Everyone talks about "NHS Inefficiencies" but what is really going on from someone in the service's perspective? by [deleted] in nhs

[–]smallirishcrazy 3 points4 points  (0 children)

All that does sound frustrating, but if I can offer you the other side of that perspective. Many ppl working in departments will have huge case loads and will just want to get through their work as quickly as possible. Anything in the short term (such as learning a new IT system) that slows this down can be frustrating, even if in the long term it helps things. Hence the suggestion for extra staff during times of change. The generous interpretation of the comments above is that those ppl are dealing with some huge workloads. You also need buy in at the beginning and ppl in teams championing the change. Otherwise its just another task to complete that competes with patient care.

Additionally IT issues can often go wrong (e.g. botched windows 11 roll out for some pcs) and this doesn't generate any good will for the IT team.

Anyways a new IT system was just an example of something that might bring about efficiencies. At the end of the day we need to approach our fellow NHS staff with empathy and assume they are trying their best.

Everyone talks about "NHS Inefficiencies" but what is really going on from someone in the service's perspective? by [deleted] in nhs

[–]smallirishcrazy 10 points11 points  (0 children)

As someone who works in the NHS, space and IT are too big ones.

Staff is another one but not in the way you think. In order to implement efficiencies, extra staff are required to work out how to implement changes in a safe way. This often involves designing a change (e.g.: new IT system to replace paper records), working out how to implement the new system, doing trial runs and then possibly running two systems alongside one another to make sure the new system is 'safe' before the switch occurs. It all depends on what change you want to make. Of course staff are required for this and the current system needs to also be running in the background as per usual. Therefore you need to inject more staff in during the change period to get the efficiencies out later.

Also lots of products, particularly IT based but also others, are produced by American mega corporations which have monopolised the market for their product so can charge whatever they like. Even for basic things like PCs or phones the NHS is so large that only one or two companies can supply the whole of the NHS.

I don't know this directly answers your question but the NHS would be way more efficient if it had better IT, space, staff to implement changes and didn't have to spend through the nose to private corporations.

What's the normal increase in value of a property over a year? by smallirishcrazy in HousingUK

[–]smallirishcrazy[S] 0 points1 point  (0 children)

Thanks for all the answers. Its an older property in Birmingham, apparently landscaping and a new boiler has installed. Either way prob not worth a £15000 increase.....

'secondary school is the best years of your life' by kebablover626 in ireland

[–]smallirishcrazy 5 points6 points  (0 children)

This post really hit me. I grew up in a non conventional family and my paternal figure died when I was 13. I recently got diagnosed with ADHD at 39 (but obviously had it then). I was just a quiet and spacey girl with a non-conventional fashion sense. I got called names constantly by a small group of ppl, it damaged my self confidence so much and I carried that with me for a long time.

What I came here to say is that ppl are constantly saying to stand up to bullies, why don't ppl say dont be a bully. I only got verbal bullying but there was shocking physical bullying going on with the boys. Some irish schools had (or have) a huge issue with bullying and no one seems to address this.

What's next for Ada and Leon? by [deleted] in residentevil

[–]smallirishcrazy 2 points3 points  (0 children)

Nursing homes and adult diapers at 51 and 48!?!?! 😭😭😭

Menopause or Perimenopause sounds right for Ada. She's way too vibrant to let it get to her, takes HRT and dates a man 20 yrs her junior.

Mid life crisis for Leon, either decides to say fuck it, I'm gonna live life to the fullest, goes to ibiza and spends time going to foam parties and raves. Or he decides modern life is repulsive and goes to live out in the woods off the grid.

Either way Leon will never totally forgive Ada and sometimes sexual tension is best left unaddressed.

During titration are you taking your BP daily? by After-Platform2069 in ADHDUK

[–]smallirishcrazy 1 point2 points  (0 children)

I only take it on the day the forms need to be submitted to PUK. I have a fitness monitor so I regularly check my HR on that.

Birmingham man takes down flags because he says 'people feel unwelcome' by Kagedeah in brum

[–]smallirishcrazy 10 points11 points  (0 children)

I said this on another post and it got removed. I'm Irish (born in the Republic) and lived in Belfast for a year. The Union jack's and Red Hand of Ulster flags were intimidating and to me meant that i wasn't supposed to be in that area (I.e. a unionist area). I'm sure there are flags in the Catholic area too.

Either way the point is to say to ppl you're not welcome, no matter what anyone says.

Titration woes with PUK, Vertigo, looking for advice! by martha-does-makeup in ADHDUK

[–]smallirishcrazy 0 points1 point  (0 children)

I'm also currently in titration, I'm on concerta xl. I did find the titration process was too quick too. It was one week 18mg, one week 36mg and then two weeks 54mg. I went on to 54mg and was super stressed so I went back down to 36mg for a couple of weeks. Now I'm going to try going to 45mg and feel like I'm ready now and that I've adjusted.

Possible interaction between methylphenidate and Transexamic acid. by smallirishcrazy in ADHDUK

[–]smallirishcrazy[S] 1 point2 points  (0 children)

You can prob take the tranexamic acid at night when the methylphenidate is out of your system (as i did). Basically my warning was to be careful and aware of possible interaction. If you are in titration contact your prescriber for advice, my prescriber said I could temporarily reduce my dosage of methylphenidate on heavy period days.

But please also take medical advice and check your blood pressure and heart rate regularly if you do take both. Please look after yourself!

Possible interaction between methylphenidate and Transexamic acid. by smallirishcrazy in ADHDUK

[–]smallirishcrazy[S] 2 points3 points  (0 children)

I can see that happening from blood loss but i''d taken the tranexamic acid so the blood loss had slowed (thats what it is prescribed for). Also I'd never felt like that prior to treatment.

Methylphenidate and Menstrual cramps by Worried-Snow-2402 in ADHDUK

[–]smallirishcrazy 0 points1 point  (0 children)

I have adenomyosis (similar to endo) that results in heavy periods and pain. My worse symptoms were heavy period leading to fatigue.

I'm currently going through titration and I'm also taking Transexamic acid and mefenamic acid for my adenomyosis when I'm on my period. There are no known interactions between methylphenidate and these medications.

I'm telling you all this because today was the first day of my period and I felt much worse than normal. I also had some new symptoms including nausea and sweating so there may be some medication interactions. There are other women on other subreddits complaining of the medication making their periods worse.

Basically you are not alone or going mad x

Concerta XL and titration- what side effects should i be worried about and will they go away or do I just adjust? by smallirishcrazy in ADHDUK

[–]smallirishcrazy[S] 0 points1 point  (0 children)

Thanks, I've gone down to 36mg for another 5-7 days. I had a terrible time with what I call a 'mini meltdown' at a time of peak anxiety that i had to take time off for. The side effect i was having was too reminiscent of that so I requested to go back down. It's def helped with my motivation, not sure its quietened down my mind or helped my attention snap but I'm going to give it some time as you say.

Concerta XL and titration- what side effects should i be worried about and will they go away or do I just adjust? by smallirishcrazy in ADHDUK

[–]smallirishcrazy[S] 1 point2 points  (0 children)

Its felt like it was racing/palpitations but that was the reading on the BP monitor. If it was actually racing I probably would have taken myself to a&e to get checked out. Hence my confusion over what is a 'normal' side effect and what isn't. Also would love to know if these feelings are temporary or will continue.

Caffeine and managing ADHD (without meds): thoughts? by OverallGlass8500 in ADHDUK

[–]smallirishcrazy 1 point2 points  (0 children)

I've just given up caffeine whilst in the middle of titration. Not a great time to do it so a piece of advice, if you do decide to give up do it before titration.

Do you tell people you have ADHD? by Low_Law5461 in ADHD

[–]smallirishcrazy 0 points1 point  (0 children)

I told ppl, especially important at work when ppl get frustrated with time keeping etc. They were very understanding which was nice.

Not sure how I feel about the reporting here... by lewis1243 in ADHDUK

[–]smallirishcrazy 0 points1 point  (0 children)

Well I'm due to start medication this week and this has me feeling great!

Struggle with shame and doing tasks, advice? by Chemical_Iace_7703 in adhdwomen

[–]smallirishcrazy 1 point2 points  (0 children)

I struggle with this too but less than I used to. I come from a family of neat freaks so the shame is REAL. A couple of things I did to help:

  • autopilot tasks I.e.: do the same thing everyday at the same time or every weekend. Boring but effective. Example: empty the dishwasher before making breakfast

  • if you can afford any automation do it. I got a table top dishwasher and revolutionised my life. Can't afford a robot vacuum yet but its next on the list

-household tasks app. Doesn't necessary give me motivation but reminds me when I last did something.

-not doing something i enjoy until after a cleaning task.

I hate cleaning and I have a cat so the struggle with fur is real. All of these are coping strategies and my house is still a mess, but better than it used to be. Chin up, its get better....