I flunked out of nursing school despite the content itself being fairly easy because I didn't know how to deal with mean girl shit yet. I passed the second time by just doing whatever they told me to until I graduated. In particular, I remembered some advice from years earlier from an older roommate who had just gotten back from their coast guard training. They said their goal had been to go as long as possible before the instructor even knew their name. Honestly that's been a pretty great strategy for me when I've needed to escape abuses of power ever since; keep your head down, do whatever they tell you to, don't draw attention to yourself, then book it the first chance you get.
Apytele
joined 1 year ago
It's not even the "needs help themselves aspect. That screws them, they say most psych nurses are crazy too, it's whether they've done the work on it, and I think you'd find similar levels of low competence from somebody who just didn't pay enough attention in school (AND they wouldn't have the life experience to know what they're talking about).
Yeah to me I see it as the commoditization / paywalling of normal human supportive interaction. Therapy should be there to supplement normal supportive relationships when they're unavailable to you or you have a large enough stressor in your life that they're inadequate to help you manage.
I don't like the idea of moving towards a society where it's just expected that most truly supportive interactions have a strict professional-client paid relationship instead of a naturally ebbing and flowing give and take between two friends who are close enough. To me that just feels like capitalism further encroaching into my life by tallying up the worth of every interaction I have so they can demand their cut.
I'm already seeing a therapist for my existing severe mental illness through one of those online gig style therapy services because that was the only place I could find any openings, and they're already taking their cut that way. I can't imagine choosing this if I wasn't already someone who had been hospitalized several times. Difficulty sustaining stable interpersonal relationships is literally a key hallmark of my disorder, and if I was better at it I'd much prefer it! (I'm working on it, LOL).
When coaching new psych nurses on the care of violent patients:
"Don't be scared. NEVER be stupid."
Well I'm night shift so it's while I'm sleeping. But they can't just give you a day off either because that would also just solve the real issue. Not that therapy is never necessary, but having worked in mental health 8+ years now, 90% of the time 90% of people just need a damn day off (often more than one). Traumas and chronic dysfunctions will absolutely always exist, but we really need to stop focusing (as much) on the "everybody should go to therapy" side and much more on the "what the fuck are we doing to all of these people that all of them need so much therapy???" side (spoiler: It's too much work for too little pay, and the rent, as always, is too. damn. high.).
I'm wouldn't interpret that word choice in terms of intrinsic human value, I would interpret it as a facet of class warfare. Mate selection isn't even the only way in which social status screws men over; we don't send rich people's sons to the front lines of the wars they start either. Actually now that I think about it I wonder if those things are related; the bourgeoisie playbook has always heavily featured using masculinity as a way to push men towards violence for their own benefit. It used to be killing people in other countries, and now it's shifted more towards keeping people scared to step out of line in their homelands (although it's always been at least a little bit of both, and moves in waves). They need us to want to kill each other in some way or other, this is just one facet of that strategy. I forget who it was recently that actually said (a little too publicly) that if they don't get us all back under control soon they'll never be able to send us to war again.
I've mostly found that smart alerts just overreact to everything and result in alarm fatigue but one of the better features EPIC implemented was actually letting clinicians (like nurses and doctors) rate the alerts and comment on why or why not the alert was helpful so we can actually help train the algorithm even for facility-specific policies.
So for instance one thing I rated that actually turned out really well was we were getting suicide watch alerts on pretty much all our patients and told we needed to get a suicide sitter order because their CSSRS scores were high (depression screening "quiz"). I work in inpatient psychiatry. Not only are half my patients suicidal but a) I already know and b) our environment is specifically designed to manage what would be moderate-high suicide risk on other units by making most of the implements restricted or completely unavailable. So I rated that alert poorly every time I saw it (which was every time I opened each patient's chart for the first time that shift then every 4 hours after; it was infuriating) and specified that that particular warning needed to not show for our specific unit. After the next update I never saw it again!
So AI and other "smart" clinical tools can work, but they need frequent and high quality input from the people actually using them (and the quality is important, most of my coworkers didn't even know the feature existed, let alone that they would need to coherently comment a reason for their input to be actionable).
idk man I don't get that one either.
like to be a sub and a dom depending on my mood. I find it comes 3-6 month waves for the most part.
I always sample the honey walnut shrimp, but I never actually get it as an entree.
Today I was reminded of one of my favorites:
Why don't robots have any brothers?
They're all transisters!
...I'll show myself out.
No, they were nice like that to the male students. I was female presenting at the time so it was just a fucking tank of piranhas. The sexism for the men doesn't really seem to start until you're working ortho, psych, or ER and everybody starts looking at you like you're a damn hoyer that transforms into a battle mech optimus prime style.