I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I’m going to troll you back. FAFO.

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Joined 1 year ago
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Cake day: June 12th, 2023

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  • I try to read all the articles I post but for this one I noped out after 1 sentence. Enjoy!

    I gotchu.

    Bro had prostate cancer at some point and the article says they removed his bladder. The “surgical wound” is likely a permanent ostomy, where the internal ureters (which no no longer have a bladder to drain into) are redirected right out of the abdominal wall (there’s usually a bag taped on to catch the urine). I forgot they usually just drain them into the intestines if you still have them, which is why they were involved in this. Anyway, my guy was doing well and they were pretty sure he was healed up, but age and possibly chemo both slow healing and doctors (like the rest of us) aren’t perfect. Because he was pretty sure he was healed up, he went to breakfast to celebrate, and happened to sneeze. Sneezing raises pressure in the abdomen, and busted his intestines right out of that almost healed wound. The article correctly refers to this as “wound dehiscence (opening) and evisceration (the bowels protruding).”

    In nursing school, they actually teach you specifically what to do about this specific occurrence. First you sit the patient all the way up and honestly leaning forward over their legs a little. This takes pressure off the abdominal skin so it doesn’t tear any further than it has. Then you cover the wound in sterile gauze soaked in sterile saline. If you have an abdominal surgery that has dehiscence and evisceration as possible complications, you likely will not have access to sterile gauze or sterile saline on you at all times, especially not if you’ve gotten far enough into recovery to be going to brekkie, but any reputable surgeon will be happy to provide their own specific instructions as to how to manage the situation until the EMTs arrive, which I encourage you to follow.




  • I’ve been making obsidian vaults/notebooks actually! Earlier this year I made one about tarot cartomancy and what I guess you could call Christian Esotericism (connecting myself to many of the cultural traditions while eschewing most of the traditional bodies of authority) and right now I’m working on a basic/informal intro to DBT for people struggling to access talk therapies due to poverty and/or rural living.



  • I’m genuinely not sure if this is in jest or not. The way I know this is common is that it’s a common thread across human interest pieces about sex work. I grew up with those rare fundie parents that were big on education so anything they got weird about I just read about and they were more or less fine with that, so I just started reading about sex and have since gone on numerous multimonth ADHD hyperfixation learning binges about various aspects including both anatomy and physiology and the psychological and cultural ones. A good couple of them have either centered on or referenced sex work in some way. I don’t think I’m brave enough personally but it’s definitely fascinating.


  • Also I don’t think people realize how much time a (skilled / knowledgeable) sex worker spends vetting their clients. They’re one of the easiest and therefore most common demographics targeted by people who literally just wanna rape-torture-murder someone for varying to absolutely no reason. As a result a lot of sex workers have shared blacklists, some ask for references, some do background checks, some don’t work alone, etc. Only having to do that once or even not at all once the john is well-known is a huge time-and-effort saver, even if you ignore the fact that it’s just literally safer to take a chance on one man murdering you instead of five.



  • Situational awareness. I’ve had people look me up and down and ask how I handle the patient population I do considering I’m kinda skinny-fat and like

    a) I’m a lot stronger than I look, especially with adrenaline in me one time I picked up one of the weighted dayroom chairs because I needed to get to a patient and it was in my way

    b) 99% of it isn’t even fighting people anyway it’s mostly just having an ear for bullshit. One time we had a patient set off one of the safety alarms in their room and waited in the dark behind the door for someone to come answer it. I got there, saw the darkened room with the weird alarm going off and just noped the fuck out and called security.

    If you have the common sense of every guy in the horror film that says,“Absofuckinglutely not” (and you don’t mind being paid pennies) psychiatric nursing calls to you.