charly4994 [she/her, comrade/them]

  • 4 Posts
  • 19 Comments
Joined 5 年前
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Cake day: 2020年7月29日

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  • I never truly appreciated how close I got to killing my self horribly as a dumbass middle school kid. I saw so much media on people stealing drugs from the bathroom that I wanted to try it. We only really had Tylenol Extra Strength, and other simple OTC meds. Not deterred, I went and downed probably 8-10 of the 500mg pills and stopped because I couldn’t swallow any more. Got super tired and fell asleep on the couch for a few hours. Can’t imagine if I had something like this that also had alcohol in it that I wouldn’t have tried to chug it instead. Kids are dumb and they’ll do shit nobody expects and tell nobody about it for fear of consequence.







  • I mean Optum is a pretty unsecret thing in nursing homes. I think we’ve been through like 12 nurse practitioners over the last year and a half I’ve been working at a nursing home. We’re told that if they’re an Optum patient they need to be managed by them, but a solid amount of the time we’re just going to the primary provider because they’re nowhere to be seen because their entire local network is a shitshow. I also know they seem really averse to starting hospice or even having that conversation. I know they’re super big about preventing hospitalization and treating in place, but I feel like if I just outright disagreed with a call made I could just speak to the primary provider or if I’m really concerned, override the NP, especially if they’re not present in the building.

    The examples they give of stroke like symptoms, if I’m on the unit and they clearly are having a stroke, I’ve already called 911 before I’m calling the provider to ask for orders. Unless they have a history of TIA I’d assume stroke and deal with the back and forth.

    In the end there is that little nag from Optum asking you to call before a hospitalization, but there’s also a level of nursing judgement that needs to exist with that thought towards patient health rather than an insurance company’s nagging.







  • I used Facebook back around 2009 when I felt obligated to do so to keep up with friends from school, and then I came out as trans and basically nuked my social circle. While I’m friendly with people at work and I’d call them work friends, every time I’ve really tried to bridge the gap from work to personal it’s fizzled out primarily because I don’t use social media and I’m fine with that. I like having a small handful of people I really like and trust. Some of my best friendships formed away from social media, on the remnants of internet 1.0. This guy’s idea of the future of friendship means just alienating you more from the people directly in your life and pushing you towards a walled garden of his creation where you only talk to “people” he wants you to who will make you just happy enough to stay hooked but not satisfied so you have to come back.