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12:21 AM
12:52 AM
Is it justifiable to prescribe quetiapine for insomnia? I think not, since it has anticholinergic activity, thus can impact cognition in the long run, but I often see it reported as prescribed, according to forum posts by psych patients ("I have depression, so the doc added some Seroquel for my insomnia").
I would think twice before exchanging my cognition for sleep
There must be less cognition-affecting choices.
1:43 AM
@CowperKettle Have you tried mirtazapine?
1 hour later…
2:48 AM
@CowperKettle I take OTC diphenhydramine fairly often to fall sleep. I recently learned that I may be screwing my brain up for that reason. That said, it's already pretty screwed up, so whatever.
At this point I also probably have some level of dependence on it. Maybe that's why they sell those pills in bottles of 300 tablets.
The bottle says it's "safe" and "non habit forming," so it must be true.
3:51 AM
[ SmokeDetector | MS ] Link at end of answer, potentially bad keyword in answer (63): Is using “the ones” correct in this sentence? ✏️‭ by Shauna Brown‭ on english.SE
4 hours later…
7:23 AM
@alphabet Oh, isn't there a different option?
The so-called anticholinergic burden is dangerous.
@Robusto No, it's not about me - it's a guy on a Russian psychiatry forum who asked for advice
I wrote that since he has no psychosis, he should abstain from Seroquel, because who needs one's D2 receptors blocked to bring apathy and one's cholinergic system suppressed to gradually decrease cognition.
7:42 AM
> Dark energy could be getting weaker, suggesting the universe will end in a 'Big Crunch' space.com/desi-cosmological-constant-dark-energy-history
8:32 AM
@Mitch By the way, Watt and ouate (cotton) are pronounced the same in French (/wat/).
@CowperKettle rather, quetiapine is a good choice for patients with schizophrenia who also can't sleep
@CowperKettle as far as I know, it's important in older patients, especially ones with dementia
@CowperKettle you don't know him and his symptoms
@CowperKettle Vysotsky.
Otherwise, just for insomnia, yeah it doesn't seem justified
@M.A.R. He wrote that he does not have psychosis
If I have psychosis, I'm not sure whether I would take the pills or just quietly ditch them into the toilet bowl.
Maybe it's better to have a bit of voices but not be dumbed down completely.
The sign says чижик, which is Russian hypochoristic for siskin
The Eurasian siskin (Spinus spinus) is a small passerine bird in the finch family Fringillidae. It is also called the European siskin, common siskin or just siskin. Other (archaic) names include black-headed goldfinch, barley bird and aberdevine. It is very common throughout Europe and Eurosiberia. It is found in forested areas, both coniferous and mixed woodland where it feeds on seeds of all kinds, especially of alder and conifers. It can be distinguished from other similar finches by the colour of the plumage. The upper parts are greyish green and the under parts grey-streaked white. Its wings...
> These birds have an unusual migration pattern as every few years in winter they migrate southwards in large numbers. The reasons for this behaviour are not known but may be related to climatic factors and above all the availability of food.
9:04 AM
Borrowed French of the day: on dit ("it is a mere on dit")
9:48 AM
Zola, by E.A. Robinson
10:07 AM
@CowperKettle MDD? OCD? Nothing?
10:46 AM
> Everyone knows A to Z
> But hey, that is too lame
> After all, when we talk on a phone
> Oh my, there's a lot of noise
> So here's the proposed solution
> An alternative A to Z
> Or when more accurately said
> From Alpha To Zulu
> Alpha, the first Greek letter
> Bravo, an applause for singers
> Charlie, another name for Charles
> Delta, the fourth Greek letter
> Echo, the nymph's voice in mountains
> Foxtrot, a dance in the common time
> Golf, get the golfball in the hole
> Hotel, a nice place to rest
The lyrics for my upcoming original music.
There is zero rhyme but whatever
11:05 AM
@M.A.R. Depression with anxiety and "shallow sleep"
@DannyuNDos Nice!
@DannyuNDos You should try giving it to Suno
11:22 AM
@jlliagre What?
How would you write the English dog barking 'woof' in French? 'ouoeuf'?
@CowperKettle you don't administer drugs like quetiapine for depression lightly. There's a protocol to be followed. What are his current medications? An SSRI?
@M.A.R. In Russia, patients get all kinds of drugs lightly :)
@M.A.R. He started taking Sertraline
@CowperKettle just?
Yes, seemingly only a 4th day :)
You need at least two months to assess sertraline efficacy.
11:33 AM
I know
Even to feel the drug's action takes at least 2 weeks.
@Mitch Yes, 'what' too.
@CowperKettle After which, its dose can be adjusted in case of intolerable side effects or lack of efficacy
@Mitch We say Ouaf-ouaf or ouah-ouah.
And if it works (hopefully), he'd probaboy need to take it for 6 months, then taper it down.
@jlliagre you just had to go and make it weird
Though to be fair, in Farsi it's also something like "Ow-Ow"
@CowperKettle tell him if the SSRI starts working, his sleep problems would also be resolved
@M.A.R. Sounds like an owl ;-)
11:38 AM
Once MDD is treated the associated symptoms (insomnia, lack of appetite) begin to resolve.
@DannyuNDos sometimes I have to repeat the English alphabet to ensure I still know from A to Z
#WhenTaken #51 (18.04.2024)

I scored 595/1000 🎉

1️⃣ 📍 893 km - 🗓️ 17 yrs - ⚡ 137 / 200
2️⃣ 📍 1753 km - 🗓️ 3 yrs - ⚡ 152 / 200
3️⃣ 📍 7473 km - 🗓️ 7 yrs - ⚡ 101 / 200
4️⃣ 📍 3254 km - 🗓️ 11 yrs - ⚡ 119 / 200
5️⃣ 📍 465 km - 🗓️ 41 yrs - ⚡ 86 / 200

My worst score up to now.
This one is the weirdest game you guys've ever played
@M.A.R. OK
12:34 PM
#WhenTaken #51 (18.04.2024)

I scored 870/1000 🎉

1️⃣ 📍 885 km - 🗓️ 3 yrs - ⚡ 170 / 200
2️⃣ 📍 8 km - 🗓️ 3 yrs - ⚡ 197 / 200
3️⃣ 📍 5261 km - 🗓️ 1 yrs - ⚡ 118 / 200
4️⃣ 📍 4 km - 🗓️ 6 yrs - ⚡ 193 / 200
5️⃣ 📍 211 km - 🗓️ 0 yrs - ⚡ 192 / 200

I'll be honest---I saw some blurry text in the last one, which I assumed was a particular language (but it was really quite blurry, so who knows), then made some further assumptions based on the quality of the photo (which narrowed down the timeframe a bit).
For number 3, there were two possible places in the world, and I picked the wrong one. :(
12:52 PM
@XanderHenderson Only two possible places?
25 in America! :O
I also just learned there's a New Boston in Texas.
@XanderHenderson Oh, and WhenTaken is once more mistaken!
@jlliagre The sign on the building gives the name of a place, and I only know of two locations (off the top of my head) with that name. I chose one of them, and it was the other.
@jlliagre Oh?
@jlliagre Oh, yeah, but I have noticed that WhenTaken mostly has places from "bigger" places. Most of those Cambridges are kind of insignificant.
So I guess I am making some assumptions about the psychology of the game.
@M.A.R. I'm getting constantly told by some friends that I should undergo the CBT therapy or the ACT therapy (which is kind of CBT too). They don't understand that I simply have no money.
You can't pay a psychotherapist 3000 to 6000 rubles/hour if you would not be able to buy food. Food trumps psychotherapy.
1:09 PM
@user85795 There is a Delhi in Iowa, pronounced "del-HI".
And a Nevada, Iowa, pronounced "ne-VAY-duh".
@CowperKettle Other sleep aids carry their own risks (and, aside from melatonin, need a prescription).
@XanderHenderson Des Plaines in Illinois (suburb of Chicago) is pronounced dess plains.
@Robusto And Cairo is "KAY-ro".
@XanderHenderson A wooden house close to a railway in the middle of nowhere can very much be in an unsignificant location. Anyway, that photo was taken in Cambridge, Minnesota, definitely not in the UK. I was still wrong, but much closer.
@jlliagre Well, then I never would have gotten it.
Though I will say that I am gratified that it is in the US---the license plates looked very American, which is why I chose Cambridge, Mass.
1:18 PM
@CowperKettle They have books that essentially teach you CBT for depression; I've heard they can be almost as effective as seeing a therapist and they're obviously much cheaper.
@XanderHenderson A big part of Little Egypt. And the ass-end of Illinois.
@jlliagre what I meant was, if you, as a French speaker, speaking French, heard an English speaker say 'woof' /wʊf/, how would you write that (if forced) in French orthography to try to match those sounds (as close as is possible for French)?
@Mitch Wouf.
@alphabet I've heard that a therapist guiding the CBT user is much more effective than CBT alone.
@jlliagre Oh.
@Mitch French doesn't use /ʊ/ so we "merge" it with /u/.
1:30 PM
I'm not sure how it compares to therapy alone.
Wordle 1,034 3/6

@jlliagre 👍
@Robusto And in some other part of Illinois, Versailles is pronounced vur SELL ess
Or is it Marseilles and mar SELL ess?
Or is it Boise and boy zee?
@Mitch I thought it was "ver-SAILS" ...
or is it Detroit and duh TROYT?
@Robusto Oh...you must be from the fancy side of the tracks.
@Mitch No. Every Detroiter pronounces that city as "day-TWAH".
1:34 PM
Ooh... cut glass and lace!
@Mitch Natives pronounce is BOY-see.
(with an unvoiced consonant in the second syllable)
I thought it was BOY-zee.
@Robusto Not to people who live there.
All towns named Neuilly are in France. I guess that was too complicated to pronounce elsewhere :-)
@XanderHenderson People actually live there?
1:36 PM
@Robusto Three or four.
@XanderHenderson I can't argue against a native, except by saying they're wrong.
@Mitch No, they are pronouncing it correctly. It just isn't the word you think it is.
@jlliagre I pronounce that 'nouilles'
@XanderHenderson Whatever word that is, they're wrong.
@Mitch Oh, you mean new.
I should go tell them that.
1:38 PM
@Mitch Pourquoi pas spaghetti pendant que tu y es !
@Mitch Perhaps a strongly worded letter?
@Robusto I think a direct physical confrontation would work best. Bare knuckles, no eye gouging, or cheek pulling or below the belt. elbows allowed.
It's gotta be stopped.
Also, the State of Nevada is pronounced "ne-VA-duh", not "ne-VAH-da" (the middle syllable is like "vat"). They get real upset when you pronounce it differently.
I pronounce it "snowy".
@jlliagre Pourquoi pâtes?
Pourquoi pas tapas à pâtes?
Pourquoi pas p'tit tapas à pâtes de Pâques?
Parce que ça pique.
I thought I'd better end that one quickly.
1:49 PM
French idiom of the day: Avoir le cul bordé de nouilles (lit. 'to have the ass lined with noodles') : to be very lucky.
Daily Octordle #815
Score: 57
@jlliagre I would call that unfortunate, not lucky.
Daily Sequence Octordle #815
Score: 79
2:52 PM
Daily Octordle #815
Score: 60
Daily Sequence Octordle #815
Score: 78
3 hours later…
5:59 PM
@Mitch Sometimes I wonder if Massachusetts towns are intentionally given names with impossible-to-guess pronunciations so that locals can identify outsiders.
Norfork. Quinzy. Stoneum.
6:32 PM
Wordle 1,034 5/6

7:06 PM
@alphabet If you ain't from here, you don't belong here.
7:24 PM
Wordle 1 034 4/6

1 hour later…
8:44 PM
@alphabet PEE-buh-DEE, WOO-brn, MEFF-uhd
Wait ...Stoneham sounds like the way I thought it should be. What's the right way?
8:55 PM
@Mitch Wooster.
9:15 PM
@alphabet In Norfork, do they chant at sporting events?
"We don't drink! We don't smoke! Norfork! Norfork! Norfork!"
(One of my sisters went to a college where the mascot was a missionary. Their chant at sporting events was "Missionaries! Missionaries! We're on top!")
[ SmokeDetector | MS ] Offensive answer detected, potentially bad keyword in answer, toxic answer detected (160): Meaning of Top Gun quote‭ by Normal man‭ on english.SE
@Robusto that one is still long and messy that I don't find alternate pronunciation strange.
Like gloster vs gloster
If "yankee" is meant to be derogatory, why is it the phonetic code for Y?
@DannyuNDos It's not derogatory. It's actually prideful. Cf. "New York Yankees" baseball team.
@XanderHenderson is that what 'norfork' rhymes with? I grew up in Virginia and we used to say 'NOR-fuck' with no saltiness thought of.
@DannyuNDos it's not derogatory to Yankees.
9:29 PM
@Robusto oh haha you said that already
@Mitch My understanding of the pronunciation is that the second syllable is an unstressed "fuk", with the vowel really being more of a schwa.
So the chant gets by the censors, because it is NOR-fuk, but one with a dirty mind can see what's really going on.
Also, Norwood is pronounced "auto mile" ...
And a related question: If northeast US are yankees, and if southeast US are dixies... What are the west?
@XanderHenderson it always sounds pretentious to me when I hear 'NOR FOLLK' like they're trying to avoid a taboo word that isn't there.
@DannyuNDos I sense a setup for a.joke,..
But to be clear no one calls people from the south 'Dixies'
9:34 PM
It wasn't a joke; I'm not discriminating anyone.
@Mitch Really?
You might in writing use the cliche Dixie for the south but that is ... a cliche
@DannyuNDos correct. It's not a thing at all.
@DannyuNDos Not Westies. Those are Irish Mafiosi in NYC.
I don't follow.
Me neither
9:51 PM
Btw, my dad is planning a family trip to the US, and we'll go there three times. I wonder we would visit all the 50 states.
Which state would be the most fun to visit?
I'm under impression that Nevada would be the most fun because of Las Vegas.
Or heck, go to Alaska and enjoy the cold weather.
@DannyuNDos If that's your definition of fun, then sure. But almost every state has gambling now, in some form.
Oh, South Koreans are prohibited from gambling. I was referring to their hotels.
@DannyuNDos Not my cup of tea, but go nuts.
@DannyuNDos Visiting all 50 states requires a lot of time.
It is not an easy thing to do.
I've still not been to Maine, Vermont, New Hampshire, North Dakota, Alaska, or much of the south.
And my family traveled a lot when I was growing up.
If your only goal is to set foot in all 50, you could probably do it in a couple of weeks, but you aren't going to be doing much of anything. It is going to be driving from one place to another.
1 hour later…
11:17 PM
@Mitch Some towns whose name ends in ham are pronounced /-hæm/, but some are pronounced /-əm/, without a pattern.
@XanderHenderson Someone I knew from there complained that people pronouncing it "correctly," like the place in England, were calling it "Norfuck."
@XanderHenderson People from there say /ˈnɔɹ.fɔɹk/, like the word fork. No, it doesn't make any sense.
Wikipedia transcribes it: "Norfolk (/ˈnɔːrfək/ NOR-fək, locally /ˈnɔːrfɔːrk/ NOR-fork)"
(You might think that this is because some tiny number of speakers there have a non-rhotic accent, but no, there is actually an extra [ɹ] sound.)
11:33 PM
@DannyuNDos many states out west and in the south are not worth visiting. It's best to plan according to target locations, eg NYC, Washington, Disney world (in Florida), Yellowstone for nature.
I don't understand why one would go to Las Vegas -not- for the gambling. The only no gambling draw there is actual a side trip to the Grand Canyon.
From South Korea, the West Coast cities are the easiest to get to - both LA and San Fransisco have a lot.
@DannyuNDos wait... It is against Korean law for a Korean to gamble anywhere in the world?
@Mitch Yeah. The only legal casino for South Koreans is Kangwon Land.
So no gambling abroad.
11:58 PM
@DannyuNDos that sounds like a hard law to enforce. How would they know if you're gambling outside of Korea?

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