Kale's recent activity
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Comment on US Food and Drug Administration limits approval for new coronavirus vaccines to high-risk people in ~health
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Comment on What's a question you could ask to determine if someone is an expert in your line of work? in ~talk
Kale LinkOh fun! I’ll do one based off of yours. Mine is probably a bit easier though, as I’m a nurse and I’m assuming you are a physician? Q: Under what circumstances would one want to withhold the...Oh fun!
I’ll do one based off of yours. Mine is probably a bit easier though, as I’m a nurse and I’m assuming you are a physician?Q: Under what circumstances would one want to withhold the initiation of compressions in a cardiac arrest patient that is full code?
A:Details
When the patient has a Left Ventricular Assist Device (LVAD).
These patients have no palpable pulse at baseline because their blood is flowing continuously with the help of the device, instead of pumping like our regular hearts do. This could lead to calling a code when the patient is not under cardiac arrest. If they are arresting, compressions can dislodge the device and cause massive hemorrhage.
The way to help these patients is to assess the device, or try to fix the underlying problem (dysrhythmia, hypovolemia, etc). If you work through all your Hs and Ts in ACLS and all options are exhausted then you can try to do compressions as a hail mary but at that point they’re probably not coming back.
Thanks for teaching me something! The kids in my neighborhood were notorious paint huffers of the gold variety. I never knew this!
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Comment on A day in the life of @Akir in ~life
Kale Link ParentI would be surprised if your doctor knows what I’m taking about. Med spas can absolutely be sketchy, there are plenty of bad ones. But, as with all services- there are fantastic ones as well that...I would be surprised if your doctor knows what I’m taking about.
Med spas can absolutely be sketchy, there are plenty of bad ones. But, as with all services- there are fantastic ones as well that maintain high standards of care. You just have to vet them out and go with a highly rated reputable place.
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Comment on A day in the life of @Akir in ~life
Kale (edited )LinkI’m not sure if this type of advice is welcome, so I’ll apologize in advance if this is something you have no interest in. There is a peptide, GHK‑Cu, that is showing promise for skin tightening...I’m not sure if this type of advice is welcome, so I’ll apologize in advance if this is something you have no interest in.
There is a peptide, GHK‑Cu, that is showing promise for skin tightening for loose skin secondary to weight loss. On /r/peptides you can find some mind blowing before and afters.
Peptides are the new thing, and they are controversial. Excluding sema/tirzep you don’t hear many people discussing the wide amount of therapies becoming available.
You can get GHK‑Cu legally with medical supervision at medspas, likely for a high price (still cheaper than surgery).
Or…you can access it on the grey market for a very affordable price, but of course I can’t actually recommend that to you because it comes with risks so do your own research to make an informed choice if you do choose to go down that path.
spoiler
I personally get my peptides via grey market and have tried quite a few types of peptides with absolute killer results for each one. No I won’t give sources on tildes, sorry, don’t want to break rules…or be the reason that the site has to introduce a new rule lol :) -
Comment on Made in Abyss anime to be continued in new series of movies in ~anime
Kale (edited )Link ParentStrong agree, I am convinced the creator is a pedophile. Collapsible because I’m going to be graphic I am pretty sure Mitty character design was phallic intentionally to make it look like a penis...Strong agree, I am convinced the creator is a pedophile.
Collapsible because I’m going to be graphic
I am pretty sure Mitty character design was phallic intentionally to make it look like a penis on top of the children. There is no other reason to design her like that. They could have made her disfigured without making her head resemble the tip of a penis.
https://m.youtube.com/watch?v=I0wWSlMBiMU
I’m fine with the gore really, but the show just seems so sexual for no reason.
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Comment on Looking for places to get bulk OTC medicine in the US in ~health
Kale LinkWould you feel comfortable disclosing the drug? I can try and take a look for that drug specifically.Would you feel comfortable disclosing the drug? I can try and take a look for that drug specifically.
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Comment on Women's pockets are inferior in ~life.women
Kale LinkThis is why I wear men’s pants, and literally no one even realizes it. On a more meta note, I love this website so much. It keeps the spirit of the old internet alive, but works flawlessly on...This is why I wear men’s pants, and literally no one even realizes it.
On a more meta note, I love this website so much. It keeps the spirit of the old internet alive, but works flawlessly on mobile. More websites should incorporate visuals in their articles.
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Comment on Gaming on a medical device in ~games
Kale LinkWatching those games was so visually appealing. I want to say that it makes me appreciate the beauty in simplicity, but we know that machine is very complex.Watching those games was so visually appealing. I want to say that it makes me appreciate the beauty in simplicity, but we know that machine is very complex.
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Comment on Propane Genesis Evangelion - King of the Hill Anime OP in ~anime
Kale LinkNow this is high art. Putting the rare nudity/sexualized scenes from king of the hill to match the shonen style made me laugh. Complete opposite shows but was arranged perfectly. This goes to show...Now this is high art.
Putting the rare nudity/sexualized scenes from king of the hill to match the shonen style made me laugh. Complete opposite shows but was arranged perfectly.
This goes to show with enough video clips you can make anything be seen in a different context than the originator intended, and that the editor has a lot of control over what that context can be about.
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Comment on Do you like being thrifty? in ~talk
Kale Link ParentI agree with this at this point of time. I grew up thrifting, love to buy stuff second hand. But the city I live in has a vicious culture for side hustles and anything for a deal immediately gets...I agree with this at this point of time.
I grew up thrifting, love to buy stuff second hand. But the city I live in has a vicious culture for side hustles and anything for a deal immediately gets snatched up and flipped for close to market price. And lots of meth, so cars and electronics get stripped of usable parts and are held together by string and duct tape and resold with the profit from the parts.
As for online, the brands of clothing I like have a huge replica market so it is just an absolute pain in the ass to make sure you’re not getting ripped off.
I do love thrifting when I go back to my hometown, though. It’s small enough that you can get good stuff. It’s totally location based.
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Comment on Goodbye, old friend in ~life.men
Kale LinkI know you said he doesn’t really reply or answer, but I would suggest being blunt and straight up asking why the relationship has changed. It might offer you the closure you need, whether he...I know you said he doesn’t really reply or answer, but I would suggest being blunt and straight up asking why the relationship has changed. It might offer you the closure you need, whether he responds or not.
He may not have a valid excuse, and it may still be time to let the relationship go- but you have been carrying this weight for a long time and this is a good way to ease that load. He may not respond, and that will sting- but then you can be absolutely certain that it was 100% his fault and he is the one who dropped the ball.
It is easy for the brain to circle back and loop over these hurt feelings and painful memories over and over again trying to understand the unknown. Sometimes you have to confront what’s been left unsaid to move forward.
Good luck, and take care.
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Comment on What is a non-problematic word that you avoid using? in ~talk
Kale LinkI work as a nurse. I do not like the term client. In school, they teach you to use “client” instead of “patient.” Some hospitals prefer this as well. I don’t like it because I believe it gives the...- Exemplary
I work as a nurse.
I do not like the term client.
In school, they teach you to use “client” instead of “patient.” Some hospitals prefer this as well.I don’t like it because I believe it gives the wrong connotation and blurs my role in providing care to the person.
Client implies that I am here to serve a paying customer, and that I should be subjected to their demands based on their wishes. For example, people demand more pain medication sometimes while they are nodding off and have an oxygen level that is so low it could cause actual harm to give them more.
My role is to treat conditions based on multiple factors using both objective and subjective data, and I make those treatment decisions based on best practice that my education provided me. This means that the person’s role in our interaction ends up being more passive, whereas client would imply a more active role in the care.
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Comment on Have a hard time letting go of old tech? in ~tech
Kale LinkI just found my original iPod video that I am going to try and replace the battery for, I loved that thing dearly and it got a ton of use back in the day. I’m also rocking a beige nostalgia...I just found my original iPod video that I am going to try and replace the battery for, I loved that thing dearly and it got a ton of use back in the day.
I’m also rocking a beige nostalgia machine running windows XP that is set up to look like it’s running windows 95. To go along with it I have a CRT monitor that I love to play old computer games on.
I have a ton of retro consoles that get a bit of use. Sega (my favorite), n64, gameboy color, and an OG Wii with homebrew. I’m in the process of looking for a CRT TV for the consoles.
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Comment on US Food and Drug Administration to limit covid shot approval to elderly, those with medical conditions in ~health
Kale LinkThis really grinds my gears. I work in the emergency department and I have Covid patients all the time. I truly believe the reason I don’t catch it year after year is solely because I get all of...This really grinds my gears.
I work in the emergency department and I have Covid patients all the time.
I truly believe the reason I don’t catch it year after year is solely because I get all of my boosters.
I find it interesting that for hospital jobs they have flu shot carts and physically hunt me down to get a shot every year, but the second they stopped requiring COVID shots they pretended they stopped existing and offer no support for them. I don’t imagine the hospitals will start protecting us and start carrying them again in the wake of this news either.
I hope the FDA is happy when all of the healthcare workers become a vessel to spread it to all the patients. Going to the hospital is about to get even more dangerous.
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Comment on What was your favorite older social media site/app? What did you like or dislike? in ~tech
Kale LinkNeopets (here me out), DeviantArt, MySpace, and of course forums. On neopets, people used “pet pages” to create their own websites essentially. It reminded me a lot of geocities. In fact, you can...Neopets (here me out), DeviantArt, MySpace, and of course forums.
On neopets, people used “pet pages” to create their own websites essentially. It reminded me a lot of geocities. In fact, you can still peruse them today to get quite a bit of internet nostalgia. Neopets also had guilds, which allowed for little communities to form. Neopet “boards” were also extremely active, I did a lot of socializing on there.
DeviantArt used to be a special place for creatives. It housed all your art, you could post blogs, and the dAmn chat rooms were a lot of fun at the time. I knew it was over when they discontinued dAmn.
I saw MySpace get mentioned a few times, but I feel like it really hasn’t gotten the credit it deserves. The way people connected over music on there is unmatched. Emo culture is very dear to me, so I am probably biased.
Last but not least, internet forums. I was very active on a site named gaminggutter. It was a place for cheating at popular games at the time, neopets/gaia/etc. I met my wife there. My heart truly aches for the friendships I lost touch with from that place.
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Comment on Charli xcx - party 4 u (2025) in ~music
Kale Link Parent@TommyTentoes was correct, I was speaking of 808, but I am a she* 😘 That statement that I made was a sloppy regurgitation from what I have previously read from outside sources analyzing the...@TommyTentoes was correct, I was speaking of 808, but I am a she* 😘
That statement that I made was a sloppy regurgitation from what I have previously read from outside sources analyzing the cultural impact of album.
Critically the album divided the hip hop audience, as most of his elder fanbase could not connect to singing and autotune using Kanye. Although it did not resonate with his older fans, his younger fan base connected to the vulnerability shown by West in his songs.
808’s & Heartbreak would go on to create a new template for hip hop and pop culture that endures more than a decade later. In a 2013 interview with the New York Times, Kanye claimed that the album redefined the sound of radio. The album made waves.
Juice WRLD and Lil Uzi Vert would not be where they are today without that groundbreaking album.
In all fairness if I was going to recycle an opinion I could have worded it more eloquently.
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Comment on YouTube’s new ads will ruin the best part of a video on purpose in ~tech
Kale LinkGod damn, has it kicked in already? I listen to heavy music and I use reaction channels to find music regularly. Today I had an ad right before the breakdown every. single. video. and it...God damn, has it kicked in already?
I listen to heavy music and I use reaction channels to find music regularly.
Today I had an ad right before the breakdown every. single. video. and it absolutely KILLS the hype and vibe.
I know this is to push for subscriptions, and I could maybe forgive them if they were planning on using the subscription money to become less reliant on advertiser funds so they could bring back explicit content. But I know that’s not the case, YouTube is going to continue to sterilize their content and milk out every last cent.
I’ve gotten lazy with ad-blocking (iOS here), but I’mma have to do it now. I have the “unwatched” app that blocks all yt ads but most of the time I still just used the native app. No more.
I know it’s not a perfect solution, but this is the final push for me to set up a pi-hole too.
I’m so done with this creeping invasiveness.
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Comment on <deleted topic> in ~life
Kale Link ParentTry not to be hard on yourself for the low blood pressure days. You’re at high risk for orthostatic hypotension which means your blood pressure could tank further upon standing and walking and...Try not to be hard on yourself for the low blood pressure days.
You’re at high risk for orthostatic hypotension which means your blood pressure could tank further upon standing and walking and could make you pass out. Especially if you’re already symptomatic while sitting.
But of course you probably already know this, I also wanted to mention this so others can have more context for how frustrating this situation must be.
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Comment on Charli xcx - party 4 u (2025) in ~music
Kale Link Parentlmaooooo ok, 😂 uppers or downers? I’ll give it a swing in your honorlmaooooo ok, 😂 uppers or downers? I’ll give it a swing in your honor
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Comment on Charli xcx - party 4 u (2025) in ~music
Kale Link ParentAh yes T-pain. I believe Kanye also released an album with that sound as well, which AFAIK didn’t do as well with my age group- but a lot of the younger folks making music today cite that album...Ah yes T-pain. I believe Kanye also released an album with that sound as well, which AFAIK didn’t do as well with my age group- but a lot of the younger folks making music today cite that album and T-pain as a heavy inspiration.
On the topic of T-pain, his tiny-desk concert without the autotune was so soooo good. I recognize that there is a lot of talent in some of the artists who use this style. I just prefer without. But of course, that’s just my opinion and that doesn’t make it superior to other folks who see it differently :)
I just don’t understand why. Is there literally any benefit to limiting it? I am sure the medical costs from sick Medicaid patients far outweigh the cost of the vaccines.
Thankfully in my emergency department, I haven’t seen anyone be super sick from Covid in a long time. It’s still here, but all my cases have all been mild the last year. Not sure how the numbers and acuity have been across the states, hopefully it has been like this for everyone.
I am very traumatized from when it was bad though…. I don’t think I could handle it again, especially with this administration.
Edit:
After reading Dr. Demetre, the CDC’s vaccine chief’s recognition
I think I get it now. This quote in particular stood out to me:
Dr. Demetre makes a very good point.
They are trying to create a superior race where only the people with the best genetics and most resources survive. They’re surrounding the tree and picking all the low hanging fruit they can grab from the ground level.
At some point, though, they’re going to get a ladder and start climbing higher and higher until only the top fruits remain like the gluttons they are.
It just baffles me that all these people in the middle feel like they’re out of reach, but the time will come for them too.
Those who are in power won’t be satisfied until the tree is bare with nothing left to give.
Even then- once the branches are empty, they will be left licking their fingers wondering why they are still hungry.
History really does repeat itself.