IME it comes back quickly if you ease back in but if you just go out to the bar and knock back 6 shots at once like you used to the EMTs very much will be scraping you out of a ditch. That’s how most experienced addicts OD, by not thinking about it and remembering to slow the fuck down with their dosing after holding together sobriety for a while.

Well here’s my worst: I relapsed after having dropped my tolerance and the EMTs scraped me out of a ditch and took me to my job, although thank God I don’t work in the ED. Apparently I said something to the effect of “just let me die” which wound up getting me a babysitter (suicidaldrunksitter?) and wound up having to talk to a pgy-2 who very clearly (and nervously) recognized me. Fortunately my hospital is relatively with it on the evidence-based-practice even in behavioral health so he knew to wait until I was sober again to do a full assessment, because that would’ve been a whole week down the drain in grippy sock jail.

I think polyamory is an immutable part of someone’s sexual orientation as much as the gender preference spectrum (homo/heterosexual) and the intensity/situationalness (ace/gray-ace/demi). I think some people just naturally see sex and intimate relationships as something they can do openly with multiple people and some people just don’t. I think it will become more acceptable for the people who see sex that way to find each other and express their love that way, the same as with all the other sexual relationships between consenting adults are becoming more acceptable. But the same way it would be silly to say we’ll all be homosexual eventually I don’t think we’ll all be poly someday either.

No I did it because the comment suggested it and it seemed like a cool idea. When someone programs a wholeass bot just to make it easy for me to be nice, I’m much obliged.

Addictions often stem from a lack of stimulating activities or connection to others. The recent retirement supports this, as he would have lost both at that time. So he needs to get into some hobby that’s less likely to leave him homeless, but that is gonna fill those needs. You gotta find him somewhere to go that’s outside the house that he can:

1. mostly rest/vegetate
2. occasionally get rewarded
3. do either alone or with a trusted friend
4. consume mind altering substances while vegetating (usually alcohol)

With all this in mind I now realize why there’s so many jokes about old dudes fishing. Do with that what you will.

But yeah. You should start some kind of multi generational hobby club for how to sit around and all be dudes together. There’s probably some younger men out there who missed that part during COVID too so like. And figure out some activity that’s not going to be horribly boring to the younger adults that won’t be horribly overstimulating to the older adults.

I’ve always thought the answer to the whole men’s mental health crisis we’re seeing today (I work in inpatient mental health) was getting men to connect better with each other in addition to women. A lot of guys say they weren’t taught to talk about their feelings which means not only are they losing a lot of opportunity for emotional validation, but they’re losing that validation from where it would matter most; the people most like them. I say this because a bunch of young male patients keep asking me for life advice and I’m like bruh we both know nothing I say is gonna make a lick of sense I wasn’t raised in that box.

Wait do you know about “Will You Help Me Repair My Door?” or the Lawsuit?

Less restrictive environment so it takes us a second to get it reported. I wonder if lemmy has or could have a 30 day limit until you can interact with outside instances. Seems like a cool feature for federation in general. Would make it harder to make spam accounts.

So I work 12 but because I’m a night nurse a lot of the time it’s just being there and monitoring, then occasionally doing something if the monitoring indicates the need. And particularly in psychiatry, a lot of the monitoring is passive. Sure I’ll go personally check on people every few hours (the techs do 15 minute checks) but a lot of my monitoring is poking my head out of the nursing station to whisper-yell “WHAT THE FUCK IS THAT NOISE” or jumping up when the floorstaff move too fast (some of our security who know me well will actually frantically gesture at me to sit the fuck back down they’re just showing their buddy a meme they got excited about).

I’m a nurse and we were taught to educate patients at the fifth grade level as well. Believe it or not, the sex ed level is even lower! The average American seems to struggle with such topics as “it’s bad to touch or be touched when the person being touched doesn’t like it” and “don’t put random household objects in your butthole.”

I hear the instantpot was actually a common solution for remote medical facilities before they went under. Any pressure cooker would do though, as I understand it.

I don’t wash my hands at work to be sterile (most of the time). “Sterile” is different from “clean” in the terms I’m formally educated in. To follow that analogy I just want my info to be “clean.” I want to remove most of the stuff from immediate public access periodically. I utilize other stuff too like periodically changing usernames and whatnot, same as I change an isolation gown or strip and wash my clothes as soon as I get home. None of that guarantees perfect removal of 100% of microbes, and this won’t prevent all people ever from accessing my info. But that’s no reason to never even rinse my digital ass. I just want a digital-ass bidet, not a digital autoclave.

I don’t wash my hands at work to be sterile (most of the time). “Sterile” is different from “clean” in the terms I’m formally educated in. To follow that analogy I just want my info to be “clean.” I want to remove most of the stuff from immediate public access periodically. I utilize other stuff too like periodically changing usernames and whatnot, same as I change an isolation gown or strip and wash my clothes as soon as I get home. None of that guarantees perfect removal of 100% of microbes, and this won’t prevent all people ever from accessing my info. But that’s no reason to never even rinse my digital ass. I just want a digital-ass bidet, not a digital autoclave.

This is it 500%.

They needed to give people something to fight about.

I’m not even sure if I’m trans and I’m already prepping to fight people for my own existence because I know somebody somewhere needs to make my body evil so other people stop asking why they take all the money.

Fighting the moral existence of me and my body are just the next excuse for why you should give somebody who already has more money than God even more power and control (usually in the way of money).

Gotta fight me. How dare I not want to have the tits or uterus that grew on me. And to stop me from doing that you just have to give this other dude more money and more legislative control. You just have to stop asking for fair wages or safe working environments. Give this rando the power to tell you you’re a stupid poor who deserves to toil in pain and misery and he’ll save you from the fact that I just kinda personally don’t like having tiddies.

And the absolute bestest way to tell people I’m evil? Tell them I’ll tell their kids their bodies aren’t evil. Because that’s the truth. If some kid asks me if it’s ok that they don’t wanna have tits I’ll tell them that’s fine. And the ONLY thing worse than my body being evil is me telling your kid it’s ok for their body to be evil too.

It doesn’t matter that I’ll tell them to experiment with non-permanent things first and get their head on straight before they decide their body ain’t right. It doesn’t matter that I’ll ask them to examine their viewpoints on what gender even means before they make that decision. Hell I’d even tell a kid to make sure they’re not mistaking fat-shame for gender dysphoria. I would literally tell them to evaluate any other option before permanent body modification.

But the people telling girls they aren’t skinny enough but also their tits aren’t big enough and boys they aren’t skinny enough but also their muscles aren’t big enough are totally NOT the problem here.

They are free to message me! I don’t make much more than will pay for my surgeries but will take any free help I can get. I figured clicking through no-yes-maybe for funsies/shits and gigs on like five things or so was a reasonable thing to ask for the $0 I can afford. If you’ve got the money to actually fund this project, please lmk.

The ideal storage temperature should be on the bottle but you should also be able to look it up. Lots of things can cause lots of medications to degrade aside from just time, including temperature, moisture, and light (particularly UV). For instance, you’re not supposed to keep most medications in the bathroom even though they often call that a “medicine cabinet” because many people take hot, steamy showers, and both moisture and heat can degrade medications. An NIH paper titled “Medication Storage Appropriateness in US Households” states for Adderall: “Extended-release capsules: Store at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F); protect from light.” (So don’t keep it on the windowsill next to your bed either).

If you’re worried about variances in specific binding agents or other parts of the formulation that could vary by manufacturer, call the pharmacy. Ask to speak to the pharmacist on duty about the ideal storage conditions, because they know all kinds of weird shit about the specific ingredients and how to store them (one time I called to ask if there was sorbitol in the liquid medication I was giving a patient because it could explain their diarrhea). It’s also possible, like you mentioned, that you just have some bizarre genetic mutation that makes some normally inert binding or coloring agent interact weirdly with the active ingredient and/or you (the pharmacist wouldn’t be able to figure you being a freak of nature out, but they could try to make sure you don’t get meds from that manufacturer again).

My personal recommendation as a person who went through nursing school (they’re very worried about substance abuse and trafficking) with ADHD meds, is that you save your last medication bottle when you empty it. Keep exactly one pill in it in your bag as a backup for emergencies. The bottle will have your name and birthday and what the pills are so you’re covered for carrying a controlled substance, but you won’t be carrying all your meds around at once to spoil in the heat. As for taking them with food, try keeping some saltines or water crackers around and take 2-4 with the pill to avoid stomach upset.

• (Also) make sure the bottle matches the pills - most medication bottles (and controlled substance ones specifically) specify what the contents should actually look like and the numbers they should be stamped with so some little shit can’t replace granny’s hip replacement painkillers with vitamins, and an addict can’t carry pills they’re not supposed to have in a bottle for blood pressure pills or something. You mentioned the pills changed, so keep the next bottle that matches the new ones.

Utopia has always been a process, never a destination. You will never be able to elect humans that will act in your interests forever. You must stay alert and aware of the happenings around you and constantly advocate for yourself and those who can’t.