that's unfortunately common for that population to be exposed to.

  • uh oh

    Jump
  • a lot of people don't wanna have this discussion because at face value it reads too much like saying being trans is a mental illness but

    the #1 predictor of the development of a cluster b personality disorder (such as borderline, which is famous for this kind of behavior) is a consistently inconsistent pattern of emotional invalidation throughout early and middle childhood. So there are times where mom / dad / primary caregiver said "oh no! that's terrible. Here's how I deal with being upset by that" but there were other times they were like "no that's dumb and weird nobody normal feels like that you should just stop feeling that way." and that pattern continues on-and-off some things being validated some things not being validated over that extended period.

    ...and that basically just describes the experience of being being raised in a social environment that's hostile to their lived experiences as a trans child. That plus all the community elders getting picked off by AIDS means there's limited healthy emotional adjustment within the lgbt subculture as well.

    TLDR - no shit they all act fucking feral there's a massive shortage of healthy and supportive social structures.

  • "...a Flemish geographer, cosmographer and cartographer. He is most renowned for creating the 1569 world map based on a new projection which represented sailing courses of constant bearing (rhumb lines) as straight lines—an innovation that is still employed in nautical charts." - Wikipedia

    Basically it was really cool and advanced geometry in the 1500s. Other fun inventions of the time included bongs, rifles, and knitting machines.

  • I told my boss if she doesn't stress me out by making me be charge nurse she can take credit for my weird hyperfocus side projects.

    It's working great so far, I just get left alone in my corner at night and every once in a while they send me a student or new grad to use as a lackey while I keep working on hyperfocused side projects. And when I'm not in hyperfocus I hole up in a suicide watch room with tea and a book.

    And she doesn't even actually take credit for anything the boss above her keeps sending me little acknowledgement pings on the recognition system and I get my raise every year (it's not great but it's not any worse than anyone else's). And then the nurses fresh out of their new grad year that they manage to sucker into being charge nurse still come ask me for advice so I still have enough influence to get things done properly I just don't have to do any bullshit tasks or get in trouble for dumb shit other people do like if I was charge.

    I was kinda worried about working for the city community hospital and everybody said the patients were so much worse but like. HA. The university hospital had to shut a whole wing down for one dude who was punching at least one person a day and all the residents were too scared to either just discharge him to jail or drug the shit out of him and we didn't even have the right kind of restraints for that level of violence. the worst it gets where I am now is somebody screaming in my face for an hour until their oral meds hit.

    I miss the giant cafeteria and the employee only chapel and pharmacy and stuff and getting security to let me into the doctors lounge at 2am but everything else is way better.

  • I think there'll be one sinorussolatinglish trade language and 5k highly localized dialects of our current languages.

  • Radon

    Jump
  • Refreshments and Narcotics

    (an old joke about registered nurses)

  • which is such a shame because there really should be more evidence for what is and isn't placebos

  • Removed

    Age old discussion

    Jump
  • yeah I thought it was a fetish thing

  • you say you're worried about harassing her. we need more context on why you're worried about this to be able to give the best answer. If this is a professional context for either or both of you, the focus should be maximizing your professional rapport by reassuring her without mentioning romance. if it's a very laid back workplace where strict boundaries aren't 100% mission critical you miiight get away with something like "in a different life I'd like to know you a little better actually, but I think the most important thing for both of us right now is to keep this professional." vs if this is an entirely personal relationship you could try something more like,"I'd actually like to know you better if you're interested but I didn't want to overstep.“

  • another relevant comparison is why it's OK for you to get irradiated by the xray machine but the technician goes and hides behind the wall. you're getting it done once today, the technician is doing it 50 times a day 3-5 days a week (or more depending on cost of living in the area 😉). You'll notice a lot of those nail techs and dental professionals are also wearing respirators while applying product to their clients and patients. wear your ppe.

  • psych nurse here: somatic exercises are also for your mind. your mind is part of your body. the idea that they're separate things or that the brain is "in charge of" the body as opposed to a neat accessory that can do helpful things for it is silly. That concept in and of itself causes a lot of psychological dysfunction that somatic therapies exist to rectify by reunifying the two.

  • #goals

  • Posted for the field orders, raged for the "service fee."