exception_e

Please (please) append the word "Essays" (or "Book") to the post title ASAP. This reads like an obituary and I'm sure many others will be concerned when seeing it in this form like I was.

Thanks.

First time I ever had to leave a comment surrounding the HN Guidelines, but "Please don't use Hacker News for political or ideological battle. It tramples curiosity."

Just today you wrote "[...] Russians, you're a fucking Trump supporter!"

HN is the best and I'm sure you agree. Please take it easy with these kinds of comments.

"It seems that most likely I exhausted my coping mechanism pool".

Been there, done that! I have about 10 "core" mechanism that have stuck, but some stop being effective because I needed to change them up to make it more suitable to address my suffering.

The psychwards I went to before my Dx/meds taught (DBT) (Dialectical Behavior Therapy) it's more about coping and life skills to execute on. You can also find therapists that practice with this modality. In a nutshell, DBT is all about "mindfulness" and "skills" (basically more involved coping mechanisms). It's more "actionable" than regular CBT in my opinion - but I'm biased.

You can skip the DBT therapy and look up all of the skills and practices on your own too. It's good to have a professional as a therapeutic guide and hold you accountable, however. I won't go too far into that, but you have to track "bad habits" (PG-13) and if you followed through with what you set out to accomplish for you illness.

Also, if you're in the US, you can freely/anonymously join the local DBSA (Depression and Bipolar Support) meeting. The name is misleading though - it's basically for any mental or "advanced" mental illness. My sample size is 1, but their were folks in the meetings that had debilitating anxiety / anxiety disorders soo..

(Note: if you feel that this is just "regular" anxiety and it can pass, my wall of text is something you can skip. Only thing that should be considered are developing coping skills! I'm just trying to be helpful.)

I'm thinking you'll reach the end of this dark tunnel here soon - but with a bit of work! The posters here have been thoughtful and there's a lot of good stuff to consider - I may be able to touch on this from another angle.

If you have the funds, I would strongly encourage you to see either a psychologist or psychiatrist. I have suffered with clinical anxiety and regular panic attacks for over a decade. Unfortunately, I was diagnosed with Bipolar 1 and Psychosis about 2 years ago, which are very rough and sometimes "team up" to make my existing anxiety/attacks worse.

Even though this "teaming up" effect has been given me more anxiety than I can handle... trying out a 1 or many medications, reading books on coping skills/etc, and putting in the effort to test out said coping skills are great for many people.

If you don't want to go this route, I would at least spend some time looking into and testing out various coping skills. You can use them as soon as things are headed in the wrong direction. This approach will also help if you have non-clinical anxiety as well.

note: not a doctor... just a "patient" and can relate :) - I think you got this!

Ah good one. I only wrote in the ones that are very obviously but...

- Kecksburg UFO incident - Chilean Navy UFO incident

Kecksburg is a stretch for most people, but I lived around there and heard first-hand reports. Not that that really matters.

I'm very passionate about the UFO subject ("ufology" as some call it) and am happy that we're getting more "official" reports like this which leads to public awareness. I follow the subject pretty closely and 90% of it is all about book sales so it's annoying/pushes it back from being taken seriously in terms of science.

As far as I'm concerned this ^ and the Phoenix Lights are the most credible UFO sightings.

Personal note: I'll never forget the first time I saw a UFO and it was with my Dad! We couldn't believe it - my cheap Virgin Mobile flip phone camera was not capable of... well anything, unfortunate. I have seen 2 or 3 UFOs since then (one with an ex-partner so I wasn't just seeing things).

BTW, I'm you're typical "smart" logical programmer and don't just believe whatever I hear... I'm betting on more of these reports coming out and hope that science starts to factor into the subject.

🛸🛸🛸

Can't say I was a narcissist, but I had an epiphany at one point about "being too full of myself" as well as taking over conversations too often. I really dug into certain philosophies to help course correct.

The most useful philosophies (for me) were/are Secular Humanism and Utilitarianism PLUS all of the sub-philosophies inside of each. There are definitely some problematic ideas in each, but I think you'll gain some new perspectives.

There are other areas to look at, but what I listed is a good start. Stoicism can also help with emotional control and being more aware of your thinking. It's kind of like a "practice".

You can buy books or browse the web for this stuff, of course.

NOTE: I have ZERO credentials in philosophy... it's just my hobby. However, I don't think my recommendations here are out-of-line as they are pretty high level. Would love to have more seasoned folks comment/point out other areas of philosophy that are useful in gaining insights for the OP's issues.

Nice! It sounds like you are keeping tabs on this anecdotally/with studies for multiple mental disorders. Maybe my comment is sort of useful to some! Also, I'd like to expand a bit, actually. My "version" of BP is "Type 1 with Psychotic Features" - it's a rough one, so doc recommended __total__ sobriety (for me, that was only quitting marijuana). The reasoning was because of potential med interactions and a higher chance of going into mania/depression. My comment above says "[Kava] was great for me at first" because it was like 20% of a marijuana high, very calming, and I thought it was safe/not a "drug". I actually felt like I was cheating and then noticed instabity pretty quickly after that.

I've been sober for over a year and a half (strictly for my disorder, not because of typical reasons e.g.: drug addiction). At this point, I'll take stability over any tea (or anything) that provides a light high. :-)

For everyone else, I'm hopeful Kava is a helpful medicine.

People with Bipolar: Seriously talk with your psychiatrist before trying Kava - it was great for me at first, but then I noticed some undesirable mood changes. I wish we knew more about Kava and also drug interactions.

(This comment doesn't really need a thread or arguments about natural solutions :-P ... just a note/data point to maybe save someone a bit of trouble)

Hi all. This project uses Ansible to install all kinds of desktop software for the "Everyday User", "Programmer", "Artist", "Musician", "Engineer", and "Gamer". It works on Ubuntu 18.04 and related systems (found in README).

Please let me know what your thoughts on the solution are.

If you are interested in helping to evolve it, these are the top TODOs:

- Currently, Snap, Apt, Pip3, and NPM are the main package managers. We need to also harness Yum, Pacman, and RPM.

- Simplify the install process.

- Consider building a very user friendly GTK UI application where programs can be individually selected in a given persona.

Hi all,

"cTAKES REST Service: A JSON-based rest service to process unstructured clinical text through a smart natural language processing system."

I’m pleased to say that my friend and colleague Gandhi Rajan and I are noting that our REST layer over the popular cTAKES NLP (http://ctakes.apache.org/) project is ready (version 1!)

-Matthew Vi

Hi all! This is an experiment (also beta software) to equip various kinds of computer users with exceptional software and curated resources.

So far, the personas are: General, Gamer, Engineer, Creative, and Clinician.

Maybe we'll never have a Year of the Linux Desktop (´･ω･｀), but I figured helping to bring user personas to Linux would be of aid.

Please message me if this project interests you and you can join the team. Need a GTK dev, tech writer, as well as a web designer.

-Matthew

Thanks :)

We are better off for you!!!

MySQL for tabular data, CouchDB for documents.

Users control the backup routine. Our AWS packages make it seamless, however.

MySQL/MariaDB and CouchDB

ODB?

Getting a LOT of emails from interested programmers. Woot! Please get in touch for non-programmer roles too (documentation, clinical, infra, ui, design, etc)

Dragon Medical works great with the system! Not free though.

Actually, you'd be surprised. There are not many good EHRs out there. It's all about the features and the ability to make the system work with your workflows and use cases.

Of course, your points are valid though! That is the state of the "behind the scenes" side of things :).

EDIT: Just saw your edit and your correct assessment of the need for a great UI (we have gaps, but a good team working on it).

I am looking for some strong server side programmer volunteers (and volunteers of _all_ types)! Email is in my profile.

Be a force for good in the developing world !

https://open-emr.org/welcome/

-Matthew (OpenEMR Admin)

(Redacted because I miss-read the article - long day)

Matthew here from the project. Hit me up if you want to spend some of your nights hacking on healthcare!

Email is in my profile.

We could really use some clean coder volunteers to help with our ongoing development!

Hi all! Matthew, one of the project admins here from OpenEMR (https://www.open-emr.org/)!

I know there are a _lot_ of charitable and ambitious full-stack devs here. Now is a _great_ time to check out our open source project!

We have _so_ much work to do to bring OpenEMR to more healthcare facilities around the world and we need some more great devs! (Clinicians, Students, Designers, QA'ers, Tech Writers, Lawyers, Grant Writers, Hackers, etc too!)

Email is in profile :).

If you can't help out directly, but believe in this mission, please donate here: https://opencollective.com/openemr

Hi everyone! Matthew, an admin of OpenEMR, here.

This imaging release this took _many_ nights and weekends, but the small project team really worked well, even across multiple time zones and cultures!

Hope you enjoy reading about the solution and I would like to mention that the software is used by many low-resource healthcare facilities around the world. Our team of volunteers could do even more for these folks with donations on our Open Collective: https://opencollective.com/openemr

If you want to join our global team of volunteers, you are welcome! We take everyone... designers, programmers, clinicians, tech writers, etc. Contact is in my profile.

Open source connections!

What a year for OpenEMR! Look back at some of our biggest accomplishments and see just how many cups of coffee it takes to power the world's leading open-source EMR.

Hoping some folks on HN will appreciate this post :).

-Matthew

For those that are wondering but skimmed the page: It looks like they're thinking about SPA framework (Angular/React/Etc) and have a subproject to support them.

Here we are: https://discourse.opensourcedesign.net/t/jobs-hospitalized-p...

Here you go! https://github.com/opensourcedesign/jobs/pull/272

Looks like they have to approve it first, but I'm thinking it will be an interesting project for designers that have an interest in healthcare. Maybe this is you? :)

As far as reaching me directly, email is matthewvita48 (at) gmail (dot) com

This is brilliant. I will be in touch with respect to some design tasks that need done on OpenEMR!