I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I’m going to troll you back. FAFO.

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Joined 2 years ago
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Cake day: June 12th, 2023

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  • the only mental health thing I’m aware of being publicly available is commitments, and in most localities that requires an initial involuntary hold followed by evaluation and a hearing. and even that I think only counts for clearances, gun rights, and possibly licenses concerning public safety such as doctors, social workers, etc. rando employers should not be able to access that info afaik (this is a summary of the relevant part of the speech I give to patients when they ask if they want to change their status to involuntary and what the process looks like if the doctor disagrees that they need care, what their rights are in that situation, etc.). even with that idk that they can see what you were committed for just that you were. I’m not sure how hard they’d have to dig to get access to the mental health board evaluation that led to the commitment. I talked my way out of a commitment after an involuntary hold and have had a few incidents since where I even talked myself out of the hold to begin with and it never even affected me getting licensed (fellow cluster b PD here, hiiiii).



  • the other downside is that I don’t feel like it’s my place to be the one rioting out in the streets because I specifically picked a patient population that will be THE FIRST to be abandoned. Many of my patients have physical as well as mental disabilities. We have at least three ID patients right now who would just get prostituted at best, and a good portion of the homeless people willing to fake or exaggerate psychosis or suicidal ideation for a bed are often doing it because they also have a bum leg or a broken back and won’t make it on the street for an extended period. If I quit my job it’s not some spoiled rich bastard who’s going to suffer, in fact they’ll probably do slightly better for not having to pay my wages. I’d probably adapt ok to health outside the system (I’m already making do with it’s scraps on the daily) but I just… I’m also trying really hard not to think about the “wellness camps.” Me being forced to abandon these people is just going to be the beginning.









  • I was gonna say, women have been getting sick of men and turning into bog witches for centuries now, probably longer. The more socially acceptable version was nunneries for a while, since men need to feel like they’re in control of that some way or another. I’m the city apartment version where I’m becoming a night shift vampire /other undead into tarot cards and Gnosticism.




  • I used to think that until I found drop crotch jogger jeans. Loose up top but skinny through the calves and cuffed to stay out of the mud. If I get extra longs I can wear them up over my bellybutton and the crotch is just normal. I looked for and found them when I found myself fantasizing about living life in my jogger scrub pants (where usually mud is the least worrisome thing that could wind up on my pants hems). Also they make my hips look huge in comparison to my tiny ankles and top so I get to look like a Pixar mom.




  • 💥⚛️✨💫☀️🪨🌋☄️💥🌙🌍💦🦠🌱🐛🌿🦀🦴🐟🦎🐊🦕☄️💥🐀🌱🐇🌻🌼🌳🌲🐐🐃🐯🐺🐻🦍🐒👫🔥🍗🎶🧠🐕🛖🌾🐈🍻🐝🍞🐴🦙🐑🐪🐮🏘️📐💰🧮🏛️✍️🛞⛵🛣️🤝🗺️📚🏰🧲🔍🔭⚗️🔬🖨️💨⚙️🚂🏭💉🛢️🚗🛩️🩻🧬☢️🚀🌙😷♨️🫠🥵💀🪨

    I think I need a computer to keep going and am also taking critiques since I’m actually not a huge expert in these things and am sure I’ve gotten at least a few things out of order already…

    Also one of my tarot decks is all emoji if you want one straight from rnJesus. I can even give you some notes on the cultural references like death referencing the white rose of york, the meyers briggs types of the courts, misc mythology references, etc since that’s been my hobby for the last year or so.





  • It’s because most of the blood return to your heart is passive. The heart pumps OUT through the arteries pretty hard, but the blood finds it’s way back through the veins whenever it feels like it, it just can only go one way because the veins have valves along the way that prevent backflow. A lot of the pressure that actually gets the blood back comes from the contraction of the nearby muscles squeezing the blood up past the valves. So especially if you’re standing with your legs all the way down there from your heart, most of the work to get the blood back up is going to come from your calves and thighs flexing.

    My A&P teacher very cheerfully illustrated the point by telling us there’s actually one animal that does have valves in it’s arteries.

    spoiler

    It’s the giraffe! It has valves in the artery going up it’s neck to help keep up enough pressure to get the blood all the way up to it’s head!

    We had a guy at one of my old jobs who was trying to get a not guilty by reason of insanity charge because he was facing a life sentence for something he didn’t want to spend that time in prison for (the only time it’s worth it). Unlike most guys however, instead of faking, he actually drove himself insane! He was actually fine coming in, just had some (dubious) suicidal ideation but perfectly cognitively intact. But the doctor wasn’t buying the suicidal thing after a week or two so he started staying awake for weeks on end then slept for weeks on end, soiled himself constantly, refused to eat then binge ate. Just went absolutely feral until he really was.

    One of the things he did for a while was refused to lie down at all. Just stood completely still in the hallway staring at the wall. Did it for weeks. Started to look like a candle melting down into his feet until they began to split open and weep interstitial fluid. Anyway the point is we started having to chase him around the unit a little. You’d go just stand next to him and bug him a bit until you got him to walk a little because we needed to start stimulating some blood return. I forget how that story ended he may have still been there when I finally had it with that place and left.