Reyali

If you want a fun experiment of all the things we see but don’t actually process, I recommend the game series I’m On Observation Duty. You flip through a series of security cameras and identify when something changed. It’s incredible when you realize the entire floor of a room changed or a giant thing went missing, and you just tuned it out because your brain never felt a need to take in that detail.

It’s sorta horror genre and I hate pretty much every other horror thing, but I love those games because they make me think about how I think.

Do you have a primary care physician? I think this going on for 2 weeks warrants talking to them about it. If it’s not changing, then the urgent/emergency need isn’t there. Getting to a specialist could be months or over a year though (took me 10 months for first-available appointment with a cardiologist who specializes in dysautonomia issues like I have; someone I met in the waiting room waited closer to a year and a half).

Alternatively, if you have insurance many of them have a nurses line you can call and get input. Like you mentioned you would do as an EMR, they’re likely going to recommend you go to the most extreme care (ER) because they don’t want to risk being wrong. But they might be able to talk you through your doubts. And hey, if it’s insurance they have motivation to get you to the cheapest care possible, so maybe they wouldn’t recommend ER after all, lol.

Lastly, since you’re stuck in decision paralysis, it might be worth taking some actions on your own to see if you can improve the situation. Obviously this isn’t the smartest option, but I know I’m stubborn, cheap, and have white coat anxieties after being dismissed for my health issues my entire childhood, so I tend to go this route often. (Heck, I waited until my mid-30s to seek care that ended me with a cardiologist despite having the symptoms literally as long as I can remember.) You mentioned potassium deficiency and my immediate thought when reading “palpitations” was electrolytes as well. If you have a history of high blood pressure ignore this, but if not, eating salt and getting magnesium/potassium can help a ton. My cardiologist insists I eat 7-10 grams of salt a day. It’s a fuckton, but hell if it doesn’t make me feel worlds better.

ETA: I just want to reiterate my last idea above is a bad suggestion. But I know that’s likely what I would do, so I mention it anyway. Also I had frequent palpitations throughout my life as some of the symptoms I ignored, but I didn’t actually know those were “palpitations.” I thought “my heart is just beating hard/fast today,” and that palpitations meant something…else. It was less than a year ago when I learned it just meant awareness of your heart beating, and I can’t even explain what I thought it meant before that, other than more than that.

I was going to call it a “small” city but Google told me that 300k is mid-size so I went with that ¯\_(ツ)_/¯

The city is ~350 sq km and our tiny downtown area is probably about 1 sq km, so the entire city is kinda like a suburb. Heck, I’m from Houston which is known for its urban sprawl, and yet there’s lower population density where I live now.

I’ll just use the same criteria you gave as an example.

• To the nearest convenience store: 1.5mi (2.6km)
• To the nearest chain supermarket: 1.8mi (2.9km)
• To the bus stop: 0.5mi (800m)
• To the nearest park: 0.3mi (480m) - I’m lucky to have several parks in my neighborhood
• To the nearest big supermarket: 2.1mi (3.4km)
• To the nearest library: 2.2mi (3.5km)
• To the nearest train station: 5.1mi (8.2km)

Edit: I live in a mid-size city (300k) on the east coast.

Hey, I know the person who made this meme originally! (He got a kick of seeing his work spread around.)

I knew about Angel Flight but wasn’t aware of this. Thank you for sharing, and for flying! My dad was the top contributing pilot for Angel Flight in Texas a few years back. If he was still able to fly, I’d be pushing him to take this on as well.

I’ve had mine since before I started driving ¯\_(ツ)_/¯

I noticed in my late teens I had a lot of freckles on the left side of my body and very few on the right, and I didn’t start driving until I was 22. I did spend 2 years in high school with a much darker tan on my right arm from hanging my arm out the window of a boyfriend’s car with no AC, but still have more left-arm freckles.

Sociopathy is the inability to feel empathy. This is not inherently a bad thing, it’s only bad when people use that to harm others.

A common trait for sociopaths is seeking success, which is defined differently in different cultures. In the US, success is usually defined by fame, money, or power, so we see a lot of sociopaths in government, C-suites, and Hollywood. However, in India, success is more defined around family involvement, and so sociopaths there are often seen establishing those strong family ties and working to fit in.

Some studies suggest that 4% of the population have the brain profile of sociopathy. That doesn’t mean 1/25 people is evil. But when someone who is sociopathic uses that lack of empathy to harm people, that’s when they become a danger and should be called out for it.

Source: The Sociopath Next Door by Martha Stout, Ph.D (and my memory thereof)

Great examples. The most valuable use for me has been writing SQL queries. SQL is not a part of my job description, but data informs choices I make. I used to have to ask a developer on my team all the questions I had and pull them off their core work to get answers for me, then I had to guess at interpreting the data and inevitably bug them again with all my follow-up questions.

I convinced the manager to get me read access to the databases. I can now do that stuff myself. I had very basic understanding of SQL before, enough to navigate the tables and make some sense of reading queries, but writing queries would have taken HOURS of learning.

As it is, I type in basics about the table structure and ask my questions. It spits out queries, and I run them and tweak as needed. Without AI, I probably would have used my SQL access twice in the past year and been annoyed at how little I was able to get, but as it is I’ve used it dozens of times and been able to make better informed decisions because of it.

That’s a good one. A few others that help with my executive dysfunction are:

• “Don’t let perfect be the enemy of good.” (It’s better to do something than to obsess over trying for the impossible goal of ‘perfection’.)
• “Anything worth doing is worth doing poorly.” (This one helps especially with art and things I enjoy but struggle to do if I’m not instantly great at them.)
• “Laziness does not exist.” (This was inspired by a Medium article I read years ago which explained there is always an underlying cause of procrastination. Mental or physical ill health issues, uncertainty about the task, fear of failure, etc. When I am struggling to move forward, I now look for that reason and can begin to remove the barrier.)

HR response isn’t the only thing though. A number of years ago, my (F) partner (M) was sexually harassed by his female boss. He didn’t report it to HR, but he did sometimes bring it up around his friends. He had multiple people who base a lot of their identity on their feminism/acceptance/equality views tell him it wasn’t possible for him to be a victim of sexual harassment.

And then if he brought it up around more normie people, especially guys, the most frequent first question was, “Is she hot?”

The responses he got from so many people were part of why he never took it to HR. The other part was that she was smart enough to never do it in writing, so it would have been he-said-she-said. It was just easier to get a new job.