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Cake day: July 19th, 2023

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  • 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.


  • My one trick to not get hungry is to eat a teaspoon of olive oil before I go to work or after meals. The best diet to not get hungry on is the high fat low carb diet, so a spoonful of olive oil is a good fat to keep you from getting hungry. I do not recommend keto (true keto for some rare forms of epilepsy and lifestyle keto are not one and the same and it’s not good for your vascular system), but a high fat and low carb diet is the best way to go.