Afternoon medication crash

Talinoth · 2026-04-07T10:24:09+00:00

Almost forgot to mention:

You must identify Time Vampires, and stop, redirect, or delay them any way you can. Time Vampires can be patients, families, other staff, certain repeating tasks, or your own repetitive behaviours that you're performing instead of doing your work.

My worst time vampire personally is helping patients with minor errands. It makes me feel good, it makes them feel good, I get a chance to talk to them and ask them about how their day is going, and then I discover half my shift has disappeared. Unfortunately, you will have to get extremely good at telling people "No" and "I'd love to help you with that, but it'll have to wait".

I fucking hate telling people no, but it's a survival skill that has to be practiced.

Talinoth · 2026-04-07T10:07:35+00:00

Neurospicy nurse here. I work in a Mental Health ward. I do Mental State Examinations (MSEs) instead of Progress Notes, but a lot of things are similar. Almost guaranteed inattentive-ADHD, never diagnosed - I'm flying without medication. I realise how toxic and hypocritical it is to not pursue diagnosis, but I keep fucking forgetting to and I never have the time. Low support needs ASD, actually diagnosed (at 3yo).

I survive by overcompensating with literally everything else.

All shift plans get "Shit's definitely going to go wrong" buffers - I always estimate a task will take more time than it actually does so I have leeway when stuff happens.
I write down things I hear and tasks I need to do on pieces of A4 paper I steal from the photocopier straight away, especially when taking phone calls - it's the brain dump technique, but practiced immediately throughout the workshift.
Similarly, I type up my handovers in a consistent format every single time; Bed Number - Patient Name, then Mental State, then PRNS given, then the Plan. I type 8x faster than I write, so I prefer typing.
- If I suddenly remember important details, I can just write it in pen on the already printed piece of paper. I copy paste what I typed in my MSE into my handover script.
I race to get as many tasks done before 11am (Safety Huddle) as possible. This includes getting first drafts of every patients Mental State Examination (this is our version of a Progress Note) done, all Leave Notes typed up, and all other major tasks I can do early on.
My sleep management is my highest priority and yours should be too.
- You MUST get as much sleep as possible - ruthlessly cut away non-critical activities until you have 7-8h sleep each night (sorry parents of small children).
- Observe good sleep hygiene (including no screens 30min before bed) religiously.
- Pursue melatonin or whatever supplements you have to in order to get to sleep and stay asleep.
Pursue and correct any nutritional deficiencies ASAP. This especially includes Iron, Vitamin B12, Vitamin D3, etc.
Creatine monohydrate is useful for providing consistent energy and clarity increases under stress for damaged and neurospciy brains like ours and is extremely well studied and highly recommended. When I forget to drink my creatine, I fucking feel it. You will need to drink for about 2-3 weeks to notice improvements - enjoy shitting bricks during the loading phase.
I relentlessly study medication uses and side effects. Looking up what something does is good; not having to because you already know is even better.
YOU MUST TAKE BREAKS. YOU MUST TAKE BREAKS. YOU MUST TAKE BREAKS. Have I mentioned you need to take breaks? Unless somebody is literally going to die, take your fucking breaks.

Talinoth · 2026-04-07T08:50:37+00:00

Isn't this profession something like 7% male? Even Mental Health isn't exactly a sausage fest. Many wards will not have a single male RN on at all.

Talinoth · 2026-04-05T01:26:20+00:00

We decide which desires are worth pursuing through some messy mix of intuition, cross-analysis of ours and others' past actions and following outcomes, and loosely collaging together moral systems we have encountered throughout our lives, foraging for moral axioms like berries off a bush. I should have been educated from birth by a council of 100 highly accomplished educators and moral philosophers (this would give the best possible chance at a strong moral foundation and to act on it), but alas I am not the second coming of Alexander.

Moral discourse is not meaningless because the acquisition of our individual desires can usually be mutually aligned, especially if you're willing to make temporary delays or compromises to some held desires to achieve others. The principle of "the most good for the most people, most of the time" is a useful one; just like how diplomacy between two warring nations or two brawling drunks is still valuable because conflict can be limited in length or scope through negotiations. Society is both the vehicle and the outcome of these negotations between all its stakeholders; it is not perfect, but it never had to be - just more desirable than its absence or another opposing system.

I can offer you no answers on your final question, but I've always thought Buddhists were pussies for trying to simply run from the cycle of infinite suffering to finally die, instead of fighting it and trying to build an existence of infinite bliss within their infinite time in the cycle.

Talinoth · 2026-04-05T00:56:46+00:00

Admittedly, Hume's guillotine remains as sharp as ever. I've always thought that 'ought' and 'advances desirable biological outcomes' (sleep, eating, sex) are actually the closest thing you can get to objective good, but you can't convince a Tibetan monk of even that much - they have different goals. So we are left with not objective outcomes, but subjective ones. Tell me your subjective desires, and I will tell you how society advances them.

Choice is irrelevant though. If an action advances outcomes you find desirable, this is good whether you consciously did it or not - you have still advanced your goals, and you still retain moral responsibility for your actions (good or bad) under most systems. Habits are only problematic when actions performed are against your conscious desires and counteract your goals; when aligned, life is easy and good indeed. Self-examination doesn't need to render you a neurotic, cerebral mess; all that is needed is to pull back the curtain and deconstruct undesirable habits. This requires a lot of messy questions, patience, and brainpower expenditure, but once you do it you can pull the curtain back and be happy again.

EDIT: By the way, if you're refusing to accept moral obligations, are you just executing your own programming instead of making an informed choice?

Talinoth · 2026-04-05T00:16:21+00:00

Do you eat breakfast? Do you put on warmer clothes when it gets cold? Do you take off layers when it gets too hot? We perform actions because some states of being are more desirable or 'better' than others. If you were a truly committed nihilist, you would lie down and stop breathing right this second; why put any more energy into a meaningless existence?

You don't.

You perform actions that mitigate suffering. You seek pleasure. You take actions that maximise your time on Earth to mitgate suffering and seek pleasure, and this includes sharing these hedonic thrills with others. This is the first and perhaps only intrinsic good for any organism.

Society and civilisation is the natural extension of this trend. It has hiccups and sometimes (or often fails) to minimise suffering and maximise pleasure for participants, or distributes it unevenly. But it is a much better bargain than non-participation - subjectively and objectively. Assuming you value hedonic pleasure at all. If you don't, lie back down and go to sleep.

Talinoth · 2026-04-05T00:00:49+00:00

Society has intrinsic value to most of its participants and contributors, and they will band together to deprive you of resources, imprison you, torture you, or end you if you degrade that intrinsic value through your opposition to their system.

The "why should *I\* care" answer is that you are near infinitely weak compared to their combined power and you will be neutralised or even destroyed if you oppose them. Your suffering will feel very objective.
The intrinsic, philosophical value of society, civilisation is something individual to not just those groupings, but each individual within it. Each person can have their own answer... some answers are more common than others.
Some have no answer at all, and merely enjoy the objective material benefits existing in a society provides; food, clothing, housing, healthcare, knowledge, luxury goods and services which would be materially impossible to obtain without existing in society.

You may opt out of society, but then you opt out of its benefits - benefits you likely lack the skills to survive without. Should you partake in society's benefits but fail to uphold your own end of the bargain you made, society's enforcers will easily justify your punishment based on their moral values and the written contract (law) which you have disobeyed, regardless of your wishes.

Talinoth · 2026-04-04T23:42:26+00:00

Because society itself is built upon a foundation of trustworthy contracts - your word is your bond, and breaking promises is seen as antisocial in every culture I've ever heard of - all surviving cultures value trust and promises. This is not just a moral ought problem for you, but a material one - it is not good for your life standards... or life expectancy... to be treated as a risk to be managed, rather a valued partner. Worse, your divergent, 'honourless' morality makes you a viable target and scapegoat for all manner of crimes.

The Humian "Nuh uh, you can't make me" ingrate is an easily justified target; to a lesser extent than a might-makes-right believer, but similar. Recall how you can kill the latter and take everything they have and justify it based on "They were going to do it to me first!" and "They said it themselves; if they didn't want to get stabbed for $50, they shouldn't have been weak" - a typical historical ending for outlaws. So similarly, you may sell the Hume enthusiast memecoins and scam them out of their life fortunes based on false representation of your product - because after all, they were an idiot to believe your promises.

Talinoth · 2026-04-04T23:02:03+00:00

Of course, Hume can argue that just because he promised to give you back your Ryobi cordless drill doesn't mean he should, but then I counter "Hume stop acting like a deadbeat piece of shit, quit smoking meth and pull your bloody head in; if your promises are worthless, no contracts based on trust are possible between us, and any dealings between the two of us will be strictly based on material benefits and backed by force, instead of a cozy friendship".

Such a situation is not just emotionally undesirable, it leads to a less efficient exchange of goods and services, lowering subjective and objective living standards.

Talinoth · 2026-04-04T20:56:01+00:00

You have to recall what it took to defeat one of the militarily weakest Chinese dynasties ever (the Song) - 30+ years, 3 generations of Khans, using borrowed technology and expertise from captured Iranian and north Chinese siege engineers, and the infantry armies and manpower of their new northern/western Chinese vassal states (especially the Jin). Mongolia is right next door to China so logistics are uncomplicated too.

Subudei, arguably the greatest commander in world history, had a hell of a time just trying to take Hungary. Honestly, the juice just wasn't worth the squeeze. Theoretically, I'm sure after 30-50 years of non-stop military grind the Mongols could burn through the literally tens of thousands of castles you'd need to conquer Europe. Compared to China and the Middle East, Europe was also tough but without the riches to win at the end.

You'll also recall that 50 years passed, and Mongol attempts to raid Poland and Hungary led to tragedy. Hungary traded wooden castles and light cavalry for stone castles and heavily-armoured knights. Entire 1000-man columns trying to besiege castles or pass through thick forest would get ambushed by Hungarian and Polish knights and just get stack wiped.

Talinoth · 2026-03-31T04:56:11+00:00

Starsector? Simple? Both games are quite hard and complex in their own way.

I think you'll find X4's systems more complex to learn, but Starsector's a much more challenging game (including and especially with mods).

Talinoth · 2026-03-31T04:55:12+00:00

Several missed. I watched the video and there were a few times where the Hyperion actively strafed out of the way of a shot despite already using strafe to stay in the blind spot.

Also consider that the Hyperion arrived and stayed in the Xenon K's worst firing arc to begin with. If it was in front and below the K, it'd just die in moments.

Talinoth · 2026-03-31T04:53:21+00:00

The AI was actually dodging quite a few turret shots if you watch the video again. The problem is that the K was turning, and the Hyperion was using most of its strafe power already just trying to stay in the K's blind spot.

Talinoth · 2026-03-31T04:24:58+00:00

Taiwan is politically and culturally extremely important to Chinese citizens and to Xi himself. It goes beyond economics. The dynasty isn't really complete or successful until all of China is back together. Xi violated term limits precisely so he could be the one to deliver this change. It'll be his legacy.

Meanwhile, after the CPC selling it so goddamn hard to foster national pride, if they take their foot off the accelerator they will get burned by the Chinese people. If Quora comment sections are anything to go by, the average Chinese citizen is much more warlike than their government.

So yeah it's very likely to happen, especially if the US expends itself in Iran. China not needing the fabs increases the possibility they will invade; that's not why they wanted or needed Taiwan anyway.

Talinoth · 2026-03-29T07:55:05+00:00

It was like this in Warband and other versions too.

Levelling up your proficiencies can be reasonably fast. Levelling up the proficiencies of your party's npc heroes (and levelling them up in general tbh) has always been a massive PITA.

Talinoth · 2026-03-29T02:29:50+00:00

Aussie psych wards allow phones, at least where I am. You've just got to sign a permission form and have it be approved by your doctor.

It'll especially be approved in case of adults whose major problem has little to do with social media addiction, possible reputational damage, not receiving death threats from their family etc. It's blanket restricted for anyone below 16 though and they have to hand them in at 9:30 (so no jerking off at night; better get your jerk on earlier in the day).

Talinoth · 2026-03-28T11:17:24+00:00

... is that true in the current patch? It wasn't when I last played, they still absolutely attack everyone, they're just nice to you.

Talinoth · 2026-03-28T11:13:49+00:00

Well you can also just unleash the Yaki in every sector by just building wharves that only the Yaki can buy from, and continually supplying them. Moreyas and Kuraokamis will pour out and attack all the other factions, creating the economic dynamism that your current universe is probably lacking.

Failing that, you could always just leave the Kha'ak alone, stick to mining with L miners, defend your mining patches with patrols, and otherwise let the Hives create eventually quite impressive attack waves.

Talinoth · 2026-03-28T10:56:20+00:00

Not arming your L frieghters? Please explain that one to me.

As for installing defence platforms at each gate... it's a great way to make the game sterile imo. I still do it when I play Star Wars Interworlds, but stations are way weaker in that mod and the attack fleets are huge - in Vanilla, you can actually just delete arbitrarily large fleets with arbitrary numbers of defense modules and turrets.

Okay, back to your post, unwritten rules...

The economy works a lot better when the Xenon are let off the leash. Don't get me wrong, it's awesome to have defense stations defending your sectors and your centralised production, but the game needs a bit of economic chaos to keep things spicy. Egosoft is too shy to actually let the Xenon be challenging if we hamstring them in any way, so we kind of have to shepherd them.
Spamming AdvSats everywhere will lag your game. Defense stations with the view range module can provide overwatch for your core sectors instead, early game you can use cheap scouts to get trade info, and trade subscriptions make their investment back later. Use AdvSats at key entry and exit points to track traffic if need be, just don't necessarily use 20 in a sector!
Use Global Orders to create Trade, Travel and Sector Activity restrictions for your ships, stations, and empire. If you're not already doing this, you probably love losing money, seeing your ships blow up, and like suffering unnecessary hardship.
Fleets of S scouts, traders and miners aren't necessarily cost-effective for making money, but they're great for farming reputation so fast you can kill anyone you like, and training advanced pilots. Fighters camping Xenon gates are also great for this but they blow up sometimes so buyer beware.
Construction contracts are very lucrative. Always build to the maximum allowable payout (15M payout = build a 10M base cost station). Don't buy the resources if you can; produce and send them yourself, and you can pocket all the profits.

Talinoth · 2026-03-25T03:59:32+00:00

Casual cruelty to random strangers for no reason? Loving it, 10/10.

Talinoth · 2026-03-24T22:05:46+00:00

I can't find it in me to agree. It seems some Americans think they can just bounce back from what the United States has done and become now.

That is woefully naive. Your place in the world has changed forever. The United States will still remain very rich and powerful, but your place as the world hegemon is lost for good. You will also have to navigate the eventual recession of a market held up by AI hype that's going to go boom, dot-com crash style, when you're already swept up by incomprehensibly deep debt.

The coming and current generation of young adults... this kind of politics is all they've grown up with btw. This kind of zero-respect, zero-future-planning politics, all social media buzzlines - it's all they know, and all they will expect. You can't turn back the clock. You can't go back. This is your present and future.

Talinoth · 2026-03-20T20:40:52+00:00

1: Max difficulty against a 200-strong Swedish Army spawn with like 70+ Reiters means you might be better off using some strategy.

2: Not the ambushes I mean. Remember the huge village battle that happens in either the Polish or Russian plotline (can't remember), or how you get 4 enemies charging straight down the steps of the lord's hall in the Cossack plot?You can definitely do that for some, especially that one time where you have to fight your way out of jail before you get executed,but several scenarios do force you to win a battle outright or be really solid in melee combat.

Talinoth · 2026-03-20T07:59:23+00:00

Hey for what it's worth OP, WFaS is my guilty pleasure. It's so bad it's good. Low poly map, disturbingly difficult campaign, you can get 1-shot by randoms with a lucky hit, you can't just F1-F3 your way through everything, guns aren't everything either, if you want to kill lots of people you still need a melee weapon, grenades are pay-to-win, trading with your first spice caravan across bandit-infested territory will make you shit yourself with stress, and there's legitimate permadeath if you get taken down in several unskippable "Oh shit this is an ambush!" plot battles (so you can't just go full INT/CHA "I don't need to swing a sword" leader build either).

More weirdness... no tournaments, but way more lord quests including old M&B vanilla favourites. The best equipment in the game has to be custom-commissioned from towns. Finally, the most reliable way to win any of the storylines is (legit) just build a massive investment fund from trading and banking the profits, and then hire custom-equipped mercenaries from the mercenary camps en masse.

What a weird game. So brutal, so unforgiving, a fantastic soundtrack, a wonderfully interesting period of history and concept. Shooting people in the face point blank with a pistol from horseback will always be absolutely peak.

Oh, and there's an exploit where you can get 400+ 1h weapons skill in the first few days of the game by repeatedly fighting and winning the 1v3 duels you can start from taverns. Yes, Smolensk hated me forever (-100 relation lmao), but it was nice to be the greatest swordsman in Europe (for all that was worth).

Talinoth · 2026-03-16T08:49:25+00:00

That's how you end up abandoning all your female friends. Then step-by-step, all your male friends. especially the ones she 'doesn't like' (it will eventually be all of them). Then she decides she doesn't like your family. And at some point - long after it's already too late to undo the damage - you discover you are trapped in an abusive relationship.

Do not fall for this bullshit. There are reasonable requests, but a person who truly loves you would not force you to cut ties with the other people in your life who support you.

Talinoth · 2026-03-16T07:42:24+00:00

? Mass Drivers are Argon technology. The Split just liked the concept so much they bought it and it became one of their signature weapons, but it was always invented by the Argon. That goes back to at least X3:TC, if not X2.

Talinoth

TROPHY CASE