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Joined 1 year ago
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Cake day: January 16th, 2025

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  • here’s a markdown formatted quit plan for your notes app (based on this) with bullets for common answers to the questions that you can delete if they don’t apply / keep or add ones that do.

    # Quit Plan
    
    ---
    
    ## Quit Date
    _Choose a date within the next two weeks._
    
    **Quit Date:** [YYYY-MM-DD]
    
    **What to expect**
    - **1 week:** Nicotine is out of your system  
    - **2 weeks:** Physical withdrawal symptoms fade  
    - **1 month:** Habit- and emotion-driven cravings may continue  
    
    ---
    
    ## Reasons for Quitting
    
    - Feel healthier / Live longer
    - Save Money
    - See my kids grow up / set a better example
    - Look healthier / smell better
    - Reduce stress between uses
    
    
    ---
    
    ## Triggers
    _Knowing your triggers helps you plan around them._
    
    ### Emotional
    - Feeling stressed
    - Feeling anxious
    - Feeling down
    - Feeling lonely
    - Feeling bored
    - After conflict
    
    ### Situational
    - Talking on the phone
    - Drinking alcohol
    - Watching TV
    - Driving
    - Finishing a meal
    - Drinking coffee
    - Work breaks
    - After sex
    
    ### Social / Environmental
    - Bars or parties
    - Social events
    - Seeing someone else smoke
    
    ---
    
    ## Coping Strategies
    
    ### If your hands or mouth need something to do
    - Hold a straw or pen and focus on breathing
    - Fidget with a coin or paperclip
    
    ### If you use tobacco to manage stress or mood
    - Slow breathing or short bursts of exercise
    - Talk it out with someone you trust
    
    ### If boredom or restlessness is the problem
    _Keep a short “craving list”:_
      - [TASK]
      - [TASK]
      - [TASK]
    
    ### If you feel irritable or anxious without nicotine
    - Consider nicotine replacement (patch, gum, lozenge)
    
    ### If you used tobacco for energy
    - Light exercise
    - Regular meals and healthy snacks
    - Adequate sleep
    
    ### If you used tobacco for pleasure or relaxation
    _Substitute another reward:_
      - Music
      - Movies
      - Saving money for something specific
    
    ---
    
    ## Remove Reminders
    _(Before Quit Day)_
    - Wash clothes that smell like smoke
    - Clean your car
    - Discard tobacco, lighters, ashtrays
    - Place coping tools where tobacco used to be
    
    ---
    
    ## Support (Optional)
    _Quitting is easier with backup._
    - [NAME / ROLE]
    - [NAME / ROLE]
    
    ---
    
    ## Personal Notes
    
    

    …and if you’re a transgirl I’d like to add to your reasons list that estrogen + smoking significantly increases the coagulability of your blood. I’ve had several transgirl patients with DVTs / PEs / strokes even who did not know that can happen!



  • idk I think people shouldn’t be able to sell their children into marriages at 14 years old just because they don’t share my beliefs that that’s horrible. Meanwhile they think that an abortion harms a child in a way that outweighs b the mother’s right to decide whether or not her body gets used as life support and I don’t. I think whether or not it’s important to meddle in other’s private and family lives is actually a fairly complicated question.



  • I told my boss if she doesn’t stress me out by making me be charge nurse she can take credit for my weird hyperfocus side projects.

    It’s working great so far, I just get left alone in my corner at night and every once in a while they send me a student or new grad to use as a lackey while I keep working on hyperfocused side projects. And when I’m not in hyperfocus I hole up in a suicide watch room with tea and a book.

    And she doesn’t even actually take credit for anything the boss above her keeps sending me little acknowledgement pings on the recognition system and I get my raise every year (it’s not great but it’s not any worse than anyone else’s). And then the nurses fresh out of their new grad year that they manage to sucker into being charge nurse still come ask me for advice so I still have enough influence to get things done properly I just don’t have to do any bullshit tasks or get in trouble for dumb shit other people do like if I was charge.

    I was kinda worried about working for the city community hospital and everybody said the patients were so much worse but like. HA. The university hospital had to shut a whole wing down for one dude who was punching at least one person a day and all the residents were too scared to either just discharge him to jail or drug the shit out of him and we didn’t even have the right kind of restraints for that level of violence. the worst it gets where I am now is somebody screaming in my face for an hour until their oral meds hit.

    I miss the giant cafeteria and the employee only chapel and pharmacy and stuff and getting security to let me into the doctors lounge at 2am but everything else is way better.