Throwaway05
3mo ago
My biggest fear is that people will notice this. It will become a Thing...and more will do it.
It may be better that he wasn't found.
Throwaway05
3mo ago
They were hunting down and putting J6 people in jail YEARS later.
Meanwhile seems to have been no particular effort at all to hunt down BLM rioters except for some of the worst in a few states.
Absolutely crazy gap in effort.
Throwaway05
3mo ago
I have some family and friends who work in DC as part of national Democrat political strategy.
They are comically far left, woke, and every extreme stereotype.
Outright caricatures who literally run out of the room if you push back against their political positions in the most mild way.
Throwaway05
3mo ago
Yes "gun culture" is more American, but my point is that the access to guns is there in most countries should you wish. Most gun control advocates don't realize this though.
I'm aware that isn't you but might have been OP.
Throwaway05
3mo ago
Most countries allow for hunting rifles and such, no?
Throwaway05
3mo ago
I mean I'm even thinking street buys - by definition not responsible (more or less). Even those guys are going get the ick from someone decompensated like that.
Usually people like this have negative symptoms that an average person can clue onto even if they are not sure what it is and that's not counting anything directly weird the dude might say.
Throwaway05
3mo ago
Keep in mind that the U.S. is not just LA, DC, and NYC - it is also Montana, Wyoming, and Idaho.
I'm pretty much most countries like the US have gun rights.
How much? Okay that can be a problem, but when social services are three hours away and wild animals are an actual threat....you have to.
Europe is not the US
Throwaway05
3mo ago
I mean I'm aware it exists but I've never actually seen it which says something unfortunate.
Some places have "ACT/PACT/Whatever" teams that follow people in the community so they don't need to go to appointments but that requires sufficient patient engagement.
Usually that means lots of commitments and you get them with "you wanna stay out of the hospital bro?"
But we let a lot of people wander who dont want treatment and stay out of trouble.
Usually drugs is what gets people involved because it makes them erratic enough for the police to get involved.
Throwaway05
3mo ago
Tough situation. It's good that you noticed this* - people like this (in terms of mental health AND criminality) are all over the place all the time. This is both scary and should be heartening - in many environments it's national news if something goes wrong.
It may also be helpful to know that their isn't too much you can do here, guy is unlikely to want help and is unlikely to meet the criteria in the US for involuntary help. Family resources if well applied and other things like that can convince someone to be help seeking, but that ain't going to be your bag.
The gradual burning off of these resources is generally just a part of how this disease goes.
That said - some of the story is certainly concerning but the guy seems to not have caused problems (otherwise the police would be picking him up more often) and made it into middle age which is a good sign, and he is also seemingly not anti-social which is a huge source of violence.
Even people with broken brains tend to have a predisposition to not do violence, in a big city you'll see people running around screaming and attacking trash cans and saying threatening shit but they won't actually hurt other people most of the time.
Incidentally this is what concerns me about recent political violence, it is teaching people with poor judgment that said stuff is a good idea. Not wise.
This guy would likely struggle to get a gun anyway - if it's obvious to you its obvious to someone selling a gun who sniffs crazy every day.
*Our system in the U.S. is very rights focused. That can be good, that can be mad. People who are pro-2a need to experience these people in order to be taking an informed stance.
Throwaway05
3mo ago
I mean it depends on the where. Usually you can get someone to a psych ED through a wellness check, the police, etc (at least in a blue state). But then if it's a city this guy is absolutely going to get cut loose. So you need non-urban (save for the real acuity) or non-rural (not enough resources) for their to be any chance of really catching this guy and sending him to inpatient - which is what you'd have to do since he won't meet the criteria for involuntary outpatient and doesn't likely want treatment himself. Inpatient is not really appropriate either.
This is the system we have unfortunately (or fortunately - it's very rights forward which can be a good thing, but is pretty American).
Throwaway05
3mo ago
Psychiatric medication having side effects was mentioned below and is true, although less of an impact for patients like this who may not be "with it" enough to notice the problems.
"Anosognosia" can also be a core symptom of some disease - if you realize you are delusional....well you aren't really delusional, now?
Additionally many regular people struggle to take their medication for seemingly "benign" things (like high blood pressure or diabetes) and up to really bad stuff like "my anti-rejection medications for my transplant."
Throwaway05
3mo ago
Kirk wore a lot of hats, Erika is planning on taking over only one of them.
Throwaway05
3mo ago
who claimed that she had a low opinion of Italy because when she went there on vacation, she didn't like the food.
If I can rant for a second I'm going to say this person has utterly terrible taste, or more likely it is a skill issue - it's easy to end up at terrible tourist only places and order American Italian dishes instead of actual Italian food.
Throwaway05
3mo ago
Tylenol is weird. It absurdly safe for a drug (with the exception of someone with gross liver failure). Lots of continuous risk no matter how small for say ibuprofen, risks ramps up swiftly with pertinent comorbidity, chronic use, and high doses. Very much a "no dose is "safe"......but the benefits outweigh the risks" situation. In contrast Tylenol is usually just...safe.
Unless you have too much. Then rapidly you switch to one of the worst deaths imaginable. It goes from Safe to Dead faster than most drugs and with more sharp of a delineation. Stay on the right side of that line and you are good. Advil is more like alcohol - increasing risk that varies with the person the whole way.
This is an oversimplification but still.
For this reason dosage isn't usually a problem. But we don't know how Tylenol works, and maybe it works more like a regular drug for pregnancy and less is safer.
Throwaway05
4mo ago
This was telegraphed a few weeks ago, the impression I got from Meddit at the time is that their is some inconsistent evidence for RFK's claims but that more likely than not he's wrong - however complicating matters is the fact that the medical community will instantly go blindly anti-Trump obscuring the issue.
Discussion today has seemingly forgotten the (mild) controversy in evidence and mainstream media coverage is repeating "trust the science" lies.
Sigh.
Some relevant facts: -Other analgesics have been slowly contraindicated in pregnancy over time, leaving Tylenol as the primary option. Does this mean a resulting increase in Tylenol is the cause of increased autism? Maybe not, but it is a thought and has been investigated previously.
-We don't actually really know how Tylenol works.* That makes it something of a boogie man.
*Please don't tell me this is one of the times that some important medical fact has changed since the last time I've researched it.
Throwaway05
4mo ago
I recall it being mostly non-American doctors - which means radically different professional standards (and standards of professionalism) as well as totally different life background. This may be my brain flattering my biases however.
Throwaway05
4mo ago
If I recall correctly we've had several instances of doctors caught lying about just this kinda thing specifically, no?
Throwaway05
4mo ago
I mean check out the graphs of growing divide between women and men.
They are starting to be separate circles with little overlap, many women on dating websites make clear their political affiliation, and most high quality men pay lip service only to progressive politics if they acknowledge it at all. Anyone who still wants to date has to lie a bit.
Historically women have been willing to take on or ignore the politics of their partner a bit more, we'll see if that stays true....if it doesn't......
Throwaway05
4mo ago
A lot of the wealthy right leaning people who run things woke up last week and realized that the left wasn't kidding about murdering people, that the United CEO wasn't going to be a one off and that in addition to that element of self-interest that wokeism isn't really making them money.
Expect a lot of rapid correction to more representative behavior.
Throwaway05
4mo ago
I'm not magicalkittycat.
Yes I know, over the last few days I've become suspicious that MKC is a sock puppet for someone I would prefer not to discuss with and wanted to assess.
I can tell you that in my Pre-COVID clinical practice I occasionally ran into a vaccines cause Autism soccer-mom/hippie/"natural" nut. They'd be impossible to convince.
More often (likely because of my location) I'd run into blacks who were skeptical of the government and so on -if you were kind and patient you could usually convince these.
I'll note the specific poll in your link "how important is it that parents get their children vaccinated" won't really capture this well because "meh" and "fuck off whitey" end up being the same answer.
Throwaway05
4mo ago
I had the same thought.
Throwaway05
4mo ago
This is not mental illness by definition. Soldiers are not mentally ill. Most people who work for cartels aren't mentally ill. Most islamic terrorists aren't mentally ill. Mental illness involves culturally dystonic behavior. Like it or not a large part of America thinks this kind of behavior is justified and his milieu is almost certainly part of that.
The rest of them might be talking a big game, and he might feel guilty afterwards, but this was water to him.
Throwaway05
4mo ago
Exhibit 1: we are posting on a site where holocaust revisionists speak freely (and incessantly).
Literally the point. The Motte was chased off of /r/SSC and then reddit in general because of no-no thoughts.
You can tell me the marketplace of ideas is recovering when I can reveal my political affiliation at work without severe professional consequences.
Throwaway05
4mo ago
I asked because I find that more partisan types struggle to admit that both the left and the right have issues with vaccines (both COVID and otherwise) with it being historically focused on hippy types and inner city blacks but now having more red tribers.
It's a situation where if you can't admit it's an issue with bipartisan elements I'm not not sure we have much to talk about.
Hospitals are also extremely obsessed with not getting sued and with not accidentally doing something against policy - they'll eat the cost on a long stay instead of sending someone home to an unsafe discharge.
You'll see things like someone needing rehab, not being able to get placement because of whatever (like being illegal) and then just chilling in the hospital instead.
If someone lives up steps for instance they may not be able to go home.
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