Apytele

joined 2 years ago
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[–] Apytele 7 points 3 hours ago* (last edited 3 hours ago) (4 children)

Searching for friends online isn't going to fix the fact that you're a nihilistic sad-sack whose interactions with people are always fundamentally unpleasant. Nobody wants to hang around someone who only says sad shit and no-one wants to be asked for advice then have their ideas shit on. That's why so many depressed people turn into comedians, if you're gonna say awful shit you at least need to wrap that turd up in some party paper and put a bow on top.

This isn't even me telling you not to look online; that's actually completely fine. It just won't actually fix the problem because your problem isn't the format, it's your attitude. This is blunt as shit but I worry if I state it less than completely explicitly you'll gloss over it, and I wouldn't say it at all if I didn't think it was something you could change about yourself.

[–] Apytele 1 points 3 hours ago (1 children)

Aaaaand you ignored the part of my argument where it's still a marginal improvement for that population (who already can't afford it even with insurance). The other commenter is right, you're cherrypicking and arguing in bad faith. I've no patience for sealions. Bye.

[–] Apytele 3 points 4 hours ago

They probably don't consider him in the same class as them at all. I wonder if he wasn't even a 1%-er, maybe more like a 2-3%-er. If you do literally anything other than laying in your money pile eating and shitting and having your mouth and ass wiped with $100 bills you're probably a pleb to them.

[–] Apytele 2 points 4 hours ago* (last edited 4 hours ago) (3 children)

Tbh as a nurse even just directly accepting pay from patients would be a huge improvement in the Healthcare system. Even having the patient directly pay the hospital then the hospital pays me would be a big improvement over health insurance companies. The entire purpose of a middleman is to make things more convenient and yet they've figured out how to make more money the less convenient it is to receive care because they get their premium either way, and the more they refuse to do the more they get to keep. They're literally leeches that contribute nothing beneficial to the process.

A big reason we have stuff like $100 bandaids is because of a longstandimg health insurance tradition of the Healthcare insurance companies insisting that the hospitals charge exorbitant prices to the uninsured so that they can offer their customers "discounts." It's the same marketing strategy as how mattress stores are always having a sale. The mattress was always worth $400, they just added the ~~$800~~ next to it to make that $400 look better. After years and years of the insurance companies "negotiating" for more money off the price we have hospitals charging $100 to put a baby on its mothers chest after birth, then that price is magically "negotiated" down to $1 which the insurance company so graciously deigns to pay.

Some people still wouldn't be able to pay which is why we really need to move towards a government provided fund that covers at least the basics for everyone, but for most people not having to pay $500 for a bandaid and only having to pay $1-2k for a major surgery would be doable, especially if they're not also paying $300 monthly and $3.6k yearly for "insurance" that will still try to get the anasthaesia cut off mid surgery. And it would make mutual aid and charitable funding a much more realistic possibility for those who can't afford it.

So anyway yeah we actually should just completely abolish the health insurance industry. It wouldn't fix everything but it would actually be a huge improvement just by cutting out the middleman and by making a negotiation that was already unfair to begin with at least more open / honest.

[–] Apytele 5 points 5 hours ago* (last edited 5 hours ago)

Oh I've read his book he's great. I see a lot of people here debating his morality but the important aspect of his book is that he describes the actual tactics in detail.

[–] Apytele 3 points 5 hours ago (1 children)

Also didn't NY State abolish the death penalty? Or can he be charged with a federal crime to override that?

[–] Apytele 2 points 17 hours ago* (last edited 17 hours ago)

Every time I hear the words "qualified immunity" I think about this:

I was first trained in acute psychiatry years ago to never ever in forever restrain people face down. Me and my highschool diploma were sitting in a side room in a state hospital for I shit you not a two. week. crash course in inpatient psychiatry after which they dumped me out on the unit to work with criminally insane men for two years. And in my four hour restraint class they hammered into us to never restrain people face down.

I remember seeing two men fighting and I just figured I'd grab one and somebody else would grab the other and we'd pull and I remember looking over my guy's shoulder and seeing the other guy gnawing on his face and then there's a hole in my memory (likely about 60 seconds; it happens with adrenaline) and the next thing I remember I guess we had all fallen and I was laying on top of the guy I grabbed and I shit you not the very first thought in my head was "oh shit, he's face down I need to get off him" and I slid to the side and just kept a hand hovering over his shoulders in case he tried to pop up and... idk, bite my face off or something. I didn't even know who it was until he looked back at me. But they had hammered that one thing into my head that hard that I didn't know what the fuck this guy was gonna do and the first thought in my head was still to get off him.

So when I saw all these news stories and all this footage of the cops holding people facedown until they asphyxiate I started asking around. I don't work with cops in the sense that they're my coworkers but I do run into them a lot dropping off involuntary holds. So I started asking about how they're trained to restrain people and if they have any training on how to protect people's airways. And it turns out they do, actually. Everybody I asked pretty universally told me they're trained to get the cuffs on then immediately turn them on their side. It's not super advanced, in fact it's super basic. Basic in the sense that you could've taught it to a highschool graduate in under two weeks.

So it's funny you mention not being trained for something because actually yeah they are trained to not do things that kill people and yet-

[–] Apytele 10 points 18 hours ago (2 children)

I didn't even know the second definition existed at all. Ty for sharing.

[–] Apytele 4 points 1 day ago* (last edited 1 day ago)

I have a sneaking suspicion that a lot of it is legal, and most of the borderline cases I personally encountered were years ago when I worked for the state. It was less prevalent when I worked for a major university hospital but they had really good HR that were offsite (not buddies with department managers) and well trained in the legal aspects so whatever nonsense they were pulling was always above board. The most egregious ones though, and the ones you'll read about when they make the news, are the nursing homes, which is work I've never had the stomach to do. Now I'm working in a small inner-city hospital, so most of their staff abuse is just against local poor people who aren't going to find anywhere that pays more.

[–] Apytele 11 points 1 day ago* (last edited 1 day ago) (2 children)

It's similar in nursing. They keep bringing over nurses from the Philippines, Nigeria, Ghana, and Jamaica (to keep the list short) and they're great coworkers but a lot of their contracts would actually count as human trafficking on the same questionnaires our ERs use to screen patients. They're working in conditions that were misrepresented or straight up lied about with monetary and legal penalties for breaking the contract such as tens of thousands of dollars or loss of their green card.

The employers are doing this to get employees who will be too afraid to report unsafe working conditions for both them and their patients. In psych I see a lot of international nurses who did not realize how utterly violent the average US homeless substance abusing psych patient can get (well except for a few who did high acuity psych back overseas; we had a Nigerian coming from forensics who knew what was up). A lot of them come from other specialties like onc or renal and wind up in psych because it's an easy in and wind up waaay out of their depth with no easy way out.

The fact that this abuse exists to depress my wages at the expense of everyone involved (them, me, AND the patients) is just... Idk. I almost want out but it's what I'm most skilled at and I can't imagine doing any other kind of work but the conditions and pay have just steadily worsened the longer I work.

[–] Apytele 7 points 1 day ago

I don't personally have the emotional resiliency to own a gun right now but I'm VERY pro gun. We can't be letting the conservatives have all of them that's terrifying.

[–] Apytele 7 points 1 day ago (3 children)

Oh don't worry I'm trans / bi in the ~*wrong*~ ~*way*~ too. They just wanna be mad and will find a reason.

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Is this a unicode symbol? Edit: nvm I found it (scontent.fric1-2.fna.fbcdn.net)
submitted 2 days ago* (last edited 2 days ago) by Apytele to c/[email protected]
 

cross-posted from: https://sh.itjust.works/post/29712329

I feel like it has to be but I can't even figure out which specific table it would be in.

Of course I found it right after posting.

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Is this a unicode symbol? Edit: nvm I found it (scontent.fric1-2.fna.fbcdn.net)
submitted 2 days ago* (last edited 2 days ago) by Apytele to c/[email protected]
 

I feel like it has to be but I can't even figure out which specific table it would be in.

Of course I found it right after posting.

 
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submitted 1 week ago* (last edited 1 week ago) by Apytele to c/[email protected]
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submitted 1 week ago* (last edited 1 week ago) by Apytele to c/[email protected]
 
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Gratitude Moment (self.nursing)
submitted 1 week ago* (last edited 1 week ago) by Apytele to c/[email protected]
 

I'm reading about people's job interview horror stories and just thinking about how amazing it's been to just be able to upload a half-completed resume into a job application and get a callback within 12 hours every. single. time. Sometimes I regret my specialty and god knows I don't get paid enough for this shit but holy hell does it feel good to just slap a resume down on the table and have it almost speak for itself. I've gotten that within 12 hour callback on a half completed application I hadn't even submitted yet.

The list of facilities I've worked and the total time they tally up to ALONE is enough to get me a job. I've been working high acuity psychiatry for almost ten years now as a tech, as an RN, as a sitter, and for everyone from a ratchet-ass state hospital, to a fancy pants university hospital, to a podunk country hospital. Just having them call those places and verify length of employment pretty much guarantees me any job in my specialty. From there we're just talking compensation (not 6 figures, but I'm not broke, homeless, or starving).

And I've heard similar stories from other in-demand specialities like ER and MedSurg. One veteran ER nurse said he angrily put in an application during a difficult night shift and was picking up the phone about it before he stepped out of the building that morning.

Might be shitty but it's a real job, not some finance bro desk bullshit, and as long as I keep my nose clean and my body in decent shape I'll have a job right up until the end of the world.

 

Title: Hospital admin has brilliant ideas

Body:

They took away our hot chocolate. We have those automatic coffee machines that will also do hot chocolate. They decided it was probably just the nurses drinking it all so to keep expenses down, got rid of the (I’m sure super spendy) hot chocolate powder. Don’t get me wrong, I certainly enjoyed a cup of hot chocolate around 3 am. But I also took soooo much joy in offering it to family of those middle of the night admits. You know the ones, they have been awake all day and kinda think they might be able to go home and sleep…. But not yet. You offer them coffee but they don’t want it to keep them awake. Their faces just light up when you give them hot chocolate.

What are they going to do next, get rid of warm blankets?

Top Comment:

Hospitals billing patients: what's another $20,000 between friends

Hospitals spending money: cocoa powder doesn't just grow on trees 😡

 

cross-posted from here - I would have put it on this sub originally, but this comm is still pretty small.

I know someone is gonna pipe up about the mean girl from their highschool that's a nurse now. It comes up constantly in these conversations. But what I wanna put here is this comment by u/nursemattycakes (it's also the highlighted comment in the link):

"Probably the first major wake up call I had as a new grad in 2006 was taking care of a guy just a couple of years older than me. He was a frequent flyer in our hospital… a super nice kid with cystic fibrosis. His mother was the sweetest person I have probably ever met, and was diligently by his side at every admission. She was honestly the best caregiver I have personally ever met and was always very kind to the staff. I had gotten to take care of him several times over the years, even prior to graduating nursing school when I was a tech. I had never personally met the dad, although a few of my coworkers had, but I knew he worked a shit ton of OT to pay for all the care for his son that he could.

One night I came to work and he was my patient, and the dad was in the room. The mood in the room was absolutely tense, and the vibe at the nurses station was especially tense. During report the day shift nurse told me that the patient had hit his lifetime maximum benefit. Worse yet, his pulmonologist who had been his doctor since birth told the patient “You can’t just come to the ER every time you’re short of breath. You’re going to have to learn to be short of breath at home” and essentially fired him. Fortunately, the hospital’s other pulmonologist was more than happy to assume care. Unfortunately, about six months later the patient died. His demographics sheet listed him as self pay.

I will never ever forgive his doctor for abandoning him once that sweet, sweet insurance money ran out, and the experience made me realize how unnecessary and evil for-profit health insurance providers are.

So no, I do not care one bit about some multi-multi-multi millionaire getting gunned down because the luxurious and worry-free lifestyle he led was made possible by the suffering and preventable deaths of thousands upon thousands of people every year. His family can dry their tears with their stock options. Because fuck ‘em.

I, on the other hand, will enjoy my Christmas season as per usual, with the understanding that with just a little bit of bad luck I could lose everything I own at any point because in this country healthcare is not a right, but a privilege extended to me as long as I work hard to make the unimaginably rich, richer."

 

I know someone is gonna pipe up about the mean girl from their highschool that's a nurse now. It cones up constantly in these conversations. But what I wanna put here is this comment by u/nursemattycakes (it's also the highlighted comment in the link):

"Probably the first major wake up call I had as a new grad in 2006 was taking care of a guy just a couple of years older than me. He was a frequent flyer in our hospital… a super nice kid with cystic fibrosis. His mother was the sweetest person I have probably ever met, and was diligently by his side at every admission. She was honestly the best caregiver I have personally ever met and was always very kind to the staff. I had gotten to take care of him several times over the years, even prior to graduating nursing school when I was a tech. I had never personally met the dad, although a few of my coworkers had, but I knew he worked a shit ton of OT to pay for all the care for his son that he could.

One night I came to work and he was my patient, and the dad was in the room. The mood in the room was absolutely tense, and the vibe at the nurses station was especially tense. During report the day shift nurse told me that the patient had hit his lifetime maximum benefit. Worse yet, his pulmonologist who had been his doctor since birth told the patient “You can’t just come to the ER every time you’re short of breath. You’re going to have to learn to be short of breath at home” and essentially fired him. Fortunately, the hospital’s other pulmonologist was more than happy to assume care. Unfortunately, about six months later the patient died. His demographics sheet listed him as self pay.

I will never ever forgive his doctor for abandoning him once that sweet, sweet insurance money ran out, and the experience made me realize how unnecessary and evil for-profit health insurance providers are.

So no, I do not care one bit about some multi-multi-multi millionaire getting gunned down because the luxurious and worry-free lifestyle he led was made possible by the suffering and preventable deaths of thousands upon thousands of people every year. His family can dry their tears with their stock options. Because fuck ‘em.

I, on the other hand, will enjoy my Christmas season as per usual, with the understanding that with just a little bit of bad luck I could lose everything I own at any point because in this country healthcare is not a right, but a privilege extended to me as long as I work hard to make the unimaginably rich, richer."

 

I ran it through google translate anyway.

das ist gut fur die mensch oder?

That's good for people, isn't it?

derweil nur einen cracksteinwurf entfernt:

Meanwhile, just a crackstone's throw away:

 

the wildest part is that to me who would never touch OB with a ten foot pole, even all the rest of it is so on the nose. The public health stuff especially is always super accurate.

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CLASSIC (sh.itjust.works)
 
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