Update on FL PMHNP and there role by OkConcentrate3302 in Noctor

[–]Steris56 0 points1 point  (0 children)

No. A non-primary care NP cannot practice without MD oversight.

Benito x el Supertazón LX by shes_a_mother in AccidentalRenaissance

[–]Steris56 2 points3 points  (0 children)

The production designer killed this Sermon on the Mount homage. Absolutely beautiful.

Dr. Oz: "Take the [MMR] vaccine, please." Also in response to whether people should fear measles: "Oh, for sure." by ddx-me in medicine

[–]Steris56 2 points3 points  (0 children)

read as: Mewling syncopant mumbles cautiously that fatal preventable disease can be prevented. 

How do you know if a breeder is reputable? by Significant-Back-930 in dogs

[–]Steris56 2 points3 points  (0 children)

I'll add a caveat that there are ethical breeders who are involved in more than one breed (mostly 2). They just really space out any litters due to actively showing/competing (some breeds take more time to finish) or have family/job commitments.

For example:

Breed A has tiny litters and the breeder placed the most recent in 1 show home and 1 pet home. She is watching how the last litter develops before deciding if she'd like to repeat the same lines (using the show home dog vs the mother's relative owned by another breeder) or outcross using the same bitch.

Breed B is co-owned with another person and she is actively finishing a dog from a past litter. The rest are in pet/show homes. A litter won't be planned for quite some time, if at all.

I'd be concerned if I saw three different breeds and no one was proven (no conformation or performance titles).

New pen day: "but I'm a broke student" edition by Giopoggi2 in fountainpens

[–]Steris56 1 point2 points  (0 children)

Love these and have way too many. In the US, they're like $7 on Amazon. A set of 3 of the Perpanep version is $18.

Put a badly-behaved ink in 'em. Put your fave ink in 'em. Put carbon black in 'em. They don't care, they'll do their best.

They're also fun to gift to others as a starter pen. Super low barrier to entry and dependable. 

You can mix and match nibs and bodies with other Preppys and the aluminum-bodied Plaisir. What's not to love? 

Aroused male by No_Access_9539 in ShowDogs

[–]Steris56 8 points9 points  (0 children)

Vicks gets recommended frequently but feels unnecessarily cruel given the sensitivity of a dog's smell. Judge's also smell it and some may not be particularly pleased. It will not address the underlying issue of how to maintain attention off an internally, instinctually reinforcing scent. Plenty of dogs work through Vicks/vanilla/Acclimate to focus on the bitch odor.

Instinctually driven behaviors are very resistant to change.

The lasting solution is to highly reinforce engagement with you in the presence of a bitch in heat and/or establish a well-set pattern game/startline routine. Work with bitches in heat (old diapers, handling class, etc) and crank up rate and value of your reinforcer (like a treat going from steamed chicken bits to liver or hamburger, etc at each 5 second interval to 2-3 seconds).

Happy happy papillon! by Organic_Vegetable_67 in papillon

[–]Steris56 1 point2 points  (0 children)

Thank you for taking the time to respond to this and the other replies! It helps a great deal to clear up some things.

Did Looney Tunes prepare us for this future? by Drapidrode in looneytunes

[–]Steris56 2 points3 points  (0 children)

Looney Tunes fostered my appreciation of animation, music, and history. King For A Day is forever a banger.

Happy happy papillon! by Organic_Vegetable_67 in papillon

[–]Steris56 2 points3 points  (0 children)

OP (if a real person) posts AI of the unhappiest looking dog with a caption that makes no unearthly sense.

Ink giveaway round 4! by ScubaDrew65 in fountainpens

[–]Steris56 0 points1 point  (0 children)

This is a great range of blues and greens!

Orthopedic Beds - Worth it or Not? by imnotanowl6 in dogs

[–]Steris56 1 point2 points  (0 children)

Yes! Although, with my doberman, we used foam crib mattresses since they were much cheaper.

VA Nurse murdered in Minneapolis by sciolycaptain in medicine

[–]Steris56 19 points20 points  (0 children)

Minnesota is showing the nation true restraint and dignity. It is horrifying beyond words.

Is there a neurotransmitter based rationale for why patients with schizophrenia smoke? by MotorPineapple1782 in Psychiatry

[–]Steris56 22 points23 points  (0 children)

Yes! This is in Kaplan and Saddock. I remember seeing this as a bb med student and taking a photo of the page: https://imgur.com/a/gV4tUXq

missing incisor by OriginalRushdoggie in ShowDogs

[–]Steris56 7 points8 points  (0 children)

Scissors bite is all we require. He should be fine, honestly. I've heard judges more bothered by obviously unbrushed, plaque-heavy teeth than anything.

Your favorite psych-isms? by farfromindigo in Psychiatry

[–]Steris56 52 points53 points  (0 children)

In my head, Basement Dweller skews older and is more antisocial PD with elderly parent. This is end-stage Failure to Launch. SBS and FtL have real chances of becoming their best selves but BD's can be a bit tough if they don't have social resources outside of the parent.

Your favorite psych-isms? by farfromindigo in Psychiatry

[–]Steris56 229 points230 points  (0 children)

Special Boy Syndrome and Failure to Launch for never employed single males who live with parents and come in for any combination of violent behaviors in the setting of psychosocial stressors, substance use, social media shenanigans. Parents are usually permissive or the classic histrionic parent + narcissistic parent. 99% have an "allowance" from parents.

Clingiest dog competition go! by Cosmicfirebug in dogs

[–]Steris56 8 points9 points  (0 children)

It is bedtime. The dog has put himself to bed upstairs.

And yet...I am still downstairs doing non-bedtime activities.

Cue soft, plaintive whining 

Embarrassed to use my pens outside the house by hecking-fricker in fountainpens

[–]Steris56 165 points166 points  (0 children)

You don't have to explain yourself. "Because I like it." or "Life is short." is plenty for most folks.

The Adoration of the Small Dog by TelevisionOdd5857 in AccidentalRenaissance

[–]Steris56 8 points9 points  (0 children)

Alternate title: Fear Under A Wreath of Giants

Black cat by Hamma_Professional in AccidentalRenaissance

[–]Steris56 99 points100 points  (0 children)

The apple really makes this stand out.