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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3·3 days agoPhallopenia, if you will.
I like that you mentioned we pick and choose who we remember and for what. Do you know why we don’t read in elementary school about the person who discovered that the universe was mostly made of hydrogen? Her name was Cecilia Payne-Gaposchkin if you’d like to look her up and come up with any hypotheses as to why.
It probably really helped people who learned to type on a typewriter make the first changeovers, and now it’s what everybody learns to type on for the most part so it hasn’t budged. I’ve noticed at work that my gen z coworkers often struggle to type out a solid nursing note (most of them learned to type on a phone screen) so I wonder if this is maybe an opportunity for more of those alternative layouts to start taking hold as typing becomes a less common thing people need to learn early on.
Depakote is an absolute motherfucking horse pill and a really wild patient often ends up on 1.5g (which is THREE horsepills) or more and a patient that wild often doesn’t want the depakote so I’m stuck trying to convince someone who doesn’t want to stop feeling like Jesus and Superman’s love child into choking down these fucking golf balls (I’m exaggerating but the point is they’re the biggest pills I administer by a long shot) and they don’t even make injectable mood stabilizers so the courts can order backup injectables but they’re usually benzos or antpsychotics which can help but won’t really do enough and they can order it as a syrup which helps with cheeking but tastes nasty (but I do usually get a laugh asking if they want some salt and lime with it) and it’s just… ergsdhcktdfnaajkfdv
Anyway the nurse trick is to give it with a spoonful of something thick like applesauce, pudding, or yogurt. It can help with the taste but more importantly thicker substances are easier for your pharynx to control as part of the swallowing reflex (we actually have beverage thickener on most nursing units for this exact reason). You don’t even need to crush most pills (you’re not trying to hide it, you’re just giving the throat something easier to direct down the correct pipe) just plop them on top of the spoonful and you’ll be able to swallow them much easier.
Honestly I just wish it would apologize less maybe its my strong autism genes from both parents but I don’t understand how people prefer that I just ain’t got time to read about how sorry it is every time I just wanted a slightly different answer and it didn’t understand the way I phrased it the first time. I’m not mad ffs sometimes it even takes a few tries to communicate with a human I’m not gonna blame a toddler-aged computer algorithm for not knowing what I meant when I say whatever dumb shit I’m saying today.
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.
17·1 month agoI’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).
I always sample the honey walnut shrimp, but I never actually get it as an entree.
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smh, d6. basic.