• 5 Posts
  • 110 Comments
Joined 2 个月前
cake
Cake day: 2026年3月7日

help-circle
  • Previous poster specified “medics” which I understood as the people on the actual units providing care; and their reluctance to teach skills without the foundation of knowledge that enables those skills. My take was to put myself in their shoes and consider why - the very obvious answer being that doing so can cause harm. The number of bigots working the front lines is of course higher than zero, but also a very clear minority, so jumping to that as the answer to why they behave a certain way around trans people is not correct.

    You’re getting more into all the bullshit that influences healthcare at the systemic level: administration, politics, religion… and your right, the answers there get a lot more nefarious, but are very much not the people the previous poster or I was discussing.


  • Murse@slrpnk.netOPtoSolarpunk@slrpnk.netSolarpunk in healthcare?
    link
    fedilink
    arrow-up
    4
    arrow-down
    1
    ·
    9 小时前

    also stuff like DIY medicine, it would help me greatly as a trans person if medics stopped policing medical knowledge and taught us their skills instead.

    The problem there is that the skills and knowledge go hand-in-hand, and something being safe vs not is dependent on it being used correctly. If you’re encountering reluctance from medical folks to give you DIY resources, it’s most likely from the fear of giving you advice that’ll turn around and fuck you up. And we don’t want to fuck you up. But as you mentioned, the longer term consequences (suicide) potentially far exceed fucking up a shot… like degradation of your subcutaneous tissue because something that was supposed to be injected intramuscular was erroneously injected into the fat, causing it to break down and leaving you with a nasty pit (clinically minor, but disfiguring). Or failing to instruct you to sanitize the stopper and your injection site with alcohol pads, leading to necrotizing fasciitis, (which can kill you).

    All that said, I agree with you - you’re more than capable of understanding those risks and taking the time to learn both the skills and the knowledge to mitigate them. Whether or not to take that risk is solely up to you. What I’d advise is to take a deep dive into literally every step of the process: The DIY guide you found said to use one needle to draw the solution and another one to inject… why? With an inch and a half needle… why? that’s a 27 gauge… why? Says inject it into your thigh… why? At a 90* angle… why? What do you do if something goes wrong? How can you even tell if something’s gone wrong? You get the gist. The skill of actually giving a shot is the easy part - understanding the ‘why’ gets crazy complicated.

    Numbers and such pulled out of my ass - I don’t know squat about estrogen, so real instructions will almost certainly be different. But if you’re doing it DIY, you really do need to become your own nurse. (and if that stuff comes naturally to you, get your ass into nursing school!!).

    Having never given estrogen before, I’m pretty sure you already know more about it than I do, but if any of your DIY instructions seem odd or even wrong, feel free to bounce it off me and I’d be happy to share what insight I have.











  • most suggestions on here involve running unauthorized software or visiting sketchy websites

    Agreed, which I won’t be touching. That’s why I opened with the example of the Bing trick to scrub ads off of YouTube: fully compliant with company policy. HR, IT, and Legal could be watching over my shoulder, and I’d be inclined to show off that trick just so they could go back to their own workstations and use it. Zero risk to my career, zero risk to my patients, and zero risk to the company. Win win win. Looking for more tricks like that.



  • I mean, I could afford a YouTube subscription just fine; nursing isn’t exactly a path to some Scrooge McDuck mountain of gold or anything, but we’re not living paycheck to paycheck either. My refusal to pay YouTube isn’t because I can’t, it’s because they’re Google, and fuck Google. If there was a playlist generator/streamer made by an ethical company who’s product is actually worth using, then fuck yeah point me to their subscription page! Unfortunately, the only options I’m aware of are either shit products or shit companies, so I’ll continue to be a stingy asshole until I find something worth supporting.

    …and although it’s not really on topic for this thread, feel free to drop some recommendations - I’m most familiar with music.youtube, spotify, and pandora, but youtube is youtube, and the other two leave a lot to be wanted for the playlists they provide. Or they did at least, it’s been probably over 5 years since trying pandora or spotify… maybe they’re better now? /shrug


  • Probably better than trying to fuck with HIPAA.

    Not sure you understand the goal - I’m not trying to pull anything shady with patient data; but to find better ways to use those comps. There are functions protected by HIPAA, and functions that Microsoft/Google/etc have enshittified that I’m trying to make a bit more user friendly - the only overlap in the venn diagram here is that they happen on the same computer.

    Fortunately our charting software isn’t loaded with unskippable ads (…give it a few years…), so even if there are ways to fuck with that software, there’s no need to.


  • Can you install user apps (which don’t require admin elevation) or is it truly nothing?

    It’s truly nothing - healthcare setting, so it’s pretty strict. Absolutely no installing anything, or plugging in an external drive to run shit from that. We’re allowed to use the work comps for personal stuff so long as it’s not getting in the way of our actual duties. For me this usually means putting some music on while I’m charting, but nowadays it’s more ad than music without an ad blocker.

    The bing trick was great - pull up a 2+ hour long full-playlist-in-one-video, and just let it run in the background… but that loophole got closed. But from the hospital’s perspective, they didn’t care if we did shit like that - they couldn’t give a rat’s ass if we slurped up all of Googles ads or not; they just don’t want any liability from a security or privacy standpoint.




  • …that’s not how hospice works. Hospice is just care to keep a patient comfortable through a condition they’re not expected to survive. Food can be part of keeping a patient comfortable if they’re able to eat. Some people aren’t able to eat, and then you start getting into the hard questions like whether it’s ethical to keep someone alive with a feeding tube and IV drip just so their brain can soak up more morphine, but the cutoff of life sustaining treatments depends a lot on the nature of the condition, what the patient stated when they were in a sound state of mind previously via a ‘living will’, or at the discretion of family.

    But yeah, you can be on hospice for months - they absolutely feed you unless there’s some reason not to. You can also come off of hospice if the underlying condition improves on its own and it starts to look like you’ll actually recover - it’s not a death sentence or assisted suicide or anything.


  • This makes me realize I have no idea what poppyseed actually tastes like. I’ve had lemon poppyseed muffins/bread, which are delicious, but just taste like lemon - the poppyseed gives it a nice fine crunchy texture, but doesn’t make any detectable impact on the taste.

    …and now I’m second-hand annoyed at OP’s situation of finding a product that promises to highlight that taste, but turns out to be more false fucking advertising.

    I want the thing pictured in the wrapper!

    Then again… random piss tests… probably not worth it.


  • This has deep vein thrombosis / pulmonary embolism written all over it.

    Basically blood doesn’t circulate in the lower extremities because of the distance from the heart - when it stagnates for too long it starts to clot.

    Then a chunk of the clot breaks off, follows larger and larger veins until it gets to the heart, gets sent smaller vessels in the lungs until it can’t fit and becomes lodged.

    Really should sleep horizontally.