I’ve said before that (practically speaking) you want to go at least 2/3 on nice, pretty, or intelligent, but at the very least you absolutely NEED at least one of them, and yet–! (And they’re all somewhat modifiable to a degree, but out of all of them niceness is the easiest)

They gonna put a concentration camp on it.

Yeah iirc the absolute best solution proposed was to not put any markings at all and bury it deep enough that any future civilization advanced enough to get to it will probably realize what it is long before they actually get to it.

I’ve never seen an EMR that runs on Linux and if I did I’d have to find an employer willing to run it.

Most psych nurses will tell you we love our patients for the most part (we get worried when the little old dual schiz / dementia homeless ladies with no teeth stop threatening to murder us) but admin + families are hell.

Got stuck as the charge nurse of acute psych almost every single night I worked for over a year. “But no one else can handle it like you” (I’m aware–acute is what I do) but I needed a fucking break. I told them 1/3 days I wanted to either be a floor nurse on med-psych or be the BERRT / consult nurse to the medsurg nurses for behavioral codes. They humored me one day a month for like three months then shoved my head right back under.

Then the supervisor came in to critique my morning reports twice in one week and honestly I didn’t even snap I literally just said “OK understood can I finish report now” so she tried to corner me in a side room but I haven’t survived ten years in acute psych without major injury by not being able to clock aggressive body language so I just walked right back into the nurses station to let everybody see her yell at me then handed her my badge and keys and left. Had a new job lined up within the week.

Current boss started out with the same sort of compliments like “oh you’re so calm when people are threatening to murder you” etc like yeah, as I said, this is what I do, and once I was settled in, everybody got used to asking me for advice on the EMR, meds, they got me teaching the violence deescalation classes the supervisor was tired of, made myself indispensable etc, I straight up told her I’ll do all of this, you can even enjoy my fun side projects I get up to when I’m bored–but if you make me charge nurse or let the house supers get shitty with me I’m out as soon as my contract is up.

So far she hasn’t pushed it.

That much melatonin will give you weird sweat nightmares. I just mention this because a lot of people think more mg = more sleep but at 10+ mg melatonin does real weird shit to your REM cycle. Most evidence shows that the optimal dose is often less than 1 mg. Just in case you’re curious.

Completely unrelated but “beep boop!” is what I say to patients (along with appropriate gestures) to request that they show me their wristband so that I can scan it to verify dosage etc. when administering medications.

As an aside, some garments (especially fancy ones) have pockets that are sewn shut so that they stay flat in transport and lay perfectly on a mannequin, but with thin thread and loose stitches so that it’s easy to pull them out with just a few quick snips. Same with the back vent on long coats. It would be difficult to pack and transport them neatly and non destructively (with flappy bits all over the pace and pockets that could get stuck on machinery) but the stitches are weak and meant to be removed by the end consumer just the same as the tags are meant to be removed. Although I did have a coworker who wore fancy sneakers with the tag still on which was an absolutely mystifying thing to see on multiple levels at a healthcare job, but apparently that’s some kind of sneaker culture thing (and while they were a lovely person they did eventually decide that healthcare was not their jam).

And while they’re there they let the adrenaline surge of the realization they just got fed feet first into the meat grinder of American healthcare by using the ER as primary care make them punch a nurse in the face. I say this as someone who’s made a career out of talking them out of that.

I happen to find working with patients at high risk of violent behaviors to be fulfilling. That said I think if people were less worried about what immediate benefit my patients have to society (as opposed to the fact that any of those people in the community could slip in the shower and get a TBI and become a very unpleasant person in under a month and would want someone to care for them too) I would probably be allocated more resources to do my job a lot more safely.

And make sure the strike plate is set into a hardwood frame with 3" screws.

I read “premium premium” which is both spiritually similar and also just fucking hilarious.

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I picked cachy because I was always curious about Arch and I’m LoveHating every second of it.

I honestly think children should be working as young as 12 even if they’re up to it but it should be like. A couple hours a week maximum with OSHA standing behind their employer with a baseball bat with nails in it. Honestly my trades class in highschool was one of the few good things for me psychologically.

…now guess what it means if a patient is S.O.B.

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Epigenetics does play a role in a way medications are starting to be able to address (basically there’s extra little hormones and stuff your DNA makes when recent generations have been stressed, so if the great depression hit your great grandma particularly hard your genes might still think you need to hang onto some extra fluff just in case). But yeah a lot of it is social stuff that just isn’t going anywhere like McDonald’s being the only place you can get calories at after job #1 and still be on time for job #2.

Jupiter Ascending should have been a trilogy. It’s garbage but in that beautiful way that overdramatic high sci-fi fantasy that thinks it has some deep societal moral to impart is, and I just really loved having just one with a female protagonist and her himbo love interest.