I think it’s funny that the next obvious solution is that the child has two dads and everyone seems to ignore it as well.

I found a preview of the upcoming show

Oh but they make for such delightful tourist destinations to see castles still inhabited by the nobility rather than some rich twat’s mansion in LA.

I mean Optum is a pretty unsecret thing in nursing homes. I think we’ve been through like 12 nurse practitioners over the last year and a half I’ve been working at a nursing home. We’re told that if they’re an Optum patient they need to be managed by them, but a solid amount of the time we’re just going to the primary provider because they’re nowhere to be seen because their entire local network is a shitshow. I also know they seem really averse to starting hospice or even having that conversation. I know they’re super big about preventing hospitalization and treating in place, but I feel like if I just outright disagreed with a call made I could just speak to the primary provider or if I’m really concerned, override the NP, especially if they’re not present in the building.

The examples they give of stroke like symptoms, if I’m on the unit and they clearly are having a stroke, I’ve already called 911 before I’m calling the provider to ask for orders. Unless they have a history of TIA I’d assume stroke and deal with the back and forth.

In the end there is that little nag from Optum asking you to call before a hospitalization, but there’s also a level of nursing judgement that needs to exist with that thought towards patient health rather than an insurance company’s nagging.

You can also use the fecal sludge as fertilizer or just dump it on the ground creating a health risk for your colonists or maybe just some super fucked prisoner torture system.

Honestly I remember back then getting through it and being like “oh that’s it I guess” went online and people were just melting down. It is sorta hilarious that there’s an entire mod dedicated to fixing the ending and to be fair I used it back in like 2018.

I think what disappointed me the most was when they released that patch that basically killed off the Shepard Indoctrination Theory. I loved how open ended it was, it was subversive, it explained so many bizarre things the game did for a far better payoff (that random PTSD chasing kid stuff is awful). It even ended up being subversive against the idea that doing all the side content will get you the best ending by making the special synthesis ending another dead end and the kill all reapers to be the best choice and you were given a payoff for it.

They’re already queuing it up

I used Facebook back around 2009 when I felt obligated to do so to keep up with friends from school, and then I came out as trans and basically nuked my social circle. While I’m friendly with people at work and I’d call them work friends, every time I’ve really tried to bridge the gap from work to personal it’s fizzled out primarily because I don’t use social media and I’m fine with that. I like having a small handful of people I really like and trust. Some of my best friendships formed away from social media, on the remnants of internet 1.0. This guy’s idea of the future of friendship means just alienating you more from the people directly in your life and pushing you towards a walled garden of his creation where you only talk to “people” he wants you to who will make you just happy enough to stay hooked but not satisfied so you have to come back.

Sometimes I feel like the visual queues are a better gauge for dodge/parry. Some enemies have a super easy audio queue that the sound goes and you push the button to win, but enemies like Luster when they do the anime dash slice I feel like the best time to parry is when their arms point forward since I don’t notice much with the sound

Fuck the space and support cool indies if you can.

The magic wore off for me back with Skyrim, I was obscenely hyped for it, literally failed several assignment in the pursuit of playing skyrim nonstop and then after like 120 hours, I was done and for years I felt like I just didn’t “get” Skyrim and that it was me, but it was already happening. I grew up with Morrowind, I was too young to actually play it and understand what was happening, the combat system was too abstract for someone that had very little RPG experience, and then Oblivion hit and it fixed all those issues dumbass kid me had with Morrowind. I swung a sword and I hit things and it had the compass that helped me not get lost. And then lost interest in the “genre defining” Skyrim. I look back at all of it now, I’m rather fond of Oblivion to this day, but I’d probably have a pretty negative reaction to Oblivion if it was a new game, but as a game with infinite meme potential and infinite jank along with some rose tint, it’s great. I love watching people do silly things in it, the NPCs doing uniquely Oblivion things. It’s an encapsulation of gaming and bethesda at that point in time and once you rip it out and remake it in a new engine with none of the original jank, meme potential, or rose tint, it’s just a crappy game. The studio making it is a Singapore based art asset outsourcing place so my expectations are in the dirt. It’s a game I don’t think should be brought to the modern era, kinda like how Todd says they’ll leave Morrowind alone since it was its own thing, they should’ve just left oblivion there too.

My first run I romanced Karlach.

Still went through with the Astarion romance the second time

I’ve been deep in Rimworld this week. Iceball planet permanent winter and I’m finally at the thrive stage where I’m getting nuclear power and doing more automation, next is full automated defense and urban ruin exploration, my crime against humanity this run is just using the bodies of raiders to make kibble and feed my Muffalo with.

Also started going into Voices of the Void which is neat and also terrifying. Why t he fuck is there a meat locker full of pigs in the basement of this SETI radio astronomy site

I think it’s pretty amazing seeing everyone’s reactions to this going from shock, to realizing that he was lying the entire time about the reason of the lawsuit, to then turning on him and seeing it all as one giant con. Mitchell is shit, but Jobst ended up rubbing me the wrong way after a while without knowing anything else about him based on how much he wouldn’t shut up about Billy Mitchell.

I remember replaying it a few years later after its hayday and my god it was actually painful to play for extended periods of time, open the doors mash your thumb, kill an elite enemy, mash your thumb, watch a cutscene, mash your thumb. It’s why whenever I can these days I just go to the accessibility options and turn on hold rather than mash.

My favorite video just kinda displays how far from our own humanity we’re straying when tossing people to the proverbial wolves.

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This is the end result of agency nursing and staffing. It got a serious shot in the arm during covid as people quit and went agency since they’d make ludicrous amounts of money. They still pay more per hour than healthcare institutions pay regular staff with the caveat that most don’t offer benefits.

Like you can see in other industries where they offer a benefits package or a higher net wage it’s a thing healthcare does by outsourcing staffing.

I make a solid amount as a nurse where I work and my benefits add another like 35% more to my paycheck if you convert their contributions. We still work regularly with agency staffing because there are shortages but those shortages are that people are agency instead.

I’ve seen the apps advertised that you pick a location and a shift and just go do it and it sounds horrifying. You don’t know the patients there, the policies, the history, the team, the work culture, you just pop in one day go to another place the next day and never do anything right while the regulars have to wipe your messes.

I get that especially if you have a day where a bunch of people call off having an outside party able to fill the gaps is good. The agency staff I work with are here regularly and know the patients and team. Someone blowing through for a day might cover us for the day someone is out but it never really solves the problem, just leaves it for the next person.