tbh most psych units I’ve worked don’t even do that kind of ED. We’ll do BED in a pinch but anorexia nervosa or bulimia with significant weight loss is either stable enough to be managed outpatient or unstable enough that it needs either medical hospitalization or a specialized unit. I’ve worked one psych unit that could handle telemetry and they wouldn’t have liked having to.

imma have to steal a cuff from peds to measure that bp

Every once in a while a guy will know something about women’s bodies that makes me go “ooooh OK that one’s actually really like kinsey 0 straight” instead of some other weird combination of interests that are approximately straight in a mostly possessive way. Sometimes I’ll hear “straight” guys talk about how gross vaginas are but then you hear a guy talking about pH balances and lactobacilli and it’s just really obvious which guy actually wants to be in one.

As a night shifter whose employer exclusively uses Windows, ty

Psych patients actually do this a lot. Some places I’ve worked actually have protocols for it that include stuff like having the bathroom locked and only unlocked for supervised use, or having the water only be cut on when the contents of the toilet have been verified (also helpful to have water shutoffs for psychogenic polydipsia because they WILL drink their way into a hyponatremic seizure and they dgaf if it’s from a toilet) but also for the flushing usually they’re limited to one set of clothes and bed linens, one towel / washcloth, and have to ask for small quantities of toilet paper as needed. Then they yell at you about having to ask you use the bathroom like they didn’t flood the unit three nights in a row. One time we didn’t catch it fast enough and some poor bastard on medical got leaked on. Motivations vary but the most common is wanting to feel in control of something and it can be difficult to try to find safe things for that kind of person to be allowed control over.

My parents told me it’s a hit list for when the fascists take over …but then they voted for the fascists.

Oh I legit notice a spike in mania cases this time every single year. Idk if it’s making people manic as much though as it is that they would also be manic in February but they’re too busy having seasonal affective depression instead. So the sun wouldn’t be making them manic so much as it’s just keeping them from getting depressed (which they’re already sensitive to with an affective disorder of any kind) and that allows for more mania.

Just because their corpses are there doesn’t mean their shit isn’t!

Funnily enough this was actually taught to me as a precipitating factor to constipation in a hospitalized patient. If they’re a coffee drinker and / or cigarette smoker at home, and their morning coffee + cigarette has been replaced with shitty weak hospital brew and a patch, their bowel muscles might forget they actually have a job to do. Not that you should encourage bad habits, but you might need to mindfully replace them with another laxative or in some cases just accept that people do things that are unhealthy and you’re not going to fix 20+ years of substance dependence in one stressful AF hospital stay. Still can’t let them actually smoke cigarettes but maybe some gum or a lozenge.

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).

a more useful question would be,“out of all the ways you could make money why are you thinking about this one?”

I mean it was genuinely good sex advice the best saliva to use as blowjob lube is 100% the thicker mucus from the back of the nasopharynx vs the thinner saliva generally produced by the mouth. And unlike most popular sex advice it’s not advising anything even remotely dangerous it’s genuinely just a solid point of expert blowjob technique.

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 didn’t think things through when I chose a job that would be needed through the end of the world.

the counting of birthdays specifically was what was interesting to me but I’m sure it’s in there somewhere.

this fascinates me please provide search terms for me to do additional research.

months. hang on Mom is trying to make me eat peas.

It’s still going my partner is super invested because he’s a huge fan of his work. Meanwhile I’m looking at this like it has huge implications for all high reliability industries including stuff like ORs, ERs, nuclear power. I have difficulty watching because I struggle with cringe humor but I’m loving the overall topic.

I should also point out that public safety / high reliability industry workers just gotta be cringe sometimes. A plot point in one episode is that the miracle on the mojave pilot was a huge fan of evanescence and one of the most played songs on his ipod was “wake me up inside” and like. yeah I knew an ER nurse who loooved shinedown. you don’t get into those industries unless you’re an overdramatic bitch. (I also love shinedown).

I love dearmodern on YouTube and thrifted furniture

It is pride month