obscurelyscandinavian

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2027: Wizards of the Coast and the American Psychological Association collaborate on the D&DSM, 6th Edition, widely regarded as the worst thing ever published

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i’m not calling you “sir”, you haven’t even been knighted, fucking poser

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— requested by manbunjon

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a lot of media assumes robots would be immortal but i think its a lot more interesting to explore robots dealing with their parts wearing down and battery life shortening and all the horrible little failings that come with being a complicated machine. sure they can replace parts but you'd assume you cant completely ship of theseus them, or it'd have pretty big rammifications on their sense of identity. idk. give me robots with distinct, unique signs of aging. as a treat.

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You think you will take up a nice artistic hobby. FOOL! It is maths!

Crochet? Maths.

Knitting? Maths.

Drawing? Maths.

Sewing? Maths AND Ironing!!!

Everything is maths!

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listen to me, really. I am holding your two hands tenderly in mine. being part of a privileged group and benefitting from systemic exploitation without meaning to is not the same thing as being an inherently trash person who makes the world worse by living it in. that's not what that means. I'm telling you this for two reasons, 1) so you can chill the fuck out and be at peace with yourself without feeling like you're draining the universe of value, and 2) so you don't go onto oppressed people's posts about systemic privilege and exploitation and react like they've just told you that you, personally, should not exist because you're a man who lives within the vicinity of a supermarket that sells chiquita bananas. you're just gonna have to put some trust into your own brain and hold on to both the ideas that you're on one of the dominant sides of a set of global scales of injustice and that you don't have to shrivel out of existence about it. it can be difficult to reconcile those ideas at first, but it's completely possible and worth doing. if you don't, then you start constructing a worldview where you believe that either you have a civic duty to self destruct or you start vehemently denying that these systems of oppression exist, both of which are Bad and Not Good. peace and love x

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Exploring the Hand with Trevor and Beverley!

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Sometimes it feels like you've lived your whole life in a house that's always a little bit on fire. Like it's usually just in one room and you make sure to wet the walls around it so it doesn't spread and that usually works. You were expected to take more responsibility over fire containment when you were like seven because it's not like you can expect your parents to always be 100% on guard about making sure the whole house doesn't catch fire, and you figure that's just how things are like.

And sometimes as a kid you visit your friends' homes and some of then whisper to you - grimacing with embarrassment - about how they're not supposed to tell anyone this, but there's a whole room in their house that's currently on fire. And you're like yeah it's ok I'm not supposed to tell people about the way our house is a little bit on fire all the time, too. And then you visit some other friend's house and there's no trace of fire anywhere, and you think "wow, these people are really good at hiding their house fire."

And one day you show up to work like "hey sorry I'm late, I forgot to wet the walls before going to bed last night and my whole house burned down", and you're startled by the way people react, acting like that must be the worst thing that has ever happened to you. And you're just like "chill, it's been years since the last time this happened, and it wasn't even that bad this time", and that just makes people more shocked, acting like that's the weirdest and most concerning thing they've ever heard anyone say, which only confuses you more.

And then someone tries to explain to you that people aren't supposed to have an ongoing house fire. Most people actually never experience a house fire in their lives. Like not even once. Not even a little bit. The normal amount of having your house be currently on fire is zero.

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sashiko

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You gotta understand that some people never really grow. They never learn their lesson. They never recognise their mistakes, they never acknowledge their faults, they never admit they were in the wrong. You will never receive an apology from them, and you will never see their behaviour change.

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my love language is being annoying and difficult and insufferable

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There was an interesting situation at work recently. I'm gonna keep it vague for privacy, but basically the husband of a patient threatened to shoot hospital employees after he perceived they were ignoring his wife's situation. Which, looking at the case, people were like, yeah, this patient was in prolonged discomfort and had delayed care over multiple shifts due to factors that weren't malicious but were careless. Basically, the task that would have helped this patient was classic "third thing on your to do list." It had to be done, but it didn't need to be done urgently. The impact of not doing this task likely wouldn't be felt on your shift. The work of doing this task would require the coordination of a couple different people. Very easy to just keep pushing it back, and because it wasn't an emergency (until it was), it just kept being pushed back.

You could do a root-cause analysis of the whole thing (and we have) to really break down what happened, but ultimately the effect was the same as if the neglect had been malicious. I'm sympathetic to the husband, as were a lot of people in this situation, because, yes, hospital staff dropped the ball in a way that meant the patient was in unnecessary pain and discomfort with delay of care for over a day, despite multiple requests from patient and family to address the situation. The husband reacted emotionally to a situation where he'd felt helpless and ignored. Institutional neglect ground away at him until he verbally snapped.

And the way he snapped was to tell staff, "I'm going to come back with a gun and shoot you all for what you've done." Which is about as explicit a threat as you can get. Does he get to keep visiting the hospital after that? How do we be fair to him, to the patient, and to the staff? He probably didn't mean it. Right? But how do you ignore a statement like that? If he does come back and commit a shooting, how will you justify ignoring his threat? But does one sentence said at an emotional breaking point define him? How much more traumatic are we going to make this hospital stay?

A couple years back, I worked on a floor a few hours after a patient had been escorted away for inappropriate behavior--by the way, you can't imagine how inappropriate the behavior has to be for us to do that. I have never seen another case like this. That patient said he was going to come back with a gun and shoot nurses that he identified by name. This didn't come to pass. Whether that was because the patient didn't mean it or changed his mind or was prevented or simply was not mentally coordinated enough to follow through on the plan, I don't know. I do know that shift fucking sucked. I remember the charge nurse telling me that it wasn't our jobs to die for our patients. If there was shooting, she told me to run.

There was another situation recently involving a patient in restraints. I despise restraints. I think the closest legitimate use for them is in ICUs for stopping delirious patients from ripping out their ventilators, and that should still be a last resort. I discontinue restraints whenever I inherit them, and I am very good at fixing problems before restraint seem like the only solution. Having said that, I work in a hospital that uses restraints, and so I am complicit in their use. Recently I walked into a situation involving restraints with zero context for what was happening, just that there was a security situation involving a patient who had been deemed for some reason to lack capacity to make medical decisions. They were on a court hold and a surrogate med override, which means they cannot refuse certain medications. The whole situation was horrible, and I've spent the days since it happened thinking about every way I personally failed that patient and what to do different next time.

At one point, the patient called one of the nurses a bitch, and the nurse said, "hey cmon, that's not nice," and the patient replied, "if you were in hell, would you call the devil a nice name?" And yeah! Fair! It is insane to expect people who are actively being denied their autonomy to be polite to us as we do it.

Then there was another patient on the behavioral health floor who got put in seclusion. It's so frustrating, by the way, that staff put them in seclusion because it would have been extremely easy to avoid escalating the situation to the point that it got to. But the situation did escalate, and by the time the patient was locked in a seclusion room, they were shouting slurs and kicking the walls. Other patients were scared of the patient even when they were calm because the patient talked endlessly about guns, poisons, bombs, etc. When I checked in with the patient in the seclusion room, they called me a cog in a fascist machine just following orders. And I was like, yeah. Fair.

Another patient: one night when I was charge nurse, I replied to a security situation where a patient trapped a staff member in the room and tried to choke her. The staff member escaped unharmed. She told me later that the patient had been verbally aggressive to her all day, but she hadn't told anyone because she knew he was having a bad day, she didn't want to get him in trouble, and she didn't think anything was actually going to happen. She said, "Patients are mean all the time."

And another case: I had a different patient with the ultimate combination of factors for violent agitation--confused, needed a translator, was hard of hearing so the translator was of little use, in pain, feverish, scared, withdrawing from alcohol, hadn't slept in two days, separated from his caregiver who had also just been hospitalized--the whole shebang. He shouted at us that we were human trafficking him and could not be reoriented to where he actually was or that he was sick. I tried all my usual methods of deescalation, which I am typically very good at. I could not get him to calm down. He had a hospital bed where the headboard pulls out so you can use it as a brace during compressions. He ripped that out and threw it at the window, trying to shatter the glass. At that point, with the permission of his medical surrogate and with help from security, I forcibly gave him IV medication for agitation and withdrawal. He slept all night with a sitter at his bedside to monitor him. I pondered when medication passed over the line into chemical restraint, but I stand by the decisions I made that shift.

Last one: I had a different patient who was dying who had a child with a warrant out for arrest. We didn't know for what, and no one investigated further because no one wanted to find out anything that might prevent this person from visiting his dying parent. Obviously, "warrant for arrest" could mean literally anything, although it was significant enough that security was aware of the situation and wanted us aware as well, but I was struck by how proactively the staff protected his visitation rights and extended him grace. Everyone was very aware of how easily the wrong word could start a process that would result in a parent and child losing the chance to say goodbye to each other.

In the case of the husband who threatened a mass shooting, you'd be surprised how many of the staff advocated for him to keep all visitation rights. After all, the patient wanted him there.

Violence--verbal, physical, active, passive, institutional, direct, inadvertent, malicious--pervades the hospital. It begets itself. You provoke people into violence, and then use that violence to justify why you must do actions that further provoke them. And also people are not helpless victims of circumstance, mindlessly reacting to whatever is the most noxious stimuli. But also we aren't not that. You have to interrupt the cycle somewhere. I think grace is one of the most powerful things we can give each other. I also think people own guns. Institutions have enormous overt and covert power that can feel impossible to resist, and they are made up of people with necks you can wring, and those people are the agents of that unstoppable power, and those people don't have unlimited agency and make choices every day about how and when to exercise it. We'll never solve this. You literally have to think about it forever, each and every time, and honor each success and failure by learning something new for the next inevitable moral dilemma that'll be along any minute now and is probably already here.

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Kakashi face sketches. I’m not totally satisfied with any of these I don’t think…or, it’s just so weird seeing him without his mask I’m not used to it 🤣💛

The Kakashi brain rot has caught me a little bit again ngl….

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I took my little brother (autistic, mostly non verbal) out and he was using his voice keyboard to tell me something, and this little boy (maybe 4 or 5?) heard him and asked me "Is he a robot??" I tried to explain to him that no, he isn't a robot, he just communicates differently, but my darling brother was in the background max volume "I am robot I am robot I am robot I am robot"

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Oh, I love seeing these glimpses of domestic peraltiago. Now kiss. No! You don’t do it enough! We do it all the time, just not in front of you.