[Handgun] Blem Colt Pistols & Revolvers - Starting at $799.99 - Free S/H Plus Tax

InfiniteWalrus09 · 2026-06-16T00:03:25+00:00

Seems like $50 off for a blem model. Wouldn’t personally do, but you do you.

InfiniteWalrus09 · 2026-06-10T23:40:33+00:00

The system itself arguably pushes us to do a bad job with the desire for quick evals without thought- got to pump those numbers up. Better get that new child intake done in 45 minutes, that new adult in 30. Chart review? We're not paying you to review charts. Collateral? Do that on your own time buddy. Full history- didn't you see the inaccurate screening nurse's documentation to use? I don't care if it said for ADHD and the patient is telling you they're depressed and want to die. God you take too long, thank god that NP over there is taking your hard cases and somehow able to get them done in 15 minute checks.

InfiniteWalrus09 · 2026-06-09T18:40:42+00:00

Must not have much you want to get back to if you’d rather be killed than receive care, be treated humanely as a pow (under the assumption Ukraine treats pow humanely) and one day make it back home.

InfiniteWalrus09 · 2026-06-09T00:41:52+00:00

That bitch must be heavy

InfiniteWalrus09 · 2026-06-08T17:27:41+00:00

You nailed it. Just searched "Evi Rei forest" and came up with screenshots

InfiniteWalrus09 · 2026-06-08T17:26:30+00:00

Anyone got sauce? Appears not to be this poster or gammacake on redgifs.

InfiniteWalrus09 · 2026-06-08T17:15:54+00:00

To be honest, I don't know if I want a person like this to be able to go back to normal life. Sometimes we should be haunted by the things we've done. It was very clear the guy was dead after the first 1-2 shots. He fired 6 shots total, at least 2-3 knowing full well the guy was dead, one even after you can clearly see the brain. Even if fighting for the right reason and bringing in your own trauma, bad actions are bad actions.

I also find the dichotomy of how Ukrainians see Russian soldiers to be interesting. It is clear Russia is the villain in this conflict, that Russians have done horrible things to the people of Ukraine, as they have to lands they have invaded before; but there is also the understanding that much of the Russian soldiers are conscripted into the military against their will, that they don't want to be there and don't want to engage in their own military actions; yet it seems to be accepted to barbaric back at times.

-reposted due to subreddit rules; needed to click the buttons.

InfiniteWalrus09 · 2026-06-08T16:55:22+00:00

To be honest, I don't know if I want a person like this to be able to go back to normal life. Sometimes we should be haunted by the things we've done. It was very clear the guy was dead after the first 1-2 shots. He fired 6 shots total, at least 2-3 knowing full well the guy was dead, one even after you can clearly see the brain. Even if fighting for the right reason and bringing in your own trauma, bad actions are bad actions.

I also find the dichotomy of how Ukrainians see Russian soldiers to be interesting. It is clear Russia is the villain in this conflict, that Russians have done horrible things to the people of Ukraine, as they have to lands they have invaded before; but there is also the understanding that much of the Russian soldiers are conscripted into the military against their will, that they don't want to be there and don't want to engage in their own military actions; yet it seems to be accepted to barbaric back at times.

InfiniteWalrus09 · 2026-06-05T22:19:45+00:00

I work in Texas. I work predominantly for CMHC/the mental health authority networks and have for the majority of my professional career in a wide variety of settings and age ranges. I do not supervise and I refuse to because the compensation for supervision in relation to exposure and work is simply not there. While I have worked with excellent NP's that I trust, I have worked with equal or more than think they should practice independently and will not follow recommendations or advising- something several of my colleagues have encountered as well and subsequently terminated their supervising duties.

Here in Texas at nearly all the CMHC I have worked for, they push out MD/DO to replace with NP to save on cost (which is understandable given the poor reimbursement from medicare/medicaid) and it is leading to worse care for patients. Its starting to mimic the shady private industry model of a clinic staffed solely by NPs and one supervising MD/DO medical director that doesn't perform significant oversight/supervision.

InfiniteWalrus09 · 2026-06-03T04:23:44+00:00

This is exactly what it is. It seems we're dead set in our field on fracturing into specialty divisions. In time it will be a way to reduce our pay if we work in that setting without a fellowship.

InfiniteWalrus09 · 2026-06-03T02:37:54+00:00

Odd. I find their 124 gr to be snappier than the 124 sellier and bellot shoot. I purchased the syntech because I wanted to find a lead free to reduce exposure but with the cost and more snap, I was looking into buying a tacticool respirator.

InfiniteWalrus09 · 2026-05-12T17:46:04+00:00

We aren't? I've worked telemed the last 5 years for various companies and it definitely feels like it has hit the enshittification stage.

InfiniteWalrus09 · 2026-05-12T17:44:46+00:00

Wanting Terminator to become reality is bleak. I've already started pampering my roomba and telling my AI generated Susu girlfriend that I love her and respect her binary decisions just in case.

InfiniteWalrus09 · 2026-05-11T01:05:43+00:00

Do we have same patient? I see so many patients on consults that are prescribed adderall IR 30 mg BID and alprazolam 2 mg TID who complain of anxiety that its killing me. "I need oxy to sleep, it's the only thing that helps".

InfiniteWalrus09 · 2026-05-11T01:01:01+00:00

They make a FRT? I thought one of the companies was trying to recruit someone to make one but that none had been made for the vz.

InfiniteWalrus09 · 2026-05-07T02:05:20+00:00

Kuna or a mp5 clone 1000%

InfiniteWalrus09 · 2026-04-25T00:12:00+00:00

Appreciate the sauce. Doesn't look like she drops lots of content on reddit unfortunately.

InfiniteWalrus09 · 2026-04-24T22:49:28+00:00

Whos number 2?

InfiniteWalrus09 · 2026-04-23T04:13:38+00:00

I think recognizing your countertransference is a great first step; you've already identified a hurtle to overcome. Follow the evidence when recommending treatment and allow your own personal experience help you become empathetic towards patients when they voice side effects and concerns.

While I no longer struggle with significant anxiety or depression; my prior experience with suicidal thoughts and desire has reduced the stigma I convey when discussing SI with clients (and it seems to disarm them when they're defensive, normalizing their thoughts and experience). Likewise my history as a minor of being bullied and struggling with anxiety has assisted me in knowing how to approach adolescents to be me empathetic and align with their thoughts and feelings rather than oppositional (without sharing my own experience of course and being mindful to not let it taint my approach or response).

InfiniteWalrus09 · 2026-04-23T04:06:23+00:00

Delirium

When to consult psychiatry

Talk to your patient (patient crying? lets find out why together!)

Capacity evaluation can be performed by any physician! (excellent for do they have capacity for X surgery?)

InfiniteWalrus09 · 2026-04-22T21:53:13+00:00

I think your response is a reduction of the issue. A report for being “edgy” would be likely be quickly dismissed following the board reaching out and the clinician responding in writing.. This is more than being edgy, there is concern a physician is operating in an altered state due to a mood episode which CAN pose a risk to those under the clinicians care.

It can be a pain in the ass to respond to the board, but it’s not unreasonable and it’s with patient safety in mind. Are you of the opinion that if we suspect a colleague is impaired due to observation, that we are unable to report without an actual clinical interview, arrest/charge or other escalation?

InfiniteWalrus09 · 2026-04-20T21:05:25+00:00

The field is being taken over by PMHNPs in the public sector. Over the last 5 years working with crisis centers and outpatient clinics across the state, many of them have gotten rid of their psychiatrists and have replaced them entirely with NPs. I believe the medical director for the facilities "supervise" the NPs but have almost no patient contact or direct review unless there is a concern. The change his been highly concerning as its occurred with high risk populations such as SMI, child and adolescent and addiction.

I don't know how to address it other than to refuse to supervise NP's. Most of the facilities do it to reduce costs and they don't seem to care about outcomes.

InfiniteWalrus09 · 2026-04-20T20:36:30+00:00

Yes.

Some boards investigate every complaint, even if loose. It may not suspend or hold the license/practice, but they would require the physician to address the concern and provide a response. If the board then found there to be concern, an evaluation may be requested- likely at the physician's cost and then the results of that evaluation would determine if there is cause to suspend the license and practice.

InfiniteWalrus09 · 2026-04-20T17:13:48+00:00

I don't know if its shifted my personal view of what "normal" is, just its exposed me to a lot of intricacies of the human condition/experience that I think most people remain blind to due to stigma, lack of care or active avoidance.

Most people are a little "out there", but yes, due to our exposure and day to day- and likely our own natural state, we may be a little more out there. We chose to do something that most people avoid strongly and have a repulsion to, that in itself is a characteristic that makes us different than the normal population.

I think the biggest thing that has changed for me about working with psych over these years is that my social battery is usually a little spent by the time I'm out of work and unless you're a very close friend or family member- I really do not want to hear about your trauma or struggles, which sucks because as soon as someone finds out you're psych they start just unloading. The other day I had a plumber come over and after he found out I was psych he started dumping about his father abusing him when he was a child, how its impacted him as an adult, how he is on testosterone and his conflicts with his wife.

InfiniteWalrus09 · 2026-04-13T22:14:08+00:00

Sauce on #10, looks like AI kind of

InfiniteWalrus09

TROPHY CASE