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Joined 3 years ago
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Cake day: June 12th, 2023

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  • Oh no it gets flung around plenty in on-unit report and with your work besties. Some of it is commiseration about unpleasant patients, but it’s also practically helpful to describe the background to float nurses or nurses new to the unit that the patient has some kind of long running problem whether it’s financial or cognitive-emotional that’s preventing them from managing their problems properly outpatient. But when you go to write that practical concept (of a patient who has a stable and predictable hospital course with a treatment plan that evolves minimally over multiple hospitalizations) you write “known to us.”




  • Mine was an abandoned mall with half the lights dead and people shambling around aimlessly. There was a guy sitting by a door with a curtain on it and he asked if I would go in and help him with some math problems. Seemed sus as hell but I was kinda curious so I peeked behind the curtain and it was just a black void no floor or anything. Wished him luck and went back towards the lobby. There was a giant upside down cross on the wall and I was like oh hey it’s the cross of St Peter and everybody turned to me suddenly looking really pissed off and then I woke up.

    The sleep paralysis moment was just a shadow man standing at the foot of the bed until I managed to yell for my husband and it disappeared when he ran in.

    More recently I ran out of clonidine and had a dream I was being stalked by a weird blurry outline of a human. When it finally caught me I felt this vibrating stiffness go through me like being lowkey electrocuted so like not as painful but rather alarming at which point I woke up. Bizarrely, my immediate thought was to force myself back to sleep and go fight the asshole and I did exactly that and kept chasing it down and grabbing it and holding on as long and as hard as I could and getting shocked awake repeatedly. I must have done that 3-5 times before I stopped being able to find it. I remember my jaw being a little sore from grinding my teeth.

    I’m also pretty sure I saw my actual death at some point. I got stopped at a traffic checkpoint during some kind of mass exodus by highway from somewhere. We were told we tested positive for some kind of infectious disease and I remember knowing that was a ruse but they were armed. They took us all to a sports stadium and once everybody was there (100 people or so?) they told us we needed to get in line to get on some trucks that were gonna take us to a more long-term housing situation. Once they had us in line on the field they started shooting and that’s when I woke up. At least part of the reason I haven’t tried to kill myself again is the distinct impression that if I try to evade that fate something way worse will happen.








  • In fact sex being used as the indicator is actually a clue to one of the largest contributors. There’s a very wide reaching assumption that men should get most of their emotional support from their female partner. This is often very stressful to the female partner and is a fragile way to meet a basic need; if she gets sick or dies he’s probably not far behind her. Men need to learn how to compliment and hug each other platonically. It’s 2026 and it’s for their own good ffs. I keep giving my male patients brochures for men’s support groups and I really hope at least some of them are actually going.