Jake! @JakeMonkey@queer.garden

YO! PSA time!
I'm a psychiatric nurse practitioner, means I prescribe and manage psych meds, I'm a trans poly queer that likes helping out the folks who have less of a share of the pie than the rest. You got some medical questions? You got some psych question specifically? Feel free to hit me up for some free-ass informal advice! Consider it a perk of being not a white cishet!

So how're your coping skills today fam? doing good self care? feeding, watering, and resting yerself enough for optimal functionality? Be nice to that sweetie in the mirror, it's been a rough week and it's almost over. Don't gaslight em into thinking they didn't do well enough just because the week's been a bitch.

It's a Nomads, Indians, Saints kinda day homies. Only 90s kids will understand. Bring on the @'s.

Whew. Is it me or does the timeline seem to agree that this week has been rough?

Happy hump day! How is everybody today?

y'all dunno bout this low carb roast beef and cheddar wrap I'm about to engulf while doing charting at my desk. wow this lunch sounds way more Yoga Pants than it did when I originally planned it... I guess the low carb part makes it more gay tho?

morning fediverse... I'm kinda sad today, how is everyone else doing?

Anybuddy wanna watch me ranch slimes? #streaming #slimerancher
twitch.tv/abahjake

Be cute do naps

PGood morning! Please enjoy this clip of a transphobe gettin it in the proverbial FPS tailpipe multiple times till he ragequits. https://youtu.be/1fpav5kWysE

Client: I used to abuse coke. A lot. I have ADHD and need a stimulant.
Me: well let's try this non stimulant first just to avoid stroke risk.
Client: *Has a friend call me to complain I didn't give her stimulants after meeting her once w/o signing a release of info form and then does not even try the nonstimulant*
Me: ....cishets. y tho.

Just had a trans client who had been on T for years and years and no doc had EVER offered or talked to him about the estrogen cream for vaginal wall discomfort. WTF, fellow clinicians.

First hour of being dressed I spilled coffee on my shirt and then stupidly put a shortbread cookie in my uncovered pocket so it left a big ol grease stain, so, y'know, come and see me anytime if you want a fully functional adult to manage your psychiatric medication prescribing.

Cishet client: I need help.
Me: *prescribes 3 different meds, gives 3 different numbers to call for housing, case management, and counseling*
Cishet 2 wks later: I didn't call the #'s you gave me or start the meds you prescribed and am still shooting up. Why are you not helping me!?
Trans client: I'm working 2 jobs w/zero familial support, am sober 8 yrs, taking meds regularly, but I need you to write me a GRS referral letter I'm so sorry to take up your time!

Does.... does anyone wanna see me stream Slime Rancher tonight?

What, me, gay???