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New ADHD med study @ south shore psychiatric srvcs.

Oct 1, 2018

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New ADHD med study @ south shore psychiatric srvcs.

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Vote No on MA question no. 1

Sep 26, 2018

So, you are wondering why I'm writing a blog post about a ballot question. Fair enough. Here's why: As an advocate for mental health care and affordable healthcare and medication, this ballot question is extreme important. I would ask that you please read this and consider my points. 

First, I come by this information because of my involvement in the Mass General Hospital Patient and Family Advisory Council. I would not have know enough about this question and now that I do, I'm desperate to spread the word. I will attempt to be concise but thorough. 

What the deal with Question No. 1? This is a piece of legislation that the MA Nurses Association has been trying to push through the legislature for 20 years. But has had so little support that it has never even gotten out of committee or been sponsored as a bill.  So the went the ballot question route. 

Who are the MA Nurses Association? The are the nurses union in MA. Unfortunately the represent less than 1/3 of all nurses. And many of their members are against the ballot question anyway. 

Why is this an issue? There are some hospitals, mostly rural hospitals, that are asking their nurses to to too much. In a small number of locations, there is a problem with understaffing of nurses. However, this is not a pervasive problem in MA. 

What are some of the details of this bill that make it a problem?
  1. These staffing regulations do not take into account day of the week, time of day, needs of a particular floor, the experience level of nurses, or any other real world considerations of staffing. 
  2. This law would require implementation over the course of just 37 business days. In some cases MGH spends 6 months "onboarding" new nursing staff. 
  3. There is already a nursing shortage in MA. This law would likely lead to less quality in nursing staff even if the quantity is increased. 
  4. The hospitals that are stretching their staffs too thin are generally hospitals in financial trouble. It is likely that those hospitals will have to close in the wake of this law. That would create an even worse situation for the people in those communities.
  5. Each "violation" of the law would incur a $25,000 fine that goes... nobody really knows.
  6. It would force hospitals to "float" nurses to different areas of the hospital where they may not be comfortable to be in compliance, again sacrificing quality for quantity.

Do any other states have this law? Only California has this law. They took 5 years to implement the law. There is no fine. And, the California rank of outcomes is considerably lower than MA, which happens to be ranked 2nd in the nation in terms of medical outcomes. Clearly not a broken system.

How much will this cost ME as a consumer? Well, the estimated start up cost to the MA medical system is close to $2 Billion Dollars with an annual expense of an additional $1.3 Billion dollars annually. THIS IS TOTALLY UNFUNDED. It will not take long for that cost to be passed on to you and me in terms of higher insurance rates, copays, and deductibles

I'm generally a liberal guy. I don't have a problem with government regulation. But, in my opinion, this law totally goes above the reasonable function of government. I think the state has a right to demand that its citizens have access to quality medical care. But telling hospitals how to provide that care in such detail is inherently inappropriate. 

Please join me in voting No. on Question 1 this Nov. And, please spread the word about how damaging this law could be to our state, its medical infrastructure, and ultimately you and I.

By the way, the pic is of a bumper sticker that I saw in the parking lot at Milton Hospital this month when I was there for the Adult ADHD support group that I run.



Standard Disclaimer:  In an effort to foil my own perfectionist tendencies, I do not edit my posts much… if at all. Please and typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. An imperfect post completed is better than a perfect post that goes unposted.

Vote No on MA question no. 1

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What should I tell my boss?

Sep 21, 2018

What should I tell my boss?
The topic of what to tell one's boss about one's ADHD, if anything at all has come up for me a few times recently. Here's my two cents. I think it is important to keep colleagues and superiors in the loop. However, I would never suggest doing that as an excuse. 

Most of us work in results based professions. Nobody wants to hear excuses about why we can't do the work, get there on time, produce a mistake free product, or deliver on expectations. That said, I think most of us may deliver in a non-traditional way. I would never excuse lack of results by referring to ones ADHD. But I'm more than happy to explain my methods, needs, and quicks in that same framework. 

It is important to be in an organization that isn't so rigid that there is no room for individuality. As ADHDers we may need to approach our work day differently. We may need to come in early or stay late. We may need to borrow a conference room when the main office area gets to distracting. We may need to stand up in longer meeting to stay focused. We may need to utilize any number of strategies to produce the expected product. A good boss will recognize that we are all individuals and let us get there however is best as long as we get there.


Standard Disclaimer:  In an effort to foil my own perfectionist tendencies, I do not edit my posts much… if at all. Please and typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. An imperfect post completed is better than a perfect post that goes unposted.


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Do your own thing!

Sep 13, 2018

My wife is a total rule follower. She is very uncomfortable "coloring outside the lines." I firmly believe that the rules are, at best, suggestions. I have always felt like a square peg in round hole. Or more accurately, a square peg standing angrily next to a round hole that looks so easy and enticing that I know I will never fit into. Well, I guess I should say that I was at one time angry. Then I decided that I was going to have to buy some tools and make some square holes. (How's that for taking an analogy too far?)

My point is that as ADHDers we don't fit the mold. But THAT'S OKAY. Give yourself the freedom to experiment, try new things, question assumptions, challenge the conventional wisdom, and break the mold. Not only is that how many of the great innovations of our time have been achieved, but it's the only way for us to tap into our true potential. 

Don't get me wrong. I'm not encouraging anarchy. But when your environment doesn't fit you, think about changing your environment. As a small, crazy, and totally irrelevant example... I have been much happier since I decided to own the fact that I don't like breakfast foods (at least not for breakfast.) I ate this delicious salad for breakfast. Works for me.

My biggest challenge is that my son got my ADHD and his mother's rule following anxiety. I'm trying to teach him how to not follow all the rules... without saying that exact phrase out loud. Parenting is hard.


Standard Disclaimer:  In an effort to foil my own perfectionist tendencies, I do not edit my posts much… if at all. Please and typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. An imperfect post completed is better than a perfect post that goes unposted.

Do your own thing!

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Snooze your pill alarm

Sep 7, 2018

Quick tip today:

I know that I've written about using alarms to remember to take pills. The follow up to that is to use the snooze button. Set up an alarm that you can set to go off every day at the same time with a custom tone that will get your attention but not annoy you. And make sure the app has a snooze button. I can tell you from personal experience, if I'm in my office and I turn off my alarm and head to the front hall where my pills are in my bag... random thought, squirrel, butterfly, what am I cooking for dinner, am I picking up my daughter today, what's next on my To Do List?... a thousand things can distract me before those pills are in my mouth. So, I either let the alarms continue to go off or snooze it for 7 minutes until they are literally in my mouth. Try it!

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Detailed work out logging?

Sep 2, 2018

So, I've always seen folks at the gym with their notebooks and pens taking what look like painstakingly detailed notes about their reps and the weight, and God knows what else. I had an complimentary intro session with a trainer at a gym a long, long time ago and he gave me some sort of chart to keep when working out. I hated it. 

Recently, a client of mine (who's a former trainer) expressed to me that she's really challenged by working out theses days because she doesn't feel like she has enough of a plan and because it seems overwhelming to create one and stick with it. Thus, she's been avoiding working out. Total ADHD (& anxiety) response. 

I'm sure I do not represent the thoughts and feelings of every ADHDer who works out. I am not a fan of the detailed workout log and hers's why:
  1. I consider my workout part of my mindfulness practice. Particularly when lifting, I like to go into "the zone" and do my routine. I find that enjoyable, believe it or not. Since I have ADHD, transitioning my attention is not my strongest point. Nor is tediously logging details. So, to have to transition after every set or every exercise would break my flow and be considerably less enjoyable. 
  2. Plateauing is a real thing. And, we like instant gratification. So seeing that  you haven't progressed (or, God forbid, have a bad day and regressed a bit,) can be demoralizing. When in actuality, maybe it was mostly a great work out. Sometimes doing what you did last time is a great work out. 
  3. It seems unnecessary to me. Lift what you can lift. Do the sets that you can do. And, get what you want to get out of it.
I do track my workouts but only in the sense that I did it. For example, yesterday I noted on my calendar: 72m St/CR/PT/3xA+/250xC+ Meaning that I did 72 minutes, stretched, did my core, did my PT for my shoulder, did 3 sets of bi's and tri's, and 250 total reps for my chest. The +'s just mean that I feel like those were particularly strong workouts... All without being on the super micro level. Happy lifting!




Standard Disclaimer:  In an effort to foil my own perfectionist tendencies, I do not edit my posts much… if at all. Please and typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. An imperfect post completed is better than a perfect post that goes unposted.

Share With Friends:
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