godzillabacter

joined 2 years ago
[–] godzillabacter 53 points 1 day ago (12 children)

Nutmeg is poisonous in high doses and can lead to hallucinations, seizures, and other complications.

[–] godzillabacter 4 points 2 days ago* (last edited 2 days ago)

I can see from your comment you want to better understand queer people and feel that supporting them as equals is the right thing to do. Your lack of insight into the historical and ongoing persecution your in-group has had toward this minority is a issue and will limit your ability to support queer people at this time.

Christianity as a whole has spent literally centuries persecuting sexual minorities and reinforcing the belief that people who are not cisgendered and heteronormative are living inherently sinful lives and are morally bankrupt people who should be ostracized from society or worse. People have been imprisoned, castrated, and murdered by state and state-like actors because of Christianity's beliefs. People have spent their lives hiding who they love because they would literally be beaten by their neighbors, had their careers ruined, or run out of town if it came to light they were homosexual.

Has this gotten better in recent years? Mostly

Does this mean people who are Christian inherently hold this belief or are themselves bad people? No.

But your lack of introspection and/or knowledge of the historical context for which queer people have distrust of Christians as a whole is evidence that you don't really understand the problem.

Your comment that you feel like you're being looked down upon by people is also interesting. Many people now look back upon the centuries by which Christians sought to impose their belief system on others often through state-imposed violence, and how some groups continue to do so, as barbaric and directly confrontational to modern concepts of freedom and liberty. But Christianity is still the most populous religion in the world, and conservative Christian ideals are seeing large political victories in many western counties over the last 1-2 decades, often directly at the expense of the rights of women and minorities. This argues that you really aren't the persecuted minority that is sometimes brought up in modern propaganda such as the laughable concept of the "War on Christmas".

If you want to support queer people, I think that's great. If your idea of support is "I don't care what they do as long as it's not forced on me" you should recognize the historical irony in this statement as Christianity has spent literal millennia forcing its ideals on others and continues to attempt to do so. I would encourage you to reflect on your beliefs, if you truly accept queer people as legitimate equals, and obtain some historical perspective on this issue.

[–] godzillabacter 15 points 2 months ago

US Physician here. The efforts I place into keeping a patient with capacity in the hospital vary directly to the concern I have about their pathology. There is a very real subset of people who have capacity, i.e. have the mental faculties about them that I cannot legally or ethically place them under a medical hold for treatment, who clearly do not comprehend the gravity of their situation or the likelihood they will die if they leave. I have unfortunately seen a number of patients who require significant amounts of supplemental oxygen, IV medications to support their blood pressure, life-threatening infections requiring IV antibiotics, etc, who for whatever reason decide they don't want to be in the hospital anymore. Discontinuation of this life support puts their life at near-immediate risk, but the folks that are usually trying to leave in these situations are angry, distrusting of the medical system, and very goal-oriented on what they want to leave the hospital for (food because they're NPO, illicit substance use, smoking, care for their dog, etc) to the point that they're capable of saying "yeah yeah I can die whatever fucker, unhook me and let me leave." These patients deserve for me to sit down with them and try and have a conversation about what we can do to keep them in the hospital because I'm worried they physically won't make it through the hospital doors before they lose consciousness.

There are also people who have capacity, want to leave for whatever reason, and aren't literally gonna die in 5 minutes. They get papers and a pat on the back as they walk out the door.

All of this hinges on a patient's decision making capacity, and the reason every single time you want to leave the hospital against medical advice (AMA) you have to talk to one of the treating doctors is they have to determine if you have capacity at the time you're making that decision. To be allowed to leave the hospital AMA you have to be able to demonstrate that you can understand why you're in the hospital, the risks of leaving the hospital AMA, and hold consistent and logical (not necessarily rational) positions on decisions/priorities. If you can't do any one of those things, you by definition don't have medical decision making capacity, and I am not only legally allowed to, but I'm ethically obligated to keep you in the hospital to be treated until either a surrogate decision maker with capacity can be identified OR you have return of your capacity after your illness improves and we have this conversation again.

[–] godzillabacter 3 points 4 months ago (1 children)

The Sly Cooper Trilogy +/- Thieves in Time

[–] godzillabacter 8 points 5 months ago

This is incorrect. You just can't switch manufacturers easily if you're stable on one. But that's not a brand vs generic thing, that's an any manufacturer to any-other manufacturer thing. Same with warfarin, narrow-therapeutic index antiepileptics, etc.

[–] godzillabacter 4 points 6 months ago (1 children)

No idea unfortunately, but definitely not to release pressure. You don't get air in your brain, it's all fluid. Outside of the hospital, all the drains drain to somewhere internal, usually the abdominal cavity

[–] godzillabacter 46 points 6 months ago

Am doctor. Outside of very rare and specific causes of headache, no this wouldn't fix anything, just put you at risk for infections.

[–] godzillabacter 22 points 6 months ago (5 children)

Am a doctor, this wasn't actually a migraine and is not how migraines happen. Shunts are placed for elevated intracranial pressure, which can occur for a number of reasons, and do cause headaches. But it's a very uncommon cause of headaches and a shunt will not fix your actual migraines or tension headaches.

[–] godzillabacter 7 points 6 months ago (1 children)

Cellular insulin resistance is the definition of Type II diabetes

[–] godzillabacter 10 points 9 months ago (1 children)

Body-bag ice cooling has actually been pretty common practice across emergency medicine for some time. Legit body bags (clean ones obviously) are purpose built to be watertight and hold an adult human, and they're easily accessible to hospitals. It's a very effective and affordable method for controlling hyperthermia

[–] godzillabacter 4 points 11 months ago

Not OP but loss of the Pi results in loss of network connectivity. A headache if you're home and never doing anything time-critical on the network. A disaster if you or anyone else is dependent on the network for anything time-sensitive (virtual doctors appointment, work call, etc), or you're away from home and unable to directly VPN to your router to reconfigure DNS settings.

[–] godzillabacter 8 points 1 year ago

Statistically? Cancer or heart disease.

 

cross-posted from: https://lemmy.world/post/11298431

I've been a DM for about 3 years, and have predominantly run one-shots and short campaigns in DnD5e and PF2e. I have a player who persistently builds primary caster based characters, but then won't do anything in combat but "I stab it with my dagger." They rarely use cantrips, and basically won't cast a leveled spell unless I suggest it immediately before their turn. They seem to enjoy playing despite the fact that they're far too squishy to be a front-line melee character and don't utilize most of their class features. I've talked with them explicitly about how their play style seems to be discordant with the kind of play they want to do, and that maybe next time they should try a paladin/champion or a fighter/rougue subclass with some minor casting. They agreed at the time that sounded like a good idea, but low and behold showed up to the next one-shot with a primary caster, and over 3 hours of play and 3 combats never cast a single spell, including a cantrip.

I enjoy playing with this persons as a whole. They are engaged in the fiction, and are particularly engaged during exploration activities. They tell me they also find combat quite fun, and they are requesting I run a mega dungeon in the near future.

As a general rule, I like to let people play how they have the most fun, but issues have arisen with this play style. Namely, all of my TPKs have been associated with this player charging a squishy character directly up to a significantly stronger villain and continuing to stab it with a dagger until they went down, significantly hindering the party in the action economy and resulting in a TPK. I feel I have to intentionally weaken all of my encounters to keep the party feasible in the face of such mechanically poor combat choices.

What else can I do to help drive this individual towards melee builds, and/or help encourage them to change their play style to better suite the caster classes they choose?

 

cross-posted from: https://lemmy.world/post/11298431

I've been a DM for about 3 years, and have predominantly run one-shots and short campaigns in DnD5e and PF2e. I have a player who persistently builds primary caster based characters, but then won't do anything in combat but "I stab it with my dagger." They rarely use cantrips, and basically won't cast a leveled spell unless I suggest it immediately before their turn. They seem to enjoy playing despite the fact that they're far too squishy to be a front-line melee character and don't utilize most of their class features. I've talked with them explicitly about how their play style seems to be discordant with the kind of play they want to do, and that maybe next time they should try a paladin/champion or a fighter/rougue subclass with some minor casting. They agreed at the time that sounded like a good idea, but low and behold showed up to the next one-shot with a primary caster, and over 3 hours of play and 3 combats never cast a single spell, including a cantrip.

I enjoy playing with this persons as a whole. They are engaged in the fiction, and are particularly engaged during exploration activities. They tell me they also find combat quite fun, and they are requesting I run a mega dungeon in the near future.

As a general rule, I like to let people play how they have the most fun, but issues have arisen with this play style. Namely, all of my TPKs have been associated with this player charging a squishy character directly up to a significantly stronger villain and continuing to stab it with a dagger until they went down, significantly hindering the party in the action economy and resulting in a TPK. I feel I have to intentionally weaken all of my encounters to keep the party feasible in the face of such mechanically poor combat choices.

What else can I do to help drive this individual towards melee builds, and/or help encourage them to change their play style to better suite the caster classes they choose?

 

I've been a DM for about 3 years, and have predominantly run one-shots and short campaigns in DnD5e and PF2e. I have a player who persistently builds primary caster based characters, but then won't do anything in combat but "I stab it with my dagger." They rarely use cantrips, and basically won't cast a leveled spell unless I suggest it immediately before their turn. They seem to enjoy playing despite the fact that they're far too squishy to be a front-line melee character and don't utilize most of their class features. I've talked with them explicitly about how their play style seems to be discordant with the kind of play they want to do, and that maybe next time they should try a paladin/champion or a fighter/rougue subclass with some minor casting. They agreed at the time that sounded like a good idea, but low and behold showed up to the next one-shot with a primary caster, and over 3 hours of play and 3 combats never cast a single spell, including a cantrip.

I enjoy playing with this persons as a whole. They are engaged in the fiction, and are particularly engaged during exploration activities. They tell me they also find combat quite fun, and they are requesting I run a mega dungeon in the near future.

As a general rule, I like to let people play how they have the most fun, but issues have arisen with this play style. Namely, all of my TPKs have been associated with this player charging a squishy character directly up to a significantly stronger villain and continuing to stab it with a dagger until they went down, significantly hindering the party in the action economy and resulting in a TPK. I feel I have to intentionally weaken all of my encounters to keep the party feasible in the face of such mechanically poor combat choices.

What else can I do to help drive this individual towards melee builds, and/or help encourage them to change their play style to better suite the caster classes they choose?

 

tl;dr - What resources do you know of (blogs, videos/youtube channels, books, etc) that cater to improving your skills as a TTRPG player? I'm looking for the player equivalent of MCDM's Running the Game, The Alexandrian blog, etc directed towards players.

Hello all, I've been involved in TTRPGs for about 3 years now, and I've spent the bulk of that time DM'ing D&D5e, but I've also dabbled in a number of different systems including PF2e, Monster of the Week, and Scum and Villainy. During this time, I've found a great many resources aimed at helping me become a better DM, though I realized recently I haven't seen anything aside from the book Live To Tell The Tale by Keith Ammann (of The Monsters Know What They're Doing fame) directed squarely at players.

Part of me wonders if this is a continuation of the theme that DMs put in more work than their players for a game to exist, and individuals who want to devote significant time to the craft are almost always DMs. Maybe it's driven by the fact that most of the things that can make you a better player are things you learn to become a good DM.

Regardless of the reason, I see plenty of advice aimed for entry-level players about not having their phones out and participating in the game, but no real resources of substances for becoming the best player one can be. Has anyone come across any good resources focused on deep character creation, player-centric role play, etc?

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