Yeah I’m on the side of “let it happen.”

Yeah most fish oil supplement capsules have gone rancid by the time they make it to the consumer iirc

And they email you every time one of the people in the delivery chain sneezes and there’s no way to stop them from doing that without disabling the notifications entirely like jfc just tell me when it gets here!

yeah apparently I really like “extensive vamping”

My car looks like that but I’d never be bold enough to post it online, and certainly not while trash talking somebody else.

As a side note though, I’ve always had people give me the cream pods on the side.

Credit Union all the way

Or an extremely good one.

It’s been this way since choosing who to buy copper from in Mesopotamia, probably longer.

Honestly it’s probably way closer to the true neolithic diet that humans evolved to eat than scheduled meals are. And you’re even describing the right things to eat that way, nuts, berries, a lil jerky. There’s a lot of cultural variance too but honestly what our comes down to is that humanity’s biggest strength that has allowed us to become as powerful as we are is our fundamental versatility.

Even just in terms of food: koalas can’t even recognize the leaves of the one plant they eat their entire lives if they’re not on a tree but humans can walk to the other side of the planet and look at a plant or animal and be like “wonder how I’m gonna cook that.” That is AMAZING and you’re saying you think that’s bound by a schedule? You think humans spent time on the migration path going “nah I’m gonna skip that berry cuz it’s not lunch yet!”

there’s really no “right” way to eat other than daily / weekly balances of carbs / fat / protein / vitamins / minerals / water.

3 square meals is more like a pre-osha workplace safety thing for people doing manual labor since the meals need to be packed into a neat little meal break so they can get back to work, but the calorie requirements are so extreme that they need to get packed in thiiic during that meal break. Basically if you were a self respecting foreman of an old timey construction site you made sure the workers were eating “three square meals a day” to make sure they’d be working at peak productivity.

if you’re not building a railroad or stonework or skyscraper or carrying a roof up a ladder then grazing or intermittent fasting are fine as long as you’re getting the right balance of micros and macros. and when it comes to weight loss, gain, and maintenance, different people have different relationships with food that are often managed better with one strategy vs another, in ways that vary a lot from person to person.

nope just the oral ones and not even every day just as a refresher every few weeks or even once a month or less when I get smelly and it fixes it!

I just jam acidophillus capsules right up into my vagina. don’t need a billion CFUs if they don’t need to worry about your stomach acid! sometimes colonization IS the answer! (this is gonna be my problematic quote in 20 years).

I’m going to mostly focus on the more legitimate answers since you already seem to know some of this was possibly / probably oversight / neglect and that they should have given you more.

a) the big one is pressure from regulatory agencies to prescribe less narcotics. Some of this is legitimate; a lot of the opiate crisis was started by pharma companies lying about how habit forming their medications are and intentionally encouraging dependency through overprescribing to sell more, but a lot of it is also just straight up puritanical and part of efforts to disrupt minority communities that are more affected by illicit drug use. In the end though, even if they don’t share the stigmatizing view of it, there’s little individual prescribers can do about it.

b) there’s huge pressure in institutional environments to do ANYTHING to prevent falls. In addition to getting stingy with sedatives that might make you dizzy there’s also pressure to have 1:1 care where people watch the patient in the bathroom and we used to even restrain old people to keep them from falling (although thank goodness that’s finally falling out of favor). To get rid of that we’d have to accept that sometimes people just fall and crack their head open and die and that’s life but we’re just not there yet as a society. In the US everything needs to be someone’s fault and if the doctor prescribes a sedating med and I give it and you fall, it’s partially considered my and the doctor’s fault. If we do ALL the environmental AND don’t give sedating meds, it’s considered less our fault.

c) There’s legit specific medical reasons sometimes. If you had a bowel obstruction opiates are actually specifically contraindicated since they’re the medications MOST likely to cause constipation. Now if surgical intervention was the best option it might make sense to give them anyway, but there may have been some waffling on what the best option was and they couldn’t un-give you the meds if the final decision was to have you pass it with medication / enemas instead of surgery. And bowel surgeries have a huuuge possibility of sepsis and having to parts of the bowel removed and having to get regular vitamin shots for the entire rest of your life (once had a bypass patient so iron deficient she stated hallucinating) so that’s not a decision to make lightly.

d) insurance in the inpatient environment likely didn’t interfere with the medication prescription directly. they probably DID interfere with the surgical decision which may have interfered with the medication decision (see above). but the bigger issue is that insurance agencies in general do something waaay more insidious than just avoiding paying. they create and fill a psychological need to find someone to blame for things. every time something bad happens in the US we immediately try to figure out who to blame so we know who’s paying for it. this is your health but also to your house and your car. the insurance is there more than just to pay but also to pay court fees if the blame isn’t immediately placeable. if I give you a sedating medication and you fall, the insurance doesn’t pay for it they make the hospital pay for it. So as a result the hospital pressures me to not give you that medication so you don’t fall and leave them with the bill. to truly be rid of insurance companies in general we would have to fundamentally move away from blame culture. we would have to shift to a mindset of, wow that’s horrible but we as other humans are going to take care of you. and like I said, we’re just not there yet (but universal healthcare is definitely a step in the right direction; that kind of change can’t start with individuals struggling to make rent).

Borderline personality disorder and Childhood-acquired Posttraumatic stress disorder are the same thing the only core difference is whether or not the resulting reactivity seems proportionate to the trauma from the clinicians perspective. This is more / less likely if the person has a more / less reactive underlying nervous system, but ultimately most of the judgment comes down to social perception of what’s a worse trauma vs what’s worse as a resulting negative behavior. If a “big” trauma makes you sad / withdrawn, you have PTSD vs if a “small” trauma makes you annoying / “difficult” you have borderline. (Am deffo borderline, personally. LOL)

mate selection, almost entirely. it’s sensitive to body condition to the extent that if a woman sees the same hairdresser consistently enough they can somewhat reliably tell if she’s gotten pregnant. it’s also an easy indicator of social class and stability ie: do they have the time and resources to take care of it?

This was an episode of doctor who.

Dog and cat are probably under the bed and in the closet waiting until I’m asleep to demand to be let out. Hubs and I do sweeps for them when we put each other to bed (he arranges my sleep environment in the morning, I arrange his in the evening). Doesn’t matter when I’m working for the night because he can just sleep with the door open but we need to be able to close the doors when I’m going to bed for the day or when I’m home for the night so I don’t wake him up just by doing things. And they always wake up an hour or so in and decide they NEED. FOOD. RIGHT. NOW. LET. ME. OUT.

fwiw my understanding was “if people are willing to go black/grey market for it, it must be lucrative and/or a thing people greatly need!” and my answer to THAT question is:

it is very lucrative for the clinic. You’ll get some pocket change, similar to the cut a hooker gets from her pimp.

Now, they are doing something of an important service to you and the client in terms of keeping you out of child support but also out of the child’s life without the consent of the parents (until 16-18, as you said). They’re also attending to some sexual health and genetic concerns. But they’re almost definitely not providing enough benefit to justify their cut. Fertility medicine is verery lucrative business as I understand.

I’m an RN I have basically 0 control over what gets prescribed. last time I called like 3 times begging for opiates for a legit medical problem I got a 1 time dose not even a scheduled or prn. there’s next to literally nothing I can do, no. But even nurses who have worked other specialties have told me they basically go off the poss score as in, if you’re asking and alert and still able to breathe fast enough and it’s within time parameters you get more and if you can’t or they can’t give more you don’t get more. Rating it in number alone is basically just useless.

God numbers are so fucking useless. Especially in psychiatry. The doctor’s not gonna order opiates, they’re just not. It’s for like 30 dumb reasons that mostly boil down to addiction and 20 less dumb reasons that all boil down to “you’re in the wrong place to treat whatever’s causing that.”

So I’ve got Tylenol and Motrin and unless you’ve got stomach bullshit or have a personal preference I’m gonna lead with the Motrin because it’s stronger. So I’m gonna put in the number for whatever the order says that med is supposed to be given for and give it. The Motrin says your pain needs to be a 6 so your pain is gonna be at least a 6. The number is so irrelevant to what’s actually going to happen that tbh it’s kinda in the way.

And in the rare event that I do have an opiate available, your POSS score is way more relevant anyway.