u/DullEntertainment102

Presentation about needs of autistic children and adults in perioperative setting

Hello everyone! I’m suspected autistic but diagnosed ADHD doctor in anesthesia and I work with (mostly) children with multiple disabilities- autism and ADHD are very common co-morbidities and come in a variety of severities. I enjoy working with the kids and believe I’m doing ok with catering towards specific autistic needs, questions, etc. even though we do still get the occasional meltdown.

I would love to prevent that from happening and most of the time it’s happening after surgery in the recovery room. Unfortunately a meltdown looks a lot like an emergence delirium which is also a common condition in kids.

I’m giving a presentation on how to cater towards the needs of autistic kids in the stressful perioperative environment but don’t want to rely solely on literature and my (projected) experience. I’d love to get input from parents and patients who have been through anaesthesia and hear about what they liked, what they hated and how we can do better in the future!

If I should get enough feedback I might turn it into a questionnaire that can be statistically. I just want medical care to get better!

Topics I’d like to discuss are:

sedatives/tranquilizers because it’s very much discussed in the medical field because it causes amnesia and that’s not always what we want if you want to process an experience

Pain scales (1-10 vs faces- what’s easier to understand, how do autistic people/children describe and process pain- many are way more tolerant than NTs)

The environment (amount of people, monitors beeping, sound, overstimulation, etc.)

Sensory toys/weighted blankets or such as a recovery strategy

Presence of parents/caregivers

I’m happy to get as much input as possible and maybe there’s a lot that I’m not yet aware of!

Thanks for participating

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u/DullEntertainment102 — 3 days ago

Fungal or fin rot?

• ⁠Tank size: 5.3g• ⁠Heater and filter? (yes/yes): • ⁠Tank temperature: 26.1• ⁠Parameters in numbers and how you got them: NH4 zero nitrites zero nitrates 1 phosphate zero pH 7,5 (jbl drip test)• ⁠How long have you had the tank? 3months How long have you had your fish?: 4 Weeks• ⁠How often are water changes? How much do you take out per change? What is your process?: 30%/week, vacuum• ⁠Any tankmates? If so, please list with how many of each: neocaridina 20pcs, Ramshorn snails 2, some bladder snails• ⁠What do you feed and how much: life and frozen, life ad libitum, frozen as much as can be consumed by fish and shrimp in 20mins• ⁠Decorations and plants in the tank: planted, some rocks• ⁠If you haven't already posted a picture

When I got my boy he already had icht so I treated him right at arrival- and was vary and watching carefully- since the last water change (Tuesday) he’s shown mild symptoms of discomfort (hanging out where I can’t see him and some glass surfing) but had otherwise no symptoms or odd behaviors. Today he refused food (enchytreae worms) and has been scratching himself violently with a new tear in his fin at the belly which seems swollen (see attached image). The water is green because I already added medicine for bacterial and parasitical infection (at close inspection there might be some icht spots again but it’s terribly difficult to spot on his white scales). I just wanted to confirm if you think the infection could be fungal since then I’d need to use a different substance.

u/DullEntertainment102 — 6 days ago

Hello everyone! I posted here before about attempting to create all natural fragrances but was told that synthetic is the way to go. Since I’m rather unhappy with modern perfumes and am motivated to try I read through some old threads about the topic and read that some of you are working all natural or mostly natural! I have some accords that I like and was able to create some harmonies in the past that are fresh or woody or floral or amber based and am quite happy with it even though your sophisticated noses would probably still find it unbalanced or plump- I’m not completely new to creating fragrances but found new motivation and inspiration to take it more seriously from now on!

I was wondering if- no matter if you work fully natural or mixed- some of you would be willing to share some of your favorite accords built from naturals? I’d struggle to balance florals sometimes and find them a little overpowering, especially frangipiani and jasmine - my favorite mix so far smells like a floatingmarket in asia with flowers and a spice shop- kardamom, clove, pepper, muscat, jasmine and neroli in there, benzoe siam and vetiver, a little patchouli and cedar and some bergamot.

Second favorite has algae, pine needles, oakmoss, benzoe, geranium, may rose, rose wood, tuberose, majoran, rosemary and pinus cembra and a tad vanilla

I’m still working with the drip method but have a proper scale shipping so that I could share formulas soon.

I’d love to hear your input!

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u/DullEntertainment102 — 7 days ago

I just did a water change and immediately after my shrimp started behaving neurologically intoxicated, floating upside down, jerking uncontrollably, falling over. I did wash my hands before but was wearing a new perfume with clove oil /essential oils in it and am guessing that maybe even though I did wash my hands twice before starting I still had some on my skin. It’s a 30l cube and I immediately changed another 15l so a total of 20l and added charcoal to the filter. Is there anything else I can do to save as many as possible? The other option as source for intoxication is that I did some heavy vacuuming of the gravel so maybe something was rotting in there.

I’ll do some testing of the water I removed now but before I touched the water they were ok

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u/DullEntertainment102 — 11 days ago

Hello everyone! I’m somewhat new to perfume making- I’ve collected scents since my teenage years and it’s increasingly difficult for me to find perfumes I like- I have a decent collection of essential oils and other stuff, I’ve been cream and soap making before as well and am currently again trying to mix my own perfumes- I know about head mid and base notes and how much I should add in general but I’m struggling with fixation of the scent and sometimes composition in general. I like herbal and spice notes and wood as well as some floral ones but not all of them- citrus also not all of them and no sweet notes which makes female perfumes more difficult for me. I’m wearing ffern winter 26 atm and it’s the first time in a long time that I liked one (spring 26 I didn’t like at all and returned it). What was your best resource as a beginner? Anything you would have lived to know when you started? Input is very welcome!

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u/DullEntertainment102 — 12 days ago

I’ve asked this before but didn’t get an answer- my fish won’t take freeze dried blood worms and daphnia and I was wondering if there’s a trick to it because they live them live and frozen. From the amazon reviews of my product people who usually feed pellets say their fish are crazy about it. I feed pellets only occasionally and mostly live and frozen- is that the reason? Is it basically a downgrade?

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u/DullEntertainment102 — 13 days ago

Ich habe eine chronische Krankheit und falle aktuell leider regelmäßig tage- oder Wochenweise aus, zudem schaffe ich es nicht alle Arzttermine außerhalb der Arbeitszeit zu legen, da die Öffnungszeiten sich mit der Arbeitszeit überschneiden, was ebenfalls je nach Uhrzeit des Termins z.T. zu halbtägigen oder sogar ganztägigen Ausfällen führt (wegen distanz zwischen Wohnort und Arbeitsstätte)- Ärzte sind wohnortnah. Muss ich in Teilzeit gehen um Zeit für diese (halbwegs) planbaren Termine Zeit zu schaffen? Dürfen die Tage als Minusstunden (statt krank) verbucht werden, wenn ich einen Arzttermin habe? Damit hätte ich prinzipiell kein Problem, habe aber gesundheitsbedingt jetzt schon einiges an Minus gemacht. Prinzipiell müsste ich gesundheitsbedingt in Teilzeit gehen aber ich brauche eigentlich auch das Einkommen.

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u/DullEntertainment102 — 15 days ago