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.

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Joined 2 years ago
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Cake day: June 12th, 2023

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  • I’m actually feeling ok for just this one last night. I had a patient get more physically ill than they really should be on a psych unit but not so much I completely couldn’t handle it workout the charge nurse making all the phone calls. The patient was actually super grateful the whole time and their condition improved a lot which was a nice change of pace. Dayshift was pissed but not at me, and there’s just something deeply satisfying about knowing the hospitalist is about to get verbally fisted for not admitting your patient to medical (as they should, there was a lot more luck involved in my success than is generally advisable in a hospital setting). I’m really, really good at holding a crisis together until sunrise, but at my last job they forgot how good I was to the extent that they stopped realizing it was me putting all the fires out, and eventually they forgot the fires even existed. It’s only been six months so we’ll see but so far but them telling me the hospitalist boutta find out about our unit manager is… nice. It’s just nice.






  • I remember reading a paper on phage therapy ages ago. Iirc the implementation difficulty was that you have to culture the bacteria from the patient then use that culture to breed the phages. Culture & Sensitivity testing alone is already usually a 24h+ process and even a tricky sample collection process; at least when I was a phlebotomist 10 years ago it was the most complicated process I was qualified to perform.

    On the other hand phage therapy is great because you don’t really have resistance issues and they’re not going to be harmful to the person. Viruses are extremely host specific compared to bacteria so if they feed on a certain type of bacteria they’re unlikely to be or are even incapable of hurting a human. Vancomycin on the other hand requires regular peak and trough testing to make sure the person is getting enough to kill bacteria but not enough to kill the person.

    The issue being that in addition to the culture they then have to breed the phages with a sample of the bacteria collected from the patient. You could maybe develop a “library” of phages to try but I feel like you’d need to keep getting population samples because they’re that host specific. I’m also not sure how long breeding the phages would take vs how long it takes to test antibiotic sensitivity.


  • To me honestly lust is just lying about sex. Being poly when a partner tells me they had somebody over to fuck while I’ve been on my 3 day work stretch I’m like high five buddy get it but finding a dating app on their phone I didn’t know about or intimate texts I didn’t know about or that they cut into my time with them and told me they were sick or working when they were with another person are all not ok. Same thing when I’ve made relationship fuckups it was never really the having sex with someone else specifically it was that I was doing that after saying I was willing to be monogamous and not fessing up when I realized I couldn’t be.