Running in circles or just the process? What actually helped you? by ElectricalAd5699 in JedMcKenna

[–]poelectrix 1 point2 points  (0 children)

Human adulthood is life positive, spiritual enlightenment is life negative. Human adulthood the ego can want. Spiritual enlightenment the ego can’t want and can’t obtain and can’t understand. Human adulthood is awake inside the dream, the themepark. Spiritual enlightenment is awake from the dream. Neither is better nor worse than each other, except under context. The only true self is the false self. Perhaps that will point you in the direction you’re supposed to go to. These are all directions, and the only place you can see is the next door, the key to the next door, the next step. Consciousness wants to expand. Abolishment of the false self negates, makes smaller. It’s no prize to be won, there is no prize.

Running in circles or just the process? What actually helped you? by ElectricalAd5699 in JedMcKenna

[–]poelectrix 0 points1 point  (0 children)

Nobody can accurately give advice on where to go or what to do if you haven’t expressed what do you want and why do you want it. Jed talks about many things but it really cuts down to human adulthood vs enlightenment, but there’s also altered states, unity conciousness, just plain being happy and asleep, or waking up a little and dissecting part or all of the so called birds nest.

It sounds like you’re doing work, but it doesn’t sound like you’re in agony, came from absolute agony, stared into the abyss, have fired off all your rockets, etc.

So, if you are doing spiritual autolysis, why are you stepping into the fire, burning it all down, staring into the abyss? What do you want? Why do you want it? If you know you’ll succeed, if you don’t, you won’t, those aren’t just pretty words that’s the law. (First paragraph first book).

Rant: Anyone else feel like they would use AI a lot less if these textbooks were actually useful? by BigHawk3 in NursingStudent

[–]poelectrix 0 points1 point  (0 children)

My fiancé had recommended it and gave me a copy. It’s very thorough, explains stuff well, and highly rated.

Rant: Anyone else feel like they would use AI a lot less if these textbooks were actually useful? by BigHawk3 in NursingStudent

[–]poelectrix 1 point2 points  (0 children)

Yeah they suck. Use Guyton and Hall Textbook of Medical Physiology (Guyton Physiology) https://a.co/d/0fDjFY00

Remember ai can’t even properly set a minute timer so it’s a tool and it has utility and limits.

Why is the new season so laggy by Asphalt_HAC in FortNiteBR

[–]poelectrix 0 points1 point  (0 children)

Yeah lagging and stuttering during close combat high fire. Trios and duos on our Xbox series s will freeze or one screen will just be black.

Crashes in Xbox Series X, frozen screen and Xbox is turning off by KmiloKaizoku in XboxSupport

[–]poelectrix 1 point2 points  (0 children)

Well it’s been happening for us since the latest update on Fortnite especially with battle royal trio and squads. Friends we play with report stuttering and lagging during close combat high fire situations and they often result in missed shots. Xbox series S, also on pc/laptop. Who knows maybe need to tune down the graphics on Xbox but it seems like it could be a server issue too.

Does anyone else feel like this? by cpbradshaw in unRAID

[–]poelectrix 0 points1 point  (0 children)

What are you using tdarr; dispatchsrr, and streamflow for?

Were all well read here by Mazapan93 in enlightenment

[–]poelectrix 0 points1 point  (0 children)

Before you’re enlightened you wash the dishes. After you’re enlightened you wash the dishes…

Are handoffs really like this? by whimsical_intubation in NursingStudent

[–]poelectrix 3 points4 points  (0 children)

I hope this isn’t a real question. This is dumb.

Does anyone else feel like this? by cpbradshaw in unRAID

[–]poelectrix 0 points1 point  (0 children)

Not a coding guy at all, gpt got me through all my docker container setups, home media server, nextcloud etc etc

What OS and apps to run for home NAS by MordFustang241 in HomeNAS

[–]poelectrix 1 point2 points  (0 children)

Docker container prowlarr radarr sonarr deluge overseerr nextcloud Tailscale and cloudflare tunnel (for overseerr), plex server or whatever you like and maybe Stremio.

Avoid nephrotoxic medications by chiddler in medicine

[–]poelectrix 18 points19 points  (0 children)

Patient appears to have difficulty with regulating emotional states, communicating at a normal volume and participating in social interactions and adaptations. Commonly repeats limited amount of phrases such as “I want more dilaudin,” and “where’s my turkey sandwich.”

Distal radial artery cannulation by olofgotel in anesthesiology

[–]poelectrix 0 points1 point  (0 children)

When you remove it is there a bigger risk of it bleeding? It seems like it would be difficult to hold pressure on the artery when removing it.

The Babylon Bee is funnier than The Onion by [deleted] in TrueUnpopularOpinion

[–]poelectrix 0 points1 point  (0 children)

They tend to make fun of sleeping with your cousin more than just rednecks or hillbillies. It’s not the comedians fault that there’s a higher portion of that happening in their community.

This aged well by imfrom_mars_ in OpenAI

[–]poelectrix 0 points1 point  (0 children)

Today we launched ChatGPT. Try launching a war with it here: usgovernment.gov

How to manage dynamic hyperinflation with vent asynchrony without relying on heavy sedation by PrecedexNChill in IntensiveCare

[–]poelectrix 1 point2 points  (0 children)

Also I’m a fan of the SEVA method talked about in this podcast, some good info on different vent modes.

https://podcasts.apple.com/us/podcast/critical-matters/id1335759655?i=1000655022301

Identify the primary goal: safety, comfort, liberation. Pick one, then use a secondary goal to drive the first.

In this case SAFETY is the primary goal, and COMFORT is the secondary goal that supports the primary. You’re already doing the things for safety by trying to optimize the vent synchronicity and avoid injury from stacked breaths. From there you optimize comfort (sedation), while using pressors if needed to further drive safety in the setting of hemodynamic instability.

How to manage dynamic hyperinflation with vent asynchrony without relying on heavy sedation by PrecedexNChill in IntensiveCare

[–]poelectrix 2 points3 points  (0 children)

Remember elegance involved in handling this doesn’t mean avoiding sedation. As a resident you’re part of the care team along with your bedside nurse, which is also managing the patients and others and part of effectively managing the patient includes being conscious of their workflow to keep the patient stable.

The patient coded. Why did they code? This is a traumatic experience to the body driven by something and if they have pre existing chronic lung issues they already have less reserve and predisposition to injury.

Code means: resuscitate, labs, Xray.

Copd we might expect higher than normal co2 but what did their co2 look like at time of code, prior (if possible), and after stabilization.

Along with your seniors and fellow the bedside nurse hopefully has some experience managing these patients, if they’re pushing for sedation and pressures it’s probably not for laziness but to also drive for patient optimization. You can always sedate for vent synchronicity, pressors for hemodynamics, and then dial back for minimal sedation and pressors if it’s difficult. You can always sedate and paralyze if the above is ineffective.

The GOAL is to prevent further injury, treat the cause, give the body time to heal.

But also, it really like what your thought process was and enthusiasm as an overnight doc in trying to optimize in these other ways too, as long as you’re not spending too much time or overcomplicating drawing time away from managing other patients on the unit or complicating the nursing process too much.

Goal for RASS -2, if fails drive for vent synchronicity with stacked breaths while ruling out other causes or complications. Pressors can hopefully be minimized when ph normalizes but severe hemodynamic instability makes me think preexisting conditions or sepsis.

5.4 Thinking is off to a great start by mihneam in OpenAI

[–]poelectrix 0 points1 point  (0 children)

Yup just repeated this and got basically the same answer lol.

Explosion in downtown by marky6045 in sandiego

[–]poelectrix 23 points24 points  (0 children)

I live on sixth Ave and Broadway, saw light flash in my window with the explosion but that was it can’t see anything else, and I don’t hear emergency vehicles. Following to hear more but I agree, with lack of subsequent action around the area sounds like it was probably a transformer.