1,313 karma · joined March 3, 2010
That is a quote by karmanaut not kn0thing (Alexis Ohanian). The comments by kn0thing have been in some cases just fuel for the fire.
There are VERY interesting things going on in Reno, especially at UNR. MEMS research, solar cell research, biology, biotech, computer vision etc. There's also Sierra Nevada Corp in Sparks which was founded by two former UNR graduate students and is a very successful aerospace company. They are working on their own re-usable space craft in the dream chaser project: http://www.sncspace.com/ss_space_exploration.php Robocoin (bitcoin atm) is here but it's been rather disappointing.
One of the big flaws with this area is that casino gaming and mining have been the biggest draws on the talent pools for engineering. Gaming isn't the big money maker for the state that it once was and innovation wasn't a huge part of the business in the first place.
Why would your Dr have an economic incentive to over-diagnose? I was diagnosed a year ago with ADHD and I have tried every self-discipline technique you can think of without success. The quantified self just becomes an effort in futility and depression when you see where you are wasting time, actively try to correct it and still fail. I saw my Dr every six weeks initially when trying out medications. I see my Dr. every three months now instead of six months so that I can have my prescription renewed as she can only issue three one month non-refillable prescriptions but that's a tiny amount of additional money my Dr. is getting. I suppose if the Dr. is diagnosing this on a large scale the volume adds up but it just doesn't seem worth it. Especially with the changes to schedule II drugs and their prescription/distribution in the U.S.
I've been medicated for the last year and it's been a life changing experience. My own day sounds similar to what you describe below as far as the distractions go. I cut down to two monitors instead of three as I was using the third for just email and other communication tools. I now hide those on a virtual desktop. I do occasionally miss the third when I have a code window on one, and an output/debugging window on the other when having all three full screen would be easier but that's about it. I only let communication apps send me notifications once an hour instead of in real time which helps. I also have scheduled blocks where the notifications are blocked on my phone and computer except for specific people which is a new feature of Android 5 that I really like (Priority notifications). The medication has helped me build a routine and stick with it, and I'm hoping that when I decide I'm ready to try going off of it full time I will be better able to continue that trend. I don't believe for a minute that I will be able to eliminate all of it completely but I hope that I will be better prepared to handle it.
Hyperfocus has been used generically to refer to one of the negative effects of a lack of self-control and self-regulation in the executive ability of ADHD individuals. This has been the case for at least the last 15 years. Both inattentiveness and excessive focus are thought to be caused by a lack of dopamine which the stimulant drugs counteract.
> The single best approach to dealing with this is to pursue constant discipline and self-monitoring, in order to train yourself back to a healthier mental process.
There is no single best approach. Different approaches will work for different people. I can only speak for myself but no amount of pursuing discipline and self-monitoring on its own worked for me. Rescuetime, getting things done, pomodoros, daily self evaluation... didn't make an iota of difference before I went to my Dr and got a diagnosis. The combination of Vyvanse and these techniques has made a difference, though I've eliminated the pomodoros as it just flat out doesn't work for me.
> So my advice would be to make efforts to structure your life in ways to minimize distractions and hold yourself accountable for your results.
Easier said than done. Structure is incredibly important but, at least for me, anything can be a distraction. The soft blue glow of the led on my monitors power button is a distraction. The difference in textures of the keys on the keyboard is a distraction, getting suddenly lost in thought or mentally stepping through what I need to do instead of doing it is a problem.
Figuring out what works best for you as an individual is important. I actually work much better with noise in the background so long as it's fairly consistent. Electronic or classical music is pretty good for this for me but at times can be too repetitive and then that becomes a distraction. Music with lyrics is generally better for me so long as the volume isn't too high and I'm already familiar with the songs. This also usually ties directly into the constant motion of my legs. I've been a leg bouncer for my entire life, especially when I need to do something intense like test taking in school or working on a complex algorithm at work.
The addition of medication to my daily life has allowed me to cut out some of the inputs I was giving too much attention to. When I'm locked in on something and someone interrupts me I actually hear them now rather than what would previously look like I was just flat out ignoring them. That ability to not switch tasks when I want to, and switch tasks voluntarily when I need to was absolutely life changing for me. I don't take my medication all of the time, in part to cut down on the tolerance and in part because I'd prefer not to take it forever. Having been on it has helped me be more aware of what I'm doing and catch myself in certain bad habits I've formed; however, if I'm locked into something and my wife walks up and starts talking I won't notice and there doesn't seem to be any amount of structure or discipline that will change things like that. The positive is that we are both aware of what is going on, she knows how to break me out of it better, a light touch, and it no longer is a source of arguments.
> Realize that everyone is distracted in modern life, but that's not necessarily indicative of a disease. Stimulant medications are not to be taken lightly, and you're best avoiding them long-term if possible.
I agree that stimulant medicine isn't something to mess around with or view as a quick solution to get more done. I also don't think it's fair or even good to try to say that everyone is distracted or it's just part of modern life. ADHD is probably over diagnosed because people are looking for a quick fix and going to their Drs with a list of things to say in order to get drugs. Just like with painkillers. If someone is going to their Dr and honestly thinks they may have ADHD or are getting a child evaluated I would find a different Dr if their first recommendation is medication, or if the Dr comes to that conclusion very quickly. I also wouldn't necessarily try to scare people away from trying them if there's a legitimate problem. I wish I had been diagnosed as a child or that I had the sense to talk to my Dr sooner.
It also has keyword based notifications. I've got a few keywords set up on our rooms so if someone is talking about pieces I own I get a notification and can join in if necessary.
Yes and no. I'm myopic and have been since I was a small child I was also diagnosed with ADHD a year ago at age 35 and have been medicated for the last year.
Without glasses I'm basically blind. I can put them on and see, take them off and I'm back. I have control.
Without my medication if I go into a crowded room I am listening to a dozen conversations at once, giving each speaker the same amount of attention even though they are speaking at the same time and not to me. With my medication (40mg Vyvanse) I can go into a crowded room and hold a coherent conversation with someone and ignore the other conversations around me for the most part. I hear them but I can essentially choose to give most of my attention to whom I want.
Without the drugs I slip into hyper focus on things like a good book or a video game, completely losing track of time and actually not noticing when someone comes up and talks to me or interrupts me. This was really bad when I was a teenager and I'd read 700-800 pages when I should have been sleeping but I would have no idea how much time had passed. This still happens with the medication but it's easier to break away. With the medication I have more control over what I'm focused on but it's just a drug, if you are focused on the wrong thing it doesn't care. That being said it's not like people without ADHD describe where they lock into cleaning their house when they meant to be working. More willpower and impulse control are things I'd say I have when medicated.
I have more control but not complete control. I can't turn it off until it runs its course unlike the glasses that I can take off any time I want. With glasses it's simple, I can see or I can't. With the drug it's not simple at all. Things are better but it's not a silver bullet and the wrong drug or the wrong dosage can have no effect or a negative effect.
I took ritalin initially but it just made me angry, sweaty and made my heart race with the bonus of terrible crashes in the early evening and no impact on the actual ADHD issues. With Adderall I needed to be working on what I wanted to before I took it because it kicked in fast and hard, it was effective to an extent but it wasn't great. With Vyvanse I'm taking a similar drug but it's uptake is slower and the comedown is slower I can ease into my work day, I tend to be more able to easily pick and choose which things I focus on and I'm much less impulsive. None of the issues are gone but like the glasses for my myopia the fog is lifted a bit with the effect of the amphetamines. Before I took them I just assumed I wasn't as bright as everyone thought and that I need to work ten times harder to produce the same output. Since I've been medicated I feel normal for the most part and it's allowed me to have a more normal work life balance as I don't constantly feel like I'm behind or that I can't get things done. This is largely because I'm more effective when I am working where as before I was distracted but didn't really realize it or explained it away as multitasking.
> Vyvanse is an all-day dose, right? Did it affect your sleep?
It is an all day dose, 12-16 hours depending on the literature but I find it lasted about 6 on my first dosage and I get about 8 with 40mg. I can probably go up to 50mg but I'm happy with where I'm at. I don't feel a big difference when I'm on the drug like I did initially but I'm still better able to handle the day and my tasks than I am without it. Normalcy was what I was really looking for. I don't take it on the weekends which has helped a bit with tolerance and taking a 10 day break over the Christmas holiday really showed me how much tolerance was becoming an issue for me. An alternative to a bigger dose if it doesn't last all day is to get an instant release secondary drug for the second half/end of the day. That way you can control when you take it and have a reasonable expectation of when it will wear off.
As far as sleep goes if you don't take it too late in the day you are probably fine unless you have sleep problems to begin with, which of course are common for ADHD affected people. I am lucky in that my sleep issues were essentially conquered when I was between the ages of 8-10 since I could never sleep and my mother helped me figure out techniques to do so. Combinations of breathing, clearing my head, picturing myself descending into darkness etc. The only times I have trouble sleeping now are when I'm stressed, stay up too late, or stay up too late and try to sleep when I still have an obsession with a problem or task as I'm then unable to stop thinking about it. Ending my work day earlier helps prevent that.
The worst side effects for me are physical. I have to put on deodorant in the middle of the day and god forbid I forget to put on any at all. Dry mouth was absolutely awful until I started to build up a tolerance, now it's not a huge issue. A few other minor things but nothing that I would stop using them over.
Grade might be a proxy for mastery in some situations but it's likely not in the majority. Grade is more often than not a combination of mastery, ability to take tests, willingness to do homework and an accounting of how often you show up.
I've grown to loathe the Nexus 7. It's got a nice weight and feel to it from a hardware perspective but it feels too tall/thin in portrait and too short in landscape. I'm much more likely to pick up my older iPad instead. The performance of the 7 (second version) was also very disappointing. I'm actually interested in seeing the Nexus 9 not only because it fits me a bit better being a bit bigger but by going to 4:3 I think some of what I hate about the 7 will be eliminated. That being said it doesn't have enough storage so I probably won't get one.
I don't really find this to be an improvement over the chrome extension in any way, it just doesn't seem like it's finished.