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Joined 2 years ago
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Cake day: June 12th, 2023

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  • right now? you’d have to find me first, and I doubt that it’s worth it for you. There’s also other logistics you would have to figure out that also probably wouldn’t be worth it for you.

    at my place of work? The environment is so controlled that you just… probably won’t succeed. Most people also don’t even notice the stuff I’m actually doing to maintain my safety. The biggest thing is before the patient is even on the unit making sure there’s nothing in the environment they can hit me with that would really hurt. One advantage I’ll admit I have over the cops is that I’m 99.99% certain that no one in the environment has a gun (the 0.01th time was the night the ER really fucked up*). But there’s also no corded devices, no IV poles or oxygen tanks to hit me with. Even stuff wide / long enough to get some leverage with like a dinner tray is made of styrofoam. Even the shitty coffee is lukewarm instead of boiling (sorry but I do what I gotta do).

    Most people also don’t notice that if they’re even anxious I’m usually between them and the door or even if I’m letting them have a sightline to it for their own peace of mind I’m still closer. If they’re actually mad I’m definitely between them and the door and whether or not they can see them I have at least one person for backup right outside the room, possibly 2 or more. I’m really just not that worried about it and I’d rather focus on what I can actually practically do to resolve the problem. Is there some comfort measure I can help with like warmth, cold, food or water? I’m not giving you a steak dinner for cussing me out but I can probably do peanut butter crackers and some water if you’re just hangry. Do you wanna talk about your legal status and what the judge is actually going to look for while deciding whether or not to commit you? Do you just wanna yell at somebody for fifteen minutes? I can do most or all of that with some detail-based caveats.

    If none of that works and you’re actually trying to hit me or even yourself (but talking does work like 85-90% of the time) there’s always haldol and if that doesn’t work I’ll try geodon and so on and so forth down a decently long list of options until you’re either better able to control yourself or unconscious. If I have to lock you in a room or strap you to a chair until it hits I can do that too (the paperwork sucks tho). If you’re on something real wild like PCP and can’t be sedated without respiratory collapse you’ll probably have to be detoxed in an ICU probably strapped to a bed and possibly intubated. But the confidence that I have the resources to handle most of the possibilities and that I have people to call if I can’t makes it a lot easier to not overreact to being called slurs and just focus on what the actual safety risks are in the situation and what actually needs to be done to resolve the problem.

    On the street? When I’m not in my scrubs I dress like a hobo and it’s very obvious that whether or not I’m actually a tweaker (unless you count caffeine which is technically a stimulant) I’ll probably lose a fight but I also will be taking either a testicle or an eyeball with me and you may or may not get a choice. Again, probably not worth it for you, probably not even worth interacting. Most people don’t interact beyond polite mutual acknowledgement of our existences. My scrubs only barely cover my overwhelming feral raccoon aura.

    Here’s real footage of me when admin comes through with our traditional consolatory pizza and cookie offerings:




  • Yeah but last week the mean bitchy old Lady at my job who’s mad nobody works as hard as her (it’s because she works too damn hard) who I thought hated me told me she’s surprised that I’m only 30 because I have a lot of wisdom and I’ve never been more honored. It almost makes it OK that caffeine gives me hangovers now and I need a nap before I do the dishes on my day off.

    I was actually really waiting for the wisdom to kick in and while I don’t really feel like it’s kicking in people are starting to listen and they trained me to teach the “how to talk people out of hitting you” class and I’m actually pretty hyped for that.



  • 💥⚛️✨💫☀️🪨🌋☄️💥🌙🌍💦🦠🌱🐛🌿🦀🦴🐟🦎🐊🦕☄️💥🐀🌱🐇🌻🌼🌳🌲🐐🐃🐯🐺🐻🦍🐒👫🔥🍗🎶🧠🐕🛖🌾🐈🍻🐝🍞🐴🦙🐑🐪🐮🏘️📐💰🧮🏛️✍️🛞⛵🛣️🤝🗺️📚🏰🧲🔍🔭⚗️🔬🖨️💨⚙️🚂🏭💉🛢️🚗🛩️🩻🧬☢️🚀🌙😷♨️🫠🥵💀🪨

    I think I need a computer to keep going and am also taking critiques since I’m actually not a huge expert in these things and am sure I’ve gotten at least a few things out of order already…

    Also one of my tarot decks is all emoji if you want one straight from rnJesus. I can even give you some notes on the cultural references like death referencing the white rose of york, the meyers briggs types of the courts, misc mythology references, etc since that’s been my hobby for the last year or so.



  • A 100 bed (or so, idk what number it would actually come out to) hostel / shelter / halfway house for chronically institutionalized people who don’t know how to function in normal transitional housing. Instead of a larger number of beds they might also be split into multiple smaller buildings.

    Each unit would have one small room with

    • a twin bed
    • a closet with a storage compartment on the bottom that takes a standard lock
    • a desk
    • a few of those bars on the wall you can slide posters and papers into to hang
    • a single-unit sink-toilet-shower stall with groutless faux tile and a detachable shower head (so that to clean it you just cover it in bleach and use the showerhead to hose it down).
    • an electric kettle
    • WiFi
    • a locking door that the staff have a copy of the key to but have received specialized education on renters rights and education on what specifically constitutes a safety concern.

    Public facilities include:

    • cafeteria that provides 3 hot meals as well as a vending machine with reconstitutable MRE style meals that can be made with hot water
    • laundry
    • library / public access computers
    • meeting rooms that are reservable but also host supportive and educational group therapies
    • a large public chalkboard wall with 7 sections that are wiped down one at a time in sequence throughout the week with additional discretion of the staff to erase hatespeech
    • a non-denominational / non-religion-specific “chapel” that any religious leader may rent for one hour a week in exchange for some minimum monetary donation. They also receive a listing on an updatable placard posted just outside or near the entrance on the inside listing their contributions publicly in addition to being listed on the monthly accounting posting. It is designed so that vestments can be interchangeably hung and they may also rent a closet to store them in.

    Residents do pay rent but it’s only enough to keep the facility running and the accounting books are publicly available on a monthly basis. If the model does well enough and receives enough outside support, rent may be a symbolic amount like $5-10 just to legally maintain the facility as a transitional public service as opposed to a long term housing solution (although that would be another great thing to donate this money to, but my personal focus would be the people that would struggle to function in that environment without some sort of actual rehabilitation).

    They can get a discount by performing tasks to run, clean, and maintain the facilities including both the public areas and turning over rooms between residents or maintaining the rooms of disabled residents (while those residents are elsewhere for the day). Their names are not listed on the public books, just the number of people contributing in this manner. Any money they make for tasks performed outside the facility is theirs to keep.

    There are no drug tests but no drugs (or weapons) are allowed on the premises. Any paid staff are background checked and any 24-hr safety staff (so not kitchen / EVS) who do not already have a license or advanced degree in health and human services receive somewhere between a 2-week to 1-month 8hr per day classroom education on human rights, nonviolent crisis deescalation, CPR, safety and sanitation, and policy training on how to assess and what to do if they suspect drugs or weapons have been brought on the premises (probably some other stuff too but idk. I’d make the class longer if I thought it would be financially possible / likely to get enough people to attend). Would also probably help to have 1 hour of monthly continuing education on a bunch of those topics but also to help them contextualize their experiences with this population.

    The floors are sex segregated with the exception of one floor (or a smaller proportion) that is co-ed and allows persons of any gender presentation provided they have no history of sex or gender targeted charges.

    If I think of anything else I’ll add it, but these are my thoughts having worked with this population and wishing there were more services focused on helping them reenter society.

    Also tbph I’d probably actually live there myself, eat in the cafeteria, have a weekly movie night in one of the public meeting rooms, etc, the only thing I’d be missing is a workshop, but I could do with maybe a slightly larger permanent suite in the basement or on the roof or something. The tradeoff would be dealing with the bullshit that would necessarily arise on a 24/7 basis, LOL. I might also want a bigger bed if my husband wanted to live there with me, which he might because his 5b idea is almost definitely a free or low cost cafeteria (I’m a nurse, he’s a cook) but he’s also much more misanthropic than me and might want more privacy / emotional distance.





  • It’s because most of the blood return to your heart is passive. The heart pumps OUT through the arteries pretty hard, but the blood finds it’s way back through the veins whenever it feels like it, it just can only go one way because the veins have valves along the way that prevent backflow. A lot of the pressure that actually gets the blood back comes from the contraction of the nearby muscles squeezing the blood up past the valves. So especially if you’re standing with your legs all the way down there from your heart, most of the work to get the blood back up is going to come from your calves and thighs flexing.

    My A&P teacher very cheerfully illustrated the point by telling us there’s actually one animal that does have valves in it’s arteries.

    spoiler

    It’s the giraffe! It has valves in the artery going up it’s neck to help keep up enough pressure to get the blood all the way up to it’s head!

    We had a guy at one of my old jobs who was trying to get a not guilty by reason of insanity charge because he was facing a life sentence for something he didn’t want to spend that time in prison for (the only time it’s worth it). Unlike most guys however, instead of faking, he actually drove himself insane! He was actually fine coming in, just had some (dubious) suicidal ideation but perfectly cognitively intact. But the doctor wasn’t buying the suicidal thing after a week or two so he started staying awake for weeks on end then slept for weeks on end, soiled himself constantly, refused to eat then binge ate. Just went absolutely feral until he really was.

    One of the things he did for a while was refused to lie down at all. Just stood completely still in the hallway staring at the wall. Did it for weeks. Started to look like a candle melting down into his feet until they began to split open and weep interstitial fluid. Anyway the point is we started having to chase him around the unit a little. You’d go just stand next to him and bug him a bit until you got him to walk a little because we needed to start stimulating some blood return. I forget how that story ended he may have still been there when I finally had it with that place and left.