says gaming, religion serve similar life purposes

Glad it’s a Buddhist saying this. My knee-jerk was to compare the benign influence of violent videogames to the radicalizing influence of violent religions.

This may just be my lack of familiarity with Buddhism, but my understanding is they’re generally pretty chill and actually make a positive impact on society. Other religions, not so much.

That’s called the “milieu” which is just a fancy term for the general vibe of the therapeutic environment.

And yeah, hospitals SUCK at that. They’d never let actual greenery in the units because of their potential to harbor bugs or trigger allergies, but the plain/sterile look of everything makes it feel pretty alien to most patients.

Pediatric hospitals are the only ones that get it right - the walls are colorful and filled with happy imagery; the ceiling lights often have inserts that make them look like little patches of blue sky and clouds.

Idk why hospitals that care for adults always look so damn depressing. That’d be a great project idea, to get some pediatric hospital interior decorators to do their thing in other facilities!

Previous poster specified “medics” which I understood as the people on the actual units providing care; and their reluctance to teach skills without the foundation of knowledge that enables those skills. My take was to put myself in their shoes and consider why - the very obvious answer being that doing so can cause harm. The number of bigots working the front lines is of course higher than zero, but also a very clear minority, so jumping to that as the answer to why they behave a certain way around trans people is not correct.

You’re getting more into all the bullshit that influences healthcare at the systemic level: administration, politics, religion… and your right, the answers there get a lot more nefarious, but are very much not the people the previous poster or I was discussing.

also stuff like DIY medicine, it would help me greatly as a trans person if medics stopped policing medical knowledge and taught us their skills instead.

The problem there is that the skills and knowledge go hand-in-hand, and something being safe vs not is dependent on it being used correctly. If you’re encountering reluctance from medical folks to give you DIY resources, it’s most likely from the fear of giving you advice that’ll turn around and fuck you up. And we don’t want to fuck you up. But as you mentioned, the longer term consequences (suicide) potentially far exceed fucking up a shot… like degradation of your subcutaneous tissue because something that was supposed to be injected intramuscular was erroneously injected into the fat, causing it to break down and leaving you with a nasty pit (clinically minor, but disfiguring). Or failing to instruct you to sanitize the stopper and your injection site with alcohol pads, leading to necrotizing fasciitis, (which can kill you).

All that said, I agree with you - you’re more than capable of understanding those risks and taking the time to learn both the skills and the knowledge to mitigate them. Whether or not to take that risk is solely up to you. What I’d advise is to take a deep dive into literally every step of the process: The DIY guide you found said to use one needle to draw the solution and another one to inject… why? With an inch and a half needle… why? that’s a 27 gauge… why? Says inject it into your thigh… why? At a 90* angle… why? What do you do if something goes wrong? How can you even tell if something’s gone wrong? You get the gist. The skill of actually giving a shot is the easy part - understanding the ‘why’ gets crazy complicated.

Numbers and such pulled out of my ass - I don’t know squat about estrogen, so real instructions will almost certainly be different. But if you’re doing it DIY, you really do need to become your own nurse. (and if that stuff comes naturally to you, get your ass into nursing school!!).

Having never given estrogen before, I’m pretty sure you already know more about it than I do, but if any of your DIY instructions seem odd or even wrong, feel free to bounce it off me and I’d be happy to share what insight I have.

Deathwatch (Warhammer 40,000) by Jared Moreno Luna

7/10. It was great background music while playing Satisfactory, but now that I’m actually focusing on it, it’s pretty repetitive. Playlist started with Starcraft music - also a pretty good match for Satisfactory!

Hit it with a passport style stamp for Epstein’s pedo island.

Dark Souls is just clunky controls + sequence memorization, presented as ‘difficulty’. And yeah, operating the clunk effectively is difficult, but it’s a low hanging and very unsatisfying flavor of difficulty.

I could make Pokemon Yellow difficult by requiring you to operate the controls through a dish sponge, but that wouldn’t make it fun.

Unpopular opinion apparently, but I wholeheartedly agree with you on Dark Souls.

Agreed, I just know how quick the rednecks are to “BUT CLINTON!!” in response to any criticism of Trump. Beat em to it by including criticism of Clinton with criticism of Trump and their brain breaks a little cuz redirection is their only card.

Broken clock spiel.

Throw Bill Clinton’s sexual relations comment in between them - not for whataboutism, but because the rednecks are foaming at the mouth over the Clintons, and lumping them and Trump into the same group makes them uncomfortable af lol.

Is there anything stopping me from uploading an ID for Shrek or something? I foresee an explosion of popularity of fake IDs.

You’ve probably tried this approach already, but just in case: “You don’t play videogames to make progress, and you don’t make progress by playing videogames. You play videogames to have fun and pass time, and those are driven by the experience brought on by the game’s content, not by the name of the game’s host. Also, fuck Blizzard.”

most suggestions on here involve running unauthorized software or visiting sketchy websites

Agreed, which I won’t be touching. That’s why I opened with the example of the Bing trick to scrub ads off of YouTube: fully compliant with company policy. HR, IT, and Legal could be watching over my shoulder, and I’d be inclined to show off that trick just so they could go back to their own workstations and use it. Zero risk to my career, zero risk to my patients, and zero risk to the company. Win win win. Looking for more tricks like that.

I’ve actually played on a private server alongside an anesthesiologist! We both grew up on Vanilla WoW and the earlier expansions, and both developed the same animosity to Blizzard for the finger they gave to that original target audience. The WoW itch is still real; but Blizzard won’t get another cent from me.

I mean, I could afford a YouTube subscription just fine; nursing isn’t exactly a path to some Scrooge McDuck mountain of gold or anything, but we’re not living paycheck to paycheck either. My refusal to pay YouTube isn’t because I can’t, it’s because they’re Google, and fuck Google. If there was a playlist generator/streamer made by an ethical company who’s product is actually worth using, then fuck yeah point me to their subscription page! Unfortunately, the only options I’m aware of are either shit products or shit companies, so I’ll continue to be a stingy asshole until I find something worth supporting.

…and although it’s not really on topic for this thread, feel free to drop some recommendations - I’m most familiar with music.youtube, spotify, and pandora, but youtube is youtube, and the other two leave a lot to be wanted for the playlists they provide. Or they did at least, it’s been probably over 5 years since trying pandora or spotify… maybe they’re better now? /shrug

Probably better than trying to fuck with HIPAA.

Not sure you understand the goal - I’m not trying to pull anything shady with patient data; but to find better ways to use those comps. There are functions protected by HIPAA, and functions that Microsoft/Google/etc have enshittified that I’m trying to make a bit more user friendly - the only overlap in the venn diagram here is that they happen on the same computer.

Fortunately our charting software isn’t loaded with unskippable ads (…give it a few years…), so even if there are ways to fuck with that software, there’s no need to.

Can you install user apps (which don’t require admin elevation) or is it truly nothing?

It’s truly nothing - healthcare setting, so it’s pretty strict. Absolutely no installing anything, or plugging in an external drive to run shit from that. We’re allowed to use the work comps for personal stuff so long as it’s not getting in the way of our actual duties. For me this usually means putting some music on while I’m charting, but nowadays it’s more ad than music without an ad blocker.

The bing trick was great - pull up a 2+ hour long full-playlist-in-one-video, and just let it run in the background… but that loophole got closed. But from the hospital’s perspective, they didn’t care if we did shit like that - they couldn’t give a rat’s ass if we slurped up all of Googles ads or not; they just don’t want any liability from a security or privacy standpoint.

In my case, not an option. Healthcare setting, patient info is all over by our work stations, so having personal devices out will get you accused of a HIPAA violation in a hurry - even if it doesn’t have a camera, people get paranoid.

People do still use personal devices at work, but I see em get burned for that semi-regularly.