Victor Markhoff / Ana Victoria Markhoff / vvictorman_uel - Powerchair faker pooner, has every illness, allergic to Krebs cycle, bed mayo enjoyer, kicked out of house and mental hospital, constant ebeggar, applesauce heiress paid to yeet her teets

For psych holds it's not uncommon for people to be in ER observation beds for a couple days, potentially much longer for peds in some states.

On the shared records: A lot of EMR systems hook into prescription record systems and have a poorly sorted, potentially incomplete list of medications you've picked up at any retail pharmacy in the last couple of years.
 
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Fapcop said:
Well, I was a little confused when lil Victoria mentioned she couldn’t communicate “even with AAC”, so I looked it up.

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Definitely sounds like dramatic sighs, and likely pointing to the bed or making a sleepy gesture.

I’ll bet you she even has a little wallet card she pulls out and gives to people, that explains how her severe autism can result in Vicky going non verbal and into AAC mode, and how vital for her wellbeing it is, that you instantly coddle her if this should happen.
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Oh wow, I figured her "AAC" was her typing out screeds on her phone/laptop, I didn't realize it included "passive-aggressive facial expressions" or "big sighs to let you know she's unhappy with you."
 
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Yes, a genocide. And who is committing it, again? Oh, right: LGBT people, victimizing themselves. "Isn't anybody going to help that poor man?"

Pope dead, Vicki most affected.

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AAC the way she is referring to it probably means a tablet or device you push pictures on and it says the word out loud. I think that site was just being overly generous in its definition of AAC. It’s typically used by nonverbal kids who can’t even sign.
I cannot believe the pope thing. She always finds a way man.
 
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Larry David's Opera Cape said:
They aren't bullshit, exactly, but they have not lived up to what everyone hoped for from them when they first came on the market, let's just say that.

They definitely do what they say they do chemically. The problem is that we have discovered that treating depression isn't always as simple as fiddling with serotonin levels. And I don't just mean "a pill can't fix shitty social circumstances" but just biochemically, there appear to be different subtypes of depression that respond differently to various medications. And yes, for some types of depression, SSRIs don't perform a lot better than placebo.

The SNRIs were an attempt to improve on this, but they have their own problems, especially in that norepinephrine is of course related directly to adrenalin release, so while it will give you some energy, and possibly pain relief, it may also make you more anxious and jittery.
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Yeah my understanding is that people with low serotonin oftentimes aren't depressed because the baseline serotonin level is different from person to person. There are people with high levels of serotonin that are depressed and vice versa. It just seems to me that ssris have more of a placebo effect than anything on depression itself explicitly. I believe that is what a lot of that data hints at
 
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Riverfagg1599 said:
Yeah my understanding is that people with low serotonin oftentimes aren't depressed because the baseline serotonin level is different from person to person. There are people with high levels of serotonin that are depressed and vice versa. It just seems to me that ssris have more of a placebo effect than anything on depression itself explicitly. I believe that is what a lot of that data hints at
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By and large they are shown to work pretty well on severe depression, and less well on mild depression. This may very well be due to a number of the milder cases being essentially miscategorized- a period of blahs caused by shitty life circumstances or being flabby and deconditioned or having slightly subpar thyroid levels will of course not be fixed by messing with your serotonin reuptake.

If they didn't do anything, and if moods really had nothing to do with serotonin levels, they wouldn't be so fantastic at unmasking bipolar disorder.
 
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Riverfagg1599 said:
Yeah my understanding is that people with low serotonin oftentimes aren't depressed because the baseline serotonin level is different from person to person. There are people with high levels of serotonin that are depressed and vice versa. It just seems to me that ssris have more of a placebo effect than anything on depression itself explicitly. I believe that is what a lot of that data hints at
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Just want to point out that the whole seretonin theory of depression hasn’t really been proven.

Aside from the fact that there’s a lot we don’t know about the brain, things like depression are affected by both external factors and biochemistry.

Doctors wanted a magic bullet for endogenous, serious depression, it ended up being a catchall that doctors hand out any time you feel the sads. (It’s cheaper and easier to hand out pills than to actually fix things.)

Larry David's Opera Cape said:
By and large they are shown to work pretty well on severe depression, and less well on mild depression. This may very well be due to a number of the milder cases being essentially miscategorized- a period of blahs caused by shitty life circumstances or being flabby and deconditioned or having slightly subpar thyroid levels will of course not be fixed by messing with your serotonin reuptake.

If they didn't do anything, and if moods really had nothing to do with serotonin levels, they wouldn't be so fantastic at unmasking bipolar disorder.
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I think depression, like ADD and autism, have been fairly over diagnosed over the last couple of decades.

There’s depression, and then there’s “I feel kinda down and depressed. My mom died a month ago and my wife is nagging me every day. What do doc?”

Yeah I know… Doctors have to get paid and they need to write something in their journals. And big pharma need to make their investment back.
 
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I genuinely DO think our society has higher instances of depression, anxiety and ADHD, the same way coal mining communities in the 80's had higher instances of lung problems.

Our culture is geared up to expose people to massive amounts of chronic stress, and at the same time engender passivity in people so they do nothing about it. There are people agonising over the war in Ukraine in places like New Zealand, despite there being almost nothing they can practically do about it. Social media pushes intermittent rewards the same way slot machines do: spend hours doom scrolling and maybe you find a few funny clips, or occasionally a post goes viral.

In other times and places, people who would never have copped an ADHD or anxiety diagnosis really have had their emotional state fucked with by the environment they live in. Medications certainly do help some people, and if you've been taking them for a while it's not a simple matter of getting off them, but they don't really address the lifestyle part of the equation, because that would require too many changes and affect the bottom line of too many rich people.

The most effective way to address the black lung was to stop putting people underground to mine coal, but that wasn't seriously considered because at the time, we needed coal to run industry.

The world-- for now-- needs a ton of marketing officers, and cybersecurity leads to work soul draining office jobs, and it needs them to be plugged into all manner of subscription based distractions. The SSRI is a bandaid to keep you just functional enough to be online for the 7am Monday morning meeting, pay your netflix subscription, and argue about politics on twitter.
 
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Larry David's Opera Cape said:
If they didn't do anything, and if moods really had nothing to do with serotonin levels, they wouldn't be so fantastic at unmasking bipolar disorder.
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I've seen SSRIs (and even fucking Buspar) act nearly as abruptly and dramatically as stimulants in people with true bipolar. One or two days of 5mg Lexapro and they've got a skip in their step, happily slept 5 hours last night, and they're telling me about how much more vivid colors are and how connected the universe is.

Sure, they may be no better than a sugar pill for BPD or the ubiquitous shit life syndrome or mild-moderate depression, but they really do do something with the mood system in people with severe mood disorders.
 
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Jupiter Doughnuts said:
I've seen SSRIs (and even fucking Buspar) act nearly as abruptly and dramatically as stimulants in people with true bipolar. One or two days of 5mg Lexapro and they've got a skip in their step, happily slept 5 hours last night, and they're telling me about how much more vivid colors are and how connected the universe is.
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Or so irritable they're crawling out of their skin, impulsively self-destructive, and getting in road rage incidents- SSRI activation doesn't seem to trend in the happy-ecstatic direction, on average.

Jupiter Doughnuts said:
Sure, they may be no better than a sugar pill for BPD or the ubiquitous shit life syndrome or mild-moderate depression, but they really do do something with the mood system in people with severe mood disorders.
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BPD, half-healed traumas and barely-mourned losses, mismatch between personality type and lifestyle (even if the life isn't shitty, it will cause pain if it is a poor fit), fatigue from poor sleep habits- PCPs have been known to medicate all of these things with an SSRI.
 
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"I was eating all that junk food because several years later I knew I'd have to fake illness to get of of my study responsibilities, MOM"

Just a small reminder: Vicky absolutely does NOT have any form of IBD (Crohn's, Celiacs, Ulcerative Colitis etc.) which was 100% confirmed last time she was hitting up the ERs needlessly. As tricky as those diseases can be to treat, they're reasonably straightforward to diagnose. Her colonoscopy showed none of the lesions or scarring that you'd expect to see from someone complaining of multi-day rectal bleeding and severe dehydration. She's a workshy headcase with a scat fetish, and the ER department doesn't need to give her a private room to confirm that.
 
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We need a thread timer that starts when Victoria checks into the ER and ends at discharge. “Victoria has been wasting hospital resources for X days, y hours, z minutes. Her record is days:hrs:mins.” Or a streak timer when she is not hospitalized: “Victoria has gone X days y hours z minutes without unnecessary medical intervention.”
 
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Attractive Sexhaver said:
*interrupting ER staff trying to stabilize a car crash victim* I'm still non verbal, just so you know.
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I had bad laryngitis once and downloaded a phone app where you type in a message and the app repeats it out loud while displaying the words really big on the screen (it beats carrying around a little whiteboard). I am now imagining Vicky using something like that to communicate her very urgent and legitimate needs.


ER Doc: He's still losing a lot of blood! We don't have a choice, we have to--

Loud Robot Voice From The Hallway: I AM NONVERBAL AND WENT POOPY IN MY PANTS
 
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