Apytele
@Apytele@sh.itjust.works
- Comment on When a man says anything bad about women online or criticize them based on his experience, Comments: 4 days ago:
🤣
- Comment on should I go back to my old job now that several people, some of them more knowledgeable than me have told me they don't understand my decision to quit it? 4 days ago:
If you’re happy you’re happy (<3 from another RN)
- Comment on Women would rather do drugs than go to therapy 5 days ago:
- Comment on Are people with High functioning autism allowed to become police officers? 6 days ago:
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 on understanding you’re going to have to work way harder for them to see you as half as good and you’ll be fine.
- Comment on Choose wisely! 1 week ago:
Legitimately why I picked up tarot reading though. I needed an introspective mindfulness activity. I used to do cognitive behavioral therapy with spreadsheets. It was informative but exhausting. I think it gave me a good set of foundational concepts, but realistically humans are just fundamentally meant to surround themselves with pretty rocks while talking about shared culturally inherited stories.
- Comment on ‘End-to-end encrypted’ smart toilet camera is not actually end-to-end encrypted 1 week ago:
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.
- Comment on I hate how inescapable politics are on Lemmy, but ya know, at least nobody's constantly asking how I wipe my butt or pick up my dog's poop then completely ignoring me when I try to answer. 1 week ago:
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.
- Comment on Microsoft spent two years and $1B developing the Kin mobile phone line, which failed after just 48 days in 2010(May 14-June 30) due to poor sales. They blamed Verizon for not promoting it enough 1 week ago:
me too actually!
- Comment on An argument for using plastic straws: 1 week ago:
Trepanning, or as it’s now called, craniotomy, is where a section of the skull is removed / bored through. It’s mostly done for cerebral edema where there’s pressure inside the skull and on the whole brain (it can even fatally herniate the brainstem which means shoving it out through the bottom of the skull like a play dough extruder).
It’s wild to think that there was actually a reason ancient cultures did it. They way overused it and for the wrong things during certain time periods and it was horrifying that they were doing it without anesthetic, but I’ve also heard that it results in a basically instant return to orientation. So the few patients it would’ve worked on would have gone from deliriously speaking in tongues (I know it’s not any real language but that kind of confusion does at face value sound like something that would require an exorcism) and would suddenly just… wake up. Possibly with a spray of puss out of the wound.
There’s a lot of old timey medical stuff we still do, it’s just now we do it with anesthetic and sterilization. Medically sterile maggots are used to clear out dead and infected wound tissue and some surgeons who work on structures with delicate vasculature like hands will use leeches to prevent swelling from blocking off bloodflow to the area while it heals. I’ve spent most of my career working at places that do electroconvulsive therapy (again, under anesthesia) for severe treatment resistant depression and catatonia (like so bad they can’t move or eat and need to be turned, cleaned and fed with a tube), and one time I worked with a patient who had had a frontal lobectomy (used to be called a lobotomy) for a severe seizure disorder that wouldn’t respond to medication.
Anyway Gage’s case was more on the subject of localized trauma and what injuries to the brain a human can survive. In particular it began our understanding that frontal brain injuries are usually much more survivable than ones to the rear.
- Comment on An argument for using plastic straws: 1 week ago:
This is funny because I do actually have a strong background in psychiatry which has a fair amount in common with both neurology and psychology and Phineas Gage’s case is actually a pretty famous one in regards to the historical evolution of those fields.
- Comment on An argument for using plastic straws: 1 week ago:
yeah it read plainly as a reference to me but people also tell me other people don’t know the kinds of things I do a lot of the time.
- Comment on I was diagnosed with early onset dementia and alzhimers. Is there safe guards I can put it up so I don't screw or kill anyone? Like who do I contact about being denied to own a gun? 1 week ago:
Oh hi I’m a psychiatric nurse!
Most important: Pick the three people you trust most in the world, put them in order of who you want making decisions for you the most, then talk to your doctor about what paperwork you need to sign for that. Then talk to those people at length about how you want to die and what would make you feel the safest and happiest day-to-day. Think about what things you do for fun / relaxation, what kind of music you like you listen to, etc.
If you’re up to it, I also highly recommend Wellness Recovery Action Planning. It’s more designed for people who are more likely to recover, but it’ll give you a template to go off to communicate your day to day needs in a written format for your legal decision makers and healthcare professionals to make you feel safe and comfortable as you progress through these next few stages.
And I can’t stress the music enough. It’s the part of your brain that’s likely to keep working the longest. Make two playlists, one to dance / have fun to, and one to relax / sleep to.
Good luck and I really hope you’re able to find trustworthy people to make decisions for you because without them to actually carry out your wishes, literally anything else you decide on now is completely moot.
- Comment on Happy DB Cooper Day to those who celebrate! 2 weeks ago:
Honestly it’s not even the CPR that particularly bothers me, it’s the intubation and the stuff after. I’ve worked with so many patients who don’t have a lot of working neural tissue left and their family just has them medically tortured for years because they want to see them blink occasionally. Next time I update my documents I think I’m going to add that if my family wants something to happen to me that I have to be held down for, they have to be in the room. If they can’t stand to watch / listen to me while it happens, they’ve no right signing off on it.
- Comment on Happy DB Cooper Day to those who celebrate! 2 weeks ago:
um. yeah. they do that after regular surgery too. a shitton of sedatives will do that. ect is somewhat associated with temporary memory loss but it wears off just as quick as with a regular seizure.
- Comment on Happy DB Cooper Day to those who celebrate! 2 weeks ago:
there is actually a huuuge overlap between anticonvulsants / antiseizure medications and anti-manic agents (mania being the opposite of depression).
- Comment on Happy DB Cooper Day to those who celebrate! 2 weeks ago:
Oh yeah electroshock therapy is actually something we still do. I’ve worked at two places actually who do it. They put the patient under full medical sedation like they would for surgery (they even have a little mini recovery and PACU in the ECT suite). In fact the only main difference between an ECT suite and an OR suite is that the actual procedure room is just clean, not fully sterile since they’re not actually opening the person. On the floor we have to observe all the same pre-op and post-op precautions, like NPO (nothing to eat or drink) after midnight, and changing them into clean clothes in the morning. We don’t have to do a chlorhexidine scrub (again not sterile) but showers are encouraged (sometimes the patient is too sick to tolerate even a bed bath though). Our only special precaution is that we have to stop all anti seizure meds the night before because the whole point is to induce a seizure.
They just put electrodes on kinda like they would with an external defibrillator to stop an abnormal heart rhythm (except obvs they put them on the head, not the chest). Then induce a controlled seizure that lasts like 60 seconds or so, then use medications to stop the seizure if necessary. In fact it’s almost exactly like a heart defibrillator in that we’re turning their brain off and on again to get it to work! Funny that that works with organs like it does with computers! 😅
- Comment on Seals the deal, once and for all. 2 weeks ago:
Yeah. It rubs me the wrong way to hear jokes about being attacked at night being a good thing. This is exactly why even if I do turn out to be a trans dude I’ll still probably never interact with “the trans community.” I’ve never encountered a group of people less willing to discuss how gender dynamics actually play out for me in the world I’m living in. I’ve had MAGA coworkers who are significantly more accepting of my evolving gender expression than other trans people.
- Comment on Current state of the internet 2 weeks ago:
I shudder to think where Epic EMR is in all this. It’s got to be a disturbingly large part of the market share at this point but it’s by far the single easiest to use EMR I’ve ever touched. Like at least omni is drafting behind pyxis. Cerner is waaay behind epic and we don’t even talk about meditech. Epic is just so easy to use. The flowsheets literally link to an outline of a person where you can literally mark the person’s lines, drains, and wounds and just click them to see the flowsheet for each one, add a new entry, etc. But I worry sometimes that it’s such a big part of the market now that if some fundamental flaw brings a large portion of it down it’s gonna hugely impact the health system. There are baby ICU nurses exiting their new grad years barely knowing how to titrate a weight-based drip because they’re so used to epic linking to the pump to calculate and titrate the drip automatically. I hate to give one to the ED nurses but at least they’re used to just eyeballing their coworker’s bag running on gravity out of the corner of their eye from the room around the corner.
- Comment on Seals the deal, once and for all. 2 weeks ago:
I’ve had several trans women tell me it’s gender affirming to be harassed / belittled by men and I can’t decide if that’s a fetish or just a really fucked up toxic coping mechanism (or toxically coping by developing a fetish).
- Comment on So now that it's that time of year again in the US, what are some tips and tricks for dealing with that one relative who goes on about the same bullshit for hours and won't shut the fuck up? 2 weeks ago:
I’ve been working inpatient psychiatry for almost a decade now and here’s how we talk people out of delusions…
…you don’t. Confronting the delusion directly helps their brain practice protecting the false belief system and strengthens the neural links / pathways. It’s like the ruts made by a wagon wheel, the more the wagon travels the path the deeper they get. All you can do is send the wagon somewhere else and wait for the ruts to erode on their own.
So if you really do love this person and want to bring them out of it, do your best to send the wagon somewhere else. Just glaze over for a second while they rant, then change the subject. Try to connect over knitting or gardening or woodworking or music or old movies or sports or whatever other hobby or social activity / discussion you can use to connect with them over that’s reality based.
That’s how COVID sucked them into all this. It broke up the knitting groups and gardening clubs and cooking classes and all anybody had left to socialize with was Facebook conspiracies. If we want out, we need to focus on rebuilding those communities.
- Comment on Amazing 2 weeks ago:
I mean. There was also 0025, 0125, 0225… It’s actually fallen on 25/25/25 20 times now…
- Comment on First snake to be covered in vegan butter?!? 3 weeks ago:
Look at that big dumb adorable baby with her big dumb adorable head. Look into those adorable little eyes on top of that blunt little snoot. That is a empty head. 0 thoughts. Give her a boop for me.
- Comment on Anyone? 4 weeks ago:
Honestly they don’t even read like honest speculation. They read more like an inside joke the same way you’d ask what blackmail material your shitty coworker has on the boss to somehow never get fired.
- Comment on The moment we've all been waiting for: you now can have targeted ads on your 2k smartfridge 4 weeks ago:
- Comment on I knew it 4 weeks ago:
People be shaming others for connecting with a community that supports a regular routine of both daily, weekly, monthly, and annual routines with at least a small amount of support for illness and poverty and which bfocuses on a concept larger than any one of their single personal existences then wondering why they’re depressed. Like I struggle with joining a major organized religion or even a secular social community like a sports team or knitting group but at least I know that’s why I’m depressed. And the Muslims also specifically have a faith that supports strict hygiene practices, which I admire greatly.
- Comment on How do you beat post-work floppiness? 4 weeks ago:
It’s funny that this is about work life balance because I’m trying to catch some sleep before my fourth twelve in a row and my acute psych nurse brain just went nooo nooooooo oh noooooooooooo but assuming you never experience significant mania, psychosis, or delirium, I LOVE that for you.
- Comment on [deleted] 4 weeks ago:
I wanna know where the other social supports are. If neither of you have family that give a fuck where are her mom friends and where are your dad friends so you guys can pool childcare? (There are also other configurations, the gendered model is just the most common).
- Comment on If God was real (just go with it), then how he's portrayed in the Bible might not even be how he actually is. 5 weeks ago:
Some gnostic Christian sects took their Zoroastrian roots a little more seriously than mainstream Christianity and argued that the God of the old testament is actually the demiurge.
The demiurge is an evil / misguided shadow of the true God caused by Sophia (the concept of pure wisdom) attempting to reproduce without the male half of her syzygy. As a result, the demiurge was created and dragged her out of heaven when he fell and tried to recreate heaven with the bits of her soul he still had. Humans on earth are just the little bits of Sophia’s soul tapped in the shadow of heaven that he made. Eventually they will reach gnosis (similar to the Buddhist Nirvana) and ascend back out of the kenoma (shadow heaven) and back into the pleroma (true heaven). Jesus (who was also the serpent in the garden of eden) is the male half of Sophia’s syzygy who came to earth for the second time to awaken the sparks of her soul so they can ascend.
I’m simplifying some things and smoothing the narrative to make sense since the reason Gnosticism never did as well as mainstream Christianity is the lack of a consistent narrative with which to create in-groups and out-groups to wage holy wars over, so the ones that did wiped them out. And for example I do consider myself gnostic but I mostly stay away from the metaphysical stuff other than in ways that they represent concepts important to a healthy life like mediation. I hope you enjoyed reading though!
- Comment on THIS JUST IN: FBI suspects Kirk was likely targeted, more info to come 2 months ago:
- Comment on Who is the enemy? 3 months ago:
As a psych nurse I hate food and housing instability and the death of thirdspaces
