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Cake day: July 19th, 2023

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  • And a thing young folks using cannabis seem to be woefully under informed about is that cannabis use can kick off psychosis/schizophrenia as well as something called depersonalization disorder where basically nothing feels real to you, as well as actually lowering your IQ. I lost a high school friend who smoked copious amounts of ditch weed in the 80s and 90s, who became a paranoid schizophrenic and eventually killed himself as a result. I’m not saying occasional use is a big deal, but chronic heavy use is really not good.


  • The 2020s iteration of Twitter with Space Karen at the helm, and the sharp rise in antivax beliefs with the advent of the COVID vaccine. It’s quite amazing to me how people that even get every other routine vaccine have completely false beliefs about it and don’t get that one. Weaponized disinformation is a terrible thing.

    My coworker told me two weeks ago that she was not getting any more COVID vaccines “because they’re pushing it on us”, and yet went and told Public Health that she has multiple sex partners so she could get the monkeypox vaccine. My head is spun over that.




















  • I won’t get into specific patients (I’m not a doctor but work in health care) the worst patients in general is an older person with untreated borderline personality disorder. They call screaming their heads off that the medication they’ve been on forever is giving them side effects, and it’s just that they have this void within them that you can never pour enough attention into. They’re obnoxious, demanding, and treat people in an ignorant fashion as if you are a servant at their disposal, and if you don’t answer them right away they start threatening suicide. The younger ones with BPD are largely at least somewhat aware and are calmer and just sad and tearful, but the total dysregulation of the older ones is a hell of a thing to see.