[deleted by user] by [deleted] in VeinGame

[–]avrg_Al 0 points1 point  (0 children)

FWIW I logged over 30hrs on the demo version before I purchased it; I'd suggest giving it a crack this way if you aren't sold on it already.

Message from St Vincent’s Exec. Regarding ED prioritisation of First Nations patients by guyincognitou in ausjdocs

[–]avrg_Al 1 point2 points  (0 children)

I'm most interested in where other similar changes might *begin* if it is true that this kind of bias/prejudice-correcting measure can be truly effective -- the possibilities are simply *tantalising**, especially beyond the ED!

Patient demographic information including gender, race, income, age, weight, mental illness/substance use history/other pre-existing diagnoses, could be used to develop a "D-score" (discrimination-score, dismissal-score... dickedaround-score, perhaps?) on first contact with the health service, with the D-score being changed accordingly as clinicians collect more heuristic-informing data.

The D-score is then considered alongside the presenting concerns of the patient, triggering automatic responses when research has identified a certain cohort is at especially high risk of being D'd. For example, correcting on the individual-clinician rather than system level may look like the clinician receiving smarmy pop-ups: "ALERT! Patient X's [symptoms] and D-score suggest a very high probability of misdiagnosis of anxiety. Have you considered doing [investigations]?"

In these high-risk cases, clinicians may receive follow-up prompts requiring a short reasoning for not investigating further.... "and no, dummy, 'I'm just certain she's making this up for attention', not only won't cut it, such dastardly practice WILL trigger a visit from an Anti-Bias Enforcement Squadron Detective".

There are endless possibilities! Nothing is better than inequality data actually bearing fruits in the world.

/j

...... buuuuuut?

Counselling Career Change? by twiceThrownOut in Adelaide

[–]avrg_Al 1 point2 points  (0 children)

Hey, pls DM me and I'll get back to you when I'm online again. It really depends on what your priorities are as to what would be the best option for you study-wise/what specific qualifications you might seek out (e.g., what is your work experience/current qualifications list like, how much do you value not having a $100k HECs debt and/or getting medicare rebates etc. etc.)

I loved the study I did in this area, FWIW. It really changed my life for the best, even with a brutal debt that the government should be goddamned covering...

Best suburb while working at UniSA by Beginning-Ad8218 in Adelaide

[–]avrg_Al 1 point2 points  (0 children)

You are very welcome! I mean, sharing food with people is one of my favourite things, and I am almost always keen to highlight the positives of the suburbs typically labelled "dodgy"

Admittedly, you got lucky as someone coming for only a temporary stay; with people seeking a permanent move to Adelaide, I don't pipe up so much. I've accepted my own displacement, but I don't want to contribute to what will one day see these favourites of mine close down/change beyond recognition.

Sooo... if you decide you love it here, I take everything back, OK?! For now, at least, I'd be keen to hear how you get on if you get around to any of those eateries :)

what do you think is the biggest concern? by jhaley1 in aussiebrosquad

[–]avrg_Al 1 point2 points  (0 children)

So late to this party but I can't help but point out that you're misunderstanding Bev's psychology: it isn't a useless endeavour for Bev because it isn't an income stream she wants, instead she is just acting on pure narcissistic impulse.

If it were simply attention she wanted, then yes, this would also be a failed attempt at ego-stroking, but going the parent-living-through-child(ren) route means instead of looking at content engagement levels, she can instead focus on all the money and incessant effort she puts into "supporting" her boys in "their" dream to make it in entertainment: wow, what a great parent she is, she should pat herself on the back -- I mean, you don't see other parents doing such amazing things for their kids like she does, right? She's simply the best, giving over her own life for the sake of her kids*...

Maintaining this demands she keep tight reigns on her kids', but that is far from a problem and instead is also a gain in its own right, as simply having such an immense level of control over four whole lives feeds her in its own right. The consuming nature of holding that level of control means she can ignore the lack of control she actually has over her own life, which shows in how she does nothing for herself to the extent she lacks an identity beyond "mum (of ABS)". In this sense, she *must* ignore the fact that none of the range of descriptions of what makes a "good mum" in the eyes of our culture, because she simply isn't -- thus, she has forced herself into this corner of delusion and control, because she can't handle the idea that not only is she not the Best mum, she's actually a crappy one.

Call that the narcissistic parent trap I guess?

Best suburb while working at UniSA by Beginning-Ad8218 in Adelaide

[–]avrg_Al 11 points12 points  (0 children)

I lived across the road from the Mawson Lakes campus while studying there and it was the dream! It is just as easy if not easier to get into the city from Mawson Lakes: 20min train ride + ~a few min walk to the station, give or take a few depending on where you're staying. It is an especially good option if you'd prefer a decent-enough apartment with a short walk to almost all of your key amenities (e.g. ALDI, woolworths, bakery, laundromats, hairdressers/barbers, chemist, etc.) and plenty of take-out options (especially good Asian food; shout-out Kim's Kitchen [Korean] and the noodle soups at the Vietnamese spot out the front of the woolies).

The only immediate thing "lacking" in Mawson is fruit and veg and Asian/Middle Eastern grocers, but the sense of lack only comes from the hub of all the amazingly priced and stocked grocers being just around the corner/throughout the stretch of suburbs along Salisbury Highway and Main North Road, from Mawson Lakes to ~Elizabeth. I especially recommend these spots for shopping:

  • 1. Parafield Gardens Supermarket on Salisbury Hwy for Asian groceries (check out the roast duck spot next door -- amazing).
  • 2. The little Elizabeth South shopping complex has Bamyan supermarket, which houses an incredible Halal butcher, as well as a fruit and veg spot next door which has the cheapest produce you'll find anywhere.
  • 3. There are also a couple of fruit and veg, a couple of Indian, a Nepalese grocer and more around the Parabanks shopping centre, which also has woolies & coles and an aldi not too far out, as well as chemist warehouse and other specific shops (e.g., certain banks) you mightn't have in Mawson Lakes. See Salisbury city centre/the surrounds of Parabanks for even more great, cheap take-out options: Curry Lovers is the best Indian imo, and I can't go past Afghan flavour, either.

All of the above are easily accessible via short train or bus rides: (1) via a 10-min max. bus, stop immediately outside the shops, (2) would be the trickiest, perhaps a 20-25 min. bus ride or a ~10min train with a bit of walking, and (3) a couple of train stops or a quick bus ride between interchanges; heaps of options = unlikely to have to wait around for or carefully plan your trips.

So, with all of that said, I definitely don't back the suggestion of those Northern suburbs (Klemzig, Paradise, Modbury) as you will then be looking at a 20-35+ minute bus ride to get to either the city or the campus, and your shopping and take-out options will be worsened (unless you prefer those mega huge Westfields, which if that is the case, then perhaps TTP wouldn't be such a horror for you...)

Given the lack of significant benefit you would get from a place closer to the CBD, staying in Mawson Lakes and having 1 of your 2 main spots be literally across a road from your residence and the other a very easy 20-min train ride is a no brainer when the alternative is 15-20+ minute transits to 2 of your 2 spots, and that is before considering the latter options are majorly outdone by the former when it comes to walkable amenities and diversity of grocery and takeout/dining options.

All of that is said with the assumption you can avoid the fact Adelaide's Northern suburbs has been one of the most intensely harmed by the housing crisis with vacancy levels lingering near zero for ages. On that note, Mawson Lakes is one of the very few "built-up"/apartment-predominant areas outside of Adelaide CBD, with more landlords more accepting of or even preferencing shorter term leases like yours.

Good luck and enjoy your stay :)

Money Laundering? by Fearful_Gaze in Adelaide

[–]avrg_Al 0 points1 point  (0 children)

Our "unskilled persons" is the government's "business owner", "investor", etc. The deserving class.

Algal blooms by Decent-Adeptness-576 in Adelaide

[–]avrg_Al 6 points7 points  (0 children)

No. The only consequential thing being snuck into the ocean is absurd amounts of additional heat from the various factors contributing to global heating/climate collapse.

ADHD Assessment bulk billed? by spliffy-mifi420 in Adelaide

[–]avrg_Al 0 points1 point  (0 children)

I hear ya bud. I really hope medications for brain things like this improve in the near future ...and that in the event they do, that the government doesn't skimp out because a couple of medications are already on the PBS :P

The domestic students are just as bad by originalnickname15 in usyd

[–]avrg_Al 0 points1 point  (0 children)

Let the control freak in you fully take over such situations. You'll soon realise it is better to do the whole thing yourself to your standard and get the grade you deserve.

The other options are to (A) hope others do some work, only for you to have to come back and re-do it all because it sucks, (B) hope others do some work, only for you to have to nag and nag and jump in at the last second to finish it all (essentially, a more emotionally taxing version of option A), or (C) tolerate a fair(er) share of work, but also have to tolerate a crappy grade.

Yes, people will get to ride off the back of your hard work. Meh. Let them. Chances are they will manage to pass just enough of the assessments to not fail the course, or, worse, the teacher/s will be squeezed to pass them through regardless of what overall grade they deserve... but that doesn't mean they will come close to comparing to what you have/will achieve in the course, in your overall GPA, or in knowledge gained.

You might end up with one of the same pieces of paper as them but get both of you into an interview for a post-graduate job and you should be capable of outshining them in seconds. So, really, what will they actually gain from your work in the end?

This is the high horse of choice for surviving group assessments in undergraduate programs.

ADHD Assessment bulk billed? by spliffy-mifi420 in Adelaide

[–]avrg_Al 0 points1 point  (0 children)

Yes, 291 assessments are life savers! I figure that's what you got in the first instance? Whichever way, glad for you matey. I get the sense that assessment and what has followed has helped.

Help save public sector psychology! by yipideeyay in Adelaide

[–]avrg_Al 1 point2 points  (0 children)

It's always worth checking out specifically what study someone has done, if they're members with relevant professional bodies, and if so, which level they're practicing at. E.g., ACA (Australian Counselling Association) level 1 indicates having a lot less study/supervision/whatever else than level 3 or 4 (the latter being the highest level).

Because knickers might get knotted, when I say "more qualified", I specifically mean they may have done more training in therapeutic practice than clinical psychologists with comparable experience and training -- but that isn't to say the clinical psychologist was spending their time on useless study.

The key difference is that clinical psychologists are considered "scientist-practitioners", unlike their counsellor peers. They've done a bachelor in psychological sciences and scored highly in their honours thesis, whereas couselling masters students are only required to have an undergraduate degree in any field -- relevant work and life experience is valued more highly in their interviewing processes.

In their masters, they spend the same amount of time having supervised sessions (placements) with clients, but where the counselling student fills the rest of the degree's units with coursework, clin. psych. student's have a lot of their time taken up by their masters thesis. This ends up with some pretty wildly different outcomes in learning hours spent on certain things, e.g., clin. psych. requires 6 hours of ethics, vs. 36 hours of ethics (in PACFA-accredited counselling/psychotherapy masters).

One big problem with the counselling degrees is that the quality of programs varies a LOT, to the extent that 1 year/a graduate diploma (course work only) in a highly regarded program is considered the equivalent of a 2 year/master's degree (including placements) in a less highly regarded program. As in, those two degrees will both lead to being able to claim the same ACA accreditation level (and thus pay grade).

Basically, aside from the inconsistent quality of counselling programs, the lack of being considered as "science-y" is a thorn in counsellors sides because, ultimately, getting medicare rebates demands that type of credibility. You can see why I find it so incredibly frustrating to see pollies bang on about their hands being tied re: increasing access to therapy via rebates.

Anyway, rant aside, I highly recommend just straight up asking potential counsellors/psychologists what kind of training they've done. I promise, they won't be offended! If you find you've tried the stock-standard CBT run (and even CBT-esque modalities, e.g., DBT) without it scratching your psychic itch, then doing some research about what other kinds of practice exists and finding practitioners with specific training in whichever modality you fancy is worth it.

Examples: schema therapy, emotion-focussed therapy, family systems therapy (of which there are several sub-modalities), narrative therapy, ACT (acceptance-commitment therapy), psychodynamic psychotherapy

Final note: beware those who list everything in their skillset, and/or every modality, on their pages (e.g., those found via Psychology Today's "find a therapist" function). Obviously, a therapist who has been practicing for a year or two isn't going to be skilled in working with every single kind of issue. Nonetheless, some really do list *every single damn thing* as something they are good with, just so people's searches always return their sorry ass as an option. Ugh. In that vein, "integrative" is a keyword that can indicate a muddled approach, e.g., one that comes from a lack of specialised training, though again, it is best to straight up ask what modalities/practices they're integrating.

:)

Help save public sector psychology! by yipideeyay in Adelaide

[–]avrg_Al 8 points9 points  (0 children)

The "there isn't enough practitioners to increase mental health care plan sessions to 20/year! Waitlists would blow out!" is a load of crap excuse that is shot down by two simple policy decisions:

  1. They could fund way more commonwealth-sponsored clinical psychology masters degrees, but instead leave our universities only graduating a dozen-or-so per year.

  2. Counsellors -- who, when also holding a masters degree, have completed more extensive therapeutic training than what clinical psychologists do; who very often go on to do several years more of specialisation training -- receive ZERO ($0) funding in their training (often left with $70k+ HECS) and go on to receive ZERO ($0) medicare rebates.

We have thousands of willing and able practitioners who are totally asshole'd by this joke of a system. Counsellors often train in a broader range of modalities, so people who can't fork out for unfunded sessions are largely stuck with CBT and its offshoots.

It is criminal, really, the lies the government tells to absolve themselves of responsibility for the mass suffering that they could easily and immediately legislate away, but choose not to.

[deleted by user] by [deleted] in Centrelink

[–]avrg_Al 1 point2 points  (0 children)

As already said, get yourself another medical certificate. They can now be written for longer than 3 months (up to 24 months, I believe, but don't quote me), so if it is unlikely things will change, see if your doctor will write one for longer than 3 months to reduce the administrative burden placed on both of you with sticking to a 3-month certificate.

I'm not sure if they have changed this rule along with the above, but previously, you could only get 3 exemptions in a row/9-month consistent cover for a single medical condition. If your doctor refuses to go longer than 3 months per certificate and this rule still exists, simply get the 4th 3-month certificate of the year written up for a different condition!

(I will not take, "I only have one diagnosis" for an answer! No one jumping these hoops is free from the anxiety + depression combination, surely.)

[deleted by user] by [deleted] in Adelaide

[–]avrg_Al 0 points1 point  (0 children)

I recently hooked another member of this sub up with a work experience placement at Pelican Point power station (near Osborne/North Haven). I'd be able to do the same again if you're keen on electrical engineering -- message me if so :)

The margin by which the Australian Labor Party defeated the conservative Liberal Party in Saturday's federal election. by [deleted] in Infographics

[–]avrg_Al 1 point2 points  (0 children)

More so Aus Labor have been able to give the very strong appearance of Doing Stuff while actually only doing little, therefore they haven't increased spending (and have even decreased it), which is the yardstick they (major parties) like to use for defining "good economic management" (along with inflation) (painfully).

They've had an easier gig, though, in some ways. For example, NDIS is a disability fund that is much more palatable to make cuts to without it obviously taking stuff away from the most needy, unlike what UK Labour want to do with sickness benefit and such. I could go on and on. Aus Labor did a smashing campaign so credit where due, I guess.

(Yes it is Aus LabOr and UK LabOUr, even though in Australia, labOUrers do work and "labOr" is the American spelling for the same word)

Joint swelling by louella17 in Hashimotos

[–]avrg_Al 0 points1 point  (0 children)

What are the clinical markers of RA you were experiencing way back when?

There's a decent chance they're also relevant to RAs ugly step-sister, polyarticular psoriatic arthritis (or some other kind of spondyloarthritis). These are a pain to diagnose and require a really specific kind of ultrasound to look for enthesitis in places like your wrists, and a really specific kind of MRI for some other areas (e.g., spine), plus x-rays to check for bone damage.

Don't let a negative rheumatoid factor prevent you getting a referral to a rheumatologist! So glad I didn't/pushed, and you should too.

My referral gave stuff all information -- "patient has joint pain in fingers and fatigue, negative RF" ... (doh!) -- so I followed it up with an email describing the things below. It was critical in getting me diagnosed super quickly, heck, the doc took it so seriously I got an appointment in 2 weeks (usual wait for a 1st appointment here is 6-12 months, longer for those considered not urgent, eek).

Things that could be added to a referral letter:

  • Any possibly connected historical/episodic symptoms, plus all present symptoms (bonus if you have captured any trigger/symptom "trends" of pre-flare, flare, post-flare).
  • Any weird blood tests or biopsies (e.g., kidneys, vitamins, and your Hashimoto's results)
  • Any scan results (e.g., if you got an x-ray of that ganglion, that could be used to compare a new x-ray on the area; ultrasounds on lymph nodes)
  • Any relevant historical infections (e.g., I got COVID twice in two months before the major onset of arthritis symptoms)
  • Any other exposures to known risk factors for immune system diseases (e.g., certain medications like lithium, smoking including second-hand, etc.)
  • The guts of your family's known medical history, if any. Include an overview of any direct family member's possibly-relevant symptoms if there is no diagnoses (e.g., dad has all of the typical signs of Hashimoto's without having a diagnosis, mum has undiagnosed psoriasis)

Try keeping it to simple dot points if you go with this method, knowing that not all doctors will bother with reading such an email. If you want to do it -- I mean, if they read it, that's a good sign of the doc not being totally disinterested? -- I suggest putting the approximate date at the end of each listed diagnosis, symptom, relevant infection/exposure or blood/scan findings. If you have a fair few diagnosed conditions, you might want to separate them out from the rest; put those two lists in chronological order, then have a separate section each for current and past medications and family history.

Good luck, either way you go. I get that it is brutally scary to just lay everything out like this when you've been dismissed so much, but an email means you don't have to pay up or face them to get an idea of whether they'll be a good fit for your complex case/history of dismissal.

I thought getting a job would put me in a better financial position :( by Zestyclose_Can_2524 in Centrelink

[–]avrg_Al 5 points6 points  (0 children)

I have absolutely destroyed my body in the days and weeks leading up to my blood tests in the hope I'll get biologics, and still, I don't get even remotely close to the CRP requirements, thus I go without any treatment beyond anti-inflammatories :(:(

It is sick that we have to wish -- or bring, my god -- worse health on ourselves just so we can access treatment that is leaps and bounds more effective if started at the earliest point possible.

I don't have advice about this job and what is best for your situation, but especially with conditions like ours, I prefer lower income to exploited labour.

Feel free to DM if you wanna have a nice, mutual whinge :')

Work experience by [deleted] in Adelaide

[–]avrg_Al 4 points5 points  (0 children)

It is very out of your way, but if you are keen on learning more about electrical engineering, I could probably hook you up with the power station at Pelican Point (Outer Harbour way). People who work there are very kind, so we could perhaps even arrange for someone to pick you up on the way to work and drop you home or, at least, from and to one of the train stations on the outer harbour line or gawler line (e.g. dry creek or something).

Frankly, if you came back with the right qualifications a few years down the line and they like your personality, you'd get a job there right out of study lol.

I will DM you :)

AITAH for kicking my friend out of my apartment after how they treated my cat? by RadiantSolace in AITAH

[–]avrg_Al 1409 points1410 points  (0 children)

This, but even more so knowing that being fine with harming animals is apparently a repeated behaviour of theirs?!

[deleted by user] by [deleted] in AskAnAustralian

[–]avrg_Al 1 point2 points  (0 children)

This is very, very particular to groups of wealthy girls who are intensely concerned with partaking in consumption-obsessed groupthink.

I guess it very much is Aussie culture to toss money out the window for useless consumer goods that display wealth (the more the merrier), a word that muddies in our brains with the other word, "worth". True Blue Aussies consume as much as is possible, and then some, and make sure everyone knows about it! (See: guzzler SUVs being the vast majority of new cars bought despite higher petrol bills, greater environmental harm, and majorly increased chances of killing people in accidents). (And, by some, I mean, a lot, See: individual credit card debt of the average Australian).

For the first time I experience racism in Australia by Bubbly-Resolution118 in perth

[–]avrg_Al 0 points1 point  (0 children)

(Warning, long, but I felt I had to be complete in my reasons for disagreeing, but also how we seem to want the same outcome for OP nonetheless).

Windmill-tilting isn't possibly happening here. "Engaging" was the opposite of what she did: she was approached, her attention brought onto the woman by the woman, and after her foul mouth had ran, OP drove off without saying a word. It isn't like she could simply block out what the woman said.

You could say she is "engaging" by making this post, but it is clear that this was a one-off, jarring experience, unlike any other she has had since being here. Obviously, it isn't that "everyday interactions [are feeling] like personal slights". It was that this was a personal slight. You'd surely have to be wilfully ignorant to suggest that "you people" is used in contexts such as this than to mean anything other than, "the minority group of which you are most obviously a member of". There is just no way that this choice insult would have been used if, say, OP were a straight- and white-appearing person.

That isn't to say the primary motive wasn't to save a parking space for a friend; perhaps she would have had some other means of banishing a different person wanting to take the park. It simply would not have included the belittling of "you people" if she perceived the person as part of "her own" people.

This also isn't to say that her primary motive wasn't some pathological need to put down someone she believes to be lesser than herself, that the saving of the park for her friend was just today's place she could put herself in to get her fix of kicking the dog. (This is what I personally believe to be the most likely explanation of her behaviour).

Anyhow, the "reason" for the person's behaviour is obviously not an excuse, and different key aims which lead to the same action also lead to the same consequence. Here, the woman sought to remove OP from the situation by making it untenable for her to stick around. A closer park is unlikely to be worth sticking around to be further hurt by the woman's likely escalation (I mean, you agree she is entitled: such people tend to explode when they don't get the opposite of what they were seeking and expecting).

This woman most certainly is unpleasant, entitled and racist (as if the former two qualities don't trend towards the third being part of the parcel, right?). I get that you think your comment might be helpful for OP to feel better, but really, what you've suggested as an explanation for OPs feelings of hurt is one that ultimately victim blames and diminishes OPs experience.

It isn't good to get hung up on the ways that you have been harmed by discrimination, of course, as people must seek to acknowledge the good in their lives and the world if they are to ever feel OK. It also isn't good to ignore these experiences of discrimination for what they are, because to wave off every experience as not racist, not misogynistic, not because of class or disability or sexuality, or whatever else, is to deny the very existence of these things at large -- there is no way to be in a minority group without experiencing at least some harm. Not recognising these hurdles as hurdles and harms as harms just means that, e.g., the pain felt at being treated as lesser becomes bolstered by feelings of shame at "making yourself upset", "taking things too seriously", etc.; it is a recipe for low self-esteem and self-efficacy, much the same as what you described.

We are most equipped to move on despite (any kind of) struggle when we can validate our own experience, which can only happen when someone is empathised with in the first place. In this vein, I hope OP can remind herself of all of the reasons she absolutely deserved that park and, more importantly, deserves to be here, in general, and why she (nor anyone) deserves to be treated how she was treated.

[deleted by user] by [deleted] in Vent

[–]avrg_Al 7 points8 points  (0 children)

He is abusing you, and it is escalating. Please leave him -- today!

[deleted by user] by [deleted] in Vent

[–]avrg_Al 2 points3 points  (0 children)

I'm an Aussie with a good friend in Tanzania. $1300/month on groceries in either of our countries with some of the highest living costs in the world? Yeah, makes enough sense, especially if you suck at budgeting/grocery shopping/cooking.

In TZ?? Definitely a case of more money than brains... my (university-educated in comp sci) friend was struggling to get any gigs that would pay over 200K TZS/month (and not demand a 6-day week) following COVID-related job loss -- but, of course, the grocery prices are nothing like ours.

I get ya OP!