• 2 Posts
  • 440 Comments
Joined 3 years ago
cake
Cake day: June 19th, 2023

help-circle



  • Stool hardener? That’s a really colloquial thing, there’s not a class of meds you’ll run into that gets called that. Tbh, I’m moderately confident it’s a very recent AI created term, because that’s the only references to the term I could find, and I looked.

    Only actual products I found were for dogs.

    So, I gotta make assumptions here. Caveat: not a doctor, and this ain’t for a grade. That means I’m not going into niggling detail for pedants. This is layman level shit that serves as an overview. So, I’ll make fun of anyone trying to treat it otherwise.

    First, that it has to be a medication, not a diet program. Second that it has to be a med that’s targeted to bowel issues. That means that even if it isn’t the primary user of the medication, it is at least prescribed or sold for that purpose rather that it being an untargeted sise effect that in turn needs to be countered.

    Which leaves a fairly limited range of options. Luckily, they have very similar functionality. Not exactly the same, but close enough for a casual thought experiment as opposed to passing a test on pharmaceuticals.

    So, with that in mind, the key thing they do is alter bowel motility. They do it differently, but that’s what makes it so that more water is pulled out of the waste, thus “hardening” it.

    Laxatives, however, tend to do exactly the opposite. Again, they do it in a wide array of ways, but the ones that meet the criteria of being used to make your bowels move do it by increasing motility.


    Laxative vs “hardener” or anti-diarheal.

    Essentially, you’ll have a slower moving but messy poop in most cases. You are also likely to have cramping that may be painful.

    As the bowel slows down via the action of drugs, the bowels have more time to pull water out. If the laxative only increases bowel motility, it comes down to which effect is stronger. You’ll either have slightly firmer stools, or slightly looser.

    However, some laxatives either also, or only, function by changing the stool directly rather than targeting the bowel. That’s stuff that adds fats or sugars or types of fiber or whatever. Those will do little to speed up the bowel, if anything, when a medication is targeting the bowel to slow it down. Most of the time, that’s going to result in relatively smooth and easy bowel movements. It can lead to constipation though.

    That being said, if you’re chugging mineral oil, ain’t nothing going to stop it from spraying out because there’s no water to remove. You’ll have a greasy and likely painful anal explosion. Most of the sugar based laxatives are going to leave things fairly firm, but oils? Hooooo boy! I’ve had to dodge mineral oil poo sprays before, and it oughta come with a gold medal and a wheaties endorsement because you gotta be fast.

    Something like a senakot, which irritates the bowel as opposed to stimulating it less directly, that’s where you run into the immovable object vs irresistible force concept. Most of the time, it will take a higher dose of something otc to counter a normal dose of senekot (spelling? I can never fucking remember, and don’t care enough to look it up). So if you take one immodium and one senekot, expect a painful, crampy bowel movement that manages to be chunky rather than outright watery the way senna often makes it. Which is still less explosive than oil laxatives in my experience.

    I guess the summation is “it depends”.



  • Yup, but in this case duty of care is more important overall since the sister is an RN. It’s the difference between a possible lawsuit and criminal charges (depending on location) if anyone finds out she didn’t render aid.

    You know what’s fucked up? My state at one point was set up so that if you were CPR certified, you weren’t covered for the usual broken ribs kind of injuries. But if you weren’t, you were clear. So a lot of people in my job (nurse’s assistant) just skipped CPR certification entirely. It meant that we weren’t required to do it at all, but that if we did, we were legally covered under good Samaritan.

    They fixed it eventually, but it was fucking annoying.

    Even worse, if you had a patient that didn’t want resuscitation, but hadn’t gotten an advanced directive or dnr done before becoming unable to, if you were certified, you had to do it. But if you weren’t, you weren’t allowed to. So, again, NAs had to decide what level of exposure they would tolerate vs what ethical boundaries they had, and fit it against the impossible to predict needs of future patients.

    RNs, however, were required to keep a CPR cert (though it later got fixed so that an RN was automatically considered certfied).

    Some of the labyrinthine bullshit around emergencies is just stupid.


  • Look, ignoring the bait title, I think it useful to talk about this.

    This kind of community only works when people can freely ask almost anything without worrying about it being outright removed.

    But when it comes down to it, part of what makes communities like this worth using is hindered by gatekeeping and the “yes there are” mentality.

    Sure, it’s menat to be the kind of thing where you can ask weird shit and have a decent chance of getting a decent reply. That’s always going to come with bad faith questions, but it’s worth it

    See, we can all scroll by the shit we think is genuinely stupid and/or bad faith. We aren’t required to respond. And we shouldn’t if we don’t have anything relevant to say.

    So, bluntly: bugger off with your gatekeeping and condescension. Vote according to your conscience, report if you feel something is really wrong, then move the fuck on.









  • Well, you’re gonna have trouble finding many men here that are genuinely “afraid” if homosexuality. Those that exist are unlikely to respond because it’s painting a giant target on themselves.

    So, you’ll likely have to settle for second and third hand answers.

    With that caveat in mind, I grew up in the south where the kind of homophobia that isn’t necessarily bigotry (though it usually is) sometimes gets discussed if you approach people right.

    The general answers I ever got amounted to social approbation. They’re not so much scared of gay people, or gay acts, and almost universally not of “turning gay”. It’s that they have this idea that behind anything other than anti gay gets them tarred and feathered with the same brush.

    Yeah, the other reasons exist, but it really does come down to being scared of sharing the same fate as gay people if they don’t object enough. And it is an actual fear, rather than hatred, it just shares the same external trappings. And, for most of the people that have that fear, they would rather share the label of bigot than the label of gay.

    But make no mistake, it isn’t common. The kind of yelling-at-the-screen shit is just as performative, but it’s the flip side of the fear. Those assholes believe that they seem more manly by doing so. It’s territorial pissing and chest thumping.

    It’s one of the reasons I dislike phobia being the suffix for forms of bigotry. While phobos, and thus phobia has relation to rejection of things, it’s a misnomer to say that most bigots are really acting out of fear. Which is dangerous, possibly even more dangerous than regular hate. But also not as dangerous as blind hatred paired with dehumanization of a target. The mental processes involved in bigotry are far more insidious than simple ignorance and fear of the unfamiliar.

    Which is tangential, but I think worth examining.




  • Well, I have a ps5. It gets almost daily use.

    I still sometimes regret getting it instead of other options because of Sony.

    That being said, that’s really the only issue. In terms of the device itself, it’s the best console I’ve had or used. If Sony got out of the way and didn’t limit what you can do with the damn things, it would be a no brainer for causal gaming. Alas, they won’t. So I can never recommend it.