I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I’m going to troll you back. FAFO.
As a professional I’d basically be required to say the above, but I’m also watching from the inside as my country’s health system decays starting with populations that were underserved to begin with like the mentally ill. In other news I have a hospice interview tomorrow. If nothing else I’ll just get to focus on making people comfortable. That sounds so relaxing. I’m getting tired of having to tell people no all the time.
I run into troubled young men a lot, unfortunately. I was raised female so I often lack the context to truly empathize with their life experiences, and I’m really hurting for coworkers to consult who can.
The harm I notice Peterson doing is setting back men’s mental health movements. A big barrier I run into working in mental health is not having enough male role models either locally in my area or public personalities online who are willing to discuss things like medication and therapy, but also to discuss the important lifestyle changes that have to be made, particularly in terms of healthy relationships. A big part of men’s mental health needs to be men supporting men instead of competing for women to then use as their sole emotional support. In addition to placing an unfair burden on women, it’s just frankly a burden that can’t and ultimately won’t be carried, leaving men with inadequate support when there’s a better solution to be had. Instead you have peterson (and others, but Peterson has a fancy psych degree to hide his bullshit behind) perpetuating these antiquated ideas that men should be competing with each other. Men deserve better.
I’m surprised that particular aspect of the side effect profile comes into play with acute usage.
Well obvs. It’s basically,“idk which receptor is making them _____ (punch people, refuse to eat or drink, or whatever other immediate harm to themselves / others), but we need it to stop 3 days ago and can figure out the details or a potential cross-taper to something better later.”
Ah, yes, this happens a lot. No, I don’t work in the medical field at all. I just know things, for reasons.
Color me fascinated, lol. My guesses are personal experience / reading up on your own treatment or that of a loved one, tangential relation to the field such as clinical research, or just plain personal fascination. Given you linked to a drug that appears to be in trials my first guess is actually the second one. Hadn’t heard of it, and I’m hopeful, but after seeing abilify get approved for acute agitation I’m… skeptical.
i.e. the psychosis has done so much cumulative damage at this point that you need to fall back to the typicals. That explains why the third-gens are useless.
Yeah a lot of people don’t realize the damage is additive, both people w/ these disorders and unrelated laypeople who think “talented artist stops taking their meds and continues to be talented but starts creating art with weirder subject matter as their brain boils” is a cool story.
I’m mostly replying to add though that risperdal also has the distinction of being avaliable as a long-acting injectable, and if you’re trialing oral meds before committing to an LAI, your options are somewhat narrowed. Zyprexa does have an LAI available, but I’ve actually never seen it used and while I can’t tell you why for certain, I do have a guess.
If you have a patient sick enough that you’re considering an LAI, you don’t want to take benzos off the table for an entire month, especially if it turns out to be inadequate after discharge and they wind up in an ED agitated and unable to report their own med hx and get B52ed and stop breathing. I’ve had a pharmacist tell me considering that interaction is going out of style but a history of that kind of adverse event is difficult for a med to shake. Accutane still has suicidal ideation in adolescents listed as a side effect but I have a strong suspicion that it’s less causation and more correlation with the impact of pizza face on the self and social esteem of a teenager.
Dude sometimes we still give thorazine. And tbh ime the 3rd gens don’t do shit for my typical patient. For context also though, I’m essentially providing ICU level care, so when you say the word “symptom control” it’s often referring to like, fists.
We had a Lady maxxed on Haldol BID one time and she managed to cheek for a week and eventually she just hauled off and rapid fire punched a nurse in the head three times. She legit thought a man was entering through her window every night on a beam of light to forcibly impregnate her and deliver the baby. She kept demanding to see the 50 babies she had up on L&D from the past few months. I’ve actually seen quite a few pregnancy delusions and they’re almost always completely wild psychosis. Another was such an angry manic but high insight enough that when she couldn’t take it anymore she would just come scream at me for the thorazine.
I’m unsure if you don’t work inpatient psychiatry or you just work somewhere significantly classier than I do. I do work in an inner city area that’s flush with people stuck in a cycle of drugs / homelessness so I’m also not going to tell you that any of this is the best solution, just that it’s the only one avaliable to any of us right now due to shitty government policies.
To the extent that men can lactate! It’s one of the possible side effects of risperdal, which I have to be aware of because I give it fairly regularly. It’s all the same structures it’s just a matter of the hormone signals they’re getting.
It probably doesn’t help that I’m incredibly irreverent of pretty much everything. I got really into western esoteric spirituality this past year (its really been helping me with introspection and integrating my personality in ways that neither secular therapy or my fundie upbringing ever quite fully did on their own) but at the same time I refuse to take any religion seriously, especially not my own.
Anyway someone in a related community got upset at me for having my irreverent attitude because I was “culturally appropriating” tarot cards from PoC and like dude. Look up where that shit is from its Northern Italy where my family is from just two generations ago they were fresh off the boat when the War was starting. You’re appropriating tarot from me. And if you want to get into the specific spiritual / divinatory usage that’s even fucking whiter. The closest you’re gonna get to claiming cultural appropriation is if you go all the way back before the tarot to the mummy dust the hermetic order of the golden dawn were probably mixing into the coke they were snorting while making that shit the fuck up based on their judeo-christian / classical mythology crossover fanfiction.
People just wanna be mad about shit and at this point I really don’t have the energy to spend appeasing people who have already decided to be mad at me. Imma just be over here using these cards to let my subconscious tell me which level of Maslow’s hierarchy of needs I fucked up this week.
Removal of gendered aspects without any additions.
I’m pretty apathetic to gender in general but I’ve had gender confirming surgery to be NB which I guess technically makes me trans and to be prefectly honest I’ve never felt more judged for it than by the lemmy LGBTQ+ community. The 50y/o southern man that was my nursing supervisor back when I was a new graduate was more respectful of my gender and lived experiences than these people. Honestly the thing they seem to hate most is specifically me expressing apathy for gender; I’ve mentioned that my transness expresses itself by not caring about the whole pronoun thing or needing to have any specific pronouns for myself personally, but that I understand it’s a matter of respect for others and I’ve literally gotten banned for saying that. Like almost exactly that. They’re absolutely hateful bastards for no reason other than that they’re upset and need everybody else to be upset too. I’m lucky I have a handful of supportive people irl because I sure asf wasn’t gonna find it here!
Well you don’t want food service workers wearing gloves for the most part. Nonsterile gloves protect the wearer much more than anything they’re touching and food should be the opposite of chemically unsafe to touch. Gloves can also undermine a focus on or even specifically discourage regular handwashing which is what actually keeps food and food prep equipment clean / sanitary. Unless you have cuts, sores, warts or some other infection on your hands, gloves are the least helpful solution to keeping food sanitary.
That said, I doubt he washes his hands adequately and the whole hairnet thing is gross AF, especially with that glued-on dead animal he calls hair.
I just get feisty about the gloves thing because I remember during the pandemic when my hospital was struggling to keep gloves in stock for us to handle blood and bodily fluids with, and one day in an urgent care I saw a patient in the waiting room wearing gloves reach up and run his gloved hands through his hair. I almost just screamed at him. They’re not magic clean hand socks you have to use them properly and in the right situations.
Its like gentle passive parenting with 0 proffesional assistance when your kid has conduct disorder (pediatric precursor to antisocial personality, the newer, updated version of psychopathy). “Can you please put the knife down sweetie? Knives make people sad!”
Honestly my biggest issue is getting randomly banned from trans spaces for expressing my own lived experience with surgery and how I view my own body and gender. They’re so “inclusive” that they start excluding people that don’t use their very specific language or share their beliefs exactly. They keep kicking people out then wondering where all the people went!
I wonder if this is due to gobal climate change or local efforts towards sustainable farming and forestry to reclaim areas the Sahara has encroached on in recent years. Could be both.
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Relying on emergency services only wastes soooooo much money. Waiting until problems are acute and they HAVE to be treated under EMTALA means doing way more expensive treatments and clogs up emergency services. Not to mention that not vaccinating or treating bacterial infections results in a bunch of cooties getting spread around the community. And when they’re getting those emergency services they can’t pay for them so the cost has to get absorbed into the bills of the patients who can pay either directly or through insurance.
“I don’t wanna pay for other people’s Healthcare!”
You already are, just in the least efficient and most expensive way possible.