Nervous Thoughts

:bighug:

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I hope they’re found safely soon.

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They are alive. Something bad happened, they don’t want to get into it, they feel embarrassed that they caused so much anxiety, but they are not missing anymore at least. I don’t think they’re ok, but they’re safe.

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My son’s tics are bad. Really bad. Medication for his ADHD helps with his tics, but makes him really…sedated maybe? He loses all affect in his face, he’s hard to reach emotionally, and I don’t like it.

He’s not himself when he’s on his meds. But he can’t focus well without them. His teachers are starting to complain to us about the disruption. I don’t know what to do. This is the third different medication we’ve tried. Nothing seems to actually help with his ADHD and also keep him like himself.

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Have you tried coffee, or other stimulants? That’s what most of my friends with ADHD used in school.

No, we haven’t tried coffee. He is 8, so doubtful that would be more effective than an extended release medication designed for inattentiveness anyhow.

We are probably going back to a stimulant. While it changes who he is when he is on it, he can take medication vacations from it on weekends and school breaks. So he can at least be himself those times. On the non-stimulant, he has to take it daily to build efficacy.

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Is it possible to start at a lower dose than the last time he was on it and ramp up over time, hopefully finding a sweet spot where the upsides and downsides are more balanced? We were lucky to not have issues with affect changes with ADHD meds, but we did have similar issues with a med for a different medical issue, so I really feel for you. My kid takes two different doses of an ADHD med, higher during the week and lower during the weekend/breaks, and that works really well.

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Unfortunately, no. He was on the lowest doses of each when the negative side effects were observed, with the exception of the non-stimulant. The lowest dose did nothing, and the next step up caused really distressing side effects, like suicidal ideation. The pills cannot be cut in half, as they are ER.

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I’m so sorry, that’s horrible. It’s really hard to be a parent in situations where there are no good choices.

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Something is wrong with one of the cats. He’s not eating and is very lethargic. He wouldn’t even eat treats, which is odd as this cat is normally food obsessed. Ms Itas took him to the emergency vet and is still there.

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the cat had some sort of bladder inflamation. He apparently had some blood in his urine. He is feeling much better after some shots and meds. He is acting normally today. He will have a follow up with the regular vet today to see if we can figure out what is up.

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My kid had tics but not ADHD. They weren’t large but very scary. It was a terrible feeling to just watch him doing them once every 10 seconds and not be able to stop. He would tilt his head in a very specific angle, his face would grimace, and he would twist his wrist. It got to the point where his neck and wrist were sore from doing them.

Magnesium supplements worked.

But first, we went to the doctor for the tics, and he tested him for PANDAs, and put him on antibiotics. (Don’t give both antibiotics and magnesium at the same time btw). The antibiotics didn’t work. I found something on the internet, that suggested magnesium. Within say a couple months of taking them, the tics were almost all gone.

Every time we tried going off the magnesium (he hated the taste, I had to beg and bribe him to take them; they were chalky and not the thing a 7 year old wants to eat), the tics came back a few weeks later. We tried at least 5 times within the first few years to stop taking them (usually when I was tired of bribing or begging). The tics came back each time. About 4 years later though, the tics are gone and we’re finally off the supplements. So yeah, not a randomized controlled trial, but I’m convinced.

This is the ingredient list if it helps.

image

Tics are supposed to go away on their own pretty often, but it’s hard dealing with them while they’re there. So there’s a good chance they’ll go away, but of course just a good chance.

Also, I’m not saying this will help for ADHD. I have a relative with ADD or ADHD, not sure which, and traditional medicine is the only thing that worked. (I think it was Ritalin). Their mom tried loads of supplements first. (Not the order we did for the tics - we went to the doctor first).

I assume you’ve discussed these medication issues with a pharmacist. (It would have to be an experienced one, with a good degree, not one of the low-paid, low credentialed ones). If you haven’t, it seems to me there might be a small chance of getting an even tinier dose of whatever it is you’re trying, of at least one of the options. Or, hopefully, as your child grows the medication will start being appropriate to his size and body chemistry.

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Per the expectations of my role, I’ve delegated almost all of the task work to others on my team. This week, I’m incredibly light on work, while simultaneously light on meetings, and it makes me anxious. Like, what if someone realizes they’re paying me way too much?

In a given year I know I add value, and I earn my salary, but there are definitely periods where I don’t. This is one of them.

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I just finished the last of many deadlines and the office is weirdly empty today. Enjoying some quiet hours while I can.

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I used to say that I earned 80% of my salary for 20% of the work and 20% for the other 80%.

A large quantity of what I did could be done by an experienced intern. But then there was the chunk that couldn’t. And doing the 80% meant I was in position and knew what to do when the 20% came along.

I think it’s normal to have slow periods. Maybe it’s a good time to review some of those “someday” low priority items. Shore up documentation. Get a head start on planning the next big thing your team will be working on. And don’t sweat it because when things get crazy you’ll be there and you’ll be on top of it and they’ll be glad you are.

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I’m not sure that nervous is quite the right feeling, but my brother got a call today that the trial, which includes our dad’s murder in the defendant’s crime spree, is anticipated to start in a few weeks (jury selection in 2 weeks). It’s been continued so many times that I’ve tried to not really think about it, figuring I’d deal with it when the time comes. It seems the time is actually coming now.

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The jury has been selected, and the trial is really starting Monday. My sibling who has been subpoenaed is scheduled to testify that day. There’s 20-something charges, so the trial is anticipated to last 3-4 months, but they’re starting with murder charges. I’m still feeling detached about the whole thing, but it looks like it’s time to buckle up.

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I’m starting on semaglutide today.

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Subscribed. I’m considering it, I really could stand to lose 25lb or so.

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I’ve lost weight before and kept it off, but I can’t seem to lose to the point that I’d like, and get out of the overweight category. I’ve heard really good things about sema, like reduction in food noise and even other addictive behaviors potentially. Fingers crossed I avoid the nausea.

I’ll be on the minimum dose as long as it works for me. I have flexibility with it because insurance isn’t covering it, so I don’t have to stick to the prescribed titration.

Two hours in. No side effects yet. Have heard a very wide range of stories on that. Some people never have any, and some have constant nausea whenever they increase the dose.

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