(Can’t watch right this second but assuming this is the same short story I read years ago) this is the only afterlife I’m willing to believe in. Either this or a combination of this and the gnostic afterlife where we’re all splittable and recombinable parts of one larger soul.

I forget why, but I strongly associate this concept with the time I passed out from dehydration at work for like 30 seconds and I remember was walking on a pebbled beach and talking to someone. Don’t remember who or what we talked about though.

Oh I know why, but how the specific dosages (like, actual numbers) are actually chosen sounds like more of an art than a science.

try this

…but also it’s not really helpful to me in patient care. I tend to find height and weight used separately more useful for patient care than the BMI and even then I don’t use them for much. The only time I really see a BMI that my brain does anything with is when it’s 40+ and at that point they’re almost certainly 300lb+ regardless of height and at that point the weight is still the most important piece of info I’m getting out of that section of the chart.

I think the highest BMI I’ve ever seen was 80something and at that point I’m more just telling the nurse version of a “big fish story” (that patient specifically is the one I use to illustrate the point of being given a patient with medical / mobility needs that is inappropriate to the type of unit I’m on and my efforts to give them some kind of safety and dignity being used by my administrators to justify continuing to leave them in that inappropriate environment, but that’s a story for another day).

The caveat is that I’m not really doing too much with metabolism other than with my catatonia patients, and with them it’s much more about keeping weight on than anything else. You actually very rarely see an acute eating disorder in inpatient psychiatry (if it’s worth hospitalizing them, they need to be on a cardiac monitor and have somebody nearby who actually knows what’s in the crash cart).

As an aside, while I did learn how to calculate a BMI in school, and most electronic medical records do it automatically and display it below the height and weight, most of the actual drug dose calculations either use weight directly (mg/kg) or use an even weirder and more complicated equation to estimate “body surface area” (BSA). You can google that equation but I neither need nor know how to calculate it (and again the computer does it for me). Other factors that seem to be used a lot for drug dose calculation are the age of the patient (both very young or very old patients often need less of something and get side effects more often), or specific diseases like kidney or liver disease can affect the dose too. How these specifically affect drug dosing is beyond me, but not being a doctor my best guesses are

• specific cutoffs / reccomendations for specific drugs and situations (these are likely looked up in lexicomp or UpToDate these days rather than memorized)
• “winging it”
• black magic

Most of what I’m using the height and weight for within my own specialty is actually clothing / equipment sizes so I can have everything prepped for a new admission, and estimating how much literal weight is gonna get thrown around if they show up ready to fight. It’s also helpful to know if medical is dumping another supermorbidly obese patient on us (they almost have to have psych issues to get that big, but they also almost always need mobility aids we don’t have).

Other things I would care more about:

• Can you get up and walk to the bathroom on your own and dress yourself?
• Can you make it up a flight of stairs?
• Are you physically able to do a job that supports you economically and feels purposeful to you?
• Can you dance and play games and walk to all the places you need and like to go to?
• Are you in pain very often?
• Are you likely to trip and fall or hit your head while doing any of those things?

BMI is associated with things like heart disease, diabetes, hypertension, etc, but with those things there’s also a bunch of other things like your specific sugar and fat and salt intake and your family history and what other medications you’re on or what other vices you have and current lab tests and whatnot so even there, like another user said, BMI is more useful at a population / public health level than it is an individual one.

Independent / self-directed. In the right position (especially field work, wfh, or onsite overnight) it’s very useful to have someone who doesn’t need other people to get things done.

My resume: I survived working for the state for over a year without any of the patients grievously injuring me. Here’s my license number.

Them: you’re hired!

I need to know your location to know what grass is ecologically appropriate to grow there. Wouldn’t want you growing an invasive species. Also need to know the layout of your water, soil, proximity to water, amount of shade, etc. Would be easiest for you to just provide your address so I can find the best grass location near you.

There is also the option to just not interact with things you don’t like on the internet. You can just not respond. You can block people that say things you don’t like. You can also make your own community that you moderate how you want to. Why are you demanding that someone else do work that you’re unwilling to do yourself?

Or you can go touch grass. If you find google maps data collection too invasive to find a local park with you can also try duckduckgo.

3 or 54 exactly, and nothing in between. Also, you are taking all of this waaay too seriously. Go touch some grass.

A marriage is a mutual responsibility of the people in it and no one else. Only those two people are even capable of upholding the promises they made to each other. If one or both of them failed to do so that is on them. And again, if they failed to help you understand that it is not your fault, that means that in addition to not being able to keep their own damn promises, they also failed to raise you properly.

Probably not, it depends on what you did. I can (almost) guarantee it was one of two situations though:

1. it wasn’t actually that bad.

2. If it was bad enough that you did manage to actually grievously harm or even kill someone, you were almost definitely put in a situation / given access to something no sane adult should or would have ever allowed a 6 year old child to have access to (such as a gun, or being in a position to knock someone off a cliff). It is the responsibility of adults to make sure that 6 year old children are unable to harm other people while they are still learning that their actions have consequences.

As for your current everyday life, I need you to understand that an inferiority / guilt complex is in itself a burden on everyone around you. I once dated a guy with a similar guilt complex and he was impossible to deal with because I kept having to constantly shore up his self esteem for him.

If you really want to do something that benefits other people, start by working on yourself and your self esteem. You may be able to try self-help books, videos, personal mantras, etc, but if you’re not making any headway with those you likely need professional therapy. You are no good to anyone (and even a bit of a drag), if you continue on with this mindset.

Oh, and it’s also the responsibility of adults to raise children who don’t think or act like this. If the people who raised you have even subtly hinted to you that this is your fault in some way, they’re only doing it to avoid having to take responsibility for failing to prevent a six-year old child from causing irreparable harm to something. That means they failed twice, and they did both as adults.

You’re still stuck fixing it though, not because you deserve it but just by way of it not being possible for anyone else to.

Edit: I’m in a bit of a mood about my own parents right now, so if anybody else wants me to roast their parents lmk it’ll probably be very cathartic.

Same with writing and image generation. It can give you ideas or handle little details like making sure all your commas are in the right place, the formatting is cohesive, and that you used the right your / you’re, or filling in grass or sky textures in the background or putting a bit of polish on a finished image but it definitely requires some editing to get a truly cohesive final result.

Update to my earlier comment: Made a post of it so I could go into a little more detail

i’ll be full of energy, all these ideas and motivation. i’ll talk really fast and have no need for sleep.

hi, am inpatient psych nurse. that is almost definitely not just teenage hormones; you need that psychiatry doc ASAP. until then I recommend working on a safety plan until you can make it to the doc; I’ll see if I can find a template when I get home later this evening.

Update: Made a post of it so I could go into a little more detail

deleted by creator

deleted by creator

deleted by creator

deleted by creator

deleted by creator

deleted by creator

deleted by creator

deleted by creator