sloth demon

Right as I wake up there’s a nurse there who hustles over and says he’s glad he saw me wake up and tells me he’s giving me some pain meds and then he gives me IV Fentanyl and so I go from like “Ow ow ow ow awake awake awake” to “ooooooh fuck I’m floating on clouds made of rainbows” in like 6 seconds and so I was pretty out of it. The hospital had all the recently-post op patients all in one big-ass room, and they see patients for ALL sorts of surgeries, so I was next to an old guy who got his knee replaced on one side and some young 30-something dude with some kind of mechanism on his leg. So I asked him what happened since I was high as fuck and feeling kind as a result, and he said he broke his leg hiking off-trail when his leg went down a literal rabbit hole and snapped his shinbone. I say something like “damn dude that blowssssss” while giggling because I’m high as FUCK on actual fentanyl and he’s like “Yeah, for real, I’m feeling great right now though! What about you? What are you in here for?”

And I fully was not thinking like a person, I was thinking like a fentanyl-addled tgirl so I just go “Oh, haha, they cut my dick off!”

Highlights include:

For your first two years (when you were small) you lived in a foster home with people who raised you into a very polite young man. Two is like you plus me, that's what two is.

Some people adopted you before me and they called you Timmy (which is a stupid name) and they returned your ass almost immediately because you were so annoying at that age.

Like think about how annoying you are right now at seven years old, but way worse.

I'm better than them though, I don't call you Timmy and I wore earplugs to bed for three years because you love to scream at bedtime. Earplugs are like when I roll over and go back to sleep even when you are yelling so so so loud.

I got you at a time in my life when I was really sick (being sick is like when I'm up late because I'm throwing up and you are a very handsome good boy who sits with me) and they had to put me asleep for a procedure. A procedure is like what happened to you when they put you asleep and took your balls away.

i got the first dose and almost immediately fainted. they had to call in a whole medical team and it was a huge fucking deal

i was kicked out of the study and got a phone call later where they were supposed to tell me what the drug was, so i could avoid it in the future. they told me it was saline water. a placebo. i fainted from the placebo effect.

anyway, it's been a few months and i just got an email from the same department asking me to be a research participant in a new study: testing the effects of open-label placebo.

open label placebo is when the subjects and the researchers all know it's a placebo. they're testing the power of my mind. my power to imagine anything.

Because under the post about giving minors the right to medically consent, people are spreading a ton of misinformation on this - largely because they just do not question the stuff they just assume are "normal". Which here is: "kids are all afraid of needles and therefore if we let them consent or not to medical proceedures, they would just not consent and not get vaccinations, because needles hurt".

And, look. Here is the thing: no, needles do not actually hurt a whole lot. And while, yes, certain procedures that involve being stabbed by a needle hurt more if you are younger for a bunch of reasons... that is actually not the main reason children fear needles. Because, again: the pain is not that bad. And most kids, especially young kids, whose motor skills are still developing, usually will have a bunch more hurting scratches, bruises and the like at any given moment than there will be pain from the needle.

No, from what research can tell, the main reason kids are afraid of needles, is more that for many of them needle procedures are very traumatizing. And that is largely because of the consent issue.

Imagine you are a person who is still pretty darn new to that whole human thing. So for one, yes, your brain is actually not that great in understanding what pain is dangerous and what pain is a safe limit of pain. So yes, someone intentionally hurting you (like with a needle) is really kinda scary. But then there is also the thing where this person hurting you is not telling you why they are doing. The people who you normally trust with keeping you safe (your family) is betraying you, by just holding you down and scolding you for crying over it. Or maybe it is not your family, but some strange nurse who is holding you. And while you are scared, because someone is intentionally hurting you, while someone else is restricting you, the adults around you are telling you, that your emotional reaction to this is actually bad and you are wrong for reacting that way. They might in fact lie to you and tell you that something that is insanely scary to you is "not that bad", instead of just understanding that it is super scary to you. And that is then what you start to expect whenever you see a doctor prepare a needle: people holding you down, hurting you without reason, and telling you that you are wrong for being upset, actively gaslighting you.

We have research on this. And this research is pretty clear: most kids are actually somewhat okay with needles, if you inform them why you are doing it, allow for them to have their emotions, talk to them about their emotions, and allow for them to set at least some conditions.

And frankly, I hate how many people just accept the framing of "kids are naturally afraid of this because it hurts". Like, folks, I know y'all are fucking Americans and that in your culture it is kinda normalized to like put kids into like some sort of fortified hamsterball to stop them from like doing typical kids stuff. But... let me tell you: if you do not do that, kids will actually very regularly engage in dangerous play that they know will often end up in injuries that are going to hurt. And, no, they are not to dumb to understand that. The kids know that this is what might happen because of their play. They actually just take the risk. Yes, they will cry if they get hurt, because - again - their nervous system is still calibrating how it relates to pain. But they will likely do that thing again and again. I can tell you: I fell down a tree so often during my childhood, and I still climbed it. Again and again. So did most kids I knew. Like, fuck, we lived next to a forest. We played "Tarzan", and tried to go along paths without touching the ground. And we fell. A lot. And we still did it.

look up “child life specialists”

— the profession is fully dedicated to supporting kids and families in the health care setting, and a significant portion of that is educating kids (in a way they can understand, developmentally) and making plans With them to make the experience easier!

And there is SO MUCH research out there! If you explain to kids what’s going on, they need less anesthesia, get better quicker, and have less medical trauma— which leads to a willingness to accept preventative care in the future!

WONDERFUL NEWS!!

Winter has arrived on Poob.