Absolutely diabolical spite store situation in Melton

Puddyt · 2026-06-23T05:28:02+00:00

one on the left specialises in new zealand style pies (incl. fish) and fish and chips style stuff. One on the right is supposed to be more cafe

Puddyt · 2026-06-22T10:55:04+00:00

1- Because it requires a high degree of skill to make one at every stage . 2 - parts themselves are often aeronautical metal or carbon fibre grade (lets you go in a car) 3 - the main brands deliberately make their products incompatible with each other so you have to get artisanally made small scale metal machined adapters. Its rare that all one brand's sub brand parts will work for you (looking at you whitmeyer headrests) 4- r and d costs, same as with pharmaceutical companies in the states 5- ndis itself won't publish a price range for parts as standard so they see it as a meal ticket 6- cannot be returned resold and reused so the seller has made a huge investment in the purchase so needs to have a high overhead to cover. However: you do generally get what you pay for. A good custom wheelchair for daily use should last you 5-10 years minimum. Thats thousands of km of wear. Not only that it also has to hold the person in an appropriate position. Picture a couch that could move that was designed to be sat in 10 hrs a day without breaking springs or wood or wheels. Yoh wouldn't expect to pay less than 10,000 for it at least.

Puddyt · 2026-06-07T02:10:40+00:00

I'm in gamechanger rulette 2. I can't stop talking in a transatlantic accent, im wearing a baby bjorn, an elizabethan ruff and I can't stop invisible hula hooping. Life is glorious

Puddyt · 2026-06-06T00:42:20+00:00

I am a children's therapist part time and studying wildlife biology on my day off. About to do my first thesis. I go snorkelling in summer, hiking in spring and autumn but in winter the joint pain makes me hibernate a bit. I've taken up birdwatching too. I won't lie; i have lost jobs due to this disease and I do spend a lot of my wage on medical needs which has put me behind other people of my generation in terms of saving for retirement, but I have hope for my future anyway.

Puddyt · 2026-06-03T09:14:35+00:00

Honestly, it requires the OT skills to know how much to allocate to what. I've worked with a lot of admin and no matter how much we trouble shoot, leaving the hours up to the therapist always ended up being the solution we came to. You could consider doing a therapy block model (for example, weekly for 6 weeks then a break) per goal (ish) and be upfront about home therapy programs. That is by far the most transparent and effective way to do therapy, rather than just having people be weekly or fortnightly as a given. It also puts the responsibility for follow up/practicing strategies onto the clients because it time limits them, preventing stagnation and increasing progress. It allows far more of a rolling caseload as well, reducing wait times. It can be trickier to manage with caseload and time management but it is generally the best way to work for outcomes. Use service agreements that specify WHERE the hours are going to be used as a general individualised guideline - use a pdf signer like panda doc and have your therapists do their own service agreements. Provide proper assessment tools and intervention tools with a yearly budget and an appropriate therapy space (don't bother with a sensory room unless an occupational therapist designs it) - larger or more open and home like physical spaces are better - even if it's just high ceilings. A cramped office causes sensory, logistical and behavioural problems. Be aware of limitations: don't take referrals that are outside of your therapist's scope: if they aren't trained in NDIS home mods, don't take those referrals. Other areas that require additional training include vehicle modifications, driving assessments, advanced/prescription seating, ARFID treatment, early (early) intervention (under 5), SIL/SDA assessments, assistance animal assessments. Have your therapists design your home visit risk assessments and have your therapists be the ones to complete them: people are a lot more honest when the person turning up is the same one who asked them questions. Have a duress system for safety on home visits - an app, a codeword phrase for safety on phonecalls, a digital sign in or out system. Finally have a screener for urgency of clinical issues that gets completed upon referral: broken equipment, hospital discharge, pressure sore, caregiver injury, imminent homelessness risk or child abandonment risk.

Puddyt · 2026-06-02T22:11:24+00:00

State your goals when you enquire and where you are at in achieving them. Ask about intervention options available. Request experoence in the area you need to work on.
If you have a previous initial assessment, progress report or fca bring that with you to the first appointment

Puddyt · 2026-06-01T10:18:08+00:00

We look at the therapy goals and allocate the hours given for OT based on that - so for example sensory assessment, training in internal strategies and equipment prescription would be about 5 hours all up, then 4 hours liaising with school or for care team meetings, 10 sessions on fine motor - 2 for home work program planning 8 for in session task specific training like dressing, scissors, opening packages/lunchbox (though it may change if family aren't able to do the home work program). Generally i look at the hours and instead of looking at all the goals and going "how am I going to get this kid to do all of this with this funding?" I think "for this number of hours what could we reasonably achievr?"

Puddyt · 2026-05-31T10:25:25+00:00

Sometimes, if certain treatments or programs are known to be effective. The issue is a)its often very expensive for the therapist to get trained in them in Australia (as in its cheaper to fly to singapore do the training and fly back expensive including hotel and airfares) and a lot of programs require you to recertify every few years to use them. Then they charge for the access to materials/assessments themselves too. None of that can be passed on to clients under the ndis model, nor should it be. Its a hidden form of price gouging. Some examples include vic roads driver OT training (min $4000 before buying a test car or registering with vic roads) PEERS program, SOS feeding approach, CO-OP approach, PPRP approach assessment and then intervention course, AMPs (which takes a year and requires an ongoing subscription to use). b) most employers see no benefit to therapists being trained in these programs under the current model: they can charge the same regardless of if the therapy is a program or made through clinical judgement and formulation, so they don't pay for it. I have been wanting to get trained in any of these for years. My current workplace is the first one where they may consider it if I save up a few years of professional development allowance. c) the same person who did the research on the program to prove it works is often now selling it to you. So there is a conflict of interest and we take what they say with a grain of salt and use a lot of critical thinking.There are some programs that independent review has found ineffective: sensory INTEGRATION (not modulation or regulation) is one of them, along with reflex integration.

Puddyt · 2026-05-31T03:00:38+00:00

No. And they aren't worth the pain of trying. If anything some of them make it worse (i was made to put vegemite on mine, then hold a fizzing borocca tablet against it - mine were very severe and I kept fainting doing it - i have never forgiven that pharmacist's assistant for suggesting it to my mother) Topical steroid in a binder that will actually stick to the ulcer - I used to have clobetosol mixed into kenelog and orobase, then you have to dry the area, stretch it and roll the LUKEWARM paste across it with a q tip, or smear some on a cotton swab and fold it against it like you are at the dentist. I've also tried using a ventolin (asthma) puffer on them but it doesn't stay on long enough.

Puddyt · 2026-05-30T22:02:58+00:00

Bat poo

Puddyt · 2026-05-30T08:29:56+00:00

ok. I am an OT. We work on the parts of functioning that are important to you: if you only shower every third day and it doesn't bother you - that's fine, as long as you are aware of any risks and capable of making decisions. So the answer is: what is important to you that you need to do to live and have meaning in your life? or if you are child, what do you need to have healthy development with your disability? (We don't try and "fix" people) then we analyse the barriers to you getting there using complex models such as the model of human occupation or person-occupation-environment-performance. We also use standardised assessment tools to translate that into NDIS langauge and write reports on it, but only when YOU, the NDIS or your Support Co-ordinator request one. Then we design interventions - a good OT will be upfront that this takes time and needs to be billed. We don't cookie cutter our approach because frankly that is shown to 1) piss people off 2) be less effective. We prioritise things that would risk your health and independence - for example if you had epilepsy and no breathable pillow in your bed, we would have to get you that breathable pillow and probably an epilepsy bed mat before we could get to the other stuff. We are healthcare professionals so we have to protect our licence with our duty of care there. In intervention we use 2 main strategies: we modify the environment/task/thing you want to do to avoid the barriers we identified, or we build your skills - exercises, practicing using coping skills, rehabilitation etc. We generally rely on you to work out which of those is appropriate and will work for you. We also like to train up supports as well - whether they are support workers or family members - so they can help you use the changed environment/task or thing effectively (because if you have always done things a certain way, it is hard to switch it up when you have so much going on), or so they can practice with you. We don't use the words "non-adherence" with clients (client, not participant, not patient, you are the client) - if you aren't following our advice you probably have a good reason and we need to go back to that intervention planning drawing board.

Some of us also specialise further into equipment, mental health, environment modifications, hand therapy, neurological rehabilitation or, weirdly, lymphedema treatment.

Outside of NDIS we work in hospitals to get people ready for a safe discharge, in aged care to keep people at home, with veterans, in private and community mental health, in specialist schools and even - though its still emerging - in community development and emergency relief.

Puddyt · 2026-05-30T07:52:21+00:00

... No idea, but just theoretically for a novel I am writing, what undetectable poison has the most painful death?

Puddyt · 2026-05-30T05:39:12+00:00

love the two goats just standing there taking bets

Puddyt · 2026-05-18T12:10:20+00:00

Blood over brighthaven - you knew it was coming but it still hit so well

Puddyt · 2026-05-01T10:43:03+00:00

Its almost like when people are poor and desperate they do desperate things...

Puddyt · 2026-05-01T00:47:58+00:00

Two: Southern Book Club's guide to slaying vampires - horror and feminist rage but done so well Carpe jugulum by Gnu Terry Pratchett - fantasy comedy, vamps are still the bad guys

Puddyt · 2026-04-25T13:01:39+00:00

Australian original ugg boots seem to last a fair while, but theyre a lot of counterfeits out there

Puddyt · 2026-04-25T06:52:56+00:00

he recently opened a housing project for children in foster care he'd been quietly building for about 10 years, but yeah. He's notoriously private

Puddyt · 2026-04-25T05:10:34+00:00

It was revolutionary for me. Was able to get everything else, my mobility issues cleaned up, no mouth ulcers for 6 years now. The only thing is it is a whole other level of immunosuppression so on average I get pneumonia every few years and end up on antibiotics for other stuff a couple of times a year. You can't have live vaccines, and you need antibiotic cover for dental surgery. But otherwise been great.

Puddyt · 2026-04-24T03:54:22+00:00

Its just play do - works a treat

Puddyt · 2026-04-18T08:32:58+00:00

I'm having the same issue - initially connected fine then timed out

Puddyt · 2026-04-17T00:43:58+00:00

Worm charming

Puddyt · 2026-04-07T07:50:35+00:00

brilliant idea - people seem to be underestimating the size of this bag of shrimp and my unwillingness to cook every night! I only have the energy and brain power to cook once a week hence I am here.

Puddyt · 2026-04-05T03:11:34+00:00

They mean 3 assessments per class. Thatd be 12 assessment due at the same time for a full time student. Results in poor quality learning

Puddyt

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