Yeah the industry has just kinda accepted that surgeons are just like that lol. A lot of hospitals are settling for just getting them to stop shanking the circulating nurses with spare scalpels. Honestly I used to work with criminally insane men so I could probably grapple a surgeon. My issue with OR was that it’s too cold and I couldn’t scratch my nose when it itches. Also ortho surgeries in particular are a sensory nightmare it was like a soundbyte of a dwarven mine from a fantasy movie on loop for eight hours just –ding ding ding CLANG ding ding ding CLANG ding ding– I could not.

I forgot to buy a tiny dollhouse stool this year anyway (to put in a specimen cup and send down to the lab). No one has time for the old traditions in this economy…

At least you were kinda trying to do the right thing. We had a resident who insisted we hold a man down for a POC glucose fingerstick just because there A1C from a week ago said the EAG was like 400 and we had a court order for psych treatment.

Like sir. I’m not starting the precedent of restraining this man 4x daily to stab his fingers. He’s probably been living at 400 for months (if not years), a week or two more waiting for the antipsychotics to hit isn’t gonna do all that much more damage. Also idt the paperwork was completely in order to apply medical treatments under the psychiatric court order (not that I was super concerned about a homeless psych patient being able to hire a lawyer anyway but–). You you know what’s gonna really convince this man that both diabetes and hypertension really are government conspiracies to torture him? Restraining him 4x a day to stab his fingers over them.

Anyway he didn’t call the senior resident. ALL the nurses told him no so he called his Attending. at 9pm. ON A SATURDAY.

One of my dementia care protips to new psych workers is that (since music is actually clinically proven to be calming), you can look at the age on their wristband and try whatever was popular when they were 15-25.

“These are the best years of your life” is the WRONG thing to tell a teenager thinking about ending it.

have had IBS my whole life. hearing people say this is like hearing people say they only breathe at home. they just. hold their breath. until they get back. Shit WILL exit my body when I’m away from home and I generally prefer it to be in a toilet.

I wonder how many people in these comments love an artist that someone else finds objectionable / harmful because they just don’t personally empathize with the people their fav has marginalized.

Op if you can swing ~30 pick up a drug test at the drugstore while you’re there. It’s a benzodiazepine, for future reference.

From another comment of mine on a similar post:

ADHD protip: commit to only setting up the digital workspace as soon as you get the assignment. Set up a cloud storage folder with google drive or one drive or whatever you use with:

• a copy of the assignment outline
• an empty document in the paper format, complete with title and reference pages
• a folder for reference PDFs or diagrams or quotes or whatever

Not only have I written numerous fabulously scoring assignments on my phone while taking horrifying IBS shits but also–

–one time I set this up for a group project and sent the folder out to the members. A few days later I logged in and one of the other members who also had ADHD had basically completed the entire assignment. Cannot say whether she was shitting while writing it but it’s certainly not impossible. A day after that another group member edited it and it was ready for submission five days ahead of schedule.

The neurochemistry isn’t actually averse to work, you just gotta catch it at the right angle.

Hubs gets annoyed sometimes by my attention seeking hypersexuality. He’s fond of this bit:

The world would be a better place if people spent more time recognizing and admiring skilled labor. Like even people who mostly just move and make things. The level of dexterity alone is just 👨‍🍳🤌💋

People ask me all the time if taking the bus is stressful but like. bruh I’m zoned out scrolling social media the entire time at the bus stop and on the bus. Or I’m just straight up zoned out. I don’t have to pay attention even to my own driving let alone the rest of these people. And also once in a blue moon the bus driver does something utterly wild like execute a perfect K-turn on a crowded city street in the ice without touching a single car to route around a detour (my mind was blown).

The informatics nurse took a second to register that I was just gonna give her the IP address to remote in. She had this whole spiel ready ready to walk me through finding the device number (that wore off years before I even started). I was like girl I have the network settings open do you just want the IP address I just need you to make the new EPIC update behave let’s get to it.

One of my coworkers commented on one of our difficult patients calling the weekend crew racist against them and how ridiculous it was because both the patient and the weekend nurses are black. I was like oh yeah no that’s because the weekend nurses aren’t black (being a cultural term for African-American), they’re African. Emphasis on the not-born-American. That’s different (to people who care about that sort of thing). Is it rational? Not even a little, but racism, despite the claims of phrenology et al, is about as far from rational as you can get.

I was gonna say that some of this is also probably sentencing bias. Subjectively the correlation seems too strong to not have some truth to it. I also have other data to support male = higher violence risk largely outside of perceptual bias.

As an example from my area of expertise, men complete suicide more often because they typically choose deadlier means (guns especially) vs women are more likely to attempt something like a drug overdose which is more reversible / leaves more opportunity for aborting the attempt. There’s not a lot of room in those stats for perceptual bias, dead is dead and alive is alive. It’s basically a known fact that men are more violent to themselves. I won’t get too much into the stats of violence against others except to say that the statistical predictor tool I’ve used for that in institutional environments didn’t use “male,” it used “male under 30y/o.”

On the other end of perceptual errors almost govern criminal sentencing. Entrusting a group of people to judge an event reduces some but not all of the perceptual bias, but certainly can’t eliminate it. And I do also have my own subjective / experiential perspective that is similar but in some ways inverted to yours (but is also almost certainly occurring in a 100% different environment):

When I first started in my field I was told and found to be true that when you’re breaking up a fight between men all you need to do is break eye contact. You get between them back to back with a coworker and if you can’t block their sightline to each other with your bodies you shove one of them around a corner. And that’s it. Within about 30 seconds they’re in tension reduction talking about their feelings in that emotionally constipated way western men do (“he just made me so mad!”). Otoh I was told and found to be true that you let the women go at it until the entire code team arrives from your surrounding units because you’re going to basically have to do a full restraint episode for each woman.

(Sorry I have lots of thoughts about violence it’s actually kinda my area of professional expertise.)

I did this to epic on my charge nurses computer last night and she thought it was magic. I’ve made it clear that I will provide these and many other services to the charge nurse as long as I don’t ever have to actually do it personally (I don’t want to have to explain to other adults what their job is). Thus the balance is maintained.

Can’t recommend nursing for neurodivergence. Not in a “you’re not good enough” kinda way. I very much proved that I can. I had to learn a buuunch of new social and communication skills, and I did have to “prove” I could to my instructors and for about the first six months at any new job.

You can absolutely be a nurse with neurodivergence. But whether it’s right or wrong, you’re going to have to put in some extra effort in areas you’re probably not used to. You should first consider whether or not that’s actually worth it to you. That part matters more than people admit.

It also helps that I work psych. I’m doing a lot of communication with people more like me. But that also comes with the downside of a lot of that communication being them yelling at me and trying to hit me. They’re specifically the subset of neurodivergents with more trauma, or in a particularly bad place in their life, and often were never taught the emotional regulatory skills needed to solve problems without doing that (my sister certainly never learned them while we were growing up and I’ve got a permanent back injury to prove it).

Again right or wrong matters very little there. Should someone have gone to the extra effort to teach them not to hit people in ways that they were able to fully engage with? Definitely. Do neurotypicals also sometimes miss learning that skillset? Sure, but it happens less often because more childcare services are designed to teach them those skills than neurodivergent children. Still leaves me dodging punches from auDHD peeps at the end of the day.

Most people are good. Most people forget to be kind to others sometimes.

Some people forget to be kind to others more. I kinda don’t like that.

Some people need to cause others discomfort to feel like they are in control of their lives. I dislike that.

Some people feel that they have the right to or even should cause others discomfort because they have some kind of birthright granted by their religion, how aggressive their ancestors were, or some perception that they’ve worked harder than others. I feel that such people should either be rigorously reeducated or in some way removed from access to other humans entirely.

Same. It took me a little longer but it makes such a nice fidget for lectures / meetings. The procedurality of it is almost soothing.