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 1 year ago
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Cake day: June 12th, 2023

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  • Black women especially. Up until recently it was actually taught in nursing and medical education that black people feel less pain for the same amount of emotion expressed (aka they’re exaggerating). It turns out when you assume a woman is exagerrating postpartum abdominal pain, that’s how she dies of a hemorrhage.

    You all may also be interested to know that the “traditional” lithotomy position (laying back w legs up in the stirrups) is actually one of if not the worst position to give birth in. I put it in quotes because it’s not even actually traditional. As a preferred birthing position it only dates back to the 17th century (before that it was used for kidney stone removal, where the name lithotomy comes from). Before that women typically squatted, kneeled, or were on all fours. Lithotomy became popular because it was more accessible to the male physician, and because the French king at the time wanted to watch his wife give birth, and that was the position in which he could best watch. So… do with that information what you will.


  • Not sure how math/logic factors into this for you but the impossibility of proving a negative seems to apply here. It’s one of the basic bits of logic I teach patients (at least when they ask about reality testing, which is rare). I tell them it’s pretty near impossible to prove something doesn’t exist or didn’t happen, and that I find the best thing is to focus on what was most likely. It’s very rare I don’t find a very mundane reason for pretty much everything, and the few things I can’t there’s pretty much nothing I can do about anyway.














  • In psychiatry it’s well-known practice to never argue with delusions. Every argument about it gives their brain more and more practice defending that position. Instead, you just change the subject to something completely unrelated but reality-based, ideally something that reinforces their positive/supportive social connections and interactions. So for example they start talking about their family being replaced with lizard people or whatever but you remember you saw them really invested in the game yesterday so you start asking who won, what was the final score, who’s playing next week, do they think that’s a good team, what players do they have this season, etc.

    You’re also usually simultaneously trying to get them full of mood stabilizers and antipsychotics to reduce their emotional inflammation enough that they’ll stop seeing and hearing things consistent with the delusions. As long as you can keep the delusions from cementing too much while they’re still psychotic they can usually return to interacting normally once they’re not seeing and hearing weird shit (and other sensory experiences like tactile, olfactory, and somatic hallucinations).




  • Funny story; the DNR was actually a side choice. The main reason I got the advance directive filled out was to bar my family from trying to regain control of me if I an incapacitated. They’re also barred from visiting, or really even knowing I’m in the hospital. I also added the worst doctor I’ve ever worked with to the FUCK NO list cuz hey, while I’m here…

    I literally just went on my state website, printed it off and filled it out, then made a doctors appointment and went over it with the social worker, and got it signed and filed.


  • Am psychiatric nurse:

    This is a psychiatric issue, just not one that requires inpatient care.

    Also we don’t discuss palliative care enough as a society eg: you are welcome to refuse treatment and suffer then die of your multiple chronic illnesses, but you will be much more comfortable doing it at home. I’m a DNR before the age of 30 for this exact reason: I wouldn’t do chemo or transplants or any of that either: just let me glide quietly into that good night on a slip-n-slide of benzos and opiates.

    I agree with the MD that discharge is the best option. The bed will be much better suited to a patient that is able to perceive inpatient care as beneficial, because this man clearly does not.





  • Yeah that’s not what S.M.A.R.T. therapy said, and it’s both evidence-based and grounded in modern therapeutic practices. I’m sorry your only experience with addiction therapy has been the archaic hyperreligiosity of AA and that you were never taught any kind of coping skills for urges other than increased spirituality, which honestly explains a lot about why people who have only received that as their therapy are never capable of learning moderation, and why it doesn’t work AT ALL for behaviorally based addictions like food or sex (how do you stop eating?). Anyway I’m going to keep drinking the single beverage my life partner brings me at parties like I have for a few years now. I very well might need to change my strategy in a few years. Fortunately that is something else I learned how to do in S.M.A.R.T…