The Pharmacy Got Some Of My ADHD Meds In!

wait, Derin how did your leaving make the hospital shut down?

I used to work as a live-in nanny for a pediatrician.

Now, the thing about hospitals in my country is that they are massively understaffed and massively underfunded. This is especially true outside the major cities. The staff are worked to the bone and receive little to no help in things like finding accommodation or childcare, making working in rural areas a very uninviting prospect; staff come out here, get lumped with the work of three people (because there's nobody else to do it), burn out under the workload and leave, meaning that those remaining have even more work because that person is gone. It's unsustainable and the medical staff are doing their best to sustain it, because people die if they don't, so to the higher-ups it looks like everything's getting done and therefore everything is fine.

My friend (and boss) worked one week on, one week off, swapping out with another pediatrician. This was necessary because it would not be physically possible for one person to handle the workload for longer periods of time. The one single pediatrician had to hold up the entire pediatrics ward, which was not only the only public hospital pediatrics ward in our town, but also the one that served all the towns around us for a few hours' drive in all directions. I regularly saw her go to work sick, aching, tired, or with a debilitating 'I can barely make words or see' level migraine, because if she took a day off, twenty children didn't get healthcare that day, and some of these kids' appointments were scheduled weeks in advance. She'd work long hours in the day and then be called in a couple of times overnight for an hour or two at a time (she was on-call at night too, because somebody had to be), and then go in the next day. Sometimes she would be forced to take a day off because she physically could not stay awake for longer than a few minutes at a time, meaning she couldn't drive to work.

Cue my niece's second birthday coming up in Melbourne. I'd been working for her for about 3 years, and she (and the hospital) had plenty of advance warning that I (and therefore she) needed one (1) Friday off. That's fine, we'll find someone to work that Friday, the hospital said. Right up until the last week where they're like "oh, we can't find a replacement; you can come in, can't you?"

No, she tells them; I don't have anyone to watch my kid that day.

Oh, surely you can hire a babysitter for this one day, they say. Think of the children! We really really need you to work that day. I know we said it'd be fine but we need you now, there's no one else to do it.

There are no other babysitters, she told them. Unless you can find one?

That's not our responsibility, they said.

But I'm not changing my plans, she's got plans by now as well, the hospital knew about this one day weeks in advance, and with absolutely no reserve staff they're forced to reschedule all pediatrics appointments for that Friday. Not a huge deal, it happens on the 'physically too overworked to get out of bed' days too. I go to Melbourne, she goes back to her home in Adelaide for her recovery week, all should be on track.

My niece gives me Covid.

This was way back in the first wave of the pandemic, and there were no Covid vaccines yet. The rules were isolate, mask up, hope. I had Covid in the house, and it would've been madness for my friend and her toddler to come back into the Covid house instead of staying in Adelaide. There was absolutely no way that a pediatrician could live with someone in quarantine due to Covid and go to work in the hospital with sick children every day. And no support existed for finding another babysitter, or temporary accommodation, so the hospital was down a pediatrician.

The other pediatrician wasn't available to do a three-week stint. They were also trapped in Adelaide on their well-earned week off.

Meaning that the only major pediatrics ward within a several-hour radius had no pediatricians. They had to shut down and send all urgent cases to Adelaide for the week. To the complete absence of surprise of any of the doctors or nurses; of course this would happen, this was bound to happen, it presumably keeps happening. But probably to the surprise of the higher-ups. After all, the hospital was doing fine, right? Of course all the staff were complaining of overwork and a lack of resources in every meeting, but they could always be fobbed off with the promise of more help sometime in the future; the work was mostly getting done, so the issue couldn't be too urgent.

It's not like some nanny who doesn't even work for the hospital could go out of town for a weekend for the first time in three years, and get the only public pediatrics ward in the area shut down for a week.

People trying to pathologize like eating sweets and jerking off is wild. "I stopped doing this thing that feels good and I want more now ?? So this is an addiction and I have to keep avoiding it until the craving goes away" no you just want to enjoy things because you're a human being. Chocolate and porn and whatever aren't, like. Meth. It won't kill you to feel good. You don't have to be a medieval monk

I feel like the big push for AI is starting to flag. Even my relatively tech obsessed dad is kinda over it. What do you even use it for? Because you sure as hell dont want to use it for fact checking.

There's an advertisement featuring a woman surreptitiously asking her phone to provide her with discussion topics for her book club. And like... what. Is this the use case for commercial AI? This the best you could come up with? Lying to your friends about Moby Dick?

Hi, Tumblr. It’s Tumblr. We’re working on some things that we want to share with you. 

AI companies are acquiring content across the internet for a variety of purposes in all sorts of ways. There are currently very few regulations giving individuals control over how their content is used by AI platforms. Proposed regulations around the world, like the European Union’s AI Act, would give individuals more control over whether and how their content is utilized by this emerging technology. We support this right regardless of geographic location, so we’re releasing a toggle to opt out of sharing content from your public blogs with third parties, including AI platforms that use this content for model training. We’re also working with partners to ensure you have as much control as possible regarding what content is used.

Here are the important details:

We already discourage AI crawlers from gathering content from Tumblr and will continue to do so, save for those with which we partner. 

We want to represent all of you on Tumblr and ensure that protections are in place for how your content is used. We are committed to making sure our partners respect those decisions.

To opt out of sharing your public blogs’ content with third parties, visit each of your public blogs’ blog settings via the web interface and toggle on the “Prevent third-party sharing” option. 

For instructions on how to opt out using the latest version of the app, please visit this Help Center doc. 

Please note: If you’ve already chosen to discourage search crawling of your blog in your settings, we’ve automatically enabled the “Prevent third-party sharing” option.

If you have concerns, please read through the Help Center doc linked above and contact us via Support if you still have questions.

I see a lot of people joking about the adhd thing of "I have a appointment/phone call at 3pm, guess I won't do anything all day!"

But no one seems to make the connection that it's a time blindness thing. One of the symptoms of ADHD is not having a good and accurate sense of time. And not doing stuff prior to an event with a hard deadline is an obvious coping mechanism for that.

Can I go to the store? It's 10am and the appointment is at 3pm. How long does going to the store take? An hour? Three hours? Five hours? I DON'T KNOW!

I get anxious trying to do things before appointments because I'm aware that I don't know how long those things take, and that if I think I do, I may be very wrong. Too often I've been like "hey I can walk to the corner store and grab a drink, that'll take like 15 minutes!" and then an hour later I get back and whoops my rice has burnt.

Plus there's also the fact that ADHD people know that motivation and focus is a two-edged sword.

Like, let's say you decide to play a video game. You've got time, you can pause/save whenever, so this should be a perfect fit to make good use of your waiting-time. So you start playing and WHOOPS you get really focused for some reason today (because people with ADHD do not get to pick when their brain decides to focus) and the next time you look at the clock it's 2:49 and you haven't showered or dressed and the appointment is 30 minutes away. Fuck. (you could have set an alarm, but now you're asking people with the forgetting-things-and-time-ignoring condition to remember it set alarms)

And with motivation, it can be almost worse. Instead of playing a game, you so something useful or creative. You clean your room or fix your plumbing or write a story or draw a picture. And suddenly it's great. Your brain is firing on all cylinders. You've got all the motivation you can ask for, and you are FLYING. the ideas are brilliant, your hands are nimble, you're getting stuff done you've been putting off for weeks or months. And then the alarm goes off. Time to go to your appointment. Fuck.

You drive there, your brain still full of ideas and plans. But by the time you get back, the motivation is gone. You may still have the ideas but you don't have the drive to write them down. You can't force yourself to do it. Your sink is still in pieces. Your room is half-cleaned, and you have to shove all the sorted clothes into one big bin just so you have somewhere to sleep. You've left things half finished again, in a cycle that has been repeating your whole fucking life. It seems sometimes that nothing ever gets finished.

So next time you don't even start. There's not time. You've been burnt too many times. Why add another half-completed project to your pile of shame?

My point is that people seem to be going "lol I can't do anything all day if I have an appointment at 3pm" like this is a quirky "oh I'm so scatterbrained!" weirdness they alone have, and not a major complication of a disabling mental illness.

(and that's not even getting into the secondary effects. If you know that having an appointment ruins your whole damn day, you're going to avoid them. Even when it's things like "going to that party" or "meeting your friends for a drink/game" or "going to a movie with that cute girl from your math class". Things you should enjoy. Things that'd help you be social. Things that make you feel human.)

Do y’all know where the phrase “eat the rich” comes from or do you just repeat it cause you heard it elsewhere?

It’s not a bad thing, I just saw someone say “we never said who would eat the rich” and realized a lot of y’all might not have heard the full quote

It’s from Rousseau and it’s “When the people shall have nothing more to eat, they will eat the rich"

And, well, there’s a lot of people with nothing to eat…

Dropping this here for anyone who may not already know about it. paywallreader.com

tumblr user, drinking a bottle of uncontaminated water in post apocalyptic america: i love this?? this is so pure omg

Hey, sorry if you’ve been asked this before, but I have ADHD and I’ve been following your comic for years and just now have started to write my own comic (partially because you really inspired me). But I’m really struggling with staying on the project even when it’s boring and getting myself to work on it in the first place. Do you have any tips on how to keep your brain invested or just to make yourself do the work at all?

I have excellent news, I literally just figured out something really important about this.

So when you're an ADHD kiddo or otherwise have difficulty staying on task in a structured environment where Task is the Priority, the main way people try to MAKE you stay on task is by removing your access to anything that is not The Task. No phone, no TV, no doodling, no going outside, etc. In practice, this just makes us miserable because it takes the boredom that's always simmering around a 2 or 3 and cranks it all the way up to 11. In the same way that you would have difficulty staying on task if you were in physical pain, this crushing existential monotony makes it very difficult to work. The work might get done simply because you have no other options, but it will not be done quickly or well, and it will take a while to recover from how much it hurt.

What I realized earlier this week is I caught myself doing this to myself. I had 42 pages of background colors to do, and I thought to myself "this sounds really tedious, but I suppose I have nothing better I can do." And I realized what I'd just thought, and got very alarmed.

Because back when I was an ADHD kiddo imprisoned by school scheduling and a million little factors that keep children immobile and restrained, I couldn't stop thinking about how big and exciting the world was, and how much I wanted to be anywhere but here. When I was feeling really crushed in I'd pick a random spot on the maps on my wall and just imagine being there instead of my bedroom. This was the impetus behind almost all of my creative energy. I've said it before - anything is a prison if you can't leave, and being in a prison makes it easy to imagine how amazing things could be outside of it. Aurora's initial worldbuilding was forged in the crucible of fifth grade misery. My enthusiasm for art and my creative drive are inextricable from my sense of wonder and yearning for excitement in the real world. Not escapism, but appreciation. Wonders unimaginable are out there, and I gain just as much joy seeking them out as I do conjuring them up in my head and sharing them with all of you.

So now that I'm a grown-up with actual freedom in every way I've been able to get, the idea that I was staying on task by making myself believe the world was small and not worth seeing was extremely alarming. It could keep me on task for an afternoon, but at the cost of slowly extinguishing the thing that made me want to make art in the first place - the hunger to experience and draw inspiration from all the myriad complexities in the world.

So what I've been doing is I've been purposefully and intentionally taking excursions whenever I catch myself thinking "I could take a break but it wouldn't be worth it, it's the same outdoors as always, I'll be uncomfy and unproductive and tired." Because that is never true. Every time I've put down the stylus and gone out, I've been renewed in one way or another, and when I come back to comfort fully recharged I get a lot of shit done. Because it is easier to work on anything if you remember why you wanted to make it in the first place, and it is self-defeating misery to just lock yourself in with it and tell yourself you're a bad person if you can't get it done.

I honestly don't know how widely applicable this is. I have worse wanderlust than anyone I know, so for me this has always been modeled as imprisonment vs freedom. I've also been extremely lucky to find myself in a profession that lets me set my own pace on literally everything I do. But I genuinely believe that when it comes to making art with ADHD, you need to give yourself freedom to move laterally, not just in the direction of obvious forward progress. We don't think linearly in any other part of our lives - art is no different.