#aside from getting medicated

[gideonisms]

So let's say you've been procrastinating on an assignment for a week, it was due a while ago, prof accepts late assignments but you've hit a total brick wall and have tried

the power of that last minute adrenaline rush (doesn't work anymore, there are worse things than failing a class)

setting a timer for 20 min increments (managed a total of 20 minutes on the project 💀)

Promising yourself rewards (not working because not watching anything is better than doing the assignment)

Taking breaks instead and coming back to it (just doesn't happen)

sheer willpower. Just do it (again, happened for 20 minutes)

writing each tiny specific step I need to accomplish (didn't make it more bearable)

going to different locations

guilt

annoyance

frustration

What is the next step. Like what else can I even try

[skyloftian-nutcase]

Ok Wild Angsters, you wanted a continuation, so here you go :)

Four already knew what he would be walking into. His phone had been blowing up for hours. He’d come in to work early. Whether he was assigned to take care of Wild or not was another matter - Vaati loved to try and take all the admissions, convinced he was the best nurse on the unit. If Four could just keep Vaati out of Wild’s room, he’d consider it a success.

When the charge nurse told him he would be admitting the trauma alert, he knew who he was getting.

Pre-admission jitters always made Four anxious, but this was an entirely other level of fear. He almost wanted to request a different assignment, but it was too late now. What if he couldn’t take caer of him because he was his friend? What if that impair his decision making? What if he just wasn’t skilled enough to handle it? He knew Ezlo wouldn’t give him an assignment he couldn’t handle, wouldn’t be there to support him, but still…

Four went over the supplies in his room once more. Safety checks were fine—they had suction, they had a bag valve mask, the code card was nearby—and he had all the supplies he needed. It was just a waiting game.

Four paced the unit at least three times before he looked at the OR status board again. Wild was still in surgery. He poked in his chart, glancing at injuries, looking at vital signs and anesthesia notes. The last update he saw was that Wild had gotten another unit of blood. Estimated blood loss so far was around 2200mL.

2200mL. That… wasn’t too terrible, Four supposed. He’d… seen worse.

Please don’t get worse.

Four knew for certain that Wild had been mass transfused in the ED. Warriors, his primary nurse when he was there, had told him as much. Between that and the multiple blood products he’d gotten in surgery, as well all the crystalloids he was likely getting as well…

Four took a breath. Then another. He grabbed his phone, texting Warriors. You doing ok?

Wars didn’t reply.

Four wasn’t entirely sure where everyone was at this point. Hyrule had stayed at the hospital, lingering in the emergency department and then the operating room waiting area, but Four hadn’t seen him since he’d clocked in. Warriors and Legend should be getting off shift now, but whether they were going to stay up was another matter. Time was obviously in the OR (Wild’s wreck had been around 10pm, he’d arrived in the ED around 10:45, and he’d been stabilized for surgery and gone to the OR by around midnight - it was 7am now… he wasn’t sure how long this was going to take, but it couldn’t be much longer). Malon should be getting on shift now as well - she had come in last night when everything had gone down, alongside Twilight. Wind had been cautiously left out of the loop until Wild had gone to surgery, simply because nobody had really had much information at the time, so no one wanted to worry the kid until they could figure things out. Everyone had their hands full as it was. But by now, Four knew Wind was either in the OR waiting room, harassing every respiratory therapist he knew, or in the hospital library pacing anxiously. As for Sky, the last Four heard he was bouncing between different people, checking in on everyone.

He clicked through more anesthesia notes, looked at flow sheets for blood products. There wasn’t much to go on, as charting was sparse. What Four did know was that Wild had been obtunded, got mass transfused, had gotten a chest tube, had been intubated, blood was evident in his abdomen, and he had an open femur fracture. He’s been taken to Time’s OR for a ex-lap. Head CT had shown a bleed, and they were monitoring it. That was all the information Legend had told the group when he’d had a moment to spare.

Four’s vocera activated, telling him he had a call from the charge nurse. When he answered, he was told Malon had called and said they’d be finishing up in about thirty minutes and were likely to come up open.

Why was he coming up with his abdomen open? When had they gone from exploratory laparotomy to a full on open abdomen?

Ten minutes later, Malon called back to give report. When Four answered, the first thing he asked was, “How’s he doing? Is he okay? Are you okay?”

“I’m fine,” Malon said, even though she sounded exhausted. “And he’s… hanging in there. I’ve seen worse, I’ll say that. I’ll give you the full rundown, okay?”

Four listened as Malon gave report, feeling his heart settled into his stomach, which was tying itself in knots. Multiple spots of bleeding, possible compartment syndrome in his abdomen, a likely kidney injury due to compression from the bleeding on some major vessels, a small hematoma in his brain… they’d had to call neurosurgery to do an emergency craniotomy out of overt concern of swelling, given that Wild had apparently had previous head trauma, based on what they saw in the OR.

Open abdomen, craniotomy, ICP monitoring, bleeding, one chest tube… this was a disaster. Four swallowed as he wrote, feeling his hand shake a little as his heart raced. He was not qualified enough to be admitting this. He was not.

But the turnaround on his unit was pretty insane, and he was the most experienced nurse on the unit today. At least Ezlo was charge; he knew he’d be well supported.

This was a nightmare. But Four had dealt with nightmares, and he would deal with this. He wasn’t going to screw up taking care of any patient, but especially his friend.

Sighing, he hung up the phone after thanking Malon, pushing worries for her and Time aside, trying to focus on what he would need, who he should grab to help him, and how he should prep his room.

It was time to get to work.

When everyone arrived from the OR, Four made brief eye contact with Time. He couldn’t read much from the man, who was stone faced, aside from the exhaustion evident in the dark circles under his eyes. Four got to work quickly, assessing Wild from head to toe as he looked to see what IV medications he was on. A coworker wrote the note while Ezlo helped detangle his lines (the OR always brought up a mess, after all). Time gave an overview of the surgery, and Four listened along as he checked pupils, as he zeroed the arterial line and the ICP monitor, as he listened to lung and heart sounds, as he checked the chest tube and stripped it with his fingers to ensure patency, as he checked peripheral pulses, as he looked at the abdominal dressing to get a baseline in case there was swelling from bleeding later. One of the techs connected the chest tube to wall suction, and Four looked over his drips. Only having levophed at 2 wasn’t terrible, and he was getting a unit of red blood cells, which was in a transfusion set that was y’d to some lactated ringers fluid. He was on propofol for sedation. Another nurse grabbed a blood gas from his arterial line and sent off labs. His foley he had was temp sensing, and Four quickly ascertained that Wild was cold, so he set up the blanket warmer and covered his friend up.

His friend. His friend.

Four shook his head. He had to focus.

As Time left the room, he put a hand on Four’s shoulder, making him freeze. The surgeon didn’t speak, just locking eyes with him. Four wasn’t entirely sure if it was for his own benefit or not. But he had no more time to let his emotions make any decisions for him. He nodded to the doctor, who nodded in return, and then the two went their separate ways.

This was going to be a long day.

[jacksprostate]

Treatise on why No, the doctor just giving the narrator of Fight Club (full name) his requested sleep medication or sending him to therapy would not have Fixed Him

Firstly, saying giving him the insomnia meds would’ve fixed him ignores the reason he has insomnia in the first place. He is so deeply upset by his place in society that he literally cannot sleep. Drugging him to sleep would not change that. That, of course, is the easy, quick response.

But with regard to therapy? The biggest flaw is that it ignores a central tenet of the book. Part of what tortures the narrator and drives him to invent Tyler is that his feelings about this collective, systemic issue are constantly reduced to a Just Him thing. His seatmates ask what his company is. He’s the only one upset at the office. He gets weird looks if he says the truth of what he does. People will do anything in their power to pretend he is the issue, as an individual, because it is far scarier to consider the full implications of the systemic issues implied by what he is saying. Everyone treats it as if the issue is him, so he goes insane. He does anything to get someone to say, holy shit, that’s fucked up, what you’re a part of is wrong. In an attempt to feel any sort of vague sympathy and catharsis, he goes to support groups to pretend to be dying, because then at least people don’t habitually blame him for his anguish. 

Saying therapy would fix him ignores that his problems are not individual. They are collective. It’s the reason the entire story resonates with people! Something deeply, unignorably wrong with society, where people would rather blame you for bringing it up than try and address it, because it feels impossible. I don’t blame people for this, really, because it IS scary. It’s terrifying to sit and feel like you’ve realized there’s something deeply, deeply wrong, but if you say something, people will get mad at you since it’s so baked into everything around you. Or, even if they agree, it’s easier to deal with the dissonance by pretending it’s individual.

And it’s not like that’s not the purpose therapy and medications largely serve, anyway. Getting into dangerous territory for this website, but ultimately, the reason the narrator was seeking medication was because it’s a bandaid. A very numbing bandaid. For these very large, dissonance causing problems, therapy does very little. Medications do what they always have, and distract you with numbness or side effects. It’s a false solution. He is seeking an individualized false solution because he has been browbeaten with the idea that this is an issue with him alone, when it's plainly clear it's not. 

Don't get me wrong. Obviously he has something wrong with him. But it's a product of his situation. It is a fictional exaggeration of a very real occurrence of mental illness provoked by deep unconscionable dissonance and anguish.  There is a clear correlation between what happens and his mental state and his job and how isolated he is. 

The thing is, even if he were chemically numbed, I do think he would’ve lost it regardless. Many people on meds find they don’t fix things. For reasons I’ll get into, but in this case because even if numbed or distracted, once you’ve learned about deep, far reaching corruption in society, it’s very hard to forget. Especially if, in his case, you literally serve as the acting hand of this particular variety. He’s crawling up the walls. 

So why do people say this?  Well, it's funny I guess. Maybe the first time or whatever. But also, often, they believe it, to a degree. Maybe they've just been told how effective therapy and meds are for mental illness, they believe wholeheartedly in The Disease Model of Mental Illness, maybe they themselves have engaged with either and have considered it successful. Maybe they or someone they know has been 'saved' by such treatments. 

But in all honesty.... What therapy can help with is mentality, it's how you approach problems. For issues on a smaller scale, not meaning they are easier to deal with my any degree, but ones that are not raw and direct from deep awareness of corruption; these are things that can be worked through if you get lucky and get an actually good therapist who helps build up your resiliency. But when your issue is concrete, something large and inescapable? It's useless. At best it can help you develop coping mechanisms, but there is a limit for that. There is a point where that fails. To develop the ability to handle something like this requires intense development of a comfort with ambiguity and dissonance and being isolated and a firm positioning of your purpose and values and and belief in wonder and all the other shit I ramble about. The things that the narrator lacks, which lead him to taking an ineffectual death knell anarchist self-destruction path. Therapy, where the narrator is, full of the knowledge of braces melted to seats and all the people that have to allow this to happen? It fails. 

And meds — meds are a fucking scam. We know the working mechanism of basically none of them, the serotonin receptor model was made up and paid its way into prominence. We have very little evidence they're any better than placebo, and they come with genuinely horrific side effects. Maybe you got lucky. I did, on some meds. On others? I don't remember 2018. The pharmaceutical industry is also known for rampant medical ghostwriting, and for creating 'off-label' uses for drugs that have gained too many protests in their original use, then creating a cult of use to then have 'grassroots' campaigns for it to be made a label use (ie, legitimize their ghostwritten articles with guided anecdotes). 

The DSM itself is basically a marketing segregation plot. It's an attempt to legitimize the disease model by isolating subgroups of symptoms to propose individualized treatments for subgroups that are not necessarily all that separate. But if the groups exist, you can prescribe more and different medications, no? Not to mention, if you use the disease model, you can propose that these diseases are permanent, or permanent until treated, considered more and more severe to offset and justify the horrific side effects of the medications. Do you know why male birth control doesn't really exist? Same reason. They can justify all the horrible side effects for women, because the other option is pregnancy. For men, it's nothing. 

And they're not bothering to invent new drugs without side effects. When they invent new drugs it's just because the last one got too bad of a name, or they can enter a new market. Modern drugs don't work any better than gen1 drugs. They still have horrific side effects. At best, the industry will shit out studies saying the old one was flawed (truth) so they can say this new gen will be better (lie). They're doing it with ssris right now. 

Fundamentally, the single proposed benefit of any of these drugs is that they numb you. To whatever is torturing you. It's harder to be depressed if you can't feel it, or if you just can't muster the same outrage. Of course, there is people who find that numbness to be helpful, or worth it. But often, it's stasis. For the people who have problems that can be worked on, it serves as a stopgap to not actually work on said problems. The natural outcome of the disease model is stagnation for those whose need is to develop skills and resiliency. It keeps them medicalized and dependent on the idea that they're diseased and incapable. Profitable. Stuck in the womb. 

I’ve been there. It’s easier, to wallow, and resist growth because it’s difficult and painful and unfair and cruel and you can think of five billion reasons to justify your languishing. But don’t listen to anyone who tells you you’re just permanently damaged, no matter how nicely they word it, no identity or novel pathologization, no matter how many benefits they promise, especially if they swear up and down some lovely expensive medications with little solid backing and plentiful off-label usage and side effects that’ll kill you. Some days it feels like they want us all stuck in pods, agoraphobic and addicted to the ads they feed us to isolate the markets for the drugs they’ve trained us to beg them to pump us with. Polarization making it as easy as flashing blue light for go, red like for stop, or vice versa. I worry about the kids, for fucks sake. That’s a bit dark and intense, and I apologize. But I want you (generic) to understand, there is a profit motive. Behind everything. And they do not mean well. They do not care about your mental health or your rights or your personhood or your growth. They care about how they can profit off of you.

For those struggling with immovable, society problems, like the narrator grappling with how his job fits into and is accepted by society while his rejection and horror in the face of it does not, it can work about as well as any other drug addiction. Your mileage may vary. From what I've seen, recovering from being on prozac for a long time can be worse than alcohol. They put kids on this shit. They keep campaigning for more. Off label, again. A pharmaceutical company’s favorite thing to do has to be to spread rumors of someone who knows someone who said an off label use of this drug helps with this little understood condition. Or, in the case of mental illness, questionably defined condition. And like, damn, I know I'm posting on the 'medicalization is my identity' website so no one will like all this and has probably stopped reading by now, but yall should be exposed to at least one person who doubts this stuff. Doesn't just trust it. Because I mean, that's the thing right?

It's so big. What would it mean, for this all to be true? Yeah, everyone says pharmaceutical companies are evil and predatory and ghostwriting, but to think about what that really entails. Coming back to the book, everyone knows the car lobby is huge and puts dangerous vehicles through that kill people. What does it mean if the car companies all hire people to calculate the cost of a recall and the cost of lawsuits? No one wants to think about the scale that means for people allowing it or the systems that have to be geared towards money, not safety like they say. Hell, even Chuck misses the beat and has the narrator threaten his boss with the Department of Transportation. And shit, man, if every company is doing this, you think Transportation doesn't know? That they give a fuck? You're better off mailing all the evidence to the news outlets and hoping they only character assassinate you a little bit as they release the news in a way that says it's all the fault of little workers like you, not the whole system. Something something, David McBride, any whistleblower you feel like, etc. 

So I don't blame you, if your reaction is "but but but, that can't be right, people wouldn't do it, they wouldn't allow it" or just an overwhelming feeling of dread that pushes you to deny all of this and avoid thinking about it. Just know, that's in the book. That's all the seatmates on the flights. That's all his fellow officemates. It's easier to pretend, I know.

But think about, how the response fits in with the themes of the book. The story, as a movie too. What drives the narrator’s mental breakdown? How would you handle being in his position? How would you handle being his seatmate? It’s easy to say you’d listen. But have you? Have you had any soul wrenching betrayals of how you thought society worked? How about a betrayal by the thing that promised to be the fix of the first? Can you honestly say you wouldn’t follow that gut instinct, saying follow what everyone says, that person must just be crazy, evil, rude, cruel, whatever it is that means you can set what they said aside?

For a lot of people, they can do that, I guess. Set it aside. Reaching that aforementioned state of managing to cope with the dissonance and ambiguity and despair is very hard. The narrator made the Big Realization, but he couldn’t cope. He self-destructed. Even when people don’t make the big realization consciously, they’re already self-destructing. It’s hard to escape it when it feels easier than continuing anyway. When it feels like the only option,

Would therapy fix the narrator of Fight Club? Would meds fix the narrator of Fight Club? No. He knows too much. All meds will do, by the time he’s in the psych ward, is spiritually neuter him. A silly phrase, but really. Take the wind out of his sails. 

Is he fixed if he doesn’t try to blow up town? If he just shuts up and settles in and stops costing money? If he still can’t cope with the things he’s unearthed? Do you see how this is a commentary in a commentary in a commentary?

Fight Club is an absolutely fascinating story because of this. The fact that it addresses the fallout of knowing. The isolation. The hopelessness. The spiral that results from a lack of hope. This is, I think, what resonates most with people, even if not consciously. Going insane because you’ve discovered something you wish you could unknow. It’s a classic horror story. Should our society be lovecraftian evil? I don’t think so. 

Do I think changing it will be easy? No. Lord knows a lot exists to push people who make these sorts of Realizations towards feelings of individuality and individualized solutions and denial and other distractions and coping methods. And to prevent people who make One realization from expanding on it and considering further ramifications. Fight Club itself gets into this; the isolation of men being a strict part of the role society shapes for their sex leaves them very vulnerable to death fetishes, in a sense, and generally towards self destructive violence. It helps funnel them away from substantial change and towards ineffectual change. Many things, misogyny, racism, serve to keep people isolated from one another, individualized, angry, and impossible to work with. Market segregation; god knows even appealing on those fronts has become such a classic ploy that companies do it now, the US military frames its plundering that way, etc. 

I’ve wandered a bit but ultimately, my point is this: Fight Club is a love letter to the horrors of critical thinking, and the importance of not falling into the trap of self destruction and hopelessness in the face of it. The latter is why Tyler was an anarchoterrorist instead of anything useful. The latter is why it was a death cult. It’s important to work through the horrors of critical thinking so you can do it, and stand on the other side ready to believe in each other. It’s worth it.

[actualalligator]

Crying alone in the ER is not my ideal day, I have to say.

[stuckinapril]

I am so glad that I’m setting aside time to volunteer.

[reticent-fate]

part 11/26ish

anyone remember those scales with the springs in 'em? all i ever see these days are digital scales but those things made the best noises. i think i've seen some kitchen scales that still use spring mechanisms, but it's been a while.

technology is weird.

from the beginning

[whatudottu]

Seeing the “cerebrocrustaceans are highly territorial” headcanon slowly start to pick up more steam (albeit with a split as to whether they’re so cliquey and ride-or-die they view everyone who isn’t in their in-group as a potential threat until they’ve made it abundantly clear that they mean no harm or if they despise any sort of group collaboration unless it’s absolutely, positively necessary) makes me wonder if it’s a common stereotype by the galactic audience to view them as being massive pricks to everyone they meet. Like, oh, everyone on Encephalonus-IV hates each other’s guts and they’re incessantly rude to anyone and everyone they come across! They’re so petty and envious they can’t stand the thought of anyone being better at them than anything and delight in the suffering and misfortune of people they don’t like! They fly into murderous rages if a galvan so much as breathes on them, and if they weren’t such cowards, they’d nuke Galvan Prime into oblivion only to immediately start yet another rivalry with some other species for one reason or another!

Hah! Doesn’t help their case that Dr Psychobos became very well known thanks to the super famous superhero Ben 10!

But no yeah with galvans being the cold detached sort of smart, especially with their prevalence in intergalactic relationships (you don’t become the smartest being in not one but multiple galaxies by sitting alone in your room), what comparatively little interaction to the wider galactic sphere cerebrocrustaceans have has more expectations than if the galvans were more subtle in their influence. If you’ve heard how much of an grumpy old man scientist the First Thinker is, especially when you hear about one of his creations striking out against him due to neglect, well you’ve already started to get the picture of an isolated workspace that no one dares interrupt.

So then you come face to face with a snappy cerebrocrustacean scientist who’s rude, direct, and hovering over your shoulder making sure you don’t fuck up, well you won’t really find many cases of neglect when everything you do is under scrutiny. I guess the difference between my headcanon and @ohyeahben10 ‘s headcanon would be if you can endure the territorial… hostility may not be the right word, the fact that you’re in the same space as a cerebrocrustacean at work is already more than what they’d typically give, in my headcanon sphere you could potentially get past that barrier and transition from outgroup to ingroup; I don’t know exactly what’s in ohyeah’s head but I assume given his headcanons she might say that you practically could never get on a cerebrocrustacean’s good side, or at least not as close as an ingroup would suggest-

Either or, it’s gonna leave a bad first impression, and that is how the stereotype for being prickish is so widespread. Potentially, if a notable cerebrocrustacean scientist works intergalactically, the stereotype may narrow to Encephalonus IV having a very dickish social culture.

[mrnnki-img]

the old order is no more

[noxcaelestia]

If you’re legitimately interested in my current pricing, my state’s min wage went up recently and the cheapest option, pushed up to the next highest dollar (not rounded) totals up to about an 8 hour work day not adding in any other expenses or subtracting fees.

Between drawing and scanning then finishing up on my iPad via Procreate, the time is decently accurate if not underestimated. The more expensive option is twice that which is about two work days in total hours.

It’s already hard to price my stuff accurately especially when I have been so ill back and forth and I haven’t completed much work in about a year now. I hope you’ll understand. Thank you for your continued support regardless.

[servuscallidus]

at this point if my prof makes me cut the historical part out I'm going to kill myself. the legal landscape of the medieval muslim world. I could read about this for hours

[spacejammie-eimmajecaps]

Sometimes chronic illness is having a few people over to celebrate your brother's birthday but you can only last 45 minutes before you get too tired and have to go lie down in bed and from there you can hear everyone else laughing and having fun playing some card game and you want to go play too but you can't because your body demands to be flat in a dark quiet room

[crimeronan]

pursuing a lupus diagnosis is sometimes extremely funny. lately every doctor i go to is like "okay so this is. definitely lupus. with very specific complications. but i'm not putting that diagnosis on paper because lupus is a lazy diagnosis and it's never lupus. except in your case. in which it is lupus" i know the USUAL experience is people being disbelieved by doctors for Years when they try to tell them they likely have lupus & that WAS my experience three years back, but NOW i've had a lucky combo of well-timed test results and symptoms that have led to a general attitude of "okay i literally can't find any explanation OTHER than lupus with very specific complications. but i'd be more comfortable if you got diagnosed by a rheumatologist instead" and then the rheumatologist you're referred to literally never calls you back to schedule bc they're so overbooked due to consequences of the COVID pandemic so your normal doctor is stuck managing your constellation of technically-undiagnosed symptoms, that could technically be anything, except for how. they are lupus. with very specific complications.

[void-tiger]

Sorry, Shiro.

You have hEDS now. Not “just” epilepsy.

I make the rules. It fits. RIP buddy.

[orcelito]

Had my first ever papsmear and that was #Uncomfortable but it's important to my health so I did it anyways

Being a responsible adult is hard 😑

[bokuwadekinaiko]

(advice appreciated + long ass tags)

this sucks this sucks this SUCKS FUCK. ive been hokeschooled / "unschooled" for the entirety of my 8th grade and school is starting again in 2 weeks and i really want and really need to be back in school but idk if im mentally at all ready. opening day would be best to go back obviously but i didn't spend anytime during summer preparing for the routine / fixing my damn sleep schedule but i really need this .

i also know its gonna SUCK because i have severe sensory processing issues (tldr my brain Cannot filter out uncomfortable noises / textures / etc andi go Fucking ballistic and melt/shutdown) and even at home im having multiple daily meltdowns / panic attacks from just the everyday noises / sensations so god forbid what it will be like around 300 teenagers who don't know personal space exists.. i also have a severe anxiety disorder / autism so itll be even MORE fun :-) yaAy (thats not factoring in PDA disorder which is made my dad drop me out anyways because its Fucking Hell trying to go to school with that)

but i want this. i need this . iwant to get an education. i wanr to be around kids my age instead of being forced to be inside all day. i want to have routine and make friends and feel normal. im just scared that because of circumstances out of my control ill never get that

[is-the-owl-video-cute]

Ok people acting like feeding anything that isn’t owned by Purina or hills will kill your pets are being a BIT dramatic here. I have never used either and all of my animals are miraculously alive and fully healthy.