iiinova — where your digital self keeps evolving

Barbiturates are coming back in a big way

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Kingfisher vase from goodwill bins for like 70 cents

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“I want to hear what the Swans guy has to say about AI” is a sentence a human being might conceivably string together

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Fair to assume that Pike’s prognosis may be worse considering she was reported to have sonorous respirations for however long it took them to decide to stop waiting for her to die and call EMS

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Unclear, got bystander CPR though. Who knows how long he was apneic and +/- pulseless between the EMS call and when he was found down

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In fact there are few people more superstitious than residents in the workroom waiting for a direct admission to arrive / waiting for the ED to call

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Netflix’s “Something Very Bad is Going to Happen” is a cautionary tale about the perils of marijuana use

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If I get brain eating amoeba because I was too cheap to pay the pool guys to close my pool I will take my place in Valhalla

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shalloween @idlerat.bsky.social · 01/10/2026

the incredible camouflage of the gray tree frog

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Reposted by steinkern

one clarification: no, we don’t still have editors. there used to be so many editors! and they got paid and everything

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Heard a guy playing bagpipes at the park, reminded me of Halo 3

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Alone Australia contestant: “out /hɪə/ in the bush you learn the things that made you different as a /kɪd/ are really strengths. For instance, I was born with diarrhoea…”

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The Spookiest Man @dollyzoom.bsky.social · 01/10/2026

No doctor or nurse I’ve ever met would take part in this. I’m honestly not sure who they’ve got placing these IVs

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Reposted by steinkern

It’s almost as if anyone with enough clinical competence to perform a lethal injection won’t participate in a lethal injection. Weird.

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How many extravasated IVs is it gonna take before we admit there is no ethical way to carry out the death penalty and it must be abolished

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Once saw a patient with Huntington’s who was able to remain in home longer + preserve relationships because low dose antipsychotic made him less explosive. Off label, sure. But you know we use these meds to treat hiccups and vomiting as well

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Patients with Alzheimer’s have a terminal illness that is predictably destroying a series of anatomical structures in their brain. Attempting to treat the known psychiatric manifestations of this process, weighing risks and benefits, is not at all the same thing in principle as a chemical restraint

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Honestly I expect better coverage of this issue than what I saw from Jordan Rau’s npr piece, especially since this is apparently his beat. Lots of vapid buzzwords: “brain-altering meds” (so is Tylenol). “A clash over whether to drug” (give care that is indicated). And so on. Do we still have editors

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I understand the guilt that families have when they can no longer care for loved ones. I also recognize that psychotropics can genuinely be abused to sedate rather than to treat symptoms. But we need to be honest about what dementia is, and not ignore genuine suffering because of fear or guilt

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Claire @dontforgetflowers.bsky.social · 30/09/2026

When my grandmother’s dementia progressed she was often in a constant state of panic, feeling she was in a wrong & dangerous place. She was in a nice nursing home with adequate staffing. Lots of redirection & behavioral interventions like dolls & towels to fold. Still needed meds, SSRI and prn benzo

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Reposted by steinkern

Agreed—my dad has dementia and we went through a period last year where he was attacking caregivers, hyperventilating, and incredibly anxious all the time. It was horrible for him. Getting him on antipsychotics was a difficult choice, but it’s been one of the best descisions we’ve made.

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more concussions -> more primpker

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Another issue raised in this article is how to deal with pyuria / bacteriuria in nursing home residents. My understanding is that without localizing symptoms or objective signs of infection, should not jump to abx. But I’ve seen a lot of variance in practice

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Olanzapine kinda goated though

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“Antipsychotic” is a marketing term btw, these drugs are a lot more complicated than that and used for many other things

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And there will probably always be cases of organic brain diseases requiring antipsychotics and / or mood stabilizers despite best behavioral interventions. Thinking especially of patients with brain tumors causing impulsivity / aggression

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But in the meantime, it’s not productive to portray all use of psychotropic medications in nursing homes as “sedation”. It’s presumably not fun to live in terror all the time, or to get so pissed off at your neighbor you slip and hit your head on a dresser and get a subdural

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Anyway the actual answer is to massively increase public spending on elder care so that facilities are staffed and resourced well enough that all of the effective behavioral interventions can be implemented wherever they are needed

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Also dose. 2 mg of haldol is not the same as 10 mg haldol plus 2 mg Ativan plus 50 mg Benadryl

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I believe whether or not meds constitute chemical restraint from the perspective of the joint commission depends on the purpose for which they are given. If only to restrict movement it’s restraint. If given to improve agitation & alleviate distress, & reversible causes addressed, it is treatment.

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Drugs are widely used to sedate dementia patients. Her sons wanted to keep her off them

Articles like this often feel really out of touch. Of course behavioral interventions should be tried first, and this is often limited by staffing. But if you elect not to treat agitation with meds and this leads to violence or restraints, that is also a treatment failure www.npr.org/2026/09/30/n...

npr.org

Potent sedating medications are often used on agitated people with dementia in long-term care facilities despite federal efforts to discourage them. A clash over whether to drug a Michigan woman illum...

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If you break something at the new age shop in the mall your soul gets trapped in one of the incense holders

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