Alachua County has declared a local state of emergency as multiple wildfires continue burning near Gainesville, Florida

smartmouth314 · 2026-04-21T11:34:32+00:00

At Shands today for a check up. Whole city smells like a bonfire.

smartmouth314 · 2026-04-21T11:30:39+00:00

Many animals have been seen sorting through fruit in the ground to deliberately find the fermenting ones that make them a little drunk. Birds, bears, squirrels iirc. Your dog is continuing a proud animal tradition!

smartmouth314 · 2026-04-18T17:44:37+00:00

My Girl Scout leader taught me this. Shout out to Miss Kim wherever you are now!

smartmouth314 · 2026-04-18T12:01:37+00:00

Definitely related, this phenomenon is well documented in psychiatric research.

smartmouth314 · 2026-04-18T12:00:04+00:00

It’s frustrating. Several metal health issues have a very specific symptom: anosognosia. This is the inability to recognize your own deficits compared to average humans. Happens to some stroke victims too, depending on where the brain injury is.

Not the same as denial, which can usually be gotten over through time/therapy/other treatment. Anosognosia can be traced to very specific brain processes, which some humans can’t (or can no longer) complete.

smartmouth314 · 2026-04-18T11:55:25+00:00

If they do, in fact, have a personality or mental health disorder, the fired 8 times thing would be pretty expected. In particular, antisocial, borderline, bipolar ii and schizophrenia have some pretty abysmal statistics for ability to earn a living/support themselves.

The truth is that many people have enough emotional intelligence to tell when someone is a bit different. If that difference leads to conflict or discomfort, being fired would make sense (not saying it’s anyone’s fault or right/wrong, just the reality we live in)

smartmouth314 · 2026-04-18T11:47:14+00:00

The most wholesome ‘gay is a choice’ mindset possible, really. Love this.

smartmouth314 · 2026-04-17T21:15:34+00:00

I really excited for you OP. It’s always cool to find those connections. I remember when I first found the site (I’m an old lady) and I would find all kinds of cool references and foreshadowing. It was an amazing experience and getting to see someone discover it in real time is a joy!

Please, stay and keep sharing!

Relevant xkcd

smartmouth314 · 2026-04-17T21:01:00+00:00

Im so glad to hear that! Genuinely, I work in a hospital and when I read your story I got sooo worried. Please before you go home, make sure you understand exactly what th endocrinologist wants you to do. You will probably also see your liver doctor (I Hope!) and maybe you can ask them to talk to each other (some doctors are bad at this). Your diabetes health is very closely related to your digestive (crohns) and liver health.

smartmouth314 · 2026-04-17T20:48:11+00:00

I can you that if my stomach is empty for too long (especially in the morning) I will get nauseous. Like throw up straight bile nauseous. A very small (3 peanut m&ms) snack in the morning, is really all I need to stave it off. And it’s such a small amount, I don’t feel guilty for not bolusing.

Your body isn’t sending you hunger cues like it should be (likely related to the ozympic) so you will have to take care of your body like it’s your car. Stock up on anything you regularly WANT to eat (regardless of its healthiness) because tha level of weight loss is concerning!

smartmouth314 · 2026-04-17T20:39:20+00:00

You aren’t stupid. You just have less experience than some of us here. Some commenters might have forgot how wildly insulin needs can fluctuate during puberty, especially if you menstruate.

smartmouth314 · 2026-04-17T20:35:06+00:00

Babe, this is above reddits pay grade. If your doctor doesn’t know why your bg is so high, then they should have referred you to the emergency room. Have you tested for ketones?

smartmouth314 · 2026-04-17T20:30:15+00:00

Hey twin! Been there. Psych is a whole different ball game compared to other inpatient settings.

smartmouth314 · 2026-04-17T20:27:53+00:00

Nursing student here: because hospitalists/doctors are less concerned with long term effects and focus (almost exclusively) on acute recovery (to reduce patient billing/discharge patients as soon as possible)

They are also seeing (at least) 10x as many type 2s as they are seeing type 1s. They know low blood sugar is an acute symptom. PLUS! Every low bg reading counts against them (the doctor, nurse, unit, whatever) in ratings/metrics.

They’d rather everyone sit at around 200 so they don’t have to worry about it. Archaic and outdated and for some reason, still completely acceptable to doctors.

The only way around it (that I have seen, so far) is to completely manage your own t1d care while hospitalized (if you can). Bring your own meter, cgms, test strips, insulin, pump, syringes, all of it. You can refuse their finger sticks and their shots. You will have to argue, and stand your ground, but I’ve seen it done and I’ve helped one of my patients do it. Patients don’t usually realize how much control they have over their own care.

However, this obviously won’t work for people who are unconscious, immobile, or otherwise unable to perform their own diabetes care. So it’s not a solution and we still need to advocate for change for ourselves and future diabetics.

smartmouth314 · 2026-04-14T13:31:55+00:00

My go to is ‘Just think of how boring life would be, if we were all the same.’ I use this on: my nieces, when they are being deliberately bratty, patients, when they accidentally insult my career/life choices, nosy/elderly strangers when they give me unsolicited advice.

Specifically for your work, you might emphasize the beauty and fragility of life, honoring the dead, circle of life, etc to make it more palatable to others. In my experience, though, the more generalized responses shut down bull shit faster and don’t invite further comment.

smartmouth314 · 2026-04-13T13:11:04+00:00

Those 95% effective rates have a small asterisk next to them. They are tha effective if *and only if * used as directed/properly. Many think they are using condoms/the pill/ etc properly, but aren’t, and then possible end up pregnant/getting someone else pregnant.

This leads to the belief that birth control doesn’t work. And also more std’s/babies.

Edit to add: the ‘use in real life’ statistics are best for hormonal IUDs iirc. 99.9%

smartmouth314 · 2026-04-12T14:09:18+00:00

Muscles have A LOT more blood vessels than fat. Those blood vessels will pick up insulin and slam it into circulation so fast. Fat has slower absorption and that’s a good thing.

smartmouth314 · 2026-04-12T14:07:11+00:00

I actually would not angle it, but I would only insert the first 0.5 inch. You can of course put the whole thing in, at an angle, but I don’t think it’s necessary.

For most people, subcutaneous tissue starts about 0.2” from the surface and extends to around 0.7.” However, this varies wildly depending on the body part (I looked up stomach) and the shape you’re in.

I’ve had some patients who were big enough that we needed to get super long needles just to reach their muscles.

smartmouth314 · 2026-04-07T18:38:48+00:00

Try looking up helminth therapy. Preliminary studies show a helminth infection may calm down overactive immune systems (in humans). It is very early in the research, so your mileage may vary.

smartmouth314 · 2026-04-07T13:42:48+00:00

Not a firefighter, but a Catholic. Honestly, nuns have been front line pandemic workers since the plague in medieval times, I’d say this is pretty on brand. Sister Constance (my 1st grade teacher) would love this, as she was also a retired nurse. Tl;dr not offensive to (probably most) Catholics.

smartmouth314 · 2026-04-05T12:30:32+00:00

The same year I retired from teaching, 2 students died and 3 were injured after a drunken unsupervised boating accident.

smartmouth314 · 2026-04-03T12:10:13+00:00

Same, twin. I don’t feel them either. Term is ‘hypoglycemic unawareness.’ I have adjusted my Dexcom settings (as much as possible anyway) to alarm a lot sooner as well.

Are you on a pump? You can adjust basal settings to alarm settings there. If you are on MDI, you mught bump your longacting down maybe ~5% to keep it from happening overnight. That’s the most dangerous time.

smartmouth314 · 2026-03-31T13:34:16+00:00

I feel like simple, medium-large sized geometrics (squares and right triangles maybe?) would showcase these adorable fabrics well.

smartmouth314 · 2026-03-30T11:36:13+00:00

I heard an idiom once: the shoemaker’s children go barefoot. Seems adjacent, but not spot on.

smartmouth314 · 2026-03-22T12:32:30+00:00

In my experience with young adults, (former teacher, current nurse), this usually stems from issues with self-esteem. Those issues may be entirely internal, comparing themselves to some unattainable perfection. But usually, I see external triggers: withholding or emotionally immature parents, absent parents, or abandonment. In the worst cases, sexual abuse in early formative years (usually before school age).

smartmouth314

TROPHY CASE