Chetzemoka

joined 2 years ago
[–] Chetzemoka@startrek.website 2 points 2 years ago* (last edited 2 years ago)

Likely underlying neuroinflammation. We're learning more and more about the role of neuroinflammation in psychiatric conditions. It's well-known that a lot of psychiatric medications have anti-inflammatory effects, and there have always been competing hypotheses to the monoamine hypothesis.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490908/#:~:text=The%20neuroinflammation%20hypothesis%20of%20depression,proinflammatory%20cytokines%20and%20several%20metabolites

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6953590/

https://www.theguardian.com/science/brain-flapping/2017/jul/10/how-do-antidepressants-actually-work

[–] Chetzemoka@startrek.website 1 points 2 years ago* (last edited 2 years ago) (1 children)

"number of conflicts across the globe is at an historical high, and on the rise"

I really wish they had cited a source for this. I wonder what historical period their source is considering.

[–] Chetzemoka@startrek.website 22 points 2 years ago

I'd miss you guys. I've jumped in on conversations on your instance a couple of times and it always seems like a nice place

[–] Chetzemoka@startrek.website 1 points 2 years ago* (last edited 2 years ago)

We still have the same infection control protocols to prevent spreading an illness from an infectious patient to other patients that we've had since before the pandemic. That includes wearing a mask (and usually gown, gloves, face shield) when in a room with an infectious patient. We're just not wearing masks in the hallways and break rooms anymore, and it's caused some outbreaks among staff.

One significant contributing factor to this is the ridiculous American expectation that people should work unless they can't stand up anymore, and if you take a day off, it comes out of your vacation time or it's possible that it could be unpaid. We incentivize people to ignore mild symptoms of illness that result in them arriving to work in the early infectious stages of illnesses. We need to change that, to encourage people to stay home even if they mostly feel well, but suspect they're coming down with something without it eating into their already scarce PTO.

[–] Chetzemoka@startrek.website 3 points 2 years ago* (last edited 2 years ago)

It's difficult to communicate with an elderly person whose hearing aid battery has failed (or who refuses to wear them). Communicating with them while wearing a mask is nearly impossible. It honestly complicates their care, and we did it through the entire pandemic.

When my hospital lifted its mask mandate, I thought I would wear a mask forever. It wasn't discouraged, left totally up to us. But then one time I pulled it down because I couldn't communicate with a patient. Then I did it again. Eventually I was routinely pulling it down to talk to people, and I thought why even bother?

Naturally I continue to wear one if someone is diagnosed with an actual respiratory illness. But the ease of communicating with the people who compromise the majority of the patient population in a hospital is my primary barrier to going back to wearing one all the time.

One thing we need that would really help is better protections for sick workers so people don't try to skirt the rules and talk themselves into coming to work in the early stages of an illness.

[–] Chetzemoka@startrek.website 16 points 2 years ago

There are many many other classes of medications for depression. SNRIs, tricyclics, mood stabilizers, bupropion is a completely different mechanism of action, even drugs that were originally developed to be antipsychotics are used off label.

I agree with others who have suggested that you should see an actual psychiatrist. Other prescribers just don't have the same training and experience as a psychiatrist with a medical doctor license. There are lots of medications available.

[–] Chetzemoka@startrek.website 2 points 2 years ago (3 children)

The character's name is Boromir.

What do you think would be the mechanism of death when he gets hit by an arrow? Even bullets rarely kill instantly. Bullets stop people because they hurt and people go into shock. A properly trained soldier absolutely is capable of continuing to fight through this. Short of a head shot, the most likely mechanism of death is blood loss, which takes a little time. When. Boromir dies, he is ashen pale the way a person with catastrophic blood loss would be. I think that death scene is more realistic than you realize.

[–] Chetzemoka@startrek.website 72 points 2 years ago (3 children)

This headline is some absolute bullshit.

California already had health insurance for undocumented immigrants, as does Massachusetts. It's just limited to emergency care and pregnancy care.

California is expanding their existing coverage to comprehensive health care including primary care, which is cheaper than letting medical conditions get so completely out of control that they require expensive and disabling emergency hospitalizations.

[–] Chetzemoka@startrek.website 23 points 2 years ago

Additional context about these "training" fees. The people coming over from the Philippines are TRAINED NURSES. They're properly educated, often already working, and in my experience generally excellent nurses. These "training fees" are literally wage slavery. These nurses require very little training, mostly about US healthcare laws and facility policies. These facilities are not teaching them how to be nurses.

[–] Chetzemoka@startrek.website 4 points 2 years ago* (last edited 2 years ago)

As long as they don't let it be run by private equity firms like the US. In theory our combination long term care/short term rehab facilities provide this care model. They contain a doctor, nurses, aides, social workers, and physical therapists. Who are all paid rock bottom wages and criminally understaffed while the owners rake in millions by literally bankrupting vulnerable elderly people.

I'm assuming the UK facilities will be public like NHS unless the Tories get their way and kill that too.

[–] Chetzemoka@startrek.website 3 points 2 years ago (1 children)

Nah, it's fine. Wet things dry. They're fine as long as you get them dried out in a timely fashion. All the water is up, dehumidifier running ¯\_(ツ)_/¯

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