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I think I need a computer to keep going and am also taking critiques since I'm actually not a huge expert in these things and am sure I've gotten at least a few things out of order already...
Also one of my tarot decks is all emoji if you want one straight from rnJesus. I can even give you some notes on the cultural references like death referencing the white rose of york, the meyers briggs types of the courts, misc mythology references, etc since that's been my hobby for the last year or so.
ALSO the food from the middle of the bowl has been eaten and Local Cat's whiskies would touch the sides of the bowl if they tried to eat the food left on the edges.
I'm actually doing a readthrough now and there's a LOT of different stuff, a lot of contradictory stuff, and a lot of dudes that have some serious incel level hangups (looking at you two, ezekiel and paul) but then there's just some bits that absolutely go hard (like the whipping you mentioned, or the times the pharisees be saying stuff about how the religious laws are this or that and jesus goes oooooofffffff ✨🫰✨🫰✨🫰✨ ) but the two things that are actually super consistent are a) do not work on the sabbath b) rich people are fundamentally evil, both with various ways of being said and various punishments up to and including death.
There's also a number of items under the general umbrella of what kinds of sex are good or bad but the specifics are highly variable and often contradictory such as having multiple wives, having children with the female servants, etc being fine or even a sign of status in some books then in later ones it's explicitly a 1:1 deal. I would argue the only consistent item there is that you can make promise to only have sex with a person or certain set of people and you're expected to keep that contract and respect similar ones that others have made. You can say "Adam and eve not Adam and Steve" all you want but what about Jacob Rachel and Leah also taking place in the book of Genesis? The only definite thing about the bible's concept of marriage is that there's few if any definites.
There are a few people described as generally successful but it's usually more in terms of owning / leading a people as a clan / tribe than it is in terms of having money specifically. Like it'll describe the number of servants in the household, their tents, the herds, etc. The only person described positively who has "wealth" in the more modern sense is Solomon, and it's explicitly stated that this was given to him because the one thing he asked god for before anything else was the wisdom to be a good leader, and that the wealth he had was a result of using that wisdom. Like the whole thing where he suggests the baby be cut in half to sus out which woman is the real mother is preceded by a dream the night before where god asks "hey what should I bless you with" and solomon is literally just like "look I just got appointed king and I have no idea what the fuck I'm doing and all I want is to know how to do this properly" and god was like BET. And it's followed by him choosing advisors / administrators that he he uses that wisdom to judge trustworthy enough to delegate decision making to (just read this one last night actually and I vibed with it pretty hard. I don't actually want any responsibility for other people's bullshit, but I feel like it would be a lot easier to do the right thing in life if it was a lot clearer to me what that actually is).
The discussion of where I'm personally at spiritually is a much longer story than I'm going to bother writing out here but the short version is that I mostly just want to know everything that's in it. I feel like if you're really going to truly engage genuinely with this you've gotta acknowledge both the historical context and the deeply complex and fundamentally imperfect humanity of both the writers and the people they're describing. Like even beyond,"these are all divinely inspired allegories," I feel like it's more,"this is one of the oldest books in the world that has managed to last through the ages in some form or another because it speaks to the human experience" and I'd like to learn more about why so I'm starting with just finding out what's in there.
I'm not sure how this relates to my statement.
A 100 bed (or so, idk what number it would actually come out to) hostel / shelter / halfway house for chronically institutionalized people who don't know how to function in normal transitional housing. Instead of a larger number of beds they might also be split into multiple smaller buildings.
Each unit would have one small room with
- a twin bed
- a closet with a storage compartment on the bottom that takes a standard lock
- a desk
- a few of those bars on the wall you can slide posters and papers into to hang
- a single-unit sink-toilet-shower stall with groutless faux tile and a detachable shower head (so that to clean it you just cover it in bleach and use the showerhead to hose it down).
- an electric kettle
- WiFi
- a locking door that the staff have a copy of the key to but have received specialized education on renters rights and education on what specifically constitutes a safety concern.
Public facilities include:
- cafeteria that provides 3 hot meals as well as a vending machine with reconstitutable MRE style meals that can be made with hot water
- laundry
- library / public access computers
- meeting rooms that are reservable but also host supportive and educational group therapies
- a large public chalkboard wall with 7 sections that are wiped down one at a time in sequence throughout the week with additional discretion of the staff to erase hatespeech
- a non-denominational / non-religion-specific "chapel" that any religious leader may rent for one hour a week in exchange for some minimum monetary donation. They also receive a listing on an updatable placard posted just outside or near the entrance on the inside listing their contributions publicly in addition to being listed on the monthly accounting posting. It is designed so that vestments can be interchangeably hung and they may also rent a closet to store them in.
Residents do pay rent but it's only enough to keep the facility running and the accounting books are publicly available on a monthly basis. If the model does well enough and receives enough outside support, rent may be a symbolic amount like $5-10 just to legally maintain the facility as a transitional public service as opposed to a long term housing solution (although that would be another great thing to donate this money to, but my personal focus would be the people that would struggle to function in that environment without some sort of actual rehabilitation).
They can get a discount by performing tasks to run, clean, and maintain the facilities including both the public areas and turning over rooms between residents or maintaining the rooms of disabled residents (while those residents are elsewhere for the day). Their names are not listed on the public books, just the number of people contributing in this manner. Any money they make for tasks performed outside the facility is theirs to keep.
There are no drug tests but no drugs (or weapons) are allowed on the premises. Any paid staff are background checked and any 24-hr safety staff (so not kitchen / EVS) who do not already have a license or advanced degree in health and human services receive somewhere between a 2-week to 1-month 8hr per day classroom education on human rights, nonviolent crisis deescalation, CPR, safety and sanitation, and policy training on how to assess and what to do if they suspect drugs or weapons have been brought on the premises (probably some other stuff too but idk. I'd make the class longer if I thought it would be financially possible / likely to get enough people to attend). Would also probably help to have 1 hour of monthly continuing education on a bunch of those topics but also to help them contextualize their experiences with this population.
The floors are sex segregated with the exception of one floor (or a smaller proportion) that is co-ed and allows persons of any gender presentation provided they have no history of sex or gender targeted charges.
If I think of anything else I'll add it, but these are my thoughts having worked with this population and wishing there were more services focused on helping them reenter society.
Also tbph I'd probably actually live there myself, eat in the cafeteria, have a weekly movie night in one of the public meeting rooms, etc, the only thing I'd be missing is a workshop, but I could do with maybe a slightly larger permanent suite in the basement or on the roof or something. The tradeoff would be dealing with the bullshit that would necessarily arise on a 24/7 basis, LOL. I might also want a bigger bed if my husband wanted to live there with me, which he might because his 5b idea is almost definitely a free or low cost cafeteria (I'm a nurse, he's a cook) but he's also much more misanthropic than me and might want more privacy / emotional distance.
Oh people forget to not feed trolls everywhere; that's hardly a Lemmy phenomenon.
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Oh I know why, but how the specific dosages (like, actual numbers) are actually chosen sounds like more of an art than a science.
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...but also it's not really helpful to me in patient care. I tend to find height and weight used separately more useful for patient care than the BMI and even then I don't use them for much. The only time I really see a BMI that my brain does anything with is when it's 40+ and at that point they're almost certainly 300lb+ regardless of height and at that point the weight is still the most important piece of info I'm getting out of that section of the chart.
I think the highest BMI I've ever seen was 80something and at that point I'm more just telling the nurse version of a "big fish story" (that patient specifically is the one I use to illustrate the point of being given a patient with medical / mobility needs that is inappropriate to the type of unit I'm on and my efforts to give them some kind of safety and dignity being used by my administrators to justify continuing to leave them in that inappropriate environment, but that's a story for another day).
The caveat is that I'm not really doing too much with metabolism other than with my catatonia patients, and with them it's much more about keeping weight on than anything else. You actually very rarely see an acute eating disorder in inpatient psychiatry (if it's worth hospitalizing them, they need to be on a cardiac monitor and have somebody nearby who actually knows what's in the crash cart).
As an aside, while I did learn how to calculate a BMI in school, and most electronic medical records do it automatically and display it below the height and weight, most of the actual drug dose calculations either use weight directly (mg/kg) or use an even weirder and more complicated equation to estimate "body surface area" (BSA). You can google that equation but I neither need nor know how to calculate it (and again the computer does it for me). Other factors that seem to be used a lot for drug dose calculation are the age of the patient (both very young or very old patients often need less of something and get side effects more often), or specific diseases like kidney or liver disease can affect the dose too. How these specifically affect drug dosing is beyond me, but not being a doctor my best guesses are
- specific cutoffs / reccomendations for specific drugs and situations (these are likely looked up in lexicomp or UpToDate these days rather than memorized)
- "winging it"
- black magic
Most of what I'm using the height and weight for within my own specialty is actually clothing / equipment sizes so I can have everything prepped for a new admission, and estimating how much literal weight is gonna get thrown around if they show up ready to fight. It's also helpful to know if medical is dumping another supermorbidly obese patient on us (they almost have to have psych issues to get that big, but they also almost always need mobility aids we don't have).
Other things I would care more about:
- Can you get up and walk to the bathroom on your own and dress yourself?
- Can you make it up a flight of stairs?
- Are you physically able to do a job that supports you economically and feels purposeful to you?
- Can you dance and play games and walk to all the places you need and like to go to?
- Are you in pain very often?
- Are you likely to trip and fall or hit your head while doing any of those things?
BMI is associated with things like heart disease, diabetes, hypertension, etc, but with those things there's also a bunch of other things like your specific sugar and fat and salt intake and your family history and what other medications you're on or what other vices you have and current lab tests and whatnot so even there, like another user said, BMI is more useful at a population / public health level than it is an individual one.
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Independent / self-directed. In the right position (especially field work, wfh, or onsite overnight) it's very useful to have someone who doesn't need other people to get things done.
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My resume: I survived working for the state for over a year without any of the patients grievously injuring me. Here's my license number.
Them: you're hired!
When my parents were talking about starting a blueberry farm I was like if you're worried about birds eating the berries I bet the local SPCA would gladly provide you with a small feral cat colony on a "they fix 'em, you feed 'em" basis.
I need to know your location to know what grass is ecologically appropriate to grow there. Wouldn't want you growing an invasive species. Also need to know the layout of your water, soil, proximity to water, amount of shade, etc. Would be easiest for you to just provide your address so I can find the best grass location near you.
There is also the option to just not interact with things you don't like on the internet. You can just not respond. You can block people that say things you don't like. You can also make your own community that you moderate how you want to. Why are you demanding that someone else do work that you're unwilling to do yourself?
Or you can go touch grass. If you find google maps data collection too invasive to find a local park with you can also try duckduckgo.
3 or 54 exactly, and nothing in between. Also, you are taking all of this waaay too seriously. Go touch some grass.
Please join us over at !sciencediagramshitposting@sh.itjust.works if you have any more, but I've alreadyCrossposted this one.
I've been mentioned a couple times for both my specialty knowledge and because I banned a person from curated tumblr for throwing a tantrum so that's a thing. Idk about tags tho
Tom Bombadill. To the extent that one of my main goals in life is to be as chaotic and inexplicable to people as possible, but benignly so.
Marvin the depressed robot
It's because most of the blood return to your heart is passive. The heart pumps OUT through the arteries pretty hard, but the blood finds it's way back through the veins whenever it feels like it, it just can only go one way because the veins have valves along the way that prevent backflow. A lot of the pressure that actually gets the blood back comes from the contraction of the nearby muscles squeezing the blood up past the valves. So especially if you're standing with your legs all the way down there from your heart, most of the work to get the blood back up is going to come from your calves and thighs flexing.
My A&P teacher very cheerfully illustrated the point by telling us there's actually one animal that does have valves in it's arteries.
We had a guy at one of my old jobs who was trying to get a not guilty by reason of insanity charge because he was facing a life sentence for something he didn't want to spend that time in prison for (the only time it's worth it). Unlike most guys however, instead of faking, he actually drove himself insane! He was actually fine coming in, just had some (dubious) suicidal ideation but perfectly cognitively intact. But the doctor wasn't buying the suicidal thing after a week or two so he started staying awake for weeks on end then slept for weeks on end, soiled himself constantly, refused to eat then binge ate. Just went absolutely feral until he really was.
One of the things he did for a while was refused to lie down at all. Just stood completely still in the hallway staring at the wall. Did it for weeks. Started to look like a candle melting down into his feet until they began to split open and weep interstitial fluid. Anyway the point is we started having to chase him around the unit a little. You'd go just stand next to him and bug him a bit until you got him to walk a little because we needed to start stimulating some blood return. I forget how that story ended he may have still been there when I finally had it with that place and left.
Isn't this just the plot of Death Stranding?