Excessive overnight caffeine intake and adhd hyperfocus. Part of it was also before the bus arrived since I get out of work riiight after the previous bus leaves and have to wait 30min for the next one with nothing better to do.

I also do a lot of stuff like this so I’ve gotten pretty quick on my swype keyboard.

You should see my nursing notes when the bullshit happens. I’ve gotten a lot of praise for the amount of detail I add to explain why I had to do whatever I had to do to get a situation back under control.

tbh I might not have bothered getting licensed if not for the pay (and getting ditched out on the unit w/ violent pts & no meds or restraints).

Yaaas. Let’s uplift each other people! Your fellow workers are NOT the enemy!

Friendly reminder to people in similar positions that the fact I barely make a living wage as a nurse doesn’t mean the techs with less education than me that I supervise shouldn’t. In fact, if they’re making a living wage, that leaves room for me to advocate to make even more myself. This fight is about us taking from the rich, not from each other, and I refuse to let them control the narrative like that.

He looks like an emo twink and his daddy dom just told him he’s been a very naughty boy.

I always wanted to be an interesting person when I grew up but now I’m here I rarely find it fulfilling. It turns out 98% of the things that result in an interesting person are highly unpleasant to do or experience.

It probably really helped people who learned to type on a typewriter make the first changeovers, and now it’s what everybody learns to type on for the most part so it hasn’t budged. I’ve noticed at work that my gen z coworkers often struggle to type out a solid nursing note (most of them learned to type on a phone screen) so I wonder if this is maybe an opportunity for more of those alternative layouts to start taking hold as typing becomes a less common thing people need to learn early on.

The short version is, as a pseudo-trans person, being born female makes a lot of it ok to most people. People born male who act more female get a looooot of backlash.

I LOVE comments like this from people who clearly cared enough about what I said to interact with my comment TWICE in two different ways (downvote PLUS comment) JUST to try to convince me they don’t care, and right below another commenter who has emphatically expressed the opposite. It’s fascinating both in the sense that they might actually internally believe it AND that they’re deluded enough to think I might as well.

Oh hey I’m AFAB but more or less NB at this point and let my gender presentation flux with both people’s perceptions and whatever seems to be working best in the moment, especially career-wise so I actually have a LOT of thoughts on this. A looot of this discusses societal stereotypes on gender, so while I think it’s shitty, the fact that a lot of people (wrongly) perceive trans people as their birth sex is of relevance to my perspective on this discussion. So, trigger warning: prejudice / transphobia.

Background:

• I’m AFAB so most of my upbringing was femme oriented

• I also come from an autism / ADHD HEAVY family so I still missed some of the social aspects of gendered upbringing

• my parents WERE fundies however, so my attempts at more feminine presentations (makeup, heels, etc) resulted in a lot of sex-shaming from my parents, but there was also a looot of pro-birther nonsense and everything about pregnancy just freaks me out. There’s probably a looot to unpack there as to how I wound up nonbinary, but ultimately I am what I am now, so it is what it is.

• I spent the first few years of my career working on a psych unit for criminally insane men so the formative years of my young adulthood were spent learning how to speak from my chest and not look like a target

• my current presentation is that sort of “no gendered features” / look like a clean shaven young man / lesbian (vs the beard AND boobs / “aaaall the gendered features” look). The only surgery I’ve had is my tits chopped off + tubes out. So I don’t look ooobviously trans, but a lot of people also can’t really tell what genitals I have at a glance which some people find …distressing. for some reason.

• I’m also white which I think lets me “get away with more” than others.

Thoughts:

• I usually use the women’s bathroom. Sometimes I bring a she-wee to work but all the unit bathrooms are singles so it’s more just because I work with animals (male and female) who don’t know how to put the seat up when they pee standing / squatting. This is mostly because whether it’s reality or trauma based (see above work history) I don’t trust most men around me with my pants off vs women will be socially awful but I likely won’t have to come to blows over it. I do get some weird looks though, and some have stopped me, but then they just get this really confused / uncomfortable expression and ultimately leave me alone. But as far as your question goes, I do think I would get less backlash as a AFAB going into the men’s room than an AMAB gets doing the reverse, so there’s definitely an aspect of my vagina being inherently less threatening in vulnerable contexts… somehow?

• sexually, I can be a top or a bottom (penatrator OR penatratee) and pussy vs bussy doesn’t matter too much to me other than that fitting things in the backdoor takes a lot more prep work (but I’ll talk more further down about how that flexibility is convenient for me personally). As far as gender relations go, I feel like I get more “girl power” brownie points for strapping on and pegging my male partner vs how men who receive anal penetration are perceived despite the fact that I’m essentially letting him do almost the exact same when he fucks my ass. I even typically use a “strapless” strapon (they still realistically need a harness to stay in) so I am actually being physically stimulated by the act, it’s not even (necessarily) a dominance thing.

• work / patient care: I work high-acuity psych so every patient has to have their skin checked for injuries and contraband (particularly weapons). I usually count as female for the purposes of keeping things same-sex. As far as your specific question though, it’s also usually fine for me to count as female when searching men, even if the other person is also a woman. I usually try to have a male staff member with me as well, but nursing is pretty female dominated and I’ve noticed both in terms of patient comfort and working policy, two women searching a man is NOT as frowned upon as two men searching a woman. Do with that what you will. Same also goes for care / cleaning of genitals / breasts when patients require that.

• In terms of responding to violent patients: it depends and I’ll change my demeanor as needed. If a patient seems like they’ll respect a man more I’ll stand taller, drop the pitch of my voice / speak from the chest, and be more directive. If I think they’ll respond better to me being more gentle / nurturing I’ll do that (although I’m not as good at it) but again as far as your question goes, I don’t think an AMAB person would be trusted the same way were they witnessed going back and forth like that.

• That said, this raises the most important advantage to looking / acting masc - the high violence patients who respond better to gentleness are fairly few and far between. Patients who perceive me as more masculine are far, FAR more likely to cooperate with me being directive when I need to be. It’s also in most cases not a fear thing in that they perceive me as stronger / more powerful, it’s that they perceive me as more equal and worth listening to. I’ve had (usually boomer age) dementia patients in particular who gave every female nurse before me absolute hell for every single part of their treatment plan including the stuff the nurse has 0 control over but just went along with me saying the exact same things, then halfway through the shift they tell my coworker that “oh yes that nice young man has been so helpful!” It happens a lot actually, and I have a muuuch easier time with the sexist patients than most of my female coworkers. I recently did have one patient with homosexuality related delusions who targeted me a little, but that’s pretty rare (they commented on him mostly going after men in report last night and I was like “hey he came after me the other night!” and one of my coworkers actually turned to me and was like “I don’t think that counts as him targeting a woman…”)

I guess my ultimate statement on it is thus: my particular combination of transness (including my race) is highly favorable considering, and I’ve heard that’s often true for transmascs which I think is highly reflective of societal prejudices based on birth sex. I still get the weird looks and called mean names, but I’m sitting in exactly the least taboo combination where most people can assuage their prejudices by categorizing me as a “tomboy.” People also often assume I’m a lesbian which is a little less favorable, but much more favorable than being trans (which is closer to the truth, I’m surgically confirmed and actually tend to prefer men).

I’ve actually arguably been able to use my gender presentation to avoid violence in many cases, which almost universally cannot be said for transwomen or AMAB NBs or men or any other AMABs who find themselves with any kind of femme aspects in their gender presentation. I’m also fortunate that the dysphoria I did have tended towards removing gendered aspects vs adding them because that also gets a lot of backlash.

I’m also almost entirely uniquely fortunate in that I don’t have any dysphoria that causes me inherent distress based on how others perceive me or how I’m personally acting outwardly. That makes my ambivalence an asset almost, since I can just do whatever seems to make any given situation go smoothest, and I don’t experience any emotional distress from doing so. I’ve noticed that lack of omnipresent dysphoria is almost unheard of in trans communities, especially for someone who got surgery (to the extent that I’m often actively unwelcome for expressing my unusual combination of lived experiences; I’ve actually felt far less welcome in trans spaces than pretty much anywhere else; and that includes on lemmy, a lot of my comments like this get removed with transphobia cited as the reason).

Anyway that’s my garbled post 12-hour-night-shift stream of consciousness that I wrote and re-wrote a couple times on the bus ride home. Hope it was interesting but imma tap out and go nap before I have to go back tonight.

Honestly just paying people $25/h to literally just do this would actually do some great things for the mental health crisis. The most you would need to do is maybe throw in an 8hr “mental health first aid” class and give them a line to refer out to if the person expresses anything more severe than a passive death wish. I would totally support my tax dollars paying for this on a WIDE scale.

Edit/btw: the official term is a “warm line” as opposed to a “suicide hotline” for people who aren’t in crisis but just need to talk to another human for a bit, possibly to even help avoid a crisis developing in the first place.

…you realize generations are longer than five years…right?

I have never heard the term “don’t name your gods” but it’s my new favorite phrase of possibly the whole fucking year. Thank you.

…she wasn’t wrong tho!

Yeah like. They’re already covering up enough stuff that is both stupid AND awful all at once you don’t need to make up extra shit.

I remember reading somewhere that while a western audience would perceive this as utterly farcical, a Chinese citizen is at least more likely to perceive it as the government taking their safety and security seriously enough to be thorough about it. While I’m sure there was some person somewhere in the chain of command who thought this was a good and important idea and that they needed to check the pigeon butts for explosives, there’s no way all of the people involved in doing those searches thought it was likely to uncover an actual weapon, but the cultural context makes it important to err in that direction. Meanwhile in the US, the government is more successful in hiding abuses by “protecting freedoms.” Powerful people all around the world have basically the same playbook, but a big part of that strategy is knowing their audience.

You can also utilize the somewhat covert bribery and diversion systems to this end. As long as everybody thinks everybody ELSE is following the guidelines, and that they’re the only ones really getting away with things / reporting that they’re following guidelines when they’re not, you can get the same result and all you have to do is not look too closely, which is probably what you’re doing with most other things already. In the US you don’t even need to bother doing that because aside from not culturally having enough shame to do so, actively hiding our idiocy in any way would be considered a restriction on freedoms. Around these parts its your god given right to be a dumbass and the gubmit can pry that from your cold dead hands.

We’re stupid, but at least we’re honest about it. They’re stupid, but at least they have the decency to not act like it out in broad daylight. Neither is better and both can easily be a tool of the bourgeoisie.

Well you can’t not do that, especially not if you’re already known for doing that kind of thing anyway for other things.

I once heard of a pediatrician who successfully convinced a concerned mother that anti-vax ideology was likely a psyop by the Russians to weaken the health of the American populace starting with our children. Doesn’t hurt that it’s probably true.

EDIT: My personal conspiracy theory is that the Chinese government did engineer (or at least selectively cultivate) COVID, but not to kill Americans. In the early days of the pandemic there was some speculation that it affected some blood types more than others, particularly type A. While no link to blood type specifically was found, type A is a more common genetic trait as you move out of Asia and towards the middle east. China has been heavily persecuting the Uyghurs (Chinese Muslims), and those who have managed to get out of the camps have reported medical experimentation and being injected with unknown substances. In addition, the virus would also kill a significant number of the older population, which is important because of the population crunch they’re about to experience due to one-child policies resulting in a high amount of female-specific infanticide. They’re about to have a bunch of old people and a massive shortage of able bodied young people to care for them. Even if they didn’t directly “engineer” the virus in a gene-sequencing manner, they have a lot off motive to just generally cultivate and spread (you can’t really “breed” a virus) an infectious disease targeting people of middle eastern descent and elders.

Thank you for coming to my tinfoil-hat Ted Talk.

Shit rolls downhill; profits roll up. Source: fellow nurse.

My psych unit is having a pretty severe pants-in-the hall deficiency tonight and I’m definitely not getting paid enough for any of it.

They did have arcs, but more in that way older star trek did where you get a blurb about it during the rest of the episodes self contained content then a dedicated episode at the beginnings and ends of the season with 1-2 dedicated episodes somewhere in the middle. Well balanced for multiple watch styles.