ram aside I keep telling people that the aim of restrictions on allowing women to control their reproduction is that the best way to keep them from caring that you’re raping and exploiting the laughably unsafe labor of their children is to make sure they have too many to care for.

my FIRST thought being an RN well verses in sexual health. You gotta stay low and grind with this one you can’t jump on it like you can with regular cowgirl. also the view ain’t great as the cowgirl.

yeah I’ve never pissed black either from it. I think there’s varying likelihoods of all of them.

as requested

6 more hours unfortunately.

somebody remind me to find the pee color by meds chart on my laptop when I get back home in the morning.

makes it worse for facial hair. Electrolysis is the only way.

the clitoral growth would be the main target unfortunately; I suspect being smaller than average even for a cis female is a contributing factor to an(/hypo)orgasmia. The psych meds also aren’t helping but–

I wish I could clone you – <3, an inpatient psych nurse.

seems like a lot lol. idk how much people would care either.

Because it turns out I don’t actually want facial hair and I can’t undo that easily / cheaply so now I’m stuck with weird little patches on the side of my chin that I’m constantly scratching open when I forget to keep them plucked. Now, I’m still considering doing the rest of the hormone course, I just also keep in mind that I might have to plan for electrolysis concurrently. It turns out making permanent changes to your body is actually something to ponder for a second.

yes the boredom will be the biggest problem and likely no electronics will be allowed. get a few good paperback books, a good puzzle book with some more variety than just word searches / sudokus, and bring a non-spiral bound sketchbook and some crayons (all psych wards will pretty much universally allow crayons vs if they’re acute enough they may worry about hard plastics, but admittedly that level of acuity is somewhat rare) and practice your figure or still life drawing or just have fun scribbling if you like. also a great time to pick up origami as a hobby. If you ask nicely they will almost definitely play music for you but it might be in a group setting where you have to rotate choosing with the other patients.

hi I’ve been working inpatient psych for almost a decade, ama! lol.

6-lobe tamper is great for acute psychiatry and corrections where you’re dealing with violent and self injurious behavior. You don’t want people pulling screws out to make shivs / lockpicks / things to slit their wrists with or pulling utility plates off the wall to access wiring for fire setting or expose studs or plumbing to anchor a noose on. It’s a lot harder to improvise a tool to remove a 6-lobe than it is a flat or even a Phillips.

any new power structure can be good for the time it takes a generation to pass. after that people forget why they designed something a certain way and lose engagement with the political process. the only political and economic system that will ever be functional is one that is fundamentally founded on educating the populace on both their right and their responsibility to be involved in their own governance. the right to bear arms was a prototypical move to ensure people would always be able to enforce their right to self governance but without education in the importance of actually doing so it has ultimately failed to fulfill that purpose.

there’s already a !bestofredditorupdates@lemmit.online but a lot of instances block lemmit for being bot content since their whole purpose is to repost reddit content which like. bots are actually super useful for that kind of thing. A LOT of users don’t seem to understand that they personally have the power to set instance blocks for their own account. so instead they push for defeds when like. just block the instance from your settings. it’s a checkbox. it’s not complicated! Sometimes I worry that all the defeds will create little insular echo chambers when the whole point of fedi is diversity.

one of the many reasons I’ve heard is that men are unhappy with the financial benefits it entitles the woman to.

IMO receiving money in the event of divorce is one of the few ways a woman is protected while living a “traditional” lifestyle; when she leaves the workforce to care for a home and children, she’s both giving up a the opportunity to save and invest capital, AND she’s giving up becoming experienced in her field. Giving up the experience means she that if she loses financial support and attempts to return to the workforce, she would have to do so in a junior role in her field, if she can find work at all. Things like alimony and division of assets are, at least imo, a completely fair compensation for the unrespected but very real work of homemaking.

And while that’s ultimately not a lifestyle that suits me personally, there are a lot of men who want a tradwife, but don’t respect that that’s going to require them to be a trad husband. One of the reasons I got married as a working / career oriented woman was that I thought my domestic house husband deserved financial security in payment for supporting my career. I think a lot of it really does just come down to the underlying misogyny of not considering homemaking to be a legitimate profession when it’s been fundamental to society longer than written record.

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Abilify is a beautiful long term maintenance med but wholly inappropriate for an acutely agitated and combative patient.

I straight up used draw.io to create a paper form. I needed high information density so I can’t waste space formatting stuff the normal way, I need something more graphical and publisher got axed.

here’s a markdown formatted quit plan for your notes app (based on this) with bullets for common answers to the questions that you can delete if they don’t apply / keep or add ones that do.

# Quit Plan

---

## Quit Date
_Choose a date within the next two weeks._

**Quit Date:** [YYYY-MM-DD]

**What to expect**
- **1 week:** Nicotine is out of your system  
- **2 weeks:** Physical withdrawal symptoms fade  
- **1 month:** Habit- and emotion-driven cravings may continue  

---

## Reasons for Quitting

- Feel healthier / Live longer
- Save Money
- See my kids grow up / set a better example
- Look healthier / smell better
- Reduce stress between uses


---

## Triggers
_Knowing your triggers helps you plan around them._

### Emotional
- Feeling stressed
- Feeling anxious
- Feeling down
- Feeling lonely
- Feeling bored
- After conflict

### Situational
- Talking on the phone
- Drinking alcohol
- Watching TV
- Driving
- Finishing a meal
- Drinking coffee
- Work breaks
- After sex

### Social / Environmental
- Bars or parties
- Social events
- Seeing someone else smoke

---

## Coping Strategies

### If your hands or mouth need something to do
- Hold a straw or pen and focus on breathing
- Fidget with a coin or paperclip

### If you use tobacco to manage stress or mood
- Slow breathing or short bursts of exercise
- Talk it out with someone you trust

### If boredom or restlessness is the problem
_Keep a short “craving list”:_
  - [TASK]
  - [TASK]
  - [TASK]

### If you feel irritable or anxious without nicotine
- Consider nicotine replacement (patch, gum, lozenge)

### If you used tobacco for energy
- Light exercise
- Regular meals and healthy snacks
- Adequate sleep

### If you used tobacco for pleasure or relaxation
_Substitute another reward:_
  - Music
  - Movies
  - Saving money for something specific

---

## Remove Reminders
_(Before Quit Day)_
- Wash clothes that smell like smoke
- Clean your car
- Discard tobacco, lighters, ashtrays
- Place coping tools where tobacco used to be

---

## Support (Optional)
_Quitting is easier with backup._
- [NAME / ROLE]
- [NAME / ROLE]

---

## Personal Notes

…and if you’re a transgirl I’d like to add to your reasons list that estrogen + smoking significantly increases the coagulability of your blood. I’ve had several transgirl patients with DVTs / PEs / strokes even who did not know that can happen!