medgremlin
@medgremlin@midwest.social
- Comment on Who is the enemy? 3 weeks ago:
Oh, I forgot for OB/Gyn: GOOP and “Natural Birth Midwives”
- Comment on Who is the enemy? 3 weeks ago:
Emergency Medicine: Alcohol and/or fireworks Family Medicine: Wellness influencers Surgery: Pre-op NSAIDs (eg ibuprofen) Pediatrics: RFK Jr
- Comment on Do you think he'll respond? 3 weeks ago:
The medical school application system, AMCAS, sells the information of every medical school applicant. I had to call the recruiters’ office and explain to them that I have multiple failing organ systems and take more than 10 medications a day. I asked if they could get me a medical waiver for chronic kidney disease and they sheepishly agreed to remove my name from their list.
- Comment on paz 3 weeks ago:
To be somewhat pedantic, “Nazi” is not a demographic identifier. Demographics almost always refers to more immutable features like age, sex, gender, orientation, race, nationality, citizenship, etc. Political ideology is a way to divide and count people, but it’s not something that is reliably counted as a demographic indicator.
- Comment on The hidden mental health danger in today’s high-THC cannabis 5 weeks ago:
Given that, as a species, we have only just recently figured out how to diagnose any of these things, it is highly unlikely that these conditions are nowhere in your family lineage. There is always the possibility of de novo mutations that can shake things up, but people with schizophrenia used to just be called generically insane…or they were prophets or cult leaders if they rolled high on Charisma.
- Comment on The hidden mental health danger in today’s high-THC cannabis 5 weeks ago:
This is a misrepresentation. Development or maturation of the brain finishes around 25 years old. In this context, “development” refers to the completion of the adult form of the organ. The ongoing “development” that this blog post refers to is more accurately described as neuroplasticity. There is an ongoing potential for the brain to create new connections and reinforce existing ones throughout life, but the actual mature form of the frontal cortex is not complete until your mid-twenties.
Another way to explain this would be to use breasts as an example. As a biologically female girl goes through puberty, her breasts grow as her body develops mammary tissue and the surrounding/supporting structures. This is called secondary sexual development. If you used the word “development” the same way that blog post does, then the changes to the breast throughout adulthood (such as milk production, skin sagging, loss of adipose) would also be called “development”, but that doesn’t make sense when we’re talking about development of sexual characteristics. Those are ongoing changes to the breast, but it is not the same thing as the initial development stage that is equivalent to the initial development and maturation of the brain that finishes in a person’s mid-twenties.
- Comment on The hidden mental health danger in today’s high-THC cannabis 5 weeks ago:
The earlier its diagnosed, the more severe it tends to be. If someone has schizophrenia triggered under the age of 25, the massive shift in the balance of neurotransmitters has a significant effect on the continuing development of the brain. The frontal cortex (the executive function, intelligence/wisdom, and common sense part of the brain) is the last part to finish developing. That’s why you can have teenagers and college-aged kids that are extremely smart academically, but absolute morons when it comes to decision making and self-restraint.
Schizophrenia is characterized by massive overloading of dopamine to the point that the brain malfunctions, and the medications used to treat it (anti-psychotics) mostly work by dulling the effects of dopamine and limiting its production. Finding the right anti-psychotic and right dose of that drug can take a lot of trial and error, and that’s all time lost for ongoing development of that person’s brain. Dopamine is a very important neurotransmitter, so if someone has severe schizophrenia requiring strong dopamine inhibition, they can end up with a lot of nasty side effects.
The medications have long term effects too and there’s kind of a maximum amount of time you can be on an anti-psychotic before you start having a form of medication-induced Parkinsonism. If someone’s schizophrenia gets triggered then diagnosed and treated earlier, it means they are going to start having those Parkinson’s symptoms that much earlier.
- Comment on The hidden mental health danger in today’s high-THC cannabis 5 weeks ago:
I work in medicine (mostly emergency medicine), and I have seen a lot of people end up with their lives completely torn apart because of permanent effects of psychotropic drugs. CBD has a lot of benefits and some real clinical evidence backing it up, but there really aren’t any non-recreational uses for THC and the people who want to use marijuana for calming effects can get CBD on its own these days.
- Comment on The hidden mental health danger in today’s high-THC cannabis 5 weeks ago:
Copied from another reply:
Schizophrenia is a mental health disorder that can be triggered by psychoactive substances, trauma, or other significant events/life changes. Not everyone who has schizophrenia was guaranteed to get it, it’s just that some people have the potential for it. A psychotic episode (whether substance-induced or organic) is a common trigger to cause schizophrenia in someone that had the potential to develop the disorder.
If you have a family history of mental illnesses (particularly Schizophrenia and Bipolar disorder), significant THC use and substance-induced psychotic episodes can be the grain that tips the scale towards developing the disorder that may have otherwise been avoided.
(TL;DR: if Schizophrenia runs in your family, be exceedingly careful about what psychoactive substances you use.)
- Comment on The hidden mental health danger in today’s high-THC cannabis 5 weeks ago:
Schizophrenia is a mental health disorder that can be triggered by psychoactive substances, trauma, or other significant events/life changes. Not everyone who has schizophrenia was guaranteed to get it, it’s just that some people have the potential for it. A psychotic episode (whether substance-induced or organic) is a common trigger to cause schizophrenia in someone that had the potential to develop the disorder.
If you have a family history of mental illnesses (particularly Schizophrenia and Bipolar disorder), significant THC use and substance-induced psychotic episodes can be the grain that tips the scale towards developing the disorder that may have otherwise been avoided.
(TL;DR: if Schizophrenia runs in your family, be exceedingly careful about what psychoactive substances you use.)
- Comment on What a shocker! 1 month ago:
I think it’s important for people to recognize the toxic effects of general misogyny and phenomena like Gamer Gate have on gaming communities. To this day, I see plenty of cis-male and trans-femme gamers wonder about why there are so few cis-women in gaming spaces without recognition of what gaming communities are like towards young women and girls who express interest. Nothing quashes your desire to join a community quite like incessant harassment, abuse, rape/death threats, and doxxing.
(To be clear, I am not insinuating that trans-femme folks have an easy time of things, but I can say they outnumber cis-women in gaming communities like Arma by a factor to 2 to 1 or greater. There are 3 trans-women in my Arma group and I’m the only cis-woman there.)
- Comment on I can get a 430 hearing on any family member I want. Hell i can even testify if someone else needs one. So tell me why I can't go through the legal system to get an invasive one for Trump? 1 month ago:
I’m pretty sure that’s a state-by-state code. I know in California PC5150 is the code for removing someone’s rights for being a danger to themselves or others for the purpose of a compulsory mental health examination.
- Comment on Upset about progress 1 month ago:
The environmental impact of using generative AI is obscene. I don’t have the source for the claim, but I’ve seen an estimate that an AI generated image creates as much damage as a gallon of gasoline being burned for substantially less actual use.
- Comment on What a shocker! 1 month ago:
Welcome to being a woman on the internet.
- Comment on What a shocker! 1 month ago:
One thing I don’t understand is why the built in tools for self managing are insufficient, such as mute and block. If willing, I would be open to hearing your experience with that.
These tools have improved immensely over the years. It was particularly bad in those days because there was no option for private or party voice chat and a lot of games came with 3-day trial cards for Xbox Live which allowed people to make tons of sock puppet accounts to evade blocking.
I don’t really play FPS’s any more and I haven’t turned on an Xbox in about 7 years. I just play on PC now, almost exclusively with a gaming community on discord comprised of online and IRL friends. My experience is very curated now and the games I play either have minimal social interaction or are well known for their welcoming communities (eg Warframe). It felt a little bit like admitting defeat, but shutting off the public mic and just sticking to private VCs and servers has been a good way of dealing with it. I certainly don’t get rape and death threats with a side of doxxing these days.
- Comment on What a shocker! 1 month ago:
I played a lot of Halo on Xbox live as a teenage girl in the late 2000’s. I sincerely wish they were more stringent about cracking down on assholes. A lot of the rules were in place to attempt to discourage some of the atrocious behavior I was subjected to.
- Comment on Socially inept, introverted employees. How do you survive the workplace? Because I’m in dire need of some serious advice. 1 month ago:
If you cannot bring yourself to listen to small talk and engage with people regularly, I don’t think healthcare is the right field for you. I’m fairly introverted myself, but I turn that around to listening more than speaking and responding thoughtfully to the things I hear. I believe that I can speak with some authority on this as I have worked in healthcare (mostly ERs) for years, and I am going to be graduating medical school soon.
I will say this bluntly: as a physician, I would be hesitant to trust a nurse that cannot engage with others. Not only is healthcare a team sport, patient care is 90% social interaction. If I can’t trust you to engage with my patients in a way that is reassuring and comforting to them, I don’t want you involved any more than strictly necessary. The fact that you can’t get along with your coworkers is the canary in the coal mine for how you are likely interacting with patients.
- Comment on 1 month ago:
I have the pixel watch 2, and waterproofing is very important to me when it comes to a smartwatch. I work in healthcare and have to wash my hands upwards of 30 times a day. If I had to take off my watch every time or gamble on a rubber flap adequately covering the charging port, it simply would not be worth the hassle.
- Comment on Need a keyboard with a dedicated "slop" button 1 month ago:
The comment was referring to preferred pronouns as just “pronouns” because the cultural zeitgeist has conflated the two. There are tons of right wing assholes that say that they “refuse to use pronouns at all” without processing the difference between “preferred pronouns” and the grammatical construct of pronouns as a whole.
- Comment on Hertz' AI System That Scans for "Damage" on Rental Cars Is Turning Into an Epic Disaster 1 month ago:
It’s been around for quite awhile. I use Turo more than I use regular car rental services because you actually get to choose what car you’re getting and the prices are better.
- Comment on Hertz' AI System That Scans for "Damage" on Rental Cars Is Turning Into an Epic Disaster 1 month ago:
Use Turo. You can rent basic or fun/interesting cars directly from the owners.
- Comment on YSK Employers do NOT verify your total work history unless you're applying for a government position. 1 month ago:
I put month and year for start and end dates and keep my CV updated regularly.
- Comment on YSK Employers do NOT verify your total work history unless you're applying for a government position. 1 month ago:
I work in the medical field, and everything you are saying is complete nonsense. If you’re applying for medical school or nursing school or something, talking about that experience can be part of a personal statement or entrance essay, but it has no place on a CV or resume. To a certain extent, taking care of loved ones should be a basic requirement for being human, not a special experience or qualification for any kind of job.
- Comment on YSK Employers do NOT verify your total work history unless you're applying for a government position. 1 month ago:
This is highly industry-dependent. When I was working in IT and systems admin, I had a lot of contract/temp jobs that were still valuable experiences. My resume after finishing university would have been blank if I left those 3-6 month contracts off because that’s how you get your foot in the door in a lot of fields.
- Comment on Do you still remember? 2 months ago:
I just use nonsense answers or answers that make absolutely no sense to anyone else. (Inside jokes and the like)
- Comment on Men are opening up about mental health to AI instead of humans 2 months ago:
I think the pay issue is a big contributor. Women are more likely to accept lower paying jobs, particularly ones like caring professions or teaching, whereas men have a tendency towards higher paying jobs (in part due to the lack of support for pregnancy, parental leave, and childcare expenses).
- Comment on Men are opening up about mental health to AI instead of humans 2 months ago:
The problem with that is you are then putting the burden on a member of that hated group to present themselves as a paragon and suffer all the vitriol and abuse that gets hurled at them until the hateful person hopefully snaps out of it.
Having been the sole woman in many male-dominated spaces, I gotta tell ya, it is a special kind of hell to try to be that positive example.
- Comment on Men are opening up about mental health to AI instead of humans 2 months ago:
From the commenter above talking about negative experiences with talking to women and female therapists, I think the real solution is that men need to be proactive about supporting each other. Ranting and raving about how women are terrible and don’t know how to help men with an undercurrent of expectations that women (especially a romantic partner) should fix everything is simply not a tenable mindset.
As a woman who works in the medical field, I am keenly aware of my limitations when it comes to helping men with mental health issues. I think the real, effective solution is for men to start opening up to each other and supporting each other the way that women tend to do among themselves. I don’t mean this as “oh, men are terrible and they need to fuck off somewhere else with their problems”, I mean it as a sincere belief that the best people to help a man through emotional or psychological problems are probably other men given the shared socialization and perspective.
- Comment on Men are opening up about mental health to AI instead of humans 2 months ago:
I don’t think the open internet is a great place to open up about your mental health either. Trusted family, friends, and medical/mental health professionals are the best resources. Entrusting something as precious as your mental health to AI or the internet is a profoundly bad idea.
- Comment on How do you think early humans survived without water bottles? Did they just live next to water sources all the time? 2 months ago:
I do this now and didn’t have to as a kid…however, I have a weird kidney problem where my kidneys will just dump water, whether or not I have the water to spare. This means that I have a minimum water requirement of 4 liters a day. It’s not as bad as when I was on a really horrible medication that started the whole issue. When I was on that medication I had to drink about 4 gallons of water a day.
End result: I have a stupid party trick where I can down a liter of fluid in about 10 seconds, and a gallon of fluid in about 5 to 10 minutes depending on how recently I’ve eaten. (I did give myself water poisoning once, but that took 8 gallons over about 14 hours)