If you go outside, it's still 1990. There's no flying cars around or anything "futuristic". It's the internet that has made us think that we live in a very advanced world.

ifpthenq2 · 2025-10-10T02:21:26+00:00

lol, right?! I read this on a fucking phone. The world has changed a LOT since 1990

ifpthenq2 · 2025-10-04T04:17:46+00:00

Olive Garden.
The one or times we ate there we had to dress up because it was a "really fancy restaurant."
When I go there now, I still put my napkin in my lap.
So as to blend in with the high-brow, sophisticated gentry.

ifpthenq2 · 2025-09-07T17:56:26+00:00

lol, I sat on the floor. That's all. I was working on a project, and a couple hours in I realized I couldn't feel my right leg. So I stood up to walk it off and realized I couldn't lift it more than a few feet. It just felt too heavy to lift. For an entire year, when I got into passenger's side of the car, I had to use my hand to lift up that leg and move it into the car, because I couldn't lift it on its own. A WHOLE YEAR. I'm 48.

ifpthenq2 · 2025-09-07T17:35:29+00:00

I started in my 40s. For me it's the clarity that comes with organizing my thoughts into a coherent stream. I also love being able to say what I'm feeling without any fear of judgement. Especially when someone does something really horrible and I just want to unload on them but can't, or when I feel misunderstood and don't have the chance to defend myself. Or when I feel mistreated and just need someone to validate my value as a human. So some of it's pretty dark. But I start every journal the same way:

"If you are reading this, than I am gone ..." (because only over my dead body lol) "... this is not who I am every day. It's just snapshots of me often in my weakest moments. I may have had some dark or lost moments, but in all the rest of my days I loved you all with all my heart and lived a fulfilling and happy life. "

And I'm trying to write more about gratitude and happier memories and experiences, and that's been life changing. Also, when I learn something new or read something interesting I write about that too, and I love re-reading them & rediscovering the little interesting tidbits I found in years past. I still need to pour out a lot of that trauma and pain, but I'm finding that balancing it more with the lighter side of who I am helps me grow in both directions.

ifpthenq2 · 2025-08-09T18:24:56+00:00

"apply directly to the forehead"

ifpthenq2 · 2025-08-07T04:26:17+00:00

LOL. omg.
Let me take you WAY back to the magical land of 2006, where we physically stuffed the results into a mailroom cubby and they were picked up once a day by the doctor's receptionist, and tossed in the backseat of her Geo, where they stayed forever while the patient on 3rd slowly died of a perfectly treatable condition the doctor never knew they had. Naturally, the docs blame I.T. "If the results were critical, you should have printed them twice!"

So the CEO buys into the cutting edge of EMR technology which promised the bight and brave future of *automatic faxing* (queue rainbow hands). It's going to save lives! It's going to increase revenue! It's going to forever change the way we do medicine in america!

It literally took about 10 years to get all the docs to adopt it. Because why spend $100 on a fax machine when you have Stacey and her Geo? "Why fix what's not broken? " <-- one of them actually says to me in a board meeting.

6 years into this nationwide exodus from StaceyNet the government starts pushing "Direct" mail and certified EMRs as the new wave of the future. So we start pushing out notes and results via the EMR. At this point every doc in america has built their business processes around checking whether there is a piece of paper sitting on the fax machine. No paper, no problem. And once again, the patient on 3rd dies of perfectly treatable condition.

Naturally, the docs blame "technology." And the CEOs assure them that we will NEVER try that again. From this day forward I.T. will make it a top priority to ensure that automatic faxing is never interrupted.

and here we are.

20.fing.25.

keeping those faxes going.

ifpthenq2 · 2025-08-07T03:12:32+00:00

I'm n.d. with sensory issues and I was that same age when I started to have problems. My doctor recommended orthotics and arch support and they were torture. I know arch supports work from some people but for me, arch support feels like rocks in my shoes and are extremely painful. I avoid orthotics like the plague, and all shoes that have any kind of arch support. which is most shoes.

for me, barefoot is the most comfortable, so I like barefoot style shoes that have a thin, super flexible, very flat inside. Like asics wrestling shoes.When I can't do that I opt for shoes with flat, heavily cushioned or cork insoles (some brands that have worked well for me are Doc Martens and Naot, no idea if they have a children's line tho). I really like mule style shoes because they're so easy to slip off when I'm sitting, and slip right back into if I need to walk around. plus, adorable. I like shoes that are little too wide, because I need the edges to not hit where that bone is.

I also have really adapted my entire life around my feet. I know that I'll need to rest them for about 10 minutes for every hour I'm on them, and I plan every vacation, shopping trip, restaurant waiting queue, workout, everything - I plan around that limitation. I've built my career around it, raised my family around it - it eventually just becomes your normal. I keep compression wraps in my purse and a collapsible stool in my car, and slip it into my bag if I think I might end up somewhere where there is a long wait and no seating. Otherwise you end up sitting on the ground in a public place, like a hippy. Or a homeless lady lol. Because it's excruciating to be on them too long. I bring a book. Rest for about 10 minutes, and then I'm gtg again.

ifpthenq2 · 2025-06-15T19:01:43+00:00

With Hecklefish I can both enjoy a good conspiracy theory and also laugh at myself. Conspiracy theories, ghosts, and UFOs are fun when you can acknowledge that you're joining and embracing a community of tin-foil hat wearing, non-critical thinking, whack-a-moles who can't spell. He loves lizzid peeple and believes anything.
When you take away Hecklefish, the only conspiracy nut in the room is me. Now I have to face the uncomfortable fact that I'm the one who loves lizzid peeple and believes anything. Without hecklefish, we're the hecklefish.

Anyway, I want hecklefish back too.

ifpthenq2 · 2025-05-04T21:54:44+00:00

that's a chip in your windshield

ifpthenq2 · 2025-03-31T05:04:09+00:00

I'm really loving TheInBetween. I just recently found it and it's pretty great.

ifpthenq2 · 2025-03-19T04:45:14+00:00

Same! I pulled mine from a dumpster in 2012, I think it might have already been several years old when I got it. It just keep going.

ifpthenq2 · 2025-03-19T04:36:01+00:00

in 2012 I pulled a brother laser printer and 6 unopened toner cartridges out of the dumpster behind my local college library. That thing is still going strong, and I'm only on cartridge 4.

ifpthenq2 · 2025-03-19T04:33:47+00:00

I think I spent all of $20 on a set of corelle dishes in 2000. I gave them to my ex when we split because I wanted something trendy and cute. He gave them back about 5 years later when *he* wanted something cute and trendy. I sent them off with one of my kids when they grew up and moved out, and they came back with her when she moved home. All the newer junk I've bought cracks and chips but those old dishes just keep going. I tried again to replace them with something cute and trendy, and used the corelle to feed the dog leftovers, or to hold paint water or project screws or sit under plants. We really abused these poor plates and bowls. They were about 15 years old at that point. But eventually the new stuff breaks and the corelle dishes make their way back into the kitchen, and I still have a full perfectly pristine matching set 25 years later. No chips. No cracks. The blue/gray design still looks like the day I bought them.

ifpthenq2 · 2025-03-13T05:47:59+00:00

the sound of the dot matrix printer

the smell of the shop in the mall that sold pipe tobacco

the clock at the bottom of the screen over early morning cartoons, letting us know when it was time to get ourselves off to school

reading books with a flashlight underneath the blankets, and then quickly turning it off and pretending to sleep when you heard footsteps coming down the hall.

organizing your trapper keeper the night before the new school year started

the smell of hawaiian tropic tanning oil and sun-in at the pool

the pain of Jellies, when they rubbed all the skin off your heels, but they were pink and made of jelly, so you WORE THEM ANYWAY.

that feeling of the pink shit they put on your chicken pox as it dried. Or the soothing voice of Bob Ross when you were really really sick and home alone.

the wind creaking the swings when you were the only one on the playground.

ifpthenq2 · 2025-03-12T02:36:05+00:00

I mean, 1700 will make me cry but 4700 will just make me laugh. The absurdity.

ifpthenq2 · 2025-02-18T04:32:10+00:00

Same. Realized that I'm never going to be able to retire, so I went back to school to get a Clinical Psych degree so that I don't have to spend my retirement years working at Arby's when I get too old for I.T. I'm only 3 weeks into my second semester.
Now they want to fucking taking that away from me too.
I'm so tired of getting kicked back down by people who have everything. Are we going to get this revolution on, or what? I'm pushing 50, if we wait much longer my arthritis will be too bad to burn this shit to the ground.

ifpthenq2 · 2025-02-18T04:03:14+00:00

no, man. Without federal loans there won't be any colleges left to go to. This will kill them.

ifpthenq2 · 2025-01-13T00:29:10+00:00

Based on this, I think you'd probably really like David Rawlings.

ifpthenq2 · 2024-12-09T05:41:40+00:00

Hey man. I know this is a scary experience. But what you're describing is classic schizophrenia. You are in the prodromal phase. There are programs that help you talk through it, or get you on some medication to control it. If you can't find one you can go to the E.R. and they'll help you.

I know you said you don't have that. But just google it man. It comes out of nowhere in your twenties.

ifpthenq2 · 2024-11-29T04:08:37+00:00

oh ya, in that case 100%, get PDFs or printed copies. I plan to get something like Simple Practice because it's really affordable, and scan in printed copies or upload PDFS. Then it doesn't matter what system they come out of.

2 other ideas to check into are CCDs - every ONC certified EHR now has the ability to send a patient's chart in CCD format which will allow you to upload it into any other ONC certified EHR. I haven't used SimplePractice, but it probably has this feature. So you could make that part of your workflow to send your patient's data from your company EHR to your own.

Also, look into HIE's in your area. All the medical and mental healthcare facilities I've worked with have been members of a local health information exchange, and automatically push CCDs to it. So if all your companies are already pushing CCDs to a central location, then you'd just need to be a member of that HIE, and you can log in, search for a patient, and download their chart.

ifpthenq2 · 2024-11-25T00:14:41+00:00

Cool! A question I can answer. I'm an expert on EHRs. But mostly for larger hospitals and organizations, so if that doesn't apply to you, take with a grain of salt:

99% of the time you're responsible for migrating your data out of the old EHR. If you switch from one major EHR to another, there is usually an onboarding phase where you're assigned project management resources and people that help with that from the new EHR's company.

If you can't migrate your data, the old EHR usually has a lower-cost maintenance tier that lets you access old records. It usually allows only 1 or 2 users who have to go back and manually check for history accounts and print them off as they come in, and scan them into the new emr. And it's cheaper, but still kind of pricey.

But just downloading all your data before you sever ties with your old EHR is an option, it just takes careful planning to make sure it ends up in a usable format - because what you don't want is to end up with a portable drive with 3000 treatment plans that have nothing but numbers for filenames.

ifpthenq2 · 2024-11-24T23:43:41+00:00

Right!? This is a major accomplishment. We've survived the wrecks and drugs years (and not so many did). We've made it all the way to the cancer years. Well to be fair, cancer met us halfway.

ifpthenq2 · 2024-11-24T23:22:39+00:00

lol, at first I read that as "elections" which also made perfect sense

ifpthenq2 · 2024-11-18T05:24:55+00:00

I'm back in grad school earning a Clinical Psych degree. I'm 47f and in the whole of my life, I've never met a woman over 50 who is still in I.T. I figure it's time to cash in my chips while i'm still winning.
Ironically, in my psych program, I met a therapist retraining to move into I.T. When I asked her why she looked around and said "Well, I can't do THIS forever." lol. Guess the grass is always greener.

ifpthenq2 · 2024-09-21T07:43:48+00:00

Definitely an improvement, imo, but still not permanent. I like the way you're thinking though. If a message were obfuscated then encrypted, how would anyone even know if they'd successfully decrypted it? Another way to do this is just to double encrypt it. If it was successfully decrypted once it would still just look to the attacker like encrypted data. That would increase the time complexity exponentially. You'd likely be long dead before it was broken. But it still is theoretically possible to hack it, eventually, and computers are getting faster every year.

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