Honestly I just wish it would apologize less maybe its my strong autism genes from both parents but I don’t understand how people prefer that I just ain’t got time to read about how sorry it is every time I just wanted a slightly different answer and it didn’t understand the way I phrased it the first time. I’m not mad ffs sometimes it even takes a few tries to communicate with a human I’m not gonna blame a toddler-aged computer algorithm for not knowing what I meant when I say whatever dumb shit I’m saying today.

I’ve mostly found that smart alerts just overreact to everything and result in alarm fatigue but one of the better features EPIC implemented was actually letting clinicians (like nurses and doctors) rate the alerts and comment on why or why not the alert was helpful so we can actually help train the algorithm even for facility-specific policies.

So for instance one thing I rated that actually turned out really well was we were getting suicide watch alerts on pretty much all our patients and told we needed to get a suicide sitter order because their CSSRS scores were high (depression screening “quiz”). I work in inpatient psychiatry. Not only are half my patients suicidal but a) I already know and b) our environment is specifically designed to manage what would be moderate-high suicide risk on other units by making most of the implements restricted or completely unavailable. So I rated that alert poorly every time I saw it (which was every time I opened each patient’s chart for the first time that shift then every 4 hours after; it was infuriating) and specified that that particular warning needed to not show for our specific unit. After the next update I never saw it again!

So AI and other “smart” clinical tools can work, but they need frequent and high quality input from the people actually using them (and the quality is important, most of my coworkers didn’t even know the feature existed, let alone that they would need to coherently comment a reason for their input to be actionable).

I always sample the honey walnut shrimp, but I never actually get it as an entree.

It would be nice to be able to have a view that only tallies the votes from your local server, but IDK about listing all the individuals in an easily accessible manner.

What I really want though is a rolling deletion of my activity that’s older than 3-6 months. I understand there’s no way to erase these things entirely, especially from decentralized servers, but I do wish the internet could revert to being a little more ephemeral. You can also go look through public records and go back years in real life, but it’s not easy.

No plan survives first contact with the enemy.

I’m wondering if it’s maybe an attempt to be less US-centric?

One of my nurse mentors years ago used to say “city miles hit harder than highway miles” and both military service AND the chronic physical and behavioral conditions it often results in definitely count as “city miles” for the purposes of this analogy! On a similar note my sister with several developmental and metabolic disorders is almost 40 but looks 55+. She went salt-n-pepper gray just a little after the age of 25.

I know, right? The more I read about him the more I like. I’ve worked with a looot of disabled veterans who get treated like trash once they get out so it’s nice to see someone put their money where their mouth is.

A lot of people, esp right-wingers, will say shit like they want to support veterans instead of all these moochers on public assistance and drug addicts and I often struggle to convince them that that venn diagram is damn near a fucking circle.

Technically, yeah, but that’s much harder to pronounce.

I was pretty sure that was Kamala but the dude threw me and I was trying to figure out if he was the prospective VP.

…I don’t know who these people are.

Kidneys are made up of these microscopic loopy tube thingies called nephrons that make sure you have the right amount of salt and water in your blood. They start by dumping out literally everything into the start of the tube except like, the actual blood cells (and some other stuff but I don’t remember that part). Then as the fluid moves through the tube they just pull the right amounts of everything back into the blood and let you pee out the rest.

Most water reclamation is done in a longer tube that’s not as squiggly called the loop of henle. This is because most of your blood is water so you need a bunch of that back. In humans it’s pretty long but in desert animals it’s super extra long because they need a looooot of that water back.

My anatomy and physiology teacher was really good and he used to say there’s basically only two ways we know how or why anything in the body works:

a) it breaks often enough to figure out the differences between functional and nonfunctional parts / systems

b) there’s an animal or plant that can do that thing better, worse, or just generally differently for comparison.

I just tricked you into reading about kidneys, sucker! Now you know how pee is made (and why)!

How did you just describe my life. A guy brought greyhounds during one of my inpatient hospital stays as therapy animals and called them “60mph couch potatoes.” Now as a nurse I love night shift because I’ll go 500mph for four hours… then sit on my ass for 8 (god willing). Sometimes I have to go 500mph the whole shift which sucks, but is doable on an infrequent basis, and waaaaay better than standing or sitting upright in some kiosk all day! Also sometimes I hiss when I see the sun…

Also fun fact standing still for extended periods is bad for you in a similar way to sitting for extended periods in a cramped space (like a plane), as a lot of the blood return from your legs while upright happens because the pressure increases from flexing your calves and thighs pushing blood up past the one-way valves in your veins. No movement = no alternating squeezing / relaxing = less blood return = blood pooling = varicose veins and clots that you hope stay in the leg until they dissolve.

Funner fact, the only animal that has veins in its arteries (usually the pressure is high enough to not need them) is the giraffe because the valves help keep the pressure high enough for blood to make it up the neck arteries!

Ask me about the desert animal’s kidneys, I dare you.

I thought your comment was satire at first but what the fuck. There’s really no denying they own us at this point.

This libertarian redneck does! I also like taxing the ever loving fuck outta billionaires so they can’t mess with muh freedums. I also absolutely love this bit because a) it’s 100%FAX and b) my neighbor across the cul-de-sac actually did get caught breeding illegal reptiles.

Like Enron, LOL.

Honestly a man that young I’d be more weirded out if they found NO porn in his history. Not by a lot, just like “…huh.”

…there were a couple things I learned in nursing school that I benefited from forgetting. Mostly the racism and sexism.

Nursing school was basically,“here’s how to not kill anyone while you spend a year working to become a nurse.” They give you the license when you prove you’re unlikely to kill someone, but you don’t really have any idea what you’re doing until at least a year in and even after that 90% of nursing knowledge is still gained out on the floor.

Most university level nursing education is either specific role related (teaching or management) or useless fluff, especially standalone bachelor’s programs (you already have and have been working under an associate’s). Even NP school is mostly fluff too though unfortunately. The assumption is that the candidate is a senior nurse with several decades of experience, but in practice that’s not always true (I maintain that new grads going to NP school should be banned; it’s dangerous).

Idk but her native language appears to be temptations cat treats, no observable difference between flavors.