Apytele
@Apytele@sh.itjust.works
- Comment on If I'm struggling with depression, I get ostracized as a "loser" that haven't accomplished anything but if I die in a tragic accident tonight, I'm a "young man with a bright future ahead" 3 hours ago:
I thought that was the obvious subtext of the statement but apparently did not adequately account for variations in reading comprehension.
- Comment on If I'm struggling with depression, I get ostracized as a "loser" that haven't accomplished anything but if I die in a tragic accident tonight, I'm a "young man with a bright future ahead" 4 hours ago:
Idk when my brother shot himself I would gladly have told the whole church about the time he was swerving while drunk driving and laughing at me for being scared at like 13 years old or the time he held me over the edge of a cliff. The pastor took me for a walk and let me rant at him instead (great dude actually he was a dead ringer for Fred Rogers in appearance, personality, and profession).
- Comment on YSK that Jay Van Bavel asked 120 researchers if smartphones and social media are bad for teen mental health. He was able to identify a series of statements that essentially all agreed on 1 day ago:
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.
- Comment on a man of many minds 1 day ago:
That level of conviction that you’re right about something can be pretty destructive regardless of who you are. Theory of evolution was a fear step forward but also somehow resulted in phrenology so. Assholes gonna asshole regardless.
- Comment on Rules for a gun fight 3 days ago:
As a psych nurse my rules for a gunfight are that the ER security checkpoint with the metal detector and x-ray bad scanner better have found and removed the gun by the time the patient arrives on my unit. One day they didn’t and I was VERY put out. Absolutely miffed. I wrote a very stern email in the morning.
- Comment on Why do we have a bunch of ways to say good night, but only one way to say good morning? 4 days ago:
Why do men sleep this way? I watch people sleep professionally and it’s definitely a thing. It doesn’t even appear to be sexual for the most part dudes just like…? instinctively…? sleep cupping their weens with one or both hands…? I would be fascinated to hear some AMAB perspectives on this.
- Comment on Are you people all bots? 4 days ago:
Astroturfing was a thing long before llms.
- Comment on yeet 5 days ago:
Yeah it’s one of those "things that separate us from (most) animals. We can ask “what if” and simulate the probable result with a decent amount of accuracy completely internally. It’s a really cool feature if you know what to do with it, it’s just sometimes it runs some really weird simulations “just in case.”
- Comment on Some hacker in thigh-high striped socks should take one for the team and release the Epstein Files 6 days ago:
I genuinely think that there’s a point in every political career (probably at about the mid-to large city level) where you go to a networking event and they take you into a back room with a kid and tell you to rape them on camera or your career ends there.
- Comment on I don't understand how Trump gets away with all his senial BS. How come everyone is telling him to piss off or use the constitution to shut him the hell up? 1 week ago:
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. She shouldn’t have been put in the position to work high acuity psychiatry in her 70s. And to the day she retired she kept saying trump was going to reward her any day now. I hope those grifters rot in hell.
- Comment on Given the way GPT operates, I bet it would be more accurate if we trained it to speak like Yoda. 1 week ago:
Yeah I’ve been having it code short useful scripts (like converting the PDF of my work schedule to an importable ICS or making a custom desktop timer for a work task that repeats every fifteen minutes) and I find it works better if you make it sum up it’s goals at the beginning then if I need to start fresh in a new chat (faster processing, less perseveration on erroneous earlier versions) I have it sum up the goals at the end to paste into the new one.
- Comment on Being Trans Isn't Normal or Part of Nature...or is it...? 1 week ago:
Better example is parrotfish.
- Comment on 👁️👄👁️ 1 week ago:
I’ve said before that (practically speaking) you want to go at least 2/3 on nice, pretty, or intelligent, but at the very least you absolutely need at LEAST one of them. And yet-
- Comment on The singular they is actually such a natural part of the English language, the people complaining about it almost certainly use it without noticing 1 week ago:
Reminds me of Ancillary Justice / The Imperial Radch series. Every once in a while you get hints like “she could tell this person had a specific gender in this culture based on how she wore her facial hair, but she could never remember” because the main character (and most of the story) is in the context of a society where gender doesn’t exist and everyone is referred to with English feminine pronouns.
- Comment on Someone, I'm thinking with multiple accounts, is downvoting EVERY comment I make. Mildly aggravating, mostly sad for someone like that. Can I find out who and just block them? 2 weeks ago:
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 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. Violent and sexual intrusive thoughts can be a part of some OCD presentations but they basically never offend and the thoughts usually go away when the underlying anxiety is treated with medication and behavioral therapy. 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.
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 can’t stop living them, they can and will be safely separated from the rest of society for the rest of their natural life.
- Comment on Someone, I'm thinking with multiple accounts, is downvoting EVERY comment I make. Mildly aggravating, mostly sad for someone like that. Can I find out who and just block them? 2 weeks ago:
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.
- Comment on Why in hospitals, is 'gun shot wound' appreciated as "GSW"- 2 weeks ago:
Or physical therapy.
- Comment on Why in hospitals, is 'gun shot wound' appreciated as "GSW"- 2 weeks ago:
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. Abbreviations are highly specific to specialty, but much easier. An example from my specialty might be:
BIBA GSW to LA (iso suspect DV but pt denies), also ligature marks to neck. WC placed, CT (-).
Which is to say
The ambulance brought them to the ED for a gunshot wound to the left arm. We’re pretty sure the spouse tried to shoot them and it looks like they tried to strangle them too, but they won’t admit it / is covering for them. The wound consult is in and they did a CT of their neck already, no severe injury noted.
…which is like three times as long.
- Comment on Let them fight 2 weeks ago:
Epigenetics does play a role in a way medications are starting to be able to address (basically there’s extra little hormones and stuff your DNA makes when recent generations have been stressed, so if the great depression hit your great grandma particularly hard your genes might still think you need to hang onto some extra fluff just in case). But yeah a lot of it is social stuff that just isn’t going anywhere like McDonald’s being the only place you can get calories at after job #1 and still be on time for job #2.
- Comment on When I was a kid, computers expanded your mind and your freedoms, bringing power to the individual. With AI, now it does the thinking for you, takes your job, gives power only to a few billionaires. 2 weeks ago:
The fact that you think I clean houses only serves to prove how little you understand what I do.
- Comment on [deleted] 2 weeks ago:
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!
- Comment on Meetings 2 weeks ago:
Ours just repeatedly tell us not to give patients the remote and list off all the incidents that have happened in the past month related to people giving the patients the TV remote. I never have and never will but at this point I’m kind of surprised we haven’t had to get it back from endoscopy yet. I’ve been thinking about starting a rumor that we did for funsies.
- Comment on When I was a kid, computers expanded your mind and your freedoms, bringing power to the individual. With AI, now it does the thinking for you, takes your job, gives power only to a few billionaires. 2 weeks ago:
If AI can even half ass your job you barely had one to begin with. All us healthcare workers and the tradies are still making a half decent wage for real work just like we always have. And the food service workers still aren’t doing the absolute best but they’re not hurting for work either. I’m not going to tell you I like the way my work is valued under capitalism but at least I’m tangibly benefitting other humans.
- Comment on I've never been in a situation where me having a gun would have made things bettter. 2 weeks ago:
You should be more grateful to the universe for that.
- Comment on It's called traditional medicine sweety, look it up 3 weeks ago:
Oh I actually took a course on integrative medicine and it was basically for when you can’t give more meds for an immediate comfort need like relief of pain, anxiety, or nausea. Like if they’ve got chemo and they can’t safely tolerate more compazine sometimes smelling mint reduces nausea for some reason. Like they’ve tried it with orange or whatever as a control in a sample group that’s unaware of the connection and it does actually do something for some reason. Weirdly that connection has been a known thing to nurses for a looong time it’s basically standard practice to put two masks on with some Vick’s between the two when cleaning up a particularly unpleasant puddle of bodily fluids.
- Comment on How open are you about yourself to others online in general? 3 weeks ago:
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 about 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 unavoidable but currently aren’t due to some social ill.
- Comment on Room temperature IQ is a far bigger insult in Europe than America. 3 weeks ago:
My mother told me the murder of the intelligentsia is one of the first steps of a fascist regime and that the Mensa roster is a hit list. Then ten years later she voted for trump.
- Comment on Being afraid of vaccines is literally childish behavior. 3 weeks ago:
My mother has become, in her later years, a “well idk if they definitely cause autism but I did vaccinate all of you and I do have a kid with autism…” which like. whatever. I’ve been over talking to them for a while now anyway.
But when I was younger and getting vaccinated she always said,“you’re gonna look at the wall in the other direction, it’s gonna hurt for a few seconds then it’ll be over and there’s an ice cream place next door.” And I have almost 0 medical anxiety, like I’ll let new grads I’m precepting practice on me before I let them stick a real patient.
vs I remember when I was a swimming instructor in my early 20s sometimes a kid would start crying and their parent would come over to scream at them to behave and then it would take waaay longer to get their body to relax enough to float.
So while I’m sure it doesn’t make or break every fear of needles or medical anxiety, I do think a LOT of it comes down to how the parent handles and ideally normalizes routine medical care.
- Comment on What're your strong opinions from an aged / dead fandom? 3 weeks ago:
…that phrasing is not helpful to this argument…
- Comment on What're your strong opinions from an aged / dead fandom? 3 weeks ago:
To be clear, if I did have a dog in this fight, it would be the supertux games.