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Joined 1 year ago
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Cake day: November 19th, 2023

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  • wtf, meds by the day and weekly piss tests? Damn that’s brutal. Is it because of where you live or do they know about your drug history and just treat you like shit because of that?

    That’s what really gets me: they’ll vilify someone using a harmless medicine in moderation for treatment purposes, but completely overlook people who get totally fucked up on alcohol on the regular. It’s so backwards. I avoided weed for decades until it was prescribed to me because “drugs are bad” and it didn’t take long after trying it to figure out what a ridiculous lie that is. Not all drugs are equal, and alcohol is worse than at least a few.



  • If you are also in the US, I suspect the reason why is the looming threat from the DEA. Even if you are not a telemedicine patient, if your doctor’s office offers it as an option then they’re probably applying a blanket policy to everybody regardless. I hope they don’t treat you as badly as they did me. Depending on the doctor, they could still elect to allow your marijuana use. It just means if they get audited, they have to justify why they’re prescribing stimulants to a marijuana user. There is no reason not to and you have a long history of benefitting from the medication, so it should be clear cut. But the doctor may still decide it’s not worth the hassle or risk, like mine did.

    Had I known ahead of time it might be a problem, I would have abstained as long as possible before the test (preferably over two weeks) and looked into detox drinks and other fast detox tricks. Worst that happens is I fail anyway and wind up right where I am now: needing to find a new doctor. But it could have saved me the trouble of needing to switch so soon. Maybe it can buy you some time.


  • I have a friend that helps me with some basic stuff, but in recent years they’ve gotten busier and more stressed, and I’m always going to have them put themselves first. They still help a lot, but it has gotten harder when they can’t help and I don’t get my own shit together. I’m embarrassed to admit how long it takes me to find a new doctor or therapist. I’ve never looked into an advocate, though. I don’t think I’d qualify, but I’ll definitely take a look, thanks!


  • I don’t think it’s a medical reason. If my cardiovascular health were at risk, stimulants alone would be a bad idea. I’m healthy enough and my usage is minimal. He tossed out some BS about working memory, but if I go down that rabbit hole this comment will get 5x as long.

    The benefit of the doubt here is he’s covering his own ass. The DEA has been threatening to crack down on stimulant prescribers for a while, especially over telemedicine (which this was). If he gets audited and has to justify why he’s prescribing stimulants to a drug user, he could lose his medical license - or he may just not want to deal with the research and extra work needed to write up that justification.

    To that end, it fucking sucks, but I can’t really blame him. I just wish he had been more honest and up front with me like I was with him. We could have waited a month to take the drug test and I’d have passed it, then this whole thing could have been avoided. Instead he looks down on me and repeatedly hasn’t truly listened to what I’ve told him. I won’t pass judgment on him the same way he did to me, but I will say his style is incompatible with me as a patient. I’m an active participant in my own care and I need a doctor who will form a collaborative relationship with me, not dictate treatment decisions.


  • Thankfully it’s not my GP, but yeah it’s time to find another provider and start all over again. I went looking for a psychiatrist to manage my meds for a different reason a month or two ago and struck out half a dozen times before running out of steam, so it’s a little easier said than done. I’ll get there eventually, just … it’s weirdly difficult to get help and executive dysfunction can be a real bitch. I won’t miss this provider though, so that’s some motivation!


  • Yes, I brought up that we already discussed the edibles. Given how long after use you can still test positive I told him the results probably wouldn’t change, and he straight up said that if I don’t stop using it entirely then he doesn’t want me as a patient. It felt so judgmental, and that part of it really upsets me too. I promise I’m not that exciting lol

    Sorry about your medication mix up. Every time they have me update my info it has a list of all the meds I’m taking and I’m supposed to correct any dosages that have changed or cross them out if I no longer take them. Every time I cross out the same ones and re-correct the dosages again. My file has a totally different picture from reality - it’s kinda scary.



  • Live content has lots of downtime and dull gameplay moments. It can’t compete with polished, edited videos - except in the one area it shines: human interaction. That works better when you can see the person. So most streams feature a person or at least an avatar, while edited videos often place a higher emphasis on gameplay. Each format is simply playing to its strengths. The ones that don’t you rarely see because they’re buried at the bottom of page 726 with four views.


  • The term narcissist is somewhat overused, though there are also a lot of them these days. To echo a bit of what others said, thinking average high schoolers are dumb is not a sign of narcissism. Average high schoolers are notoriously foolish. Even if you feel like it’s more than that and it’s a serious problem, that alone does not make a narcissist.

    Actual narcissists are unstable. They need the adoration of others to feel good about themselves. They’re prone to fits of rage when anything damages their ego, and they can take just about anything as criticism then decide to fly off the handle.

    If that is you, get help from a professional who specializes in it. If anyone reading this knows a person like that, read up and find a way to save yourself.


  • Steins;Gate. It starts slow, but once it picks up it’s amazing and puts all that slow build up to good use. Not sure if it technically counts though. Visual novels are a weird middle ground that aren’t really book or game, but there are some really good ones. Definitely the way to go if you’re in more of a reading mood but want some art and music to go with it.




  • I would love to be corrected, but when I looked into it, it sounded like you’d probably want 32gb VRAM or better for actual chat ability. You have to have enough memory to load the model, and anything not handled by your GPU takes a major performance hit. Then, you probably want to aim for a 72 billion parameter model. That’s a decently conversational level and maybe close to the one you’re using (but it’s possible they’re higher? I’m just guessing). I think 34B models are comparatively more prone to hallucination and inaccuracy. It sounded like the 32GB VRAM was kinda entry point for the 72B models so I stopped looking, because I can’t afford that.

    So somebody with more experience or knowledge can hopefully correct me or give a better explanation, but just in case, maybe this is a helpful starting point for someone.

    You can download models on huggingface.co and interact with them through a web-ui like this one.


  • I was in the same boat and stumbled on Dawncaster. It’s the best mobile game I’ve ever played. I’d honestly play it on PC too, but it’s strangely mobile only. You could compare it to Slay the Spire, but I have found Dawncaster much more satisfying and fun for me personally. Also very active devs who are opposed to micro-transactions.