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I am struggling to find a doctor. Don't trust my primary care for any referral anywhere. I'm ditching him to go find another primary care doctor. Thought I found a Doc to get looked at for mental items, they had weird hours and don't answer the phone. Insurance said they accept him and then I talk to them "nope we stopped accepting that!". Not to mention a 2 month waiting list. Only reason I went looking at that Doc was based off his reviews that hes treated patient x y z for years with ADD/ADHD and similar type things. Frustrated as hell right now, probably should of gone down this path years ago and now even trying to find a doc to get this taken care of is a pain in the rear end. Is there some keywords or specialties i should be looking for in a psychiatrist? Any websites that are reliable in finding someone? My insurance companies website is useless and calling them on the phone takes hours to get anything done. Maybe go to a psychologist first for diagnoses?
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Mar 13, 2015 21:29
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Langolas posted:I am struggling to find a doctor. Don't trust my primary care for any referral anywhere. I'm ditching him to go find another primary care doctor. Find a therapist you trust and have them refer you to a psychiatrist that they trust.
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Mar 13, 2015 21:52
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Hey there, long time reader, first time poster. Has anyone here had experience with their medication semi-suddenly no longer working? I've been diagnosed with ADHD for about 15 years, and on Vyvanse for... about 8, now, at least 6 of which it's been working really well. I've been noticing over the past couple months that I've been having a lot more trouble getting work done. I struggle to get started and have to constantly get myself back on task. I've been ramping up my coping mechanisms but I've really been struggling to control it. It's gotten to the point now where I can't really even remember if there was a time when it was actually different from this, so I feel like I might just be making excuses for myself or something. Anyways. I have a hazy memory of a past psychiatrist mentioning ADHD patients having to switch after years of being on the same medication. Has anyone here experienced that? I've emailed my current psychiatrist about it, and I know I should probably just wait to hear back from him... I guess I'm just freaking out a little bit staring down the prospect of trying to find medication that works again. I've got a lot of work to do and I've managed to comprehensively waste the last five hours sitting and staring at my laptop. Having ADHD sucks you guys.
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Mar 16, 2015 02:27
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That's a long time to be stable at least. Vyvanse probably works fine for you but you may need a higher dose. I found an afternoon Adderall IR made me feel straight all day when one vyvanse was too little and two vyvanse had lingering side effects after six months or so. I'm used to checkups every few months to monitor side effects and changes in effectiveness. Get a few monthly check ups going as you adjust medication till you feel better.
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Mar 16, 2015 07:01
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ru5tyb1ke5 posted:Has anyone here had experience with their medication semi-suddenly no longer working? Do you take your medication every day? Stimulant tolerance is extremely common (in fact, I think being able to go 6 years before experiencing it is essentially the equivalent of having a golden wedding anniversary. seriously.) and can be addressed in a variety of ways. Given the length of use, paradoxical decomposition might also be a possibility. One of the quickest and easiest ways to help in either case is to actually take consistent breaks from the medication, not to increase the dosage. There's also (apparently) something about taking chelated magnesium that can help with tolerance (along with DXM and a whole poo poo load of other vitamins/supplements/substances). You might also want to post over in the Adderall and Friends Megathread -- there's some really knowledgeable people over there who can explain both the complicated pharmacological stuff and the ADHD components really well.
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Mar 19, 2015 22:35
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That kind of raises the question though: What are you supposed to do in the long term? Stimulants won't work forever but I mean you still have to get work done.
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Mar 20, 2015 00:54
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The Rokstar posted:That kind of raises the question though: What are you supposed to do in the long term? Stimulants won't work forever but I mean you still have to get work done. Take a break on weekends?
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Mar 20, 2015 02:20
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The Rokstar posted:That kind of raises the question though: What are you supposed to do in the long term? Stimulants won't work forever but I mean you still have to get work done. Best practice for long term treatment is medication (there are some non-stimulant options like strattera or clonidine) concomitant with psychosocial intervention(s) (specifically CBT is the most widely used/studied approach). The fact is that most people who use a medication only treatment will continue to experience residual symptoms and impairment. If you take a set dosage of any psychotropic medication ad infinitum you're going to eventually have issues with tolerance and diminished returns. It happens even with things like anti-depressants. So taking a "drug holiday" on weekends or other times when it's not absolutely critical (but rather more just nice and preferred) can increase medications long-term efficacy.
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Mar 20, 2015 03:59
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However, you can only really take drug holidays with the stimulants, right? Something like Strattera needs to be taken continuously, I believe? BTW, still truckin' along on 10 mg of Strattera. It's a baby dose, sure, but it's working without horrid side effects!    Also starting Calculus 1 on April 6th. 
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Mar 20, 2015 04:26
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Qu Appelle posted:However, you can only really take drug holidays with the stimulants, right? Something like Strattera needs to be taken continuously, I believe? Right. Adderall and Vyvanse, et al. are all CNS stimulants that work by increasing both levels and duration of dopamine and norepinephrine in the neuronal synapses. Increased dopamine in synaptic receptors is what gives stimulants the potential for developing tolerance and why taking consistent breaks from the medication can help prevent that. Strattera, on the other hand, is the little SNRI that wasn't. But works for some people due to it's effects on dopamine and noradrenaline in the prefrontal cortex. Being an antidepressant-ish-hybrid-whatever, it's the paradoxical effects associated with long-term use that can result in developing tolerance. If that makes any sense. The mechanics of how stimulants work in the brain is pretty straight forward, but the clusterfuck that is antidepressants are way above my pay grade.
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Mar 20, 2015 06:18
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lol that tcc thread is insane i refuse to read that thing. they assume you know a bit to much about four letter acronyms related to medical stuff.
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Mar 20, 2015 07:59
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My doctor wants me to "play" with my dosage and see what works for me. Is that normal? He kind of just said "At a minimum take one in the morning and one at midday and if you need one of an afternoon but it should not be required, from there adjust your dosage to whatever you feel helps". Oh I should mention I am on dexamphetamine and they are 5MG tablets. Ive been on them for a while now, since before christmas I think from memory. At any rate I tried "playing" with the dosage a few times but to be honest was not entirely comfortable "playing" with dosages so kind of just stuck with my 10MG a day. Anyway I had a check up last week and he suggested an increase at the very least to 2x the morning 2x midday and again stressed I should try finding a dosage that is good for me. To be honest I feel pretty ok where I am now with the 20MG a day and it still seems to me at least to be a very low dosage (which is how I would like to keep it) but the strange thing is despite not feeling any other strange side affects I am finding myself "chewing" my bottom lip. Even when I recognise I am doing it I do not seem to be able to stop myself from doing it. Does anyone else get this? On the dosage topic, is there sort of a "general" amount people take that they find affective? For maths I guess I am male, 6 foot 2 and weigh 80 KG's (176.37 lbs) when I started the meds I was just on 100KG's. I know difficulties with appetite can occur as I had the same issues as a child when on the dexamphetamine so I have lately been trying to just force myself into eating as much as I can. I mean my doctor obviously trusts me enough not to swallow the whole bottle and I am not really finding a need to suddenly take eight times what I am taking, just kind of wondering what the average might be I guess for people on similar meds.
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Mar 20, 2015 08:23
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Yeah, that's normal and good that he's encouraging you to find the right dosage and 5mg is a very, very small dose. Everyone reacts differently to stimulant meds, remember that no matter how "large" you feel your dosage is it's still gonna be way below a recreational dose. For some people 60mg a day will be what works best, for others it could be 10mg -- it has more to do with your brain than your weight.
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Mar 20, 2015 17:24
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I've recently come to wonder if my difficulties aren't closer related to OCD than ADD. I remember that as a very young kid (more than 20 years ago) I had very typical symptoms of OCD , like touching stuff the same number of times etc .... Obviously I didn't know what this was, and I never told anyone about it. After a year or so, the symptoms went away by itself. But now I wonder if my anxiety and difficulty concentrating perhaps still are an expression of these problems, but in a different form. I have certain actions and thoughts that keep coming back. Like going to the kitchen 30 times a day, usually just when I need to work on something important. Or replaying the same conversations endlessly (whether fictional or not) in your head. I asked about it to a psychiatrist who's specialized in OCD, but apparently he thinks it's better to go to a colleague of him, a more 'mainstream' therapist  Maybe someone here had/has similar problems?
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Mar 20, 2015 20:38
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My doctor has decided to prescribe a beta blocker along with my , since it seems even Stratera raises my heartrate to a dangerous level. Anyone have any experience with this?
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Mar 20, 2015 20:47
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Baby Babbeh posted:My doctor has decided to prescribe a beta blocker along with my Yeah, i was given beta blockers at some point to see if it would help with anxiety in public situations. It didn't have much of a positive effect, I remember having very bad headaches from it. But if your heart rate is really at an alarming rate, it might be a good idea. Or maybe stratera just isn't gonna work for you?
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Mar 20, 2015 21:35
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mrfart posted:But now I wonder if my anxiety and difficulty concentrating perhaps still are an expression of these problems, but in a different form. Neither of those examples are indicative of the types of behaviors you see in OCD symptomatology. With OCD, repetitive actions are preformed in an attempt to get obsessions to go away. Going into the kitchen (even up to 30 times a day) just as you need to be working on something else sounds more like an adaptive avoidance strategy commonly seen in anxiety disorders.
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Mar 20, 2015 22:29
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Slaapaav posted:lol that tcc thread is insane i refuse to read that thing. they assume you know a bit to much about four letter acronyms related to medical stuff. Hahaha. It is a little insane, I'll give you that. But it's honestly one of my favorite threads. And, really, if you're needing to know how to get the most out of your stimulant medications there's nobody better to ask than a bunch of "recreational enthusiasts". 
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Mar 20, 2015 22:51
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Reading that thread just makes me angry because it's full of the people who make getting the medication I need such a pain in the rear end.
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Mar 21, 2015 02:28
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youminusme posted:Neither of those examples are indicative of the types of behaviors you see in OCD symptomatology. With OCD, repetitive actions are preformed in an attempt to get obsessions to go away. Going into the kitchen (even up to 30 times a day) just as you need to be working on something else sounds more like an adaptive avoidance strategy commonly seen in anxiety disorders. What do you think of compulsive finger picking, I'm told that's an OCD thing. I get pretty anxious about making sure to do things twice or balancing out sensations on one side of my body with the other side, but those symptoms come and go and I can't tell if they have any kind of pattern. Just to add, I've been doing that stuff long before I was ever diagnosed with ADHD and put on stims, around age 2 or 3 I started peeling the skin off my fingers until they bled.
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Mar 22, 2015 02:17
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Welp I went to a sleep center and got evaluated and the doctors told me I'm a classic case of Delayed Sleep Phase. Made some adjustments (don't skip breakfast, don't nap, do some exercise every single day, set the alarm on weekends for the same time that I need to wake up on weekdays) and more importantly began doing blue light therapy each morning. Started that on Friday. The weekend was utterly horrible, falling asleep at my usual 2-3am time and trying to force myself up at 7:30, was awful trying to force myself out of bed and I was passing out involuntarily during the day. Usually I've just about reached my limit of sleep deprivation by the weekend and use those days to catch up on sleep, so not being able to do that was brutal. Sunday night I went to bed at 1:00 and still felt pretty lovely during the day. Last night I feel asleep at 11:00pm and was able to sleep through the night  The real test will be keeping that earlier bedtime once I'm no longer sleep deprived, since in the past it's always been a cycle of "I'm sleep deprived so I fall asleep earlier -> I pass out at a reasonable hour for a day or two because I'm inhumanly exhausted -> I'm not tired anymore so I won't be able to fall asleep until 3am", but I'm optimistic. Usually when I fall asleep that early I'll wake up at 1 or 2 in the morning feeling refreshed because my body thinks it's essentially an afternoon nap. So yeah, if you have ADD and have problems falling asleep and waking up in the morning, it might be worth talking to a sleep specialist about DSPS.
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Apr 7, 2015 17:32
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I bought some Amber glasses two weeks ago because I just assume I have delayed, and cheap glasses are the easiest and cheapest thing I could try on my own. I get really exhausted after about an hour with them on, and while I've had some bad nights here and there I've been able to recover.
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Apr 8, 2015 04:16
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Have you been able to adjust to the whole breakfast thing? I find that this stuff affects way more than my sleep/energy/concentration levels, and a blatant other example is stuff like digestion. As difficult as it is for me to fall asleep prior to 3 or 4 AM and as light as that sleep is, it's made harder because every once in a while I'll wake up because I need to go to the bathroom. That's not an issue later in the morning. Then if I try to have breakfast at a typical breakfast time, I get indigestion (feeling bloated, nauseous, etc) and occasionally heartburn.... on top of not having any significant appetite before noon, that's what led me to skipping breakfast in the first place. I've really been feeling a lot better sleeping in the 5AM to 1 PM schedule I'm supposed to maintain for another month (though I'd prefer 6AM to 2PM,  DST). The regularity that I can actually stick to (give or take one hour, rarely two at most - nothing like the wild swings between early schedules and all-nighters and oversleeping everything) combined with the lack of guilt for being up at night has really helped. Much fewer ADHD symptoms, and I'm even comfortably eating 3 times a day, which has pretty much never happened before. It's kind of a mixed bag of "whoa, this is awesome, is this what living is like for other people?" and a really melancholy "...and I'm supposed to give this up?!  "I mean, I guess the idea will be to try to gradually shift this down. I hope it's possible to somehow do that while keeping the benefits, but I'm getting pessimistic about whether that option would just be gradually sliding back into a shittier existence. Blue lights don't seem to work on me (there was something about having a paradoxical light response), blue-blocking glasses... Well, if I put them on at 8PM I guess it's easier to get to sleep by 4AM? But I don't know how much of that is getting bored with staring at a brown-orange world, hahah. Seriously though, they do help me feel more relaxed and I think help me with falling asleep faster a bit... But sometimes I don't want that relaxation, when I've got work to do. The only dramatic effect I've ever seen was one time where I accidentally fell asleep with them on, and woke up unable to get out of bed without wanting to puke. No clue what that was. Of course a huge part of me just wants to say gently caress it to adjusting to a normal schedule at all. But that comes with a huge amount of pressure to excel - as someone with a lifetime of poor time management and various issues - so much that I could either freelance, or have my own business, or get hired by someone who will accept me starting work in the afternoon. That or say gently caress it to all the ambitions I've ever had and get some security/call center/janitorial/whatever work for the rest of my life. Or I can go back to being a daytime zombie and try not to get fired or too sick. Decisions, decisions 
Culinary Bears fucked around with this message at 10:06 on Apr 8, 2015 |
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Apr 8, 2015 09:57
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Ugh help, I started taking Adderall this summer and now it's turned on me. I used to be able to take anywhere between 10 and 20mg at the beginning of an 8 hour shift and 10mg at the midpoint, as late as 7 PM, and be pleasantly focused without actually feeling any effects on my body and being able to go to sleep whenever I wanted. In January I ran out of my 10mg pills for a couple weeks and when I went back to my doctor I switched to the 20mg pills because I wasn't really noticing a difference anymore between 10mg and nothing, and it was annoying to split pills if I wanted to take 15mg. But 2 of the little blue pills and 1 of my new orange ones is apparently way loving different. I can take 20mg now as early as 1 or 2 PM and feel great for 3-4 hours, then be a really pissed off Sonic the Hedgehog who just wants to stop going fast until I'm exhausted from the constant tremors and inevitable headache and then I go to bed and don't really "sleep" so much as I lie very still for 5 or 6 hours until my body tells me it's time to get up and keep going fast even though under normal circumstances I'll fall asleep when my head hits the pillow and go for 12-13 hours uninterrupted. Or another situation, I could take half a pill at 8 AM so I go to class instead of giving into the urge to take a really long nap, and at 6 PM in the middle of work I'm still wracked with heart palpitations and vague unease. Is this a thing? Are different generics of one thing really that different, or is it something different like I lost my tolerance when I ran out of medicine for a couple weeks and now I just can't handle it? Or it's dehydration, since when I'm on the new pills I can't really tell when I'm hungry or thirsty? Although I would have probably been more dehydrated in August than I am now, especially since I try to drink a ton of water now to offset the awfulness, which mostly seems to just make me have to pee every 2 hours. The side effects seem to get worse every time I take it and now almost make it not worth it to take it at all, which sucks because I'm in the final stretch of the spring semester and Adderall has been the driving force of my willpower to actually wake up and complete schoolwork + other stuff instead of lying face down on the floor for 12 hours every day. This post sounds loving psychotic because I just spent 4 hours not really sleeping and feel like garbage. gently caress
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Apr 8, 2015 11:46
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Take care of the dehydration first. I had a bad time when I changed meds once because I was very dehydrated and it makes everything horrible.
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Apr 8, 2015 14:19
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Culinary Bears posted:Have you been able to adjust to the whole breakfast thing? Yeah, breakfast is great. Usually I'll have a bowl of instant oatmeal made with milk, with some cottage cheese, wheat germ, sliced almonds, dried cranberries, and a little honey. I just used to skip it a lot because I'd wake up late and have to rush to work or whatever. That part is no problem at all -- it actually fits in well with the blue light therapy, since I'm supposed to use the light for ~20 minutes and that's roughly how long it takes to eat breakfast. I'm totally with you on the lack of guilt making a huge difference. Changing my thinking from "I have no self-control or discipline and I only have myself to blame for how awful I'm going to feel tomorrow" to "I have a sleep disorder and it's not my fault" took a lot of stress away from my feelings about going to bed -- which in turn made it easier to stick to an earlier schedule. Mechafunkzilla fucked around with this message at 14:36 on Apr 8, 2015 |
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Apr 8, 2015 14:28
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1. You can move West. 2. You can take a more entrepreneurial approach to your career and do something that doesn't need bankers hours.
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Apr 8, 2015 17:59
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flavor effigy posted:Adderall: Are different generics of one thing really that different? Actually, that might be it. Are your 10mgs and 20mgs from different companies? Do you know which ones? I've heard of a lot of bad experiences with stuff coming from Barr Labs. Mechafunkzilla posted:Breakfast & guilt/stress Cool hope that works out! I've read that eating breakfast as early as possible should help pull the sleep phase back, and I've found it does apply to me to a certain extent (i.e. making it easier to get out of bed with a routine + at least grounding me around waking up at noon... if I really gave no fucks the absolute limit to where I can sleep in comfortably is up to around 4-5 PM, which may be why I've been feeling like I'm hitting my limits at around the noon point.) Low-carb diets may also have some effect, and actually I've been trying out a not-too-uptight version of keto for the past few months. Not a huge difference in sleep for me relative to sleeping earlier... I want to say that I am sleeping better in terms of feeling more rested with less sleep (like naturally waking up after 7.5 hours or so as opposed to groggily snooze-crawling out with 8.5-9)... but I might be conflating that somewhat with the effect of (temporarily?) being able to sleep closer to the range in which I'm most comfortable with. I've stuck with the keto stuff mostly because I get way less brain fog. Plus as someone who doesn't eat a whole ton, removing starchy sides has helped me get a whole lot more vegetables, seeds, and nuts into my diet. However, if none of these things are major issues for you I would't really recommend this. It's a lot less convenient and requires a lot more preparing stuff in advance, plus a decent amount of cooking skill if you want to go all the way to keto (very low carb + very high fat) without eating gross abominations. I think I'd definitely be eating earlier more often if stuff like instant oatmeal and cereal were still good options. I've found the reduced stress, at least in the present context where I'm supposed to be sticking to a later schedule, made me feel a lot less guilty about doing work later in the night. Which rocks since I'm a whole lot more productive then. But also like you mentioned, it's great to not have a whole lot of the crap others have put on my back over time, w.r.t. being called undisciplined, lazy, incapable of following basic sleep hygiene, an internet addict, various Freudian bullshit, on and on. TheBigBad posted:1. You can move West. 1. I'll keep that in mind for an internship or something, but I'd be surprised if it'd work long term. I spent the first 6 years of my life 7/8 hours East of here in Russia and according to family was just as much of a terrible night owl ... There might just be something off/backwards/mutated about my response to sunlight and/or melatonin. Broadly speaking, I fall asleep most comfortably around or just before dawn, wake up nicely noon/afternoon-ish, and feel gross if I wake up at either standard early hours, or after the sun is going down.2. That would probably be best. I'm doing a degree in Software Engineering since I figure it'll be my best hope for that. Not my favourite thing but there's not a whole lot to choose from as far as I know.
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Apr 8, 2015 21:32
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Yeah, just in my experience I have definitely noticed differences in potency in the same dosage of Adderall from different manufacturers. It's typically not huge, but there have been outliers (that unfortunately I don't have the names of off hand).
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Apr 8, 2015 22:05
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The Rokstar posted:Yeah, just in my experience I have definitely noticed differences in potency in the same dosage of Adderall from different manufacturers. It's typically not huge, but there have been outliers (that unfortunately I don't have the names of off hand). I believe the standard for bioequivalence in a generic is 80-125%, so different generics can definitely have a different potency.
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Apr 8, 2015 22:33
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i got seriously loving mad at the pharmacy one time when they told me generic and brand ritalin is the exact same. because people on the internet im supposed to trust tell me thats not the case and that means someone is loving lying and talking out of their rear end and that made me really loving mad that one time
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Apr 9, 2015 19:19
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Slaapaav posted:i got seriously loving mad at the pharmacy one time when they told me generic and brand ritalin is the exact same. because people on the internet im supposed to trust tell me thats not the case and that means someone is loving lying and talking out of their rear end and that made me really loving mad that one time it's a common misconception, nobody has to be lying about it
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Apr 9, 2015 21:35
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My sleep has always been strange as I am on call for both networking and infrastructure within my organisation. It was made worse as staff left as well which means its hard for me to lock down a sleep schedule. The dex has however made it even worse, I consistently now am unable to sleep until about 4AM upon which point I am waking up again at 9 and heading off to work. I am on a tiny dosage all things considered and its still a huge issue.
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Apr 10, 2015 02:40
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insidius posted:My sleep has always been strange as I am on call for both networking and infrastructure within my organisation. It was made worse as staff left as well which means its hard for me to lock down a sleep schedule. Mix weed with your speed and watch your sleep/anxiety problems melt away.
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Apr 10, 2015 23:57
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I did the single best thing in years to help me with my concentration issues. I started working in a studio, instead of working at home. I still work on my own stuff, but less on a computer, more on paper ( comic books). The difference is huge. I'm surrounded by other artists and suddenly I manage to keep drawing without stopping to do other stuff, from 7 in the morning to 5 in the evening, only stopping for a quick lunch. I'm even amazed I'm capable to listen to music in my headphones ( there's a strict no speaker music rule, which is a necessity). Normally I go nuts with background noise. Hope I can keep it up, it's beautiful.
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Apr 11, 2015 14:33
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Boy howdy having a travelling gig sure does make scheduling appointments with psychs hard. 
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Apr 11, 2015 14:44
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I feel a bit lovely for being one of those people who needs to ask "could this be me", but ever since seeing a post about ADHD in an E/N thread I've been reading up on it and noticing a lot of parallels with stuff I go through. I'm wondering how well my symptoms fit with other people's experiences... and thus if I should go in for an evaluation. - Quickly lose interest in things and people that aren't new to me - Great procrastinator on homework, papers, etc - Problems sleeping (gently caress noises) - Problems getting up - Easily get behind on all my chores, because... chores - needing to be fiddling something when idle Then there are all stories like how I was really lucky graduating high school because I kept putting off work and didn't care much, yet loved staying up way too late reading library books. And then how I had to stop university the first time because I was failing from not doing anything, and how I feel like I'm getting into a similar situation now. And other stuff about disorganization, feeling no real impulse to do anything during a day, getting energy from being around other people, etc etc. I'm not even sure how to describe it all. I read statements in the beginning of this thread about people completing others' sentences, or staying inside 4-5 hours during a nice day because they can't figure out what do to, thriving on high pressue situations, and realized that I do too. A worse part of this is because my family have mostly been diagnosed with depression (and one person with anxiety), myself included, that's how I've been pushed to pursue therapy until now. And I did. I did therapy and take antidepressants, but nothing could help the fact that I could not get my deadlines in order and just didn't seem to care about a whole lot of stuff. I'm still in the same boat. I also have some anxious habits that I feel hold me back from doing outlandish stuff, so I can't really understand easily if I'm prone to outbursts or inappropriate behavior (except when looking back at a few incidents and an awkward childhood). I dunno, am I onto something here or deluding myself?
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Apr 12, 2015 07:19
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I don't have problems getting up the morning but the rest are definitely an indication.
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Apr 12, 2015 07:28
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Anaxite posted:I feel a bit lovely for being one of those people who needs to ask "could this be me", but ever since seeing a post about ADHD in an E/N thread I've been reading up on it and noticing a lot of parallels with stuff I go through. I'm wondering how well my symptoms fit with other people's experiences... and thus if I should go in for an evaluation. Textbook. Go get checked out. Worst case- you're one step closer to solving it.
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Apr 12, 2015 07:36
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Well, poo poo. There are worse times to figure this out, but I'm probably only getting an official diagnosis starting in August or September. I'm in a study abroad program until then, and treatment/diagnosis here is gonna be limited if it even exists.
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Apr 12, 2015 07:46
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