Orange is the New Black.

Tbh I think creating new terms just muddles medical records over time because now when you go into a field you have to learn not just a disorder, but also everything it’s been called throughout the last 50-100 years in case you’re going through the records of a patient older that 50-70 years old. I think the public needs to be better educated on these things. And when they keep doing it anyway that just kinda is what it is. That said there’s definitely room for phasing out diagnoses and replacing them with entirely new ones that differentiate or combine what we currently know as our knowledge of them evolves.

Between States with more or less lax laws on liquor, firearms, explosives, tobacco, etc, there’s usually various merchants immediately on the side of the border with more lax laws.

I mostly write porn.

One story is years old and it’s an illithid that runs away from the commune with a captive they couldn’t quite make into a thrall. I’ve hit a wall with that one because they’ve run away to the drow now and I suck at political intrigue. I think I need to go back and delete even a few of the chapters on ao3. I’ve gone back and forth over the years as to whether or not to keep the sex scene but I’ve got it mostly written the story just isn’t there yet.

One is a femdom alternate reality where society has just always been matriarchal. Instead of having women who act more masculine and beat men and make them crawl in the floor and eat shit while wearing panties or whatever it’s just a world where all the same stereotypes exist they’re just exaggerated in a way that flatters women more than men. Like “boys will be boys” is an idea used to keep men out of politics and academia instead of an excuse for bad behavior. The big thing examined is how lower class men are considered disposable for the purposes of dangerous jobs.

I’m currently working on a fanfiction for the consentacle card game about a first contact delegation where the aliens are like “ok so before we establish an embassy we need to figure out how to have safe sex because we know it’s gonna happen” and the humans are like wait so the rest of the universe is also horny all the time? And they’re like OBVIOUSLY.

I also half finished a Blake’s 7 fic before my fascination with the show died back and now I’m worried I wouldn’t be able to finish it with the same faithfulness to the source material that made it so appealing to readers to begin with.

Not up close and personal but it was enough.

Inhaled meds work almost instantly, 99% of oral meds take up to an hour to even hit the bloodstream, often more to hit peak blood concentration. If inhaled meds aren’t working you don’t have time for an oral med to work; at that point you’re tubing the person.

A corticosteroid also has way too many side effects to be taken long term, like another user said. Long term you’re talking one of the more targeted immune modifying drugs like singulair.

Now what you would still use a corticosteroid for is an acute exacerbation that’s not an emergency. So like, pneumonia where you’ve got the person on a shitton of antibiotics and you need their inflammation to sit down and shut up for a second while they work. So their throat hasn’t actually started closing up yet but it might try if you don’t use the steroid.

Hope this helps.

(I do see some people saying best practice is shifting away from this; I work psychiatry so our patients aren’t always getting top of the line care. I take whatever bones the hospitalist deigns to throw us, LOL)

They actually care whether or not shit is sterile. Oh and the thing somebody said about surgeons. Ewww.

Haven’t figured out the best plan. After a quick therapy sesh with the hobos at the bus stop I’m thinking I’m just gonna study the subject matter and see if I can test out of the relevant courses at a testing center (instead of a course with multiple smaller tests).

Am Psych nurse.

Once walked in on a mother literally spoon-feeding a meal to a grownass approx. 30y/o man with 0 physical disabilities or cognitive deficits, just an uncomplicated depression with at most some mild personality disordered features.

It explained SO much about that patient presentation.

I can’t take AI proctored exams because I have a lazy eye and it tracks whether or not you’re looking at the screen. It’s the main thing keeping me from getting a bachelor’s because most associates to bachelor’s RN programs are entirely online.

And more responsible not to drive regardless of your concern for your own well-being. I’ve heard stories from coworkers who have worked ED of people who didn’t want to call an ambulance for their heart attack or stroke symptoms and lost control of the vehicle and plowed their car through the ED waiting area. Also one of the reasons we don’t have drunk tanks anymore is cops misdiagnosing things like hypoglycemia. So if you’ve got the low glucose sweats & jitters it might be worth doordashing a snack.

My advice to people with recurrent chest pain that’s confirmed to be anxiety is to call a friend and chat while you do some light housework or go for a walk or whatever. If it gets better with light activity it’s anxiety. If it turns out you finally are actually having a heart attack, your friend can call the ambulance.

“Part 6” 🤣

Or you could go Buddhist and consider “good” sensations to also be suffering and make it your goal to escape from all of it entirely. I’m kind of an inverse gnostic these days. I’m hyped to be a rock again someday. Or maybe a nice pile of dirt.

I’ll use it to fill in background details sometimes like hey I need a name with similar demographics / vibes to “Karen” but less obvious that that’s the character I’m making. Or I need to fill in 3 people for this characters friend group like their names, talk and dress styles, and how they met give me 7 options for each to pick from.

Could’ve picked a different trade with similar amount of schooling like welding.

From another nurse? Go work night shift rads. Everywhere I’ve worked that nurse works alone or with maybe a transport tech or two. What was your specialty before this? You could always come do Psych with the rest of us freaks but that might not solve the communication issue.

Tbh the bigger issue sounds like you’ve just got a massive stick up your ass. You condescension towards everyday human beings and their interests is palpable in your written communication; I can’t imagine how blatantly it must come across in person. If you can’t learn to see the beauty in everyday human beings that’s fine but ffs why did you pick a human services field then???

It makes people feel better and more in control of themselves to think that their compassion fatigue is maturity instead of an injury that has been inflicted on them. I’ve spent a LOT of time working in inpatient psychiatry for a decade now wondering why people keep hurting each other. Why patients lash out at staff members, why staff members lash out at patients and why either does the same to their peers. This is just one of many common manifestations.

Or if it’s a complete program for a profession like nursing or medicine, you wake up when the professors damn well say you do.

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Morrowind.