Migraines are literally the stupidest thing in human evolution. "Oh no, we're experiencing too much Thing! Better send a rail spike through the skull and blind ourselves about it" like c'mon, man
the emoji combo throwback is killing me. like you just had to be there when new seasons were airing LMAO. anyway yes obviously nate knows, i don't think there was even a doubt cause it wouldn't make sense otherwise.
love how heathers was like you cannot fix him. you cannot save his sorry ass. he’s going to blow himself up on the football field and you’re just going to have to live with that, babe!
in a world full of tropes that romanticize the violent bad boy with a heart of gold archetype, heathers had the strength to say no. no. that man is fucking crazy. he is going to ruin your life. you are not bonnie and clyde. you are not the juliet to his romeo. if he wants to kill a bunch of people and explode that is HIS goddamn business. and honestly i respect the shit out of it for that
masterpost of ALL my psych fanart EVER!!! (mostly 2022)
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IMAGE 1: psych fanart of shawn spencer holding a furby in his childhood bedroom, exclaiming, “dude! did you know i had a furby?!” on a red rotary phone.
IMAGE 2: shawn and gus sharing a pineapple drink. shawn is excited abt sharing it with gus while gus looks apprehensive/flustered about it.
IMAGE 3: gus showering, peeking an eye open as a question mark pops above his head. a shadow forms behind the curtain.
IMAGE 4: shawn pulling back the curtain and nonchalantly asking gus a question: “hey are we—stop screaming, it’s just me—are we out of cheetos?” gus shrieks and covers himself up.
IMAGE 5: shawn holding lassiter and gus’s heads in psychic concentration. annoyed, lassiter asks, “does he have to do this every time?” gus responds indifferently, “you get used to it.”
IMAGE 6: shawngus redrawn as twink boutta pounce meme. gus is infodumping about special interest #148, explaining what T-rexes used to sound like, while shawn looks at gus fondly, very much not listening.
IMSGE 7: shawn putting his fingers up to his temples, directing all of his energy at a floating slice of pizza. gus pretends to look shocked, holding the pizza up by a string behind his back. lassiter is taken aback, wondering, “how is he doing that?!”
IMAGE 8: headshot busts of lassiter looking annoyed, shawn and gus looking at each other with a knowing apprehension, and juliet looking serious.
IMAGE 9: lassiter grabbing shawn by the collar and shoving a finger in his face, angrily saying, “now you listen here, spencer—“ shawn is distractedly looking down at his mouth and smiling like the cat who got the cream. a tiktok screenshot in the background reads: me instigating a fight becuase the guy was hot and i want him on me.
IMAGE 10: juliet, gus, and shawn redrawn as the powerpuff girls applebees comic meme. gus rambles about state capitals while shawn says exasperatedly, “stop talking about states.” juliet turns to gus and asks “do you wanna go to applebees?” gus responds, “sure, hang on,” then turns to point at shawn and says, “fuck you.” shawn crosses his arms petulantly.
IMAGE 11: various shawn doodles. the 1st looks unimpressed and says, “i could solve all of the unsolved mysteries myself. it’s not that hard.” the 2nd is a redraw of a screencap subtitled: [shawn meows]. the 3rd shawn has his hands up in unearned surrender, saying, “i’m staying out of this” while an arrow pointing at him reads: guy that started it. the 4th is a redraw of shawn covering his mouth in a laugh.
IMAGE 12: 2 shawn doodles. the 1st shawn walking in with a speech bubble of a textpost that reads: hi sorry for ghosting you im being tormented by psychic horrors beyond your wildest comprehensions. the 2nd shawn gestures to himself humble-braggingly with a speech bubble of a textpost that reads: talking about your feelings is SO important i won’t do it but you guys definitely should. an arrow points to him reading: local man w/ undiagnosed adhd + autism allegedly “proud of not having to go to therapy.”
IMAGE 13: 2 gus doodles. the 1st gus is leaning over as if to gossip and says, “heard about pluto? that’s pretty messed up.” an edited textpost above him reads: absolutely love it when gus goes “lately i’m obsessed with” and then says the most mundane thing ever. the 2nd gus points to a laptop agitatedly with a speech bubble of a textpost that reads: did it hurt? when i told you google it and i was right.
IMAGE 14: gus is obliviously typing on his laptop as shawn is staring at him in concentration with his fingers to his temples. brain wave doodles are sent in gus’s direction. shawn’s thought bubble is a textpost that reads: it’s so rude when someone doesn’t feel you yearning deeply for them… bestie how much more brain waves do i have to fire at you.
IMAGE 15: shawn is leaning on gus’s shoulder with an airy delight and says with a speech bubble of a textpost: love the way we finish each others sentences. it’s like we’re soulmates or the beastie boys. gus smiles at him fondly.
IMAGE 16: shawn and gus as furbys named shawnby & furgus. shawn is pineapple-themed with a pony bead necklace that says SIKE! gus is blue and purple with busines pinstripes and a purple-pink tie.
the commodification of friendship is the most annoying thing to come out of the internet in ages. like actually i love to break this to you but you're supposed to help your friends move even if it's hard work. or stay up with them when they're sad even if you're gonna lose sleep. you're supposed to listen to their fears and sorrows even if it means your own mind takes on a little bit of that weight. that's how you know that you care. they will drive you to the airport and then you will make them soup when they're sick. you're supposed to make small sacrifices for them and they are supposed to do that for you. and there's actually gonna be rough patches for both of you where the balance will be uneven and you will still be friends and it will not be unhealthy and they will not be abusive. life is not meant to be an endless prioritization of our own comfort if it was we would literally never get anywhere ever. jesus.
had a long discussion at our compliance committee meeting this morning about the growing use of AI "resources" like chatGPT in medicine and medical documentation, and may I just say, from the bottom of my heart ... yikes
our VP of clinical: I mean, I don't see what's wrong with the providers using those resources to ask questions about diagnoses/interventions/et c
me: except for the fact that chatGPT doesn't actually look for a real answer, just makes up what sounds good based on what's been fed into it, and will give an incorrect answer 10% of the time?
our VP of IT: I don't agree with that percentage
me: okay, well -
Hey OP, I understand that different models are different and this is definitely not chatGPT, but I am genuinely interested in how your field is taking studies like this one, which indicate that certain models fare substantially better at diagnosing things than doctors. I've encountered a couple of studies like these, and while I want more study they seem to make a pretty good case for LLMs being used by providers--again, not ChatGPT, different models behave differently. But LLMs.
What is the tone about stuff like this and how are different parts of the system engaging with it? How do you feel about this kind of research? How often are providers turning to Google or ChatGPT at a baseline? Genuinely curious if you have the time and energy. Thanks.
so firstly I want to clarify that I am neither a medical professional NOR a computer professional. I am a financial spreadsheet person and the reason I was speaking up so vehemently in this meeting was because I was the only one there aside from our VP of IT who actually seemed to know what LLMs ARE. our clinical folks thought they were basically just search engines, and I could go on at length about how deceptively chatGPT has been marketed but whatever.
secondly I want to clarify that the organization I work for is specifically mental health, which I think has a somewhat different vibe when it comes to stuff like this as opposed to medical health. our whole job is to understand people and communicate with them. Google an unfamiliar symptom, sure, but our clinicians should not need a computer to tell them how to help someone with PTSD.
all of that being said, from my personal experience, AI does have its applications. Training it to identify cancer cells? Great! (Although from the very passionate comments on my original post, it's apparently very bad at reading feline urinalysis lmao). I can see how it would be helpful with differential diagnosis and God knows I've had my share of shitty doctors over the years.
and even LLM can be helpful if they're closed system and we know exactly what's been fed into them. If ten thousand peer reviewed clinical articles are fed into an LLM and then the clinician wants to ask it for advice, that's a very different thing from going onto chatGPT (and that's not even getting into the HIPAA concerns).
AI/LLM is slowly creeping into different electronic health record systems. The EHR my organization uses has one, we just can't afford it yet. And I've heard a lot of, admittedly anecdotal, evidence that these AIs also have their problems and will basically hallucinate stuff to put into the record. I think there are definitely applications for this technology, but it's not ready yet.
all of THAT being said, it's frightening because professionals are now starting to lean on/depend on LLM to do their freakin' jobs. the whole reason this came up at our corporate compliance meeting was because, without being given permission, our clinicians were using chatGPT to write their notes. And part of the discussion we had, which even the VP of IT agreed with, was that people WILL use these resources. even if we tell them not to. and the best thing we can do as an organization is to give them guidelines on how/when/what/et c. So our organization is currently researching the available free/low-cost LLM/AI models so we can at least tell our staff "IF you want to use an LLM to REPHRASE (not write) your progress note, this is the one you have to use".
because believe it or not, clinicians now graduating expect to be able to use LLM. they'll ask about it during interviews. if we say 'sorry but our organization thinks LLMs are trash and we will never incorporate them into our workflow' then some of them won't take a job with us.
honestly it really scares me how we went from 'hee hee AI can make a picture of me as an astronaut' to 'AI can rephrase this email so it sounds more professional!' to 'kids won't do homework without chatGPT' to 'medical professionals won't take jobs without being told an AI will do all the thinking for them' in like. what. two years????
so yeah, those are my non-expert thoughts on the matter.
tl;dr there are applications for AI, even LLMs, in medicine, but only ones that are closed system and haven't been fed a bunch of random crap, and our society's insanely rapidly growing dependence on AI is scaring the shit out of me, personally.
when you’re out at a restaurant or a coffee shop or a target or whatever with your friends and you overhear/eavesdrop the same snippet of some stranger’s conversation, and you look at each other for a second to check that you both heard this stranger say the same weird/funny/baffling thing and just break out in knowing grins and quiet laughter… that’s a love language
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