This is my gripe with tankies. One of the most salient points of 1984:

“It was now impossible for any human being to prove by documentary evidence that the war with Eurasia had ever happened.”

“Oceania was at war with Eurasia: therefore Oceania had always been at war with Eurasia.”

All war is fake except the class war.

Honestly I wonder if some of it isn’t people in super remote areas or otherwise disconnected from conventional communities. If you live on a mountain with no internet or TV and drive into town once a month for groceries or live in an underground mole people tunnel system it’s probably easier to not give a fuck. Like obviously these things will still affect you, but not in any immediate way that’s gonna slap you in the face tomorrow.

If somebody catches that guy at the grocery store at the end of the month and gets him to fill out a survey he’s probably just like “…who? Oh a coupon though!” And the mole person will do it for a $5 subway card. That’s still at least a cookie these days. And they’ll both just check “meh” for everything and hand the survey back and take their coupon. I talked to a dude at the bus stop for a while that said getting his phone stolen had actually turned out to be really great for his mental health aside from needing to ask me when the next one was coming. Like I get that this is important stuff but sometimes ignorance looks pretty damn blissful.

Or a Presbyterian church service. I gotta give it to the Pentecostals, they might be a cult but at least they know how to party.

Used to work with the criminally insane. I’ve also met a LOT of pedophiles. Not many because they actually were crazy but because they were trying to get declared as such to not get fucked up in prison. Most of them aren’t even actually attracted to children they just wanna victimize someone and children are smaller / weaker and less able to advocate for themselves. The one thing pretty much all of them have in common is a pitiful combination of sadism and cowardice.

I have an agendered one but I’m also legit considering changing it.

Never played actually.

Apparently a hospital in my network is trialing a tool to generate assessment flowsheets based on an audio recording of a nurse talking aloud while doing a head to toe assessment. So if they say, you’ve got a little swelling in your legs it’ll mark down bilateral edema under the peripheral vascular section. You have to review before submitting but it seems nice.

Is it still made by a human if they use the stroke smoothing, clone healing, or edge detection tools in photoshop or gimp? Where’s your exact line?

Honestly the research on exactly why this happens is sparse enough as it is. It’s basically impossible to do truly conclusive studies with tobacco because of how dangerous it is. We can’t even technically conclusively say that tobacco causes cancer because to truly scientifically assert that you’d have to do a randomized controlled trial.

To have a truly randomized controlled trial you would have to randomly select people from the overall sample and tell them to start smoking for the purposes of the study (otherwise you can’t technically rule out there being some third thing that both causes the cancer and causes people to want to smoke). And because we know tobacco is insanely addictive and are all but that one millimeter short of proving that it causes cancer, no medical ethics oversight body would ever allow a study that requires participants to start smoking.

Hubs wanted to sell some used household goods but everybody is on Facebook marketplace and using venmo and cashapp and shit these days and I’m just like :| And now his friend says he wants to use zelle for me to go halvsies with him on hubs Christmas present. Fucking marks of the beast!

could be SSRIs

Honestly an AI use I’m kinda OK with is that it’s making audio transcription services good enough that nurses can start using them and they auto generate a flowsheet for the qualitative data from spoken word (you’d review before submitting) and tbh if I could get back to providing actual patient care instead of filling in spreadsheets that would be cool.

It also paralyzes your cilia so it’s not improbable (cilia are the little hairs that line your breathey tubes and rhythmically beat to push gunk up and out). It’s actually why the smokers cough usually gets worse a few days after quitting then stays worse until you’re finished hacking up all the built up tar. Your cilia wake up to your respiratory tract fucking trashed like WHAT THE FUCK IS THIS.

My first thought when I saw this was damn this is freaky and they haven’t even brought in the third sister yet…

Interestingly I’ve heard Japan called “the land of the rising sun” due to being one of the farthest east on the Mercator projection which despite its few features and many flaws is often considered the standard of map projections.

I hate that you’re right about the electrolytes.

Yah NIMBYs really don’t seem to understand that their neighborhood almost definitely already has a safe consumption site for one of the most addictive and dangerous drugs known to man. While opiate withdrawl can have fatal side effects, withdrawal from this drug can actually kill a person outright with nervous system dysfunction and continuous seizures until the person suffocates. And these locations actually distribute the drug in addition to supervising it’s use. We call them “bars.”

lol your yiddish tho

Just because it would be a significant change to the comment you upvoted:

We had a patient who was consistently verbally abusive and otherwise unpleasant during a long stay and completed after discharge and the most emotion I could summon was a melancholic relief that their pain had ended. We did not have the resources they truly needed and neither did anyone else. They were so deep in that despite being cognitively intact they were unable to meaningfully interact with anyone socially.

They would have needed extensive social support and interpersonal skill building to be properly rehabilitated and nobody does that. Most of what we do for that type of patient is to get them sober and give them a second chance to seek help. Even that takes a lot of resources so we don’t really have the resources to do more than point them in the right direction if we can even find a decent place for them to go. Many get sobered up and discharged to the bus stop with a month of pills and directions to a shelter that’s probably at capacity.

That was this person’s only way out and I honestly respect their decision. At this point I’ve contented myself with caring for homeless people who are faking or exaggerating suicidal ideation of psychosis for 3 hots and a cot. Some of them are obvious but ultimately I don’t want to be responsible for deciding who is and who isn’t, and the deeper truth is that I’d probably do it too. And 3 hots and a cot is more and better care than I could give them pretty much anywhere else in this current system.

An inability to cope with people who don’t get it and don’t care to is a significant part of my social isolation.