Friday thread

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ClinicalABA said:
Here's more recently informed gear review. Just did the bi-annual 5-day backpacking trip. Here's some shots of the lower leg gear:
View attachment 384224
Oboz ankle high (I can't find a specific model name on them) with yak-trax slip ons and Hill Sound gaiters. I love the gaiters- fit great (especially like the adjustment strap at the top of the thigh) and incredibly water/mud resistant. they are pretty thick, waxed (or more likely plasticized) canvas. Not sure if they are rattler proof, but combined with a thick canvas pant underneath, there's a lot of protection there). Our March trip has historically been in the snow (often with snowshoes), and the set-up is great with snow and ice. This year it was very muddy and wet, with lots of puddles. Low top hikers and gaiters kept all the mud and water off the pants. The yak-trax actually gave an added bit of grip in the mud, which was a bit suprising- i thought they would be overkill. I'm still up-in-the air with the Oboz, as they are VERY stiff in the sole. However, this hike involves a lot of logging roads. The area we hiked (Merck Forest in VT- yep, the pharmaceutical Merck family), uses the road for ATV vehicles to access forestry projects and mapling operations, so they put down a lot of litttle, sharp rocks for traction and erosion control. Made me really appreciate the stiff soles (my wife has lighter hiking Keens, and she felt some of the rock poking into her- I did not). We got 3 inches of snow for the hike out, so I was happy to have the gaiters and the yak-trax.
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I’ve been thinking about getting some gaiters for snakes! I love the beefy toe on those boots.
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the competency / capacity debate -- too real -- and the "late onset schizophrenia ..... in an 85yo" - swear I got that consult last week!
 
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Traveling to a resort with psygal. She gets to lay around and get massages. I get to work somewhere else.
 
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a day of no shows at externship, has given me the chance to finalize my diss proposal presentation for monday! just gotta get through group supervision for the final hour of today.
 
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I've got a bike race in two weeks and haven't rode the course yet. But, a weather system is supposed to roll in starting tomorrow with big wind gusts - yuck and rain on sunday. I know I can do the distance no problem. But, I don't know how fast I'll feel, it's my first race in like 10 years. I'm going it with my bro in law - so that'll be fun. I told him i'll be his domestique. I probably need another two 70 mile rides to fully prep. I'll start tapering next week. But, i've been so focused on trail running near our new house that I just haven't been cycling as much.

So tomorrow, I'll prolly harden the F up, wake up early, and just get some distance in, wind and all.

I'll prolly cook some lamb chops on saturday with lemon pepper and then easter egg/in-law stuff sunday.
 
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Clinical work done for the week. Today is a coffee + grading papers marathon day.

I am always in awe of the wild range of undergrad psych paper quality. A roller coaster of good, bad, and wtf.
 
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borne_before said:
I've got a bike race in two weeks and haven't rode the course yet. But, a weather system is supposed to roll in starting tomorrow with big wind gusts - yuck and rain on sunday. I know I can do the distance no problem. But, I don't know how fast I'll feel, it's my first race in like 10 years. I'm going it with my bro in law - so that'll be fun. I told him i'll be his domestique. I probably need another two 70 mile rides to fully prep. I'll start tapering next week. But, i've been so focused on trail running near our new house that I just haven't been cycling as much.

So tomorrow, I'll prolly harden the F up, wake up early, and just get some distance in, wind and all.

I'll prolly cook some lamb chops on saturday with lemon pepper and then easter egg/in-law stuff sunday.
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How far is the race?
 
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NYC metro area here: I was in the middle of a telehealth session with a client about 20 miles away from me when it happened. We both paused and were like "wait...do you...feel that too...?" Took us a minute to figure out what had happened.

I thought my dog would be more alarmed but he barely lifted his head.
 
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Anyone else living for the Kendrick VS Drake beef?
 
borne_before said:
I have been eating up all the Drake/Kendrick, P Diddler, and Katt Williams tea. Feed me the chisme.
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Metro Boomin has SoundCloud rappers using his beat internationally to drag Drake. It is amazing.
 
Shiori said:
Metro Boomin has SoundCloud rappers using his beat internationally to drag Drake. It is amazing.
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God, that entire sentence made me feel old. I'm still over here listening to Ether and remembering the good old days of battle rap.
 
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For probably the first time in my professional life, all the reports are done and sent out, and all the final grades are entered. I literally have no professional responsibilities until next week (7 assessments across 4 days!). I have my first doctoral defense as a chair tomorrow, but it was a very nice study and there won't be any issues. Celebrated by picking up a bottle of Amaro (Lucano) and bourbon (Old Forester) and am now enjoying a black Manhattan. Heading to a ska/dub/rocksteady show tonight (which I'm pretty sure I'm way too old for!) with a friend. Dinner tomorrow with wife to celebrate 28th anniversary (I told you I'm old!). Seriously though- such a weird feeling to be done with all the reports and grade stuff.
 
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borne_before said:
I have been eating up all the Drake/Kendrick, P Diddler, and Katt Williams tea. Feed me the chisme.
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Was driving with my daughter this past weekend and she played all the dis tracks for me. I'm on team Kendrick though I prefer Drake's music (the old punk in me thinks Kendrick stuff is too mellow). I'm pretty sure the beef is fake though- how can you release a response song less than an hour after you've been attacked?
 
Shiori said:
Anyone else living for the Kendrick VS Drake beef?
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This has been a goddamn feast. And I'm all here for it. Drake dug his grave with that last track

ClinicalABA said:
Was driving with my daughter this past weekend and she played all the dis tracks for me. I'm on team Kendrick though I prefer Drake's music (the old punk in me thinks Kendrick stuff is too mellow). I'm pretty sure the beef is fake though- how can you release a response song less than an hour after you've been attacked?
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I mean it took Drake 3-4 days to respond. That's enough to put another track in, yeah?
 
It has been amazing. Even Kendrick likes Drake's stuff when he's not trying to act tough.
 
WisNeuro said:
Can't we just go back to dude's shooting each other?
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It never stopped. The artists just changed. (I don't listen to this rapper, but that's beside the point)

But disses have been long-standing in Rap and Hip-hop. 2Pac, Ice Cube, Eminem. The artists have just changed.
malcom tucker GIF
 
PsyDr said:
You have to choose between the millionaire artiste that was on Degrassi or the millionaire artiste from George Bush's old neighborhood.

(now they don't sound so tough)
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Writer has disagreement with former actor, news at 11.

Also, I learned something about George Bush today.
 
It's gonna be way over a hundred degrees, and instead of casual Friday, I'm wearing a jacket and have my shirt tucked in.

I have a very PITA parent to deal with today. So I thought I would exert the full force of my impression management skills. This parent has been discharged from our speech clinic because of poor behavior (berating staff for reminder calls, berating the SLP for a slight physical redirection to gain personal space, filming/recording interactions, etc.). They tend to be very controlling in session. They are immigrants from a super socialist country. So I am going to look as white, male, professional and authoritative as possible.

I've met them once for intake and it went fine. The kiddo def has ASD, and this eval is to just get them services, really. I'm putting them through my normal process, as I would any child. But, there's a nonzero probability that mom will REFUSE to separate from the kid for cognitive/academic testing. I've consulted about it. We do have mirred rooms, but I don't think I can trust mother to not record or understand what she is seeing.

If mother refuses to separate, I will then offer her these options:

(A) they can go somewhere else,
(B) We can proceed with only an ADOS-2, which she can sit in on (I don't think the kiddo is beyond phrase speech yet) and forgo cognitive/academic testing, but then kid may not qualify for services from our state's department of intellectual and developmental disabilities and school may not accept results.
(C)???? any ideas?

I sure hope i'm gonna be able to finish this eval because kid def needs some ABA. Hopefully, I'm just doing run of the mill catastrophizing and predicting the worst.
 
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borne_before said:
It's gonna be way over a hundred degrees, and instead of casual Friday, I'm wearing a jacket and have my shirt tucked in.
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Time to invest in a nice linen/cotton blend blazer (100% linen gets wrinkled too quickly)

borne_before said:
I have a very PITA parent to deal with today. So I thought I would exert the full force of my impression management skills. This parent has been discharged from our speech clinic because of poor behavior (berating staff for reminder calls, berating the SLP for a slight physical redirection to gain personal space, filming/recording interactions, etc.). They tend to be very controlling in session. They are immigrants from a super socialist country. So I am going to look as white, male, professional and authoritative as possible.

I've met them once for intake and it went fine. The kiddo def has ASD, and this eval is to just get them services, really. I'm putting them through my normal process, as I would any child. But, there's a nonzero probability that mom will REFUSE to separate from the kid for cognitive/academic testing. I've consulted about it. We do have mirred rooms, but I don't think I can trust mother to not record or understand what she is seeing.

If mother refuses to separate, I will then offer her these options:

(A) they can go somewhere else,
(B) We can proceed with only an ADOS-2, which she can sit in on (I don't think the kiddo is beyond phrase speech yet) and forgo cognitive/academic testing, but then kid may not qualify for services from our state's department of intellectual and developmental disabilities and school may not accept results.
(C)???? any ideas?

I sure hope i'm gonna be able to finish this eval because kid def needs some ABA. Hopefully, I'm just doing run of the mill catastrophizing and predicting the worst.
Click to expand...

Good luck.

Today, I had to consult on a similar case like this with a belligerent caregiver and Adult Protective Services involved. Also involved with a case where one of my folks tried to murder someone and was just released from involuntary admission, and a few other fun ones. I think a cocktail is in order this evening.
 
Sanman said:
Time to invest in a nice linen/cotton blend blazer (100% linen gets wrinkled too quickly)



Good luck.

Today, I had to consult on a similar case like this with a belligerent caregiver and Adult Protective Services involved. Also involved with a case where one of my folks tried to murder someone and was just released from involuntary admission, and a few other fun ones. I think a cocktail is in order this evening.
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Ugh, we just had to pull one of our receptionists, because parent saw receptionist and her family at a grocery store and did a lil "I didn't see you bump" to the receptionists mother.

Cocktails, I've been digging a spagett (you drink a miller high life down a lil, put about an ounce of aperol, and half an ounce of lemmon). It's a white trash wine spritz (some call it a nascar spritz). Very good.
 
borne_before said:
It's gonna be way over a hundred degrees, and instead of casual Friday, I'm wearing a jacket and have my shirt tucked in.

I have a very PITA parent to deal with today. So I thought I would exert the full force of my impression management skills. This parent has been discharged from our speech clinic because of poor behavior (berating staff for reminder calls, berating the SLP for a slight physical redirection to gain personal space, filming/recording interactions, etc.). They tend to be very controlling in session. They are immigrants from a super socialist country. So I am going to look as white, male, professional and authoritative as possible.

I've met them once for intake and it went fine. The kiddo def has ASD, and this eval is to just get them services, really. I'm putting them through my normal process, as I would any child. But, there's a nonzero probability that mom will REFUSE to separate from the kid for cognitive/academic testing. I've consulted about it. We do have mirred rooms, but I don't think I can trust mother to not record or understand what she is seeing.

If mother refuses to separate, I will then offer her these options:

(A) they can go somewhere else,
(B) We can proceed with only an ADOS-2, which she can sit in on (I don't think the kiddo is beyond phrase speech yet) and forgo cognitive/academic testing, but then kid may not qualify for services from our state's department of intellectual and developmental disabilities and school may not accept results.
(C)???? any ideas?

I sure hope i'm gonna be able to finish this eval because kid def needs some ABA. Hopefully, I'm just doing run of the mill catastrophizing and predicting the
Click to expand...
How old is kid? 4 or under I let parent stay in room. Older, I leave office doors open so parent can hear and kid can check in as needed (but I'm typically only clinician in office). I've had to have the "this is how we do it here talk" with a few parents (not coincidentally from a former socialist republic).
 
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Packing up the truck for the annual two week camping trip (starting tomorrow) on Mt. Desert Island. Just me, spouse, and puppy this year (no kids). Curious/anxious as to how puppy (just turned one) will do. She barks a little when people walk by the house, and seems to think she's going to catch every squirrel she sees (and there's a lot of red squirrels at the camp site). Hopefully she'll like the canoe. She's half lab, so genetically predisposed to being on the water. Hopefully she doesn't jump out after a seal!
 
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ClinicalABA said:
How old is kid? 4 or under I let parent stay in room. Older, I leave office doors open so parent can hear and kid can check in as needed (but I'm typically only clinician in office). I've had to have the "this is how we do it here talk" with a few parents (not coincidentally from a former socialist republic).
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He's 6.

It went fine. Kiddo was very noncompliant with testing demands and I just couldn't get a valid/reliable score (e.g., becoming fixated on single testing page, difficulty transitioning away from blocks). Tried my bag of tricks, visual schedule, but he wasn't having it. I got bopped in the arm a few times (occupational hazard lol). Which is a bummer because I don't think the intellectual impairment is there. Actually, kid refused to separate from parents, so I did kinda let them sit in the room (don't tell the standardization police).

We had really good discussion about autism though. The kid does have some really strong foundational skills. I think ADHD is also in the picture. Honestly, I may have been catastrophizing ;). She did write something on her phone that said "I am upset about some of the things and how we've been treated here, let's talk next appt" while walking out.

I'll do an ADOS next week, feedback the week after, and then we are donezo.

How do you handle kiddos who just are compliant with testing demands?
 
borne_before said:
He's 6.

It went fine. Kiddo was very noncompliant with testing demands and I just couldn't get a valid/reliable score (e.g., becoming fixated on single testing page, difficulty transitioning away from blocks). Tried my bag of tricks, visual schedule, but he wasn't having it. I got bopped in the arm a few times (occupational hazard lol). Which is a bummer because I don't think the intellectual impairment is there. Actually, kid refused to separate from parents, so I did kinda let them sit in the room (don't tell the standardization police).

We had really good discussion about autism though. The kid does have some really strong foundational skills. I think ADHD is also in the picture. Honestly, I may have been catastrophizing ;). She did write something on her phone that said "I am upset about some of the things and how we've been treated here, let's talk next appt" while walking out.

I'll do an ADOS next week, feedback the week after, and then we are donezo.

How do you handle kiddos who just are compliant with testing demands?
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Sometimes you just have to say that due to lack of engagement with formal testing tasks you can't calculate formal cog scores. In giur summary, just state that once attention/participation/behavior get sorted out, cog testing should be done attempted again, just to be sure. Did you do a Vineland or some other parent report of adl skills? If the kid scores relatively average there, ID may be unlikely (though there's more of a correlation with younger kids).

Listen carefully to the mom's points about her unhappiness with how she was treated. Always good to get that perspective. Be deferent and apologetic where necessary, and thank her for the feedback and point out how it will make you better. Remember too that occupational titles and training don't correspond one to one between here and other places (including eastern europe). "Psychologist" doesn't mean the same thing in other countries (training is often more extensive here). Sorry to be preachy and slip into supervisor mode here- sometimes I can't help it.
 
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ClinicalABA said:
Sometimes you just have to say that due to lack of engagement with formal testing tasks you can't calculate formal cog scores. In giur summary, just state that once attention/participation/behavior get sorted out, cog testing should be done attempted again, just to be sure. Did you do a Vineland or some other parent report of adl skills? If the kid scores relatively average there, ID may be unlikely (though there's more of a correlation with younger kids).

Listen carefully to the mom's points about her unhappiness with how she was treated. Always good to get that perspective. Be deferent and apologetic where necessary, and thank her for the feedback and point out how it will make you better. Remember too that occupational titles and training don't correspond one to one between here and other places (including eastern europe). "Psychologist" doesn't mean the same thing in other countries (training is often more extensive here). Sorry to be preachy and slip into supervisor mode here- sometimes I can't help it.
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Never apologize for that - I love your perspective. thank you.
 
Heading home from another business trip. Probably going to cook with psygal tonight, drink some rye, play with the pets, etc. Likely some work tomorrow.
 
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