BilduEnjoyer [he/him]

Trans-masc basque diaspora who recently escaped USA to the Basque Country.

Elder millennial artist, big nerd. Plz don’t be mean 2 me.

  • 3 Posts
  • 52 Comments
Joined 1 year ago
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Cake day: January 22nd, 2025

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  • Former scribe here. I left the job for unrelated reasons, but it was being pushed on doctors hard (final straw for my doc, he switched hospitals)

    LLM for scribing is radically stupid because it can only catch words, and not emotions. Sometimes the patients themselves don’t even know how to describe their symptoms- or the patient focuses on something non serious over a very serious symptom. “Yeah doc I know one of my legs gives out every 5 minutes and I’m going blind but I sneeze a lot???”

    Llm’s can’t parse that, and end up making more work for the doctors by forcing them to edit all of their notes.






  • Yeah no prob.

    For me it feels like my blood pressure gently slows down and I feel more relaxed overall. It’s not a high feeling, more like a big sigh before you let your muscles relax after a long day.

    For a panic attacks it feels like it drags me back to center. The adrenaline stops pumping and I just feel a little tired.

    It can cause light headedness and I prefer to take it before bed as needed. It gets rid of the background anxiety when I take it regularly.

    The medication can cause low blood pressure, and it’s stronger after you initially take it. Last week I took a dose after being out for 2 weeks and I ended up falling down because my blood pressure was too low. My ankle gave out and I just… flopped over instead of correcting myself lol.

    I am also on 40mg - 80mg and most people start at 10mg or 20mg so ymmv The side effects level off after a week or two. Just be sure to stand up slowly and avoid taking it before using heavy machinery.


  • I dealt with severe panic attacks for a long time. One cause is an overactive vagus nerve, idk your history but in my case it developed from CPTSD. Trying a low dose of propranolol to take daily or as needed. It has been very helpful for me, in that I moved overseas and somehow immigrating has not made me explode, which is a miracle because at my worst Is have 2 - 3 panic attacks per day including in my sleep somehow.

    Non medication wise, DBT exercises and mindfulness. I found that I would push myself way too hard, way too quickly, then implode b/c I was ignoring my limits and not putting up boundaries when I should have. Learning to check in with yourself will help a lot. If you feel that panic attacks build up, take time to recenter and slow down.

    For example, when I have to go through immigration paperwork/lawyer hell I will make that my one activity for the day- then I will go home, eat something, and bury myself in blankets (ideally a weighted blanket) like an anxious burrito until the adrenaline goes down. If you’re juggling a lot, try to organize tasks by importance and make a list so it’s not rolling around in your head.

    Also limit news and doomer intake. You are but one human and cannot carry the world’s injustices inside you.







  • Idk I think that the incoming health insurance bomb is going to create an army of Luigi’s. That and the rural hospitals and clinics shutting down. I used to work in healthcare and there are a lot of exhausted, scared, families who made it by OK with the ACA- now? They’re fucked. People with MS who won’t be able to get their injections, cancer will go untreated, and people with severe mental illness will lose access to their meds.

    Americans are having trouble responding IMO because there needs to be more organization. There are a lot of listless, confused Americans, who want to push back but don’t know how.