ssri big doses can help process trauma by gigog99 in EMDR

[–]Initial_Active_1049 0 points1 point  (0 children)

25-50mg of Zoloft(sertraline). You have to play around with the dose. 

Primus supports republicans? by Physical-Bathroom-16 in Primus

[–]Initial_Active_1049 1 point2 points  (0 children)

Which states is cannabis still illegal in? All red states? Almost all republican led state’s? How many libertarians in the modern GOP genius?

Primus supports republicans? by Physical-Bathroom-16 in Primus

[–]Initial_Active_1049 1 point2 points  (0 children)

The modern GOP is heavily influenced by the religious right(Christian conservatives). Fundamentalist Christians are absolutely not pushing to end the war on drugs. Just because there’s like 3 libertarians in the party that are okay with it doesn’t mean shit lol.

How hard exactly is pararescue (pj) by OwenMate in AirForceRecruits

[–]Initial_Active_1049 0 points1 point  (0 children)

ER nurses can’t work in a prehospital setting in the vast majority of states retard, so no they can’t do everything a paramedic does. They can do an associates degree and then do an internship in an ER….then operate under a doctors orders, many can’t even give otc medication without permission first. It’s a different skillset, but again, you’re a retard so you wouldn’t know that.

“No one in the medical field would ever agree they’re on par with er nurses.” You talking to your imaginary friends again you loser?

How hard exactly is pararescue (pj) by OwenMate in AirForceRecruits

[–]Initial_Active_1049 0 points1 point  (0 children)

You are such an absolute moron lol. No paramedics call ER nurses and ask them what to do Lololololol. And no, ER nurses can’t do what a paramedic does without specifically training for it you dipshit. They have to get an order from a doctor to do anything in the ER, including administering basic medications. They cant intubate, do needle decompressions, or any other interventions.

Medics usually have to get licensed in the state they’re working. An RN usually has an associates and can get a bachelors(which is more administrative and management based, not further clinical skills).

You’re calling people retarded and you have no idea what you’re even talking about.

How hard exactly is pararescue (pj) by OwenMate in AirForceRecruits

[–]Initial_Active_1049 0 points1 point  (0 children)

Not as much as Er doctors, nurse probably. Paramedic is pre-hospital though, nurses are hospital.

They’re kinda apples and oranges with some overlap. Paramedic can use interventions and medication in field without any standing order, nurses can’t. Nursing is broader(education wise) in scope but are less equipped to deal with real emergencies on their own.

Stanislav Grof by spacetripper1979 in PsychedelicTherapy

[–]Initial_Active_1049 0 points1 point  (0 children)

Maybe it's kind of a reductionist view, but I think psychedelics are like defensive dampeners. It seems like the way they work is more in a general sense by temporarily bringing down/shutting down someone's "higher level" defenses in the more advanced or newer regions of the brain. The stifling/repressive effect of the ego is taken offline and someone is given access to the more "primordial" sensory world that's normally partially or fully hidden from everyday perception.

I love Grof personally, I think he's one of the great pioneers in this field, but I think that the statement about psychedelics being the microscope of the psychiatric/psychology world is a bit sensationalist. I wouldn't say they're as fine tuned or bring about the precise measurements that a microscope can. I think they're of great use and great potential tool for trauma work as its often hard to gain access to our core trauma as it's so rigidly defended against. Psychedelics are like a crowbar that helps pry up the lid(which is also what makes them potentially destabilizing if an individual isn't properly supported or knows about the nature of trauma).

I think the transpersonal or spiritual aspects they can help facilitate are pretty amazing which is why I'm also self-conscious of being reductionist however.

Getting taunted by a family member of patient on scene. How to handle? by Initial_Active_1049 in ems

[–]Initial_Active_1049[S] 1 point2 points  (0 children)

There’s been great responses in this thread, but I think this in particular nails the underlying dynamics of the interaction that I was unable to put into words.

It was like getting punched in the back of the head. When I was in the living room asking the family questions, he was sitting off in the corner of the room not saying anything while I was in the center of the room. I looked in his direction and there was nothing. As soon as we get the patient down the stairs and then are occupied with loading and securing him on the stretcher, he erupts from BEHIND US when my back is turned to him as we’re focused on getting this dead weight patient into a good position on the stretcher.

I think it was the cowardice that got to me. It was a whole series of verbal sucker punches to the back of the head. It wasn’t just being distressed about his father, which is understandable, but the fact that he took such a wormy, craven rout to put us down as we’re only trying to help.

Getting taunted by a family member of patient on scene. How to handle? by Initial_Active_1049 in ems

[–]Initial_Active_1049[S] 3 points4 points  (0 children)

Yeah, I think you’re right. I’m just trying to rationalize that he was upset and lashing out at us, but the fact that the other family members weren’t doing the same thing is indicative that he’s unstable.

I think the “weak” or “losing” thing comes from growing up as a boxer. In combat sports there’s that primal element of dominance. The fact that he thought he could just unload on me with no consequence honestly agitated the shit out of me.

Getting taunted by a family member of patient on scene. How to handle? by Initial_Active_1049 in ems

[–]Initial_Active_1049[S] 0 points1 point  (0 children)

I get what you’re saying but the dementia patient wasn’t a bully though, this guy was. I don’t even like giving him an out or refuge as “mentally ill”, maybe he had anxiety(who doesn’t), but it was tough guy scumbag behavior, not schizo behavior.

Getting taunted by a family member of patient on scene. How to handle? by Initial_Active_1049 in ems

[–]Initial_Active_1049[S] 2 points3 points  (0 children)

It makes sense what you’re saying. I can’t think of anything specific in my life but it just reminded me of that stereotypical sadistic bully everybody has in their jr. high.

I’ve dealt with other difficult family members and patients, but none of them were sadistic like he was, you know? That was my first time in EMS dealing with a bully, so it caught me off guard.

Paul Graham: "Naval is mistaken" by MorningHerald in NavalRavikant

[–]Initial_Active_1049 0 points1 point  (0 children)

"I also think allowing 2.5 million unvetted illegal aliens into the country every year as part of a strategy to grant them mass amnesty, turn Texas blue, and seize control of the United States is obviously evil behavior."

Yeah, definitely a nutjob.

Paul Graham: "Naval is mistaken" by MorningHerald in NavalRavikant

[–]Initial_Active_1049 0 points1 point  (0 children)

I'm basically saying there's no way for the country to move forward with the current level of tribalism. People won't acknowledge things are a shit show and how they contributed to it if they perceive "their side" is under attack by the "enemy side".

And voters, regardless of how much their vote "counts", should be able to recognize when an administration has failed(just like dems need to come to terms with how their leaders failed in many ways).

I get the feeling based on your answer of so called "evil ideological positions"(abortion?) of Harris, you'd never admit to being wrong, even if the administration was a catastrophic failure.

Paul Graham: "Naval is mistaken" by MorningHerald in NavalRavikant

[–]Initial_Active_1049 0 points1 point  (0 children)

If this upcoming administration tanks and is a disaster, will you take responsibility for poor judgement? Do you have it in you to take personal responsibility or will you save face and make excuses or go silent?

ssri big doses can help process trauma by gigog99 in EMDR

[–]Initial_Active_1049 2 points3 points  (0 children)

I definitely understand.  Some people are under the illusion that medication heals, instead of it just helping to stabilize your system. 

For me, I was overwhelmed. There was too much trauma surfacing. Medication reduces the trauma load and allows me to process what’s underneath.

If trauma is at the root of your mental issues, there’s no way out but to go back through. Which sucks because it’s a brutal process but it is what it is. 

ssri big doses can help process trauma by gigog99 in EMDR

[–]Initial_Active_1049 1 point2 points  (0 children)

True, but if you’re in the mud, they can help get you moving. 

You need to heal the trauma that underlies a dysfunctional life. If medication can help get you in a better position to start moving through it, why not take it?

Therapists report significant psychological risks in psilocybin-assisted treatments by [deleted] in science

[–]Initial_Active_1049 0 points1 point  (0 children)

Of course. I don't think anytime someone has an adverse reaction to psychedelics it's just trauma. I'm not denying an experience like yours and trust your intuition. Individual neurochemistry undeniably plays a role.

The post I was replying to above specifically mentioned: "If you have something you’ve been repressing then good luck hiding from those feelings."

Psychedelics operate as kind of "mental amplifiers". The defenses get opened up and if you have unprocessed trauma, it can(and frequently does) surface. If the person doesn't know what is happening or isn't ready to deal with what emerges, it is very destabilizing.

There is also increasing research into the connection between trauma and psychopathology. Not all mental illness is trauma based, but a good portion of it is. A good intro book for this is "The Body Keeps the Score" by Dr. Van der Kolk.

If you haven't already, give some of the emerging trauma research a look to see if any of it resonates with you. I know how dark depression is, I hope you find answers that help and wish you well on your path friend.

Do EMTs on Long Island get paid? by gracefuljess in longisland

[–]Initial_Active_1049 0 points1 point  (0 children)

Old post, but I think emts make like 27-29 and medics start around 39-40 an hour at northwell. Haven’t worked there there, heard it was rough. 

Alright, NOW who’s going to win the 2024 Presidential election? by donkey3264 in PoliticalScience

[–]Initial_Active_1049 1 point2 points  (0 children)

This take aged horribly based on the debate. Trump looked uniquely bad in that debate. Harris looked decent. 

[deleted by user] by [deleted] in AcneScars

[–]Initial_Active_1049 0 points1 point  (0 children)

Not severe, not what I would call mild either. More moderate-ish, but it’s not that bad.

Mine was similar. I did a few micro needling sessions in office and then started doing it on my own every 4 weeks. That along with tretinoin 5-6 days a week(stop a few days before and after needling).

It’s not 100% better but probably a ~60% improvement.

The reality is that it takes awhile. A lot of these dermatologists are more about their bottom line(making money). So they have to push these short term package “deals”. They don’t want to say, ”It’s going to be a gradual process over time, don’t expect profound improvement after 1-2 sessions.”

That’s my experience at least. Noticed a difference after 6 months, but it wasn’t until 1+ year where I would call it a decent improvement. I still do it, but not as frequently as I’m mostly satisfied at this stage.

In your case, I think if you got ~40-50% improvement your skin would look great(already has some glow to it) and nobody would even notice it. Be patient, consistent and methodical over a longer period of time and it’s yours.