It’s not forgetting, it’s measuring with your heart.

And Karen repeatedly murdered all of the foster children she adopted over that six year timeframe by skinning them and feeding them to the local geese. Her neighbor began noticing about 2 years in that the children would all go missing within weeks of arrival. Over the next 4 years this neighbor filed multiple complaints with the police, CPS, and the foster care agency, but all of them just said the children probably ran away. It turned out this was because Karen’s grand-step-aunt twice removed was head of the city hall floral arrangement sub-comittee…

I’m quite partial to my theracane but the main addition I would ask for is more diamonds.

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Occupational therapy like physical therapy but for fine motor control (usually the hands) instead of gross motor control (like the legs). It can also refer to the neurocognitive / attentional ability to engage in complex tasks. In this context I mostly mean splints like this but it can also refer to stim jewelry for people with autism, adhd, and similar that benefit from having fidget items or other stimulating material such as a chew on hand to reduce anxiety / agitation and to help with focus. Basically if you would need it to do a desk job, it probably falls under occupational therapy, but it also includes the same skills but applied to leisure and other activities.

Loving the medical equipment swag. Just because its necessary for life doesn’t mean it needs to be ugly and if anything that’s a reason it shouldn’t be! I’m also a fan of bespoke mobility aids, OT jewelry, and well-designed adaptive clothing.

Yeah I was gonna say this reads like “no balls”

Water aerobics and yoga are usually the best options. I would try to find a yoga instructor skilled in physical therapy / disability modifications to the poses. Water aerobics is typically specifically designed for physical rehab so you’re more likely to find most of those classes are geared towards that. If affordability is a problem you may find that your health insurance, even or possibly even especially if it’s public health insurance. In the gym though you want anything that’s low impact and low intensity like maybe an elliptical on the very lowest resistance setting.

Well the downside to the “you break [the virginity] you buy it” mindset (aside from the literal objectification) is that having to formally marry the child also means the child is formally married to (and stuck with) the pedo. At least the informal version is probably less legally complicated to flee from.

Relying on emergency services only wastes soooooo much money. Waiting until problems are acute and they HAVE to be treated under EMTALA means doing way more expensive treatments and clogs up emergency services. Not to mention that not vaccinating or treating bacterial infections results in a bunch of cooties getting spread around the community. And when they’re getting those emergency services they can’t pay for them so the cost has to get absorbed into the bills of the patients who can pay either directly or through insurance.

“I don’t wanna pay for other people’s Healthcare!”

You already are, just in the least efficient and most expensive way possible.

I went into nursing instead of astrophysics. Decided I wanted a job that would outlast the apocalypse.

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Fun fact I learned waaay too late in my nursing career: if a patient has lost or damaged their amplifying hearing aid, you can put a stethoscope in their ears and talk into the bell.

None of you will ever use this but I share it with everyone now because it’s really neat and I wish I knew it 10 years ago.

People act like me not getting off the raised republican train until my early 20s is really slow but that’s when as a female child they allowed me to leave the house regularly for things other than school or church.

Such a chill dev, 10/10. Got back to growing my orchard recently and it’s slow but going and I’m enjoying the content that’s been implemented since I last played over a year ago.

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One of the things my parents did understand correctly as “new money” is that a significant portion of piddling etiquette rules about what color to wear at what times of the year and which fork goes on the left were largely ways for the bourgeoisie to attempt to maintain their advanced standing against the increases in (the potential for) equality that capitalism initially brought about. Unfortunately my parents are also a very “well we got ours so everyone else must be lazy” type of people who think that’s as good as equality can or should get.

Eeeeh. I kinda get why it fell out of favor. For context, the weird thing about the nursing perspective vs the MD perspective is that you don’t get as much of the benefit of large studies, but you also aren’t as sensitive to big pharma marketing studies either which… good AND bad. Like for school I had to take a class on evaluating the validity of drug trials and one of the studies mentioned was taking advantage of the fact that there’s basically no equivalent doses between different antipsychotics but you can also look at the doses from an experienced clinician perspective and be like huh they’re saying this drug has less side effects compared to 20mg of Haldol daily, but literally ANYTHING has less side effects than 20mg of Haldol daily; that dose is insane. The nursing perspective also tends to be more sensitive to variations in the needs of local populations, you’ve lived in an area and worked within that specific demographic and environmental setting for a few decades vs the doctors main body of knowledge often even includes studies from across the world. Just giving some background as to the upsides and downsides of my perspective.

So back to my point, I can tell you I associate lithium with being a last resort med for really sick patients who nothing else cuts it for. I associate it with horrible side effects including crazy weight gain and thyroid problems as well as fluid and electrolyte balances, and depakote and tegretol aren’t gonna cause that last one at all and also do have that advantage of blood level monitoring. I don’t see tegretol prescribed as much but depakote is probably what I see as the most prescribed med even before lamictal. Now lamictal I completely understand why I’m not seeing in the inpatient setting; you can’t rapidly titrate without risking the death rash (SJS/TENS), and the objective of inpatient care is always rapid stabilization with tweaking to occur in the community. And also maybe I’m associating lithium with all these horrible side effects because I’m seeing it used for patients suffering from both the direct effects of severe mania, especially those with the cumulative effect of multiple manic episodes over time, as well as all the other horrible things those episodes put them at risk of such as homelessness, substance abuse, and general increased risk of injury and illness due to decreased capacity for self care.

I guess the TLDR is, it wouldn’t shock me if the inability to patent salt was the reason lithium isn’t preferred, but I also associate it with being a pretty old-school heavy hitter like thorazine is for psychosis, and while my perspective has the advantage of being more experiential, that comes at the disadvantage of being less empirical (but its also often difficult to tell how empirical some studies are due to the influence of capitalism on the development of pharmaceuticals).