I had my last green tea waaaaay too late into my shift overnight wish me luck crawling into bed right now.

I feel like the fact that this topic is being debated between two men is it’s own statement. Although I suppose the people it has to be debated to aren’t likely to listen to a woman anyway.

Iirc correctly in one of the John Dies at the End books the mc speculates that the puritans are getting high off their feelings of superiority.

In my crash course to new psych techs about addiction I list off all the common legal addictions which goes something like this:

• Caffeine
• Nicotine
• Alcohol
• Gambling
• Pornography
• Social Media
• Binge Eating
• Non-suicidal self-injury
• And depending on the location, Marijuana

I tell them that mine is caffeine and my partner’s is nicotine, then we talk about motivational interviewing and then I move on to dementia.

Oh yeah I was thinking about adding head bumps but forgot / wasn’t sure where to add it.

If it’s new shortness of breath or chest pain , particularly the crushing variety that feels like something is sitting on you, do not pass go, do not collect money, straight to the ER. Same goes for sudden severe lower back or abdominal pain or sudden heavy bleeding out of your orifices (more than a super maxi-pad full every two hours if you’ve got that genital configuration). There’s a few other little things like a continuous erection more than 4 hours. Also you should learn the signs of a stroke (Google “stroke” FAST). If you’re not sure, look up the local ERs number (not 911) and ask for the “triage nurse” and ask them.

If it’s been going on / steadily getting worse for over a month it can (probably) wait one more week if that’s all it will take to see your primary care physician or see a specialist.

If it’s sudden but you know exactly what you did like if you pulled a muscle or sprained a joint at work or cut or burned your arm while cooking (I specify arm, if you cut or burn your hand, face, or foot, measure how big it is and call that triage nurse, and if it’s your genitals just go to the ER) or if you forgot to pee after sex or did it with somebody sketchy and now it hurts to pee, go to the urgent care. Or if your petri dish of a preschooler brought home something and you’re not sure if it’s strep but you almost definitely need a note for work. Or if you have an old cut but now it’s looking puffy and oozing weird liquids (but it’s still localized to that one little area, you don’t have a fever or anything). If you can look at it and already have a general laymans idea of what they’re gonna do to it, go to the urgent care.

Shoutout to CritiqueMyDickPic for trying to encourage some artistry in the “male nudes” genre (only the A rated photos are filtered for in that link).

This guy summarizes ^

There are actually numeric codes to the Walmart prices iirc. It’s not white supremacist nonsense or anything inherently political though. It was Something like ending in 66 cents means that’s the last price cut vs 88 means there’s like 1 or 2 more planned discounts or something.

I got enough upvotes that I think most people understood. I’m sorry you struggled with it.

That’s also why I’m being so active in this comments section; I don’t want people reading about compassionate euthenasia thinking “wait isn’t that how they torture people to death?” because it’s not unless you’re basically trying to use it that way. I’ve actually been briefly trained on what to do in an inert gas leak in some of the radiology safety modules for work because some of the imaging machinery uses inert gas and they literally tell you it’s super easy to accidentally die that way because by the time you’ve even noticed you’re almost dead.

Precisely. Wonderful if you’ve got highly painful terminal cancer though!

They’re not doing it correctly. The person needs to be cooperative and able to follow instructions, and they need to be using a specific type of mask that vents their breath with the carbon dioxide out.

They’re not doing it correctly to be used as euthenasia. You need:

a) a person without COPD, chronic bronchitis, or any other disorder that has swapped their drive to breathe away from increased blood carbon dioxide / acidity and towards oxygen deficiency (fun fact, oxygen deficiency isn’t what drives most people to breathe).

b) a cooperative person who can follow instructions to breathe out fully then take 2-3 full deep breaths

c) a nonrebreather mask which is a special mask with an outlet valve so that when they breathe out that air with all the carbon dioxide is vented while the nitrogen continues being pumped in.

Sounds like they’re fine on A, but not doing B or C.

Yeah if you’re cooperative and able to breathe all the way out then deep breathe those first few breaths it’s actually the ideal way to go. You do also have to not have COPD or chronic bronchitis or another disorder that’s swapped your breathing drive to oxygen deficiency instead of carbon dioxide excess. The rising CO2 / blood acidity from re-breathing the same air you put out is actually what causes the anxiety / panic of suffocation for most otherwise healthy people, not the oxygen drop. So if they were using a nonrebreather mask and doing this as compassionate euthenasia for terminal illness for people able to cooperate it would actually be one of the better methods.

JFC “death by hurricane vs financial ruin” shouldn’t be an internal debate.

Phallopenia, if you will.

I like that you mentioned we pick and choose who we remember and for what. Do you know why we don’t read in elementary school about the person who discovered that the universe was mostly made of hydrogen? Her name was Cecilia Payne-Gaposchkin if you’d like to look her up and come up with any hypotheses as to why.

I often feel the same working in mental health, especially with medically complex patients who have lost their own legal-medical decision making rights.

There’s the obvious high stakes ethical debates like if someone has a gangrenous limb that will kill them should you force them to have it removed. But there’s a lot more common / lower stakes examples I run into more often. Say someone has a dietary restriction that not following will likely cause great harm. Say they can’t swallow effectively (more common than you think, especially with strokes). This person is demanding a burger. It’s more likely than not that they will choke and die on that burger. Do you let them have the burger? You could argue that a sane person would obviously choose life over a burger but I might argue that American culture in particular makes the ability to consume burgers enjoy life more important than lengthening it (not entirely true, OP is probably one of the few people here who wouldn’t be shocked what people put elders through in the name of extending life). In the end its a complex debate with a huge amount of individual nuance that I don’t claim to have all the answers to.

I can tell you that I kinda wanna go work hospice where I don’t even have to ask any of those questions and can just give them the fucking burger.

Zoonotic diseases require frequent contact with large amounts of animals with large amounts of workers to have enough opportunity to make the difficult cross-species jump, so yes, factory farming is 100% the problem and giving both the animals and the people caring for them more space and making sure the workers have the time to do things right would make a huge difference. You’re making a reducto ad absurdum argument by intentionally using absurd quantities and time periods that are not required to accomplish this goal.