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Rep Retirement Lodge #185: Summer Activities

Rep Retirement Lodge #185: Summer Activities


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Re: Rep Retirement Lodge #185: Summer Activities

Awkward day today. Have had 2 days off, so have been in day mode. Now, I am working tonight before having 2 more days off. Unfortunately, it's also a workout day ("running" Couch to 5K -- it's more like jogging/fast walking), so I slept, then chilled, now I'm supposed to go back to bed to sleep for some of the time between 12-330 before I get up to go to a 5pm meeting and then work 7p-7a. All sorts of weird. Fortunately, I don't have anything else to do today -- I made a 3 layer chocolate cake with salted caramel butter cream between the layers and frosted with chocolate swiss buttercream yesterday for the dinner party we're going to tomorrow.

And I am arriving when?
 
Re: Rep Retirement Lodge #185: Summer Activities

Good Morning Lodge!

After a weeks hiatus the dam groundhog is back. lil is back in hunting mode. Stationed in the upstairs bathroom window, gun cocked. Kill the ba5tards!

Isn't he over 4 months late?
 
Re: Rep Retirement Lodge #185: Summer Activities

And I am arriving when?

We're taking the cake to Windham, NH. One of tcbg's friends from hockey bought a house there and we're having a house warming gathering. Of the 6 people in attendance, 5 are hockey fans -- UNHx3, BU, Cornell. The 6th person grew up in India and thinks we're a bunch of weirdos when we talk about hockey (but is actually super nice and very happy to converse about other topics). I will post pix of cake. It was a 4 hour baking extravaganza in our kitchen yesterday. My new KitchenAid (Christmas gift) is so awesome. I put the 7Q one (new) next to my 5Q workhorse (bought in 2006) and went to town.
 
Re: Rep Retirement Lodge #185: Summer Activities

Howdy Lodge. Went to the doctor this morning. I've been feeling....not right. Not sick, but not right. In fact, I've been having some sporadic chest pains and tightness. Nothing major or debilitating but a little off putting knowing what my dad went through last summer and also knowing my brother was diagnosed a year and a half ago as a diabetic. I've also been feeling a little light headed. Random achiness. I'm just a mess. But not seriously. Just enough to kind of freak me out a bit. I did tell the doctor I know a big part of this is the past year I've been on the road a lot and my diet hasn't been the greatest. I've gained weight so I know that is a factor. I was concerned that I may now be close to dealing with cardiac issues I wasn't prepared to face. Instead of wasting six hours in an ER and spending money unnecessarily, I called my primary care. Naturally, couldn't get in to see her. I did see her PA, who is awesome. Like, why is she not a doctor, I would change to her immediately!!

I fasted so they could draw blood and she took an EKG. They also suggested a chest Xray. There's a good chance it could just be acid reflux so she told me to take Prilosec for about three weeks and then come back for a follow up. My EKG looked great, no change at all over the one I had two years ago. She looked at my labs from my physical last August and my A1C and cholesterol levels were great. My blood pressure was normal today, my lungs are clear and my heart sounded great. Hopefully my blood work comes back next week just as good.

I really need to start exercising. And eating a little better. I don't eat bad, but I could eat better. It's difficult when you're on the road so much. Hopefully I'll notice a difference with the Prilosec, and not be like my dad who feels better after going to the doctor and getting Prilosec but not taking it daily like you're supposed to.
 
Good Morning Lodge!

After a weeks hiatus the dam groundhog is back. lil is back in hunting mode. Stationed in the upstairs bathroom window, gun cocked. Kill the ba5tards!

What does a ground hog eat? Wrap it's favorite food around a piece of sponge. When the sponge is swallowed it will lodge in its throat and die.

You are welcome. ;)
 
Re: Rep Retirement Lodge #185: Summer Activities

We're taking the cake to Windham, NH. One of tcbg's friends from hockey bought a house there and we're having a house warming gathering. Of the 6 people in attendance, 5 are hockey fans -- UNHx3, BU, Cornell. The 6th person grew up in India and thinks we're a bunch of weirdos when we talk about hockey (but is actually super nice and very happy to converse about other topics). I will post pix of cake. It was a 4 hour baking extravaganza in our kitchen yesterday. My new KitchenAid (Christmas gift) is so awesome. I put the 7Q one (new) next to my 5Q workhorse (bought in 2006) and went to town.
Right up the street from me. Drop by after with a piece! I will give you herbs in return

Howdy Lodge. Went to the doctor this morning. I've been feeling....not right. Not sick, but not right. In fact, I've been having some sporadic chest pains and tightness. Nothing major or debilitating but a little off putting knowing what my dad went through last summer and also knowing my brother was diagnosed a year and a half ago as a diabetic. I've also been feeling a little light headed. Random achiness. I'm just a mess. But not seriously. Just enough to kind of freak me out a bit. I did tell the doctor I know a big part of this is the past year I've been on the road a lot and my diet hasn't been the greatest. I've gained weight so I know that is a factor. I was concerned that I may now be close to dealing with cardiac issues I wasn't prepared to face. Instead of wasting six hours in an ER and spending money unnecessarily, I called my primary care. Naturally, couldn't get in to see her. I did see her PA, who is awesome. Like, why is she not a doctor, I would change to her immediately!!

I fasted so they could draw blood and she took an EKG. They also suggested a chest Xray. There's a good chance it could just be acid reflux so she told me to take Prilosec for about three weeks and then come back for a follow up. My EKG looked great, no change at all over the one I had two years ago. She looked at my labs from my physical last August and my A1C and cholesterol levels were great. My blood pressure was normal today, my lungs are clear and my heart sounded great. Hopefully my blood work comes back next week just as good.

I really need to start exercising. And eating a little better. I don't eat bad, but I could eat better. It's difficult when you're on the road so much. Hopefully I'll notice a difference with the Prilosec, and not be like my dad who feels better after going to the doctor and getting Prilosec but not taking it daily like you're supposed to.
I had patients who had never seen the Dr in the 28 yrs of seeing me. Just switch. If the PA finds anything they need help with, they will consult.
 
Re: Rep Retirement Lodge #185: Summer Activities

Howdy Lodge. Went to the doctor this morning. I've been feeling....not right. Not sick, but not right. In fact, I've been having some sporadic chest pains and tightness. Nothing major or debilitating but a little off putting knowing what my dad went through last summer and also knowing my brother was diagnosed a year and a half ago as a diabetic. I've also been feeling a little light headed. Random achiness. I'm just a mess. But not seriously. Just enough to kind of freak me out a bit. I did tell the doctor I know a big part of this is the past year I've been on the road a lot and my diet hasn't been the greatest. I've gained weight so I know that is a factor. I was concerned that I may now be close to dealing with cardiac issues I wasn't prepared to face. Instead of wasting six hours in an ER and spending money unnecessarily, I called my primary care. Naturally, couldn't get in to see her. I did see her PA, who is awesome. Like, why is she not a doctor, I would change to her immediately!!

I fasted so they could draw blood and she took an EKG. They also suggested a chest Xray. There's a good chance it could just be acid reflux so she told me to take Prilosec for about three weeks and then come back for a follow up. My EKG looked great, no change at all over the one I had two years ago. She looked at my labs from my physical last August and my A1C and cholesterol levels were great. My blood pressure was normal today, my lungs are clear and my heart sounded great. Hopefully my blood work comes back next week just as good.

I really need to start exercising. And eating a little better. I don't eat bad, but I could eat better. It's difficult when you're on the road so much. Hopefully I'll notice a difference with the Prilosec, and not be like my dad who feels better after going to the doctor and getting Prilosec but not taking it daily like you're supposed to.

My dad was having chest pains over the winter (started last fall). He went to the doctor many times, they said his heart was completely fine, and found no issues. He also had problems with rashes and swelling on his lower legs, ankles and feet. He's had that for a few years, and they hadn't been able to figure it out. Also, he had started noticing that even doing very small amounts of physical activity would cause him to be out of breath, which hadn't been an issue previously. Still, they couldn't find anything wrong. Finally, after getting bounced around to several different specialists, one of them, a Dermatologist, figured out that he has Lupus. It was like a real life episode of House. Now that he's on drugs to control it, he's feeling better and the symptoms are fading.
 
Re: Rep Retirement Lodge #185: Summer Activities

My dad was having chest pains over the winter (started last fall). He went to the doctor many times, they said his heart was completely fine, and found no issues. He also had problems with rashes and swelling on his lower legs, ankles and feet. He's had that for a few years, and they hadn't been able to figure it out. Also, he had started noticing that even doing very small amounts of physical activity would cause him to be out of breath, which hadn't been an issue previously. Still, they couldn't find anything wrong. Finally, after getting bounced around to several different specialists, one of them, a Dermatologist, figured out that he has Lupus. It was like a real life episode of House. Now that he's on drugs to control it, he's feeling better and the symptoms are fading.

OK, now you're scaring me a bit. I had actually thought about lupus. I'm going to see how the next three weeks go and then bring that up when I see her in three weeks as I have being noticing some rashes and I feel like my feet are heavy.
 
Re: Rep Retirement Lodge #185: Summer Activities

My dad was having chest pains over the winter (started last fall). He went to the doctor many times, they said his heart was completely fine, and found no issues. He also had problems with rashes and swelling on his lower legs, ankles and feet. He's had that for a few years, and they hadn't been able to figure it out. Also, he had started noticing that even doing very small amounts of physical activity would cause him to be out of breath, which hadn't been an issue previously. Still, they couldn't find anything wrong. Finally, after getting bounced around to several different specialists, one of them, a Dermatologist, figured out that he has Lupus. It was like a real life episode of House. Now that he's on drugs to control it, he's feeling better and the symptoms are fading.
Do I get a gold star for guessing the dx before I read it?

OK, now you're scaring me a bit. I had actually thought about lupus. I'm going to see how the next three weeks go and then bring that up when I see her in three weeks as I have being noticing some rashes and I feel like my feet are heavy.
You are also traveling a lot between time zones aren't you? That can screw up your circadian rhythm. That can mean irritability, fatigue, swelling ankles and feet, achiness, malaise, digestive issues etc. http://www.sleepeducation.org/essentials-in-sleep/jet-lag/symptoms-self-test
 
Do I get a gold star for guessing the dx before I read it

Since we are dx'ing things........I get a couple bad headaches/migraines a year. On 3/30 I got a nasty one ( and by nasty meaning out of commission for a few hours nasty). After that I had a dull constant headache and I was "foggy" and just out of sorts. I was getting a nasty headache every few days and now my ears had a constant ringing. Had an MRI, bloodwork and other stuff and nothing came of it. Doc gave me some medication to take daily and medication if I felt a nasty headache coming. Drugs didn't work so new drugs were prescribed. The new daily drug made me loopy/drowsy so I quit. Saw a neurologist. I had another nasty headache a few weeks ago and once that subsided my constant dull headache went away. I am still getting a nasty headache about once a week. The new medicine to take once I get a nasty headache works well. No answers yet............
 
Re: Rep Retirement Lodge #185: Summer Activities

mookie swallowed some viagara for sport ***** and all he got was violent headaches. pounding nasty stuff that he begged to god would die. yuck!
 
Re: Rep Retirement Lodge #185: Summer Activities

Since we are dx'ing things........I get a couple bad headaches/migraines a year. On 3/30 I got a nasty one ( and by nasty meaning out of commission for a few hours nasty). After that I had a dull constant headache and I was "foggy" and just out of sorts. I was getting a nasty headache every few days and now my ears had a constant ringing. Had an MRI, bloodwork and other stuff and nothing came of it. Doc gave me some medication to take daily and medication if I felt a nasty headache coming. Drugs didn't work so new drugs were prescribed. The new daily drug made me loopy/drowsy so I quit. Saw a neurologist. I had another nasty headache a few weeks ago and once that subsided my constant dull headache went away. I am still getting a nasty headache about once a week. The new medicine to take once I get a nasty headache works well. No answers yet............

I haven't found anything that really knocks out my migraines. I got them very badly for a few years. I wound up at a neurologist, and discovered that my BP was through the roof. Like, one time the Dr. wasn't overly enthusiastic about letting me out of the office. My BP is down a bit, and the migraines have been fewer and farther between. The MRI on my brain came back clean, so I had no issues there, as far as I know.

Usually the only thing that helps a migraine for me is sleep. If it gets bad enough I'll get sick first. Once that happens, the headache really gets intense until all of a sudden, boom, I'm asleep and in the middle of a dream. Once I wake up, I'm good to go. It's like my body is hitting the reset button.
 
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Re: Rep Retirement Lodge #185: Summer Activities

Jesus. You sound like old people.

At least I only have insomnia at times (probably apnea, but meh).

Got more good news today. Pedro is back at his company in about a month, and even MAY be able to work our contract job again, which would be amazing! It depends on what physical stuff he is allowed to/can do. I'm just happy a full recovery is the verdict.
 
Howdy Lodge. Went to the doctor this morning. I've been feeling....not right. Not sick, but not right. In fact, I've been having some sporadic chest pains and tightness. Nothing major or debilitating but a little off putting knowing what my dad went through last summer and also knowing my brother was diagnosed a year and a half ago as a diabetic. I've also been feeling a little light headed. Random achiness. I'm just a mess. But not seriously. Just enough to kind of freak me out a bit. I did tell the doctor I know a big part of this is the past year I've been on the road a lot and my diet hasn't been the greatest. I've gained weight so I know that is a factor. I was concerned that I may now be close to dealing with cardiac issues I wasn't prepared to face. Instead of wasting six hours in an ER and spending money unnecessarily, I called my primary care. Naturally, couldn't get in to see her. I did see her PA, who is awesome. Like, why is she not a doctor, I would change to her immediately!!

I fasted so they could draw blood and she took an EKG. They also suggested a chest Xray. There's a good chance it could just be acid reflux so she told me to take Prilosec for about three weeks and then come back for a follow up. My EKG looked great, no change at all over the one I had two years ago. She looked at my labs from my physical last August and my A1C and cholesterol levels were great. My blood pressure was normal today, my lungs are clear and my heart sounded great. Hopefully my blood work comes back next week just as good.

I really need to start exercising. And eating a little better. I don't eat bad, but I could eat better. It's difficult when you're on the road so much. Hopefully I'll notice a difference with the Prilosec, and not be like my dad who feels better after going to the doctor and getting Prilosec but not taking it daily like you're supposed to.

Anxiety? Worn out?

I'm just saying that stress can manifest itself in so many ways. I think I've experienced almost all of them
 
Re: Rep Retirement Lodge #185: Summer Activities

Since we are dx'ing things........I get a couple bad headaches/migraines a year. On 3/30 I got a nasty one ( and by nasty meaning out of commission for a few hours nasty). After that I had a dull constant headache and I was "foggy" and just out of sorts. I was getting a nasty headache every few days and now my ears had a constant ringing. Had an MRI, bloodwork and other stuff and nothing came of it. Doc gave me some medication to take daily and medication if I felt a nasty headache coming. Drugs didn't work so new drugs were prescribed. The new daily drug made me loopy/drowsy so I quit. Saw a neurologist. I had another nasty headache a few weeks ago and once that subsided my constant dull headache went away. I am still getting a nasty headache about once a week. The new medicine to take once I get a nasty headache works well. No answers yet............
Migraines are fascinating and suck. Went to a whole day conference on them, had one at the time. Talk about teh suck squared.
Factoids I learned (cliff notes version)
-mechanism of migraine- trigeminal nerve has 3 branches- one in the forehead, one in cheek/sinus area and one in lower jaw. This nerve is overly sensitive when triggered causes blood vessels to dilate and become porous. This allows fluid into surrounding tissues. Excess fluid compresses nerve~viola~ painful HA>
-think of nerve as a horse in a starting gate being kicked by jockey. Anything stimulating can cause it to trigger the above. This can include- certain meds, foods, light, noise, anything that stimulates the senses including fragrances, to name a few
-prevention meds are meant to decrease the reactivity of the nerve. They can take up to 12 weeks before becoming effective.
-rescue meds work by stopping the reaction as it happens, preventing the cascade of swelling, pain, triggering more swelling. Ibuprofen/caffeine works by suppressing the inflammation. The Triptans work on blood vessels.
-Rescue meds work best (80% of time) if taken at onset. If you wait too long or don't take a high enough dose <50% resolution. If you get to point of hypersensitivity to touch on face scalp you will almost always have failure of complete resolution with rescue med.
-meds taken too late will suppress but not extinguish HA. THe headache cause is not fixed, only masked. When the med wears off you get rebound.
-Tylenol doesn't work because it does not take care of inflammation.
-most common cause of rebound HA- decongestants. People say they have sinus HA (we are the only country who calls it this. The rest of world knows this is migraine) take decongestant which can relieve sx because it constricts vessels buuuuuut it is a stimulant so you most always will get a rebound HA
-the most common sx of migraine is not HA but feeling muddle headed/confused/fuzzy headed/stupid.
- even after taking rescue meds most people will have post HA stupid/fatigued feeling.

SHorter cliff note version- avoid stimulants including caffeine,decongestants which may cause increased reactivity, vasodialators/meds that lower threshold for reactivity- alcohol, and other chemical triggers that stim the trigeminal nerve.
Get lots of rest because this makes the nerve less reactive.
They no longer feel you can always identify triggers.
Taking any analgesic, even OTC stuff like Tylenol, more than a few times a week or more than one time a day for a few days in a row can cause rebound HA.
IF you are doing this a washout period of NO analgesics for about 2 weeks will almost always decrease HA freq and many times will stop the rebound HA.

(You can see some awful rebound in people taking NSAIDS regularly after surgery and then stop because they have been instructed to take for X days regularly and then only as needed)

Aaaand- that is all she wrote. (It was a really fascinating course. My migraine did not like the stimulus of having to think or dealing with the fluorescent lights)

Nighty night nocturnal ones!
 
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Re: Rep Retirement Lodge #185: Summer Activities

Jesus. You sound like old people.

At least I only have insomnia at times (probably apnea, but meh).

Got more good news today. Pedro is back at his company in about a month, and even MAY be able to work our contract job again, which would be amazing! It depends on what physical stuff he is allowed to/can do. I'm just happy a full recovery is the verdict.

You're a skinny guy, apnea would be surprising. It's not unheard of, but it's not common. Have you been told that you snore a lot when you sleep? If not, it would be, well, shocking to hear that you have OSA.
 
Migraines are fascinating and suck. Went to a whole day conference on them, had one at the time. Talk about teh suck squared.
Factoids I learned (cliff notes version)
-mechanism of migraine- trigeminal nerve has 3 branches- one in the forehead, one in cheek/sinus area and one in lower jaw. This nerve is overly sensitive when triggered causes blood vessels to dilate and become porous. This allows fluid into surrounding tissues. Excess fluid compresses nerve~viola~ painful HA>
-think of nerve as a horse in a starting gate being kicked by jockey. Anything stimulating can cause it to trigger the above. This can include- certain meds, foods, light, noise, anything that stimulates the senses including fragrances, to name a few
-prevention meds are meant to decrease the reactivity of the nerve. They can take up to 12 weeks before becoming effective.
-rescue meds work by stopping the reaction as it happens, preventing the cascade of swelling, pain, triggering more swelling. Ibuprofen/caffeine works by suppressing the inflammation. The Triptans work on blood vessels.
-Rescue meds work best (80% of time) if taken at onset. If you wait too long or don't take a high enough dose <50% resolution. If you get to point of hypersensitivity to touch on face scalp you will almost always have failure of complete resolution with rescue med.
-meds taken too late will suppress but not extinguish HA. THe headache cause is not fixed, only masked. When the med wears off you get rebound.
-Tylenol doesn't work because it does not take care of inflammation.
-most common cause of rebound HA- decongestants. People say they have sinus HA (we are the only country who calls it this. The rest of world knows this is migraine) take decongestant which can relieve sx because it constricts vessels buuuuuut it is a stimulant so you most always will get a rebound HA
-the most common sx of migraine is not HA but feeling muddle headed/confused/fuzzy headed/stupid.
- even after taking rescue meds most people will have post HA stupid/fatigued feeling.

SHorter cliff note version- avoid stimulants including caffeine,decongestants which may cause increased reactivity, vasodialators/meds that lower threshold for reactivity- alcohol, and other chemical triggers that stim the trigeminal nerve.
Get lots of rest because this makes the nerve less reactive.
They no longer feel you can always identify triggers.
Taking any analgesic, even OTC stuff like Tylenol, more than a few times a week or more than one time a day for a few days in a row can cause rebound HA.
IF you are doing this a washout period of NO analgesics for about 2 weeks will almost always decrease HA freq and many times will stop the rebound HA.

(You can see some awful rebound in people taking NSAIDS regularly after surgery and then stop because they have been instructed to take for X days regularly and then only as needed)

Aaaand- that is all she wrote. (It was a really fascinating course. My migraine did not like the stimulus of having to think or dealing with the fluorescent lights)

Nighty night nocturnal ones!

Thanks.

You have pretty much summed up what my doc has been telling me.

Like Hammer.......migraines get so intense I feel like I'm going to get sick (haven't yet....knocks on wood) feels like a screwdriver being driven right between the eyes. The sound of my own breathing (let alone anything else) is extremely loud and multiplies the pain. Any sort of light adds to the intensity. They almost always knock me out. 20 minutes of sleep and I am good to go but I am groggy/foggy for quite some time afterwards. Getting one every three to four days since end of March is starting to wear me out.

Edit. Mookie........viagara........ditto.

Edit x2. Maybe a prescription to weed is the ticket. :)
 
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