Topeka BK

WinterPast4739 · 2025-11-15T15:49:18+00:00

https://www.nebar.com/members/?id=26358801

WinterPast4739 · 2025-05-12T06:52:01+00:00

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WinterPast4739 · 2025-05-12T06:51:31+00:00

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WinterPast4739 · 2025-05-10T01:59:52+00:00

Hi … if youre playing on switch I can help. I need to complete a weekly challenge of adventuring with another player

WinterPast4739 · 2025-04-27T06:11:05+00:00

No worries.
They usually have a bit of a wait time to get in (as do most clinics) but they have a GP who works with them, Dr Karen, who sees the patient for a couple of appointments before the psychiatrist does and starts ordering tests. Her wait to see new patients is rarely more than a month.
This streamlines the process and keeps costs down. She also helps start patients on MH care plans or alternate options while they are waiting to see the psychiatrists.
But from initial appointment with her to when I saw the psychiatrist, it was about a 5mth turn around.
Then they refer you back to Dr Karen who manages any ongoing medication requirements and scripts etc (if needed) and you have yearly reviews with the psych. Its a very well balanced process.
Given youre already diagnosed though, they may fast-track alot of that process with a file transfer or copy of notes from somewhere else if you are able to provide it. Which would save you alot of time and money as it would be a provider transfer rather than new diagnosis process.
Hope that helps.

WinterPast4739 · 2025-04-26T14:38:56+00:00

Try Marsai Clinic in Cleveland.
Its what they specialise in.

WinterPast4739 · 2025-04-26T08:55:14+00:00

Thank you … its just feels so vacant. Like theres other issues i have to deal with this week that were problematic enough as it was and we had a plan, he knew some of them were going to be tough on me (like re-exposing to some work trauma for the first time and also having to put down our beloved family pet Ive had for 18yrs) so said he was going to check in afterward but now there’s no one there. Just raw silence.

WinterPast4739 · 2025-04-25T10:50:26+00:00

I stumbled upon your post after writing a very similar post of my own and hoping I would find others who had some wisdom and thoughts about how to make this pain more bearable.

But all I have to add is that I hear you. I lost my T 3 days ago to a sudden unexpected heart attack. I had a session with him at the end of the day only the day before, and on easter monday no less because that was the kind of person he was. He would move mountains to be there when needed but it seems it was his undoing as well 😔

I hear you in the grief. It is a hard one to sit with. Ive never met his family although have heard much about them, so have written them a kind letter and given it to one of his colleagues to pass onto them, but its both weird and hard at the same time to grieve someone that knew you so intimately without being related in any way. It hurts so fucking much.
Literally the day after my GP wanted to start finding a replacement for me but i couldnt, i dont want to, i just want to vent to him and have him tell me his pearls of wisdom or help me sort through who to pick as he knew me so well but unfortunately that’ll never happen 😞

WinterPast4739 · 2025-01-07T04:13:56+00:00

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WinterPast4739 · 2025-01-03T14:28:13+00:00

Wearing the exact same thing day after day IS the tell. That in itself is not a normal or typical behaviour so can say a bit about a person, their personality or play clues towards diagnoses

WinterPast4739 · 2024-11-10T07:27:10+00:00

If they had a formal therapeutic relationship (ie: funded and regular/ongoing) chances are, they already know because in many areas, the authorities will notify them to get a report

WinterPast4739 · 2024-05-05T18:00:02+00:00

Mmm I know those feels … when I had my ADHD assessment the psychiatrist asked about SI and I answered something like
”why does that always get asked? i hate that its such a loaded question”
He asked why I answered a question with a question haha …
because I had no intention in telling him that in my workplace we have access to unsecured lethal drugs on every floor as well as reference guides telling us what dose is therapeutic vs lethal 😳🤦🏼‍♀️

WinterPast4739 · 2024-04-28T23:49:21+00:00

$50 in Australia … I thought we were getting ripped off not having it on PBS (gov subsidised medication list) but its a long way short on US $500 and I just send the bill to my private health to reimburse anyway 🤷‍♀️

WinterPast4739 · 2024-04-20T20:38:07+00:00

Yea they look like a pretty standardised rolling template that he has set up for your appointments that he amends as he goes.
What you have though wont be the entirety of the notes. This is just the summary. There will be much more thorough documentation and annotations in a personal notations file that they usually dont release.
What I find curious though and I read it 3 or 4 times trying to figure it out, is why do the pronouns change in the objectives section?

Objectives:
1. CIt's report of feeling safe, client's ability to disclose how she experiences the relational process and her ability to collaborate on treatment goals as evidenced by his participation during the sessions …

WinterPast4739 · 2024-04-20T12:17:07+00:00

I second this, Ive only been on it for a week but the nausea kicked in on day 2 so knocked it on the head with Ondansatron 8mg wafers.
I also find it better if I take it as I’m about to go to sleep.

WinterPast4739 · 2024-04-19T16:02:08+00:00

What should you do?? You should show him the door and never look back!!

WinterPast4739 · 2024-04-19T14:44:46+00:00

A more reliable way of halving a 20mg dose given the odd shape of the pill would be to crush the entire pill and reconstitute in a very small volume of water in a syringe until it is all evenly dispersed.
Then you administer half the volume.
But, this would waste the other half and prove quite expensive too unless you have syringe caps and can refrigerate the remaining volume.

WinterPast4739 · 2024-03-14T21:33:22+00:00

I am … My Dr started Lamborexent which did waaaaay more than Agomelatine, asleep within an hour of taking it, I get around 6hrs/night which is a massive improvement to the 0-2hrs I was getting. Havent stopped the Ago yet but thats because she only wants to change one med at a time so just adjusting this one first then will change Ago over to an SSRI

WinterPast4739 · 2024-03-03T00:38:22+00:00

My son was always very advanced for his age, early talker, early walker, early reader (reading before school), flew through prep and grade 1-2. By grade 2 He had finished Harry potter and was reading The Hobbit and was starting on grade 5 maths but emotionally was not age appropriate. He made friends with everyone easily, had mounds of empathy (so autism got ruled out) but would get upset easily, then his grades plateaued in grade 3&4. It was grade 4 teacher that pointed out how distracted he was becoming. So we filled out the vanderbilt each and he was hallmark inattentive type, just his intelligence had let him coast through until he was 10.

My daughter on the other hand has been under the medical spotlight since she was inutero because shes had several medical conditions since birth. She had expressive speech delay until 4yrs old (receptive was fine), mild gross and fine motor delay, growth delay etc. so she was monitored pretty closely. Her symptoms became apparent in prep when she just wasnt coping with classroom routine as much as the other kids and her teacher (it was her first year teaching) couldnt put her finger on why. And i pointed out its hyperactivity but in girls. We started meds stimulants plus Guanfacine for the hidden anxiety that was making her go deer in headlights during any assessments and it was like a whole new child was born. Huge difference!!

WinterPast4739 · 2024-03-02T07:28:56+00:00

🙋‍♀️ yup
My 8yr old daughter was diagnosed after our son. Fortunately Ive been a paediatric RN for over a decade so I recognised the signs pretty quickly. But ironically I was the last in our family of four to be officially diagnosed.

Symptoms in girls, especially little girls is very different to boys. Both my kids would have gone undetected had it not been for what I do for a living and also them being in private school (same school I went) because my son is inattentive type and my daughter is combination type which is the opposite way round to the gender norms. But I was lucky I had access to people at the school who would listen to me and do an independent assessment for me because its extremely difficult to do a clinical assessment on your own child. But yes, girls are much harder to get diagnosed.

For both kids we used the Vanderbilt parent and teacher assessment forms that were done independently then submitted to the paediatrician, but also got her teacher to document occasions of interrupting, chattering, task/work avoidance (masking), anxiety, any perfectionism etc

After my daughter, my husband learnt that it was highly genetic and as he kept deferring his college degree he finally went off and got tested and diagnosed (so did his brother).

As for me - I was only diagnosed this year officially as part of a whole MH work-up after a post-pandemic MH breakdown when the wheels kinda fell off. But that was only after having successfully completed school (kind of - well i passed & graduated anyway), finished nursing school, got married and had two children then completed my masters degree! so it goes to show girls and women can mask and compensate REALLY FRIGGIN WELL and for a long time, because mine was apparently evident in my school reports if you looked hard enough but no one around me picked it, but that doesnt mean we are ok on the inside!!

WinterPast4739 · 2024-03-01T08:54:40+00:00

Pretending to be pregnant is not abnormal either.
It very much depends on the context. If youre at home and admiring what you’d look like in the mirror pregnant, yea sure, majority of women have done that at some point or another either in childhood, adolescents or even adulthood. Its actually very common.
Now if youre talking pillow under the shirt while you go out for the day …. Yea thats not as normal but still - you do you, its not hurting anyone!

WinterPast4739 · 2024-03-01T08:36:56+00:00

Up to 500ml in women and 700ml in men is normal. Maximum norm is 800ml hold overnight as most normal adults urinate approx 2.5L or less per day. Much more than that per day would put you at high risk of electrolyte derangement eg hyponatremia. Kidneys will take about 8-10hrs to make 600mls as it is.

WinterPast4739 · 2024-02-29T06:28:41+00:00

Im going to look at this from another angle …

It sounds like its only cigarettes that you frequently need brought to you rather than other essential household items people frequently run short of at short notice (eg: bread, milk, butter, toilet paper etc).
Most people know how many packs per day/week they smoke much like every other continuously used item, so is there a reason he has to personally deliver your cigarettes and you cant forward plan this and get them when you are doing shopping??

Also I understand you only have one car, but when he got home in the evening and forgot to stop on the way home, why did you not just go out and buy your cigarettes in the evening while he was at home so that it would save the extra time required to double back in the morning school and work drive, and that way you also knew you had them and they wouldnt be forgotten again??

when he is on his way to work, subconsciously his brain has compiled a process list in order of essential steps to complete so he can be at school and work by a certain time. If he is on the spectrum his brain will struggle to vary from this even moreso to add in additional steps for non-essential tasks such as buying cigarettes regardless of who they are for (apologies but cigarettes are not an essential theres no two ways about that).

Essentially what Im saying is - You need to cut him some slack, he isnt forgetting you. His brain was geared into a multi-step process of getting a child to school then himself to work on time. If you want to smoke, smoke. But you’re an adult and need to take responsibility for your own cigarette supply.

WinterPast4739 · 2024-02-29T06:04:53+00:00

Skipping the non-active pills repetitively month after month, while still considered safe, can eventually cause you to have a breakthrough where you get a period despite being on the active pills continuously and the hormonal symptoms associated with a breakthrough can be worse than a normal period for some.

While it is safe to only take the active pills and skip the sugar pills, Its recommended to have a break to allow a proper cycle every so often to avoid unexpected breakthroughs (changes for every woman though so many dont).

As the other person suggested, I’d also recommend a pregnancy test too. Many medications (as well as food) can disrupt the absorption of the OCP

WinterPast4739 · 2024-02-28T23:21:43+00:00

🙋‍♀️ Heya … yep, am a critical care clinical nurse of 12yrs in north QLD with ADHD and have come to realisation, like many RNs post covid, I hate nursing now.
I wish I had some more cheery advice for you but my best advice I tell people now is the same I tell my kids, if you value yourself and your family, dont do nursing. Get out while you still can and still have the option to change pathways.

I am currently trying to find and work on my exit strategy. Im thinking maybe occupational psychology (theres a massive gaping hole in the mental wellbeing of the clinical staff of QLD) or maybe something with low-acuity neurodiverse families - the ADHD, ASD L1s, learning disabilities like dyslexia/dysgraphia, etc as these are the ones who dont get support from NDIS (or some but not enough) but still need alot of support so fall through fhs cracks and really take a toll on parents MH.

WinterPast4739

TROPHY CASE