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Joined 11 months ago
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Cake day: March 18th, 2024

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  • This question is a piece of the small talk death conversation. I don’t feel it should be asked unless you want to know. But that is me. I also loathe small talk, I feel it’s for people who can’t handle silence and thus demand energy from other to full said silence.

    Others ask it like it’s the equivalent of “hello”. Saying the truth is like hearing “hello” and then talking about your life. Saying “hello” back is done by saying “fine”.

    Where this messes up the human metric is the habitual responding. A provider enters a room in the morning to ask a hospitalized patient how they feel. Instead of responding honestly the patient says “fine”. Provider leaves to move onto the next patient. After the provider is gone for that day the patient realizes their error, or doesn’t understand why the provider disappeared so fast.


  • Gave episode 1 of The Pitt a chance. I usually hate medical dramas because I have to yell at the screen about inaccuracies. The whole vibe is usually wrong.

    This one is, I grudgingly have to admit, solid. Pretty real, actually. Maybe a little too real for people with squeamish stomachs. I even cheered twice when they said the systemic problems out loud.

    Only had 3 issues with it, which is great. A doctor isn’t going to run down the street after anyone, especially not a non patient. Potassium 6.1 is no bueno. And no administrator would debase herself among the riffraff, worse, risk her pretty pink suit, by coming down to the patient care area to talk to someone. She’d summon people to her clean, quiet office instead. The artistic license works there though because it conveys what needs to be conveyed about hospital administrators, including the blatant disregard she shows all of the human suffering unfolding around her.

    They cram a lot of pertinent info into one little episode. Noah Wylie of ER (terrible medical show) is recycled here. And Homelander is in it as a normal person.





  • I haven’t done office in a while. The inception of the subscription model killed it completely for me. Scrivener is better organized for big projects. And there’s plenty of small word programs that get the job done for things like resumes and such, in lieu of Microsoft Word.

    I had an older student office disc. Microsoft wouldn’t allow installation.

    And then Adobe stealthed onto my elderly parents computer and killed all their photo files. Demoralizing to say the least. They won’t even engage their favorite hobby any more.

    The enshittification is real.







  • You want the real answer?

    Inertia.

    Think about the scene in Fight Club where the homework is to go out and start a fight. It isn’t easy. Most people have never hit another person their entire lives. Men who punch walls or tear their shirts off to throw down with someone over perceived offenses are not the normal. That’s tail of the bell curve behavior. If it wasn’t, people would be fighting in parking lots everywhere you go.

    The inertia of most peoples lives is to avoid conflict. This is why only a handful of people in any building you happen to be standing in are suited to leadership roles.

    Now, if you can get one of those guys in the right conditions to stir up a mob hive mind then the game changes. Until then, most people will be propelled forward by inertia and conflict avoidance.


  • We felt it last year. A building up of something. A sense of impending doom. Feelings of grim.

    Things are worse especially with Trump making noises about using the American military to take resources. I don’t know who put the Panama canal and Greenland into his head but here we are. He is a guy who would do it too. Making us axis and not ally this go. That’s grim.

    Pick and choose your outlets but don’t stick your head in the sand.




  • That would be almost everyone. I can tell you that most patients I see (mostly) love, like, or are ok with their staff (doctors, nurses, ancillary) while disliking the company, management, etc.

    I think, since COVID, the general public is more in tune with how things work. I can hear both patients and family asking, or directly asking me, things like “How many patients does each nurse have?”

    That question alone speaks volumes on how well they understand what’s happening. And they won’t, typically, blame the nurse for shitty service, but corporate instead.

    Same thing on the clinic end of things. Patients ask how much time each doctor is allowed per patient. Again, that speaks volumes on how well they understand what’s really happening with their care. The rationing of healthcare, not just by monetary coverage, but by trained personnel is understood.

    Allowing a doctor only 10-15min per patient such that anyone who is late gets dropped and has to wait another 3 months to get in is working as intended.

    Having a nurse take 7 patients such that there is only a few minutes per hour per severely ill patient is working as intended.

    Patients and their families are asking the right questions. They understand, these last couple years, how the rationing of car is occurring in person, in addition to the denial of monetary coverage. It is ALL rationing of care.

    The difference is whether or not it’s spoken verbally in an office or hospital vs typed out on Lemmy or elsewhere. If they really want to track disgruntlement, they should start recording ED, urgent care, and clinic waiting rooms.