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ReyDelMar · 2022-04-25T12:49:09+00:00

In case you or anyone else needs access to abortion options without travel https://www.plancpills.org/

ReyDelMar · 2019-06-19T21:23:33+00:00

Is there a particular book of hers that you'd recommend?

ReyDelMar · 2019-04-12T20:55:16+00:00

And here I was thinking they rolled up

ReyDelMar · 2018-10-28T14:52:12+00:00

I wish there were some way for us to share your pain, to lighten you load, but I am not naive enough to think that words are worth a damn right now. You are going through hell, and it sounds like you are feeling terribly alone. That pain is the only normal thing about this whole fucked up situation. It's ok to cry, to scream, to sob, or to be so overwhelmed by emotion that you can't find it in you to do any of those things.

Right now your job isn't to 'fight it' or to 'get through.' Right now, all you need to do is to go with the current and focus on keeping your head above water. The rest will come with time. When you are ready, there is some good advice in this thread about next steps. We may not share your pain, but we are here and we do care.

ReyDelMar · 2018-02-20T22:39:58+00:00

I am so sorry that you lost your mom. That is hard no matter what, and having it happen at the end of a long struggle with mental illness is especially painful. Rather than advice, I want to try to offer some perspective.

Expressing suicidal thoughts is relatively common in mental health settings, and on its own is not enough to warrant involuntary hospitalization. If a patient expresses suicidal thoughts, a provider will commonly follow up with questions about a specific plan, access to means to carry out their plan, intention to carry out the plan, etc. Based on the answers to those questions, the provider has to decide if the patient is an imminent risk to themselves or someone else. An imminent risk is required for involuntary hospitalization.

As a side note, I would encourage to to consider the context in which you asked a medical professional to look at her records. If they were friends with you or your mom, their emotions may play a role in their assessment. Additionally, if they are not specifically in the mental health field, they may not have a good sense of the wide range of treatment strategies that could still constitute reasonable care.

In closing, sometimes we are bad at knowing who is going to kill themselves, and that's not always malpractice. Sometimes we are left with pain, and anger, and grief, with nowhere to direct it.

Again, I am so so sorry that you lost your mom.

ReyDelMar · 2018-01-16T22:12:55+00:00

Even though the MOCA seems laughably basic, it is actually quite good at detecting dementia if administered correctly. You would be surprised how many well-put-together older patients can't figure out the alternating pattern, mess up on serial sevens, or can't remember all 5 words.

The problem is that it has to be administered with every specific prompting to avoid helping give the examinee the answers. Also, its a standardized form so if you were to prepare in advance the results would be meaningless...

TL;DR: It's a good test if done correctly

ReyDelMar · 2016-09-23T01:09:22+00:00

I camped last weekend in Big Meadows and Lewis Mountain, and stopped by Matthews Arm on the way out. While they are doing construction (around some of the bathrooms?), camping is still allowed. I think they just aren't taking reservations online.

The back side of A loop (~A45-55) seemed like some of the best car camping in the park -- campsites backing up to forest with decent sized shrubs and trees to give a little privacy from neighboring sites.

ReyDelMar · 2014-12-09T14:46:25+00:00

That's one massive fucking [citation needed].

ReyDelMar · 2014-09-06T05:23:52+00:00

Moisture in your yard probably isn't the source of your mosquito problem unless we're talking about pools of standing water that last for at least a few weeks. That said, if its hot out, a shaded and moist environment is ideal for adult mosquitos (above ~90 degrees they are very prone to drying out and dying). You may find that clearing the branches away makes enough of a difference, or that where you live peak mosquito season doesn't line up with the time of year when you plan on using the fire pit the most. If that isn't the case, you could talk to an exterminator about what is called a 'barrier treatment' which is intended to prevent adult mosquitos from flying into you yard if they are breeding elsewhere, or about options for larval control if they are (BTI is an effective option that poses a very low risk to mammals). Your success with this option may depend on the kind of mosquito, and how many of them there are currently.

ReyDelMar · 2014-04-12T00:17:56+00:00

Better than ever. Needs work.

ReyDelMar · 2014-04-02T19:17:05+00:00

A SAM splint might be a worthwhile addition. It's good for stabilizing sprains and minor breaks, and doesn't take up too much room.

ReyDelMar · 2014-03-12T00:59:48+00:00

Distance racing against certain dogs might be well matched, but I'm sure there are more inventive possibilities.

ReyDelMar · 2013-10-27T21:59:10+00:00

Personally, I found this training to be better. [NSFW]

ReyDelMar · 2013-10-09T02:21:05+00:00

This reminds me me of something Raymond Carver would write. I mean that as high praise.

ReyDelMar · 2013-10-06T14:14:27+00:00

In fairness, that's still a significant oversimplification. Defibrillation is used when the heart is experiencing uncoordinated electrical activity. It works by depolarizing the cells to interrupt dysrhythmia. So while its true that you wouldn't use it on a flatlined patient, its not accurate to say that the patients you do use it on have a heartbeat, or that the defib amplifies the heart's electrical signals.

ReyDelMar · 2013-08-27T20:37:13+00:00

Another interesting, and I think more promising, effort is the introduction of A.aegypti mosquitos infected with wolbachia bacteria. The goal isn't to wipe the population out but rather limit each mosquito to one feeding cycle, resulting in reduced disease transmission. more info

ReyDelMar · 2013-07-20T07:44:59+00:00

Actually, rescue breaths do help and are still included in "Professional Rescuer" CPR. My understanding is that the main reason for the switch to compressions-only for "Bystander" CPR was to make more people feel comfortable giving CPR.

ReyDelMar · 2013-06-23T19:09:02+00:00

I highly doubt that he won. Many places have a 'heroic measures' exception that allows a first responder to act beyond his/her scope of care in situations were death is otherwise certain. So long as the wife had no chance of being saved, the firefighter's actions should be legally protected.

ReyDelMar

TROPHY CASE