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Cake day: July 1st, 2025

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  • It’s not all or nothing. Each case is individual. Sometimes the bullet is intact and sometimes it’s in pieces. Sometimes trauma repairs minor injuries to the intestine, pulls the bullet, and they go to a post surgical floor like any other GI surgery. Sometimes trauma pops the spleen and the bullet and the patient still goes to med/surg. It depends on what a bullet hits and how, and how it lands is ruled by chaos and statistics. Sometimes it doesn’t puncture an artery but lodges next to it creating a future potential aneurysm that is monitored in ICU for 24h and then they’re off to med/surg, and the potential aneurysm goes on “continue to monitor” mode outpatient.

    In reality, a person ignoring diverticulitis (then perfing) can sometimes spend more time in ICU than a bullet wound. And sometimes the bullet kills outright. It’s so variable. But that’s adults. Tiny bodies have far worse odds on any hit.

    I’m not making light. I’m emphasizing how chaotic it is.




  • They’re not residents, you’re thinking of nursing homes. Roughly a third of hospital patients can walk without assistance, but yes. The rationale is staff doesn’t turn themselves into bullet sponges, because then who is left to remove the bullets once the shooter is dead? Either way, what do unarmed, untrained (to fight) people with the body armor equivalent of pajamas do to stop bullets?

    The patient room doors don’t lock. Sometimes those doors are made of glass. But herding the patients who can walk into the halls is likely an opportunity for an active shooter to hit more targets. As such, everyone hunkers down, and the police take care of it. In theory, per the training modules. Police sometimes run drills with the hospital, depending on locale and interagency dealings.

    Shutting all the fire doors is likely the only defense. Those nurses can be crafty on the fly, but there are limitations.

    I can’t imagine a secondary piece of this policy isn’t hospitals avoiding liability regarding workplace injury/death lawsuits.

    I just hadn’t known until now that in grasping for solutions schools found the standardized hospital policy and are running with it.






  • This is a safety feature of women social groups for time immemorial. It’s a piece of how we survived prior to the last 50 years, and it continued as we moved forward into the era of liberation. We talk to each other.

    I realize the “guy code” is one of silence. Cheating? Bros won’t say anything or warn anyone, by this code. In fact, the opposite is demanded by that code. Woman do the opposite, that is how the woman code works. I’ve witnessed fallout in friend groups when these diametrically opposed codes meet on regards to another friend. Apparently, having lunch with the cheated on woman and letting her know what is happening is applauded by women and enraging to men.

    The piece regarding cheating is about integrity and treating people right in addition to safety. The rest of it is usually just about safety.

    We survived millennia between being treated like prized horses. uteruses/vaginas with life support systems attached, and animals to be beaten, by talking to each other. Warning each other. Helping each other, where able.

    The anger here, from you, is 100% expected, but the ordinary nature of that anger doesn’t make women wrong for exposing safety concerns in the dating pool. Given the myriad of diseases, including the incredible comeback of syphilis the last couple years, cheating is also a safety concern. Cheating should be exposed, always.