this post was submitted on 31 Oct 2024
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[–] [email protected] 62 points 18 hours ago (3 children)

Precisely.

Gender isn't binary, there is no such thing as a male or female nipple. That distinction is something that Humans made up.

[–] [email protected] 32 points 17 hours ago* (last edited 17 hours ago) (2 children)

To the extent that men can lactate! It's one of the possible side effects of risperdal, which I have to be aware of because I give it fairly regularly. It's all the same structures it's just a matter of the hormone signals they're getting.

[–] [email protected] 9 points 17 hours ago

This got me curious whether the milk would be any different and, if I'm reading this study correctly, there's practically no difference in content

Said study: https://pubmed.ncbi.nlm.nih.gov/7462406/

[–] [email protected] 3 points 16 hours ago (1 children)

In 2024? Why? Risperdal is such a blunt instrument with respect to its broad affinity for receptors.

[–] [email protected] 4 points 11 hours ago* (last edited 10 hours ago) (1 children)

Dude sometimes we still give thorazine. And tbh ime the 3rd gens don't do shit for my typical patient. For context also though, I'm essentially providing ICU level care, so when you say the word "symptom control" it's often referring to like, fists.

We had a Lady maxxed on Haldol BID one time and she managed to cheek for a week and eventually she just hauled off and rapid fire punched a nurse in the head three times. She legit thought a man was entering through her window every night on a beam of light to forcibly impregnate her and deliver the baby. She kept demanding to see the 50 babies she had up on L&D from the past few months. I've actually seen quite a few pregnancy delusions and they're almost always completely wild psychosis. Another was such an angry manic but high insight enough that when she couldn't take it anymore she would just come scream at me for the thorazine.

I'm unsure if you don't work inpatient psychiatry or you just work somewhere significantly classier than I do. I do work in an inner city area that's flush with people stuck in a cycle of drugs / homelessness so I'm also not going to tell you that any of this is the best solution, just that it's the only one avaliable to any of us right now due to shitty government policies.

[–] [email protected] 1 points 10 hours ago

ICU level care

Acute care, understood.

referring to like, fists.

i.e. "I need Olanzapine [broad receptor affinity, highly anti-cholinergic, well-tolerated], but, like, faster." I'm surprised that particular aspect of the side effect profile comes into play with acute usage.

I'm unsure if you don't work inpatient psychiatry or you just work somewhere significantly classier than I do.

Ah, yes, this happens a lot. No, I don't work in the medical field at all. I just know things, for reasons.

I do work in an inner city area that's flush with people stuck in a cycle of drugs / homelessness

i.e. the psychosis has done so much cumulative damage at this point that you need to fall back to the typicals. That explains why the third-gens are useless.

On a different note, have you heard about Cobenfy yet?

https://www.npr.org/sections/shots-health-news/2024/09/27/g-s1-25089/karxt-cobenfy-schizophrenia-psychosis-fda

It obviously isn't suited to the needs of your practice. But I'm really glad we're making progress on alternative treatment approaches, especially novel ones like anti-muscarinics.

Hopefully the new glutamatergics can reach your setting soon.

[–] riskable 1 points 17 hours ago (2 children)

Not true! The female nipple is actually useful.

[–] [email protected] 17 points 17 hours ago (1 children)

Biological males can also lactate, it just takes a lot more effort.

[–] [email protected] 16 points 17 hours ago (1 children)

Great, just another thing to make me feel like a failure at.

[–] riskable 1 points 6 hours ago

It takes effort but you have to milk it for all its worth!

[–] [email protected] 3 points 17 hours ago* (last edited 17 hours ago)

Define useful.

Just a rhetorical request, I'm not expecting an answer.

[–] [email protected] -1 points 16 hours ago (4 children)

I don't understand this. We have two genders, how is it not binary and how is it made up? Honest question.

[–] [email protected] 11 points 10 hours ago* (last edited 10 hours ago) (2 children)

I'll take this as a good faith question, and the short answer is that gender is a lot more complicated than that.

Yes there are two archetypal roles involved in sexual reproduction, but even that isn't so simple. There isn't just one feature that defines male or female, but a combination of traits including chromosomes, gametes, anatomy, hormones, etc. In the real world, some folks are born with features that don't all agree with one or another archetype. Intersex people aren't common, about 1 in 2,000, but their existence proves that sex isn't just a binary. There's diversity to sex that requires a more complicated scheme to account for everybody.

Gender, likewise, doesn't follow the one-or-the-other model. Most folks are cisgender, but some folks have a gender that doesn't agree with what people assume their sex is, or no gender at all, or a gender that doesn't fit into the man/woman spectrum. It gets complicated quickly because gender is where sex and society intersect. Some cultures have different expectations based on gender, and some even have more than two recognized genders. That's why we say "gender is a social construct", because we all get to define for ourselves what it means to be a man, woman, or otherwise. And that's also how gender is constructed, it's a social project we all engage in collectively whether we realize it or not. Most just pass along the traditional gender roles that were passed to them, but those can change rather rapidly as society changes, like when clean-shaven faces became "manly" in response to WW1 soldiers having to shave so that their gas masks could maintain a good seal.

[–] [email protected] 1 points 1 hour ago* (last edited 1 hour ago)

I think it's fine that everyone gets to say what their gender is, as long as the archetypal roles stay the same - man or female.

Gender can be a word for how people define themselves, as long as we instead use "archetypal roles" to define what our physical body looks like.

I think what is frustrating is when people start to say that we shouldn't include our physical body type at all in discussions. That's taking it too far in my opinion. Going to the doctor and not telling what body type you are makes diagnosis impossible in same cases. And for what reason? That part doesn't make any sense to me. Race, body type, and other things are important to know in many cases.

But otherwise, sure, people can define their gender how they like.

[–] [email protected] 2 points 4 hours ago (1 children)

their existence proves that sex isn't just a binary.

This argument has always struck me as odd as in virtually every other discussion we would accept that the exception ‘proves the rule’.

Humans have two hands, except when they don’t due to something impacting fetal development.

Humans have two kidneys, except when they don’t due to an error in fetal development or as a result of disease or injury.

There's diversity to sex that requires a more complicated scheme to account for everybody.

Or just let the exceptions be exceptions with no social stigma rather than refusing to recognise that the vast majority of humans, and mammals, can be accurately identified as one of two distinct sexes.

[–] [email protected] 1 points 26 minutes ago* (last edited 22 minutes ago)

It feels like underneath all this, it's actually about people refusing to be marginalized and they want to be accepted as everyone else. But I think instead of trying to change words and ban conversations, maybe it's better to teach people to accept and even enjoy more variations?

Because right now it's a bit ridiculous. We are told to ignore obvious differences between people so nobody feels marginalized. That's likely to make it very difficult to even have a conversation.

It's like when you can't describe someone as black or white, or fat or thin, and it just becomes really humorous in the end, as you are struggling to find other words that are identifying the person.

[–] [email protected] 16 points 16 hours ago (1 children)

Biological sex != gender. There's not even 2 classes of biological sex. There are men born with biological female organs and women born with biologically men's organs. We all as humans do share common organs, one of which happens to be the nipple.

Regardless of what your actual biological sex is a gender is simply a social construct used to identify someone. A person who is "non-binary" feels that their gender does not conform to what you would typically expect of either male or female based on appearances or behavior.

[–] [email protected] -3 points 15 hours ago (1 children)

Sure but there are two major biological sexes. I can understand how gender can be defined as something else though.

Non-binary can decide what gender they feel like.

[–] [email protected] 3 points 14 hours ago (1 children)

Anyone can decide what gender they feel like. Most people identify with one of the major genders, but many people don't for multiple possible biological reasons. Nobody is in good faith identifying as a gender they don't actually feel like.

[–] [email protected] 1 points 13 hours ago (1 children)

Their argument is that "gender is just a social construct", without acknowledging that some of the most paramount aspects of human existence are "social constructs" (i.e language) and that gender is one of them. And without addressing why sexual taboos (like public nudity) are gendered - to them its a form of irrational injustice. But expore the social ramifications -through real and hypothetical examples- and you quickly find that it is indeed rational to treat bodies different according to their gender, and that human social psychology does have strong roots in human phsyiognamy.

[–] [email protected] 0 points 12 hours ago* (last edited 12 hours ago)

From the person I talked to above, they are using gender to describe how they feel about who they are. So maybe it's just a word difference.

I'm very downvoted for being in this thread though and so are you. It's a bit funny.

A mod deleted my comment it seems.

Anyway, guess I leave this strange thread and leave people here with their beliefs.

[–] [email protected] 1 points 15 hours ago (1 children)

Poster below gave you all the answer you'd ever need on this question you beg... If you have any integrity, add a note to your original comment to clarify that you were mistaken in your initial assumption and why.

But, doesn't seem likely that you will.