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The Medical Thread: We're experts on everything else; why not?

I found eating high protein food helped quell the constant hunger, but the reflexive need for constant snacking is just a habit you need to break. One thing that did help was to find a snack, measure out one serving (sometimes that's hilarious - here, have 11 potato chips), and make that one serving last a half hour.

I lost a good 40 pounds that way (low carb, intermittent keto), then an additional 10 pounds when my mother passed away. Unfortunately COVID has seen fit to light a lot of that on fire, but once I move in a few weeks I'm determined to get back on track.
 
Re: The Medical Thread: We're experts on everything else; why not?

We used to do them in the office (Family Practice) when we had a Doc who came out of the Army into our practice. Took care of plenty of people after. Since I don't own a set I can only say from observation- It seems to be more of a psychological issue than a physical one. Most people have little difficulty as long as they ice afterward. It is not like they do a whole lot of rootling around or huge cutting.

Biggest take home- get the test done afterward to make sure it worked. Had 2 guys who managed to impregnate their partner after not getting tested for success. And ask the failure rate in your locale so you are motivated to get checked. :)

Good advice - especially about getting the test done about 3-4 weeks after. BTW the best definition I can think of of being macho is the guy who jogs home from that procedure!
 
Good advice - especially about getting the test done about 3-4 weeks after. BTW the best definition I can think of of being macho is the guy who jogs home from that procedure!

Pretty sure I've shared this story before, but one of my MBA classmates (with 3 kids) rode his motorcycle to his. Not sure that was a good plan! We'll never know, though, because he got into a wreck on his way there and broke his leg in a couple places. He ended up laid up at home for 8 weeks with nothing to do...and then had a 4th kid 9 months later. Oopsie.
 
Pretty sure I've shared this story before, but one of my MBA classmates (with 3 kids) rode his motorcycle to his. Not sure that was a good plan! We'll never know, though, because he got into a wreck on his way there and broke his leg in a couple places. He ended up laid up at home for 8 weeks with nothing to do...and then had a 4th kid 9 months later. Oopsie.

What I mentioned in the post was really in jest. When I went through this I had zero pain for hours after. It is a few hours later when the anesthesia wears off that you need a bullet to bite on for a little while. I was an old time hockey player in my youth and broke pretty much everything you can. have paid dearly for all of the athletics in the past in the recent years with a few knee operations, a shoulder repair and some disk surgery in my neck and back. I have a fairly high pain tolerance and being a physician for over 50 years usually know what to expect. But when they mess with your cookies, I do not care who you are or how tough you think you are, you gain a tremendous respect for medication!!
 
I had X-rays on my foot last month, and there is no real progress. Surgeon said I might have to live with it, or if I really wanted to, I could have a corrective surgery where he tries again. However, I don't want to miss time off work and have to step away from grad school for a quarter because of my foot. In the meantime, I have a walking brace for my foot, which helps me walk through Target.
 
I found eating high protein food helped quell the constant hunger, but the reflexive need for constant snacking is just a habit you need to break. One thing that did help was to find a snack, measure out one serving (sometimes that's hilarious - here, have 11 potato chips), and make that one serving last a half hour.

I lost a good 40 pounds that way (low carb, intermittent keto), then an additional 10 pounds when my mother passed away. Unfortunately COVID has seen fit to light a lot of that on fire, but once I move in a few weeks I'm determined to get back on track.

Some interesting factoids-
Many times craving for a particular type of food means you have a deficiency of some sort. If you fill the need the craving ceases. ie you crave lemon it can mean you are deficient in Calcium. Crave red meat (icy drinks- no idea why for this one)- anemia

Craving hi fat/triglyceride foods is different. In this case you eat the hi fat food and it triggers further craving. The craving doesn't diminish, even when you are sick of the food (one more Lays potato chip). When you are fatigued (working nights) or stressed (nah, nothing to see here) you crave high Triglyceride foods. Eat them, have no relief from the fatigue but feel logey. Saw a theory that this is hold over from hunter gatherer time. If you found a source of fat or high energy food you ate it until the source was gone- it packs in the storage for famine time later. So for those of us fluffy types- we would have been more likely to survive in famine. Also the foods that we can get now that trigger this are significantly more calorie dense than natural sources so double whammy.
 
Another interesting factoid-

It is not your imagination if you feel bloated and puffy when you work nights. No matter what shift you work your circadian rhythm stays oriented to days unless you are working in a cave. Esp true if you work nights but revert to day schedule on your days off. Kidneys work best between 3-4AM and when you have been lying flat (allows the fluid to return to vessels). If you are up during that time gravity means some of that fluid is still in the lower limbs. Also the hi salt/fat foods you crave and eat mean you have fluid retention to begin with. This is why you pee like a racehorse at 3-4AM when you finally get to sleep during the night. The kidneys are happy to offload all the stuff they didn't get to before.
 
Another interesting factoid-

It is not your imagination if you feel bloated and puffy when you work nights. No matter what shift you work your circadian rhythm stays oriented to days unless you are working in a cave. Esp true if you work nights but revert to day schedule on your days off. Kidneys work best between 3-4AM and when you have been lying flat (allows the fluid to return to vessels). If you are up during that time gravity means some of that fluid is still in the lower limbs. Also the hi salt/fat foods you crave and eat mean you have fluid retention to begin with. This is why you pee like a racehorse at 3-4AM when you finally get to sleep during the night. The kidneys are happy to offload all the stuff they didn't get to before.

Hmm. This is... alarming... given my habits (terrible diet, go to sleep very very late).
 
Putting this here rather than calorie counter thread.

dusted off “how not to die” book and it resonated even more with me now than first time I read it. I don’t bother with diet books or superfoods, but the way this MD laid everything out was so logical and convincing.

im not going to go completely plant based but I’m going to do a lot more. Even the things like adding in flaxseed and turmeric to meals is easy and helpful.

it’s amazing what even four days of good, clean eating can do for the digestive system . I don’t drink much anymore so diet soda is really the last bad thing I’m clinging to.
hopefully weight loss follows.
 
As much as I want to get started on my fall baking projects, I'm laying off the sugar for the most part (I do put cane sugar in my coffee), drinking more coffee/water/Bubly, and am down to like 222. 12 pounds to go before breast augmentation.
 
OK, Cafe docs.

So, I went for my flu shot today. I am embarrassed to admit I have not had one in years, but the realities of this year brought home how stupid I was being.

Here's two observations: (1) Needles have gotten smaller or better or something. I have virtually zero pain tolerance and shots have always been very difficult for me. I barely noticed it. (2) About 2 hours after the shot I started to feel really dizzy. But in a good way, like drunk dizzy. It lasted about an hour. I enjoyed it immensely. So, what was that about? I've never had that reaction to a shot in my life (though I read up on it to make sure I wasn't about to drop dead and sure enough it is one reaction to a flu shot).
 
OK, Cafe docs.

So, I went for my flu shot today. I am embarrassed to admit I have not had one in years, but the realities of this year brought home how stupid I was being.

Here's two observations: (1) Needles have gotten smaller or better or something. I have virtually zero pain tolerance and shots have always been very difficult for me. I barely noticed it. (2) About 2 hours after the shot I started to feel really dizzy. But in a good way, like drunk dizzy. It lasted about an hour. I enjoyed it immensely. So, what was that about? I've never had that reaction to a shot in my life (though I read up on it to make sure I wasn't about to drop dead and sure enough it is one reaction to a flu shot).

What you suffered is a rather common reaction. Many who get it feel like they have gotten the flu (impossible with these shots as there is no live virus used). What you felt can occur with any of the 4 common shots given. Seniors over 65 should be getting what is called the High Dose shot. It has 4 times as much antigen in it so as to try to get a better antibody response as we old times just do not make then as easily as younger patients. Those under 65 get the regular dosage. In theory the HD dose shot for those older folks should give more frequent reactions and somewhat more severe reactions than what you suffered. But now we have to add in another variable. Eac of these two shots can be given in two fashions. The first is the traditional shot as describes above. The other is a shot containing adjuvant (an oil compound meant to elicit a much greater antibody response). When adjuvant is added to the regular shot (for those under 65) the shot is otherwise the same. When it is added to the HD shot for seniors, then they lower the dosage and give a lower dose because in theory, the HD dose is not needed.
Any time you take any of these, try taking a couple Tylenol before you go and then again a couple hours after the hsot. most people find that helpful in avoiding the reaction you felt.
Personally I would not take anything with adjuvant in it unless it has been used for many years before. There is a fairly large increase in Sarcoma cancers in cats and dogs when it has been shown that they received rabies shots with adjuvant included instead of simple rabies injections.
 
As far as not feeling the shot as much - perhaps you were fortunate to have a nurse or pharmacist who knows how to give the shot better. My office nurse (also my wife) gives a far better injection than I do. She has had much more experience and a much lighter touch. it could also be that as you have gotten older, your nerve endings become less sensitive (which i do not believe) or that your mind was just preoccupied with other things and you just was not thinking about getting stuck.
 
As far as not feeling the shot as much - perhaps you were fortunate to have a nurse or pharmacist who knows how to give the shot better. My office nurse (also my wife) gives a far better injection than I do. She has had much more experience and a much lighter touch. it could also be that as you have gotten older, your nerve endings become less sensitive (which i do not believe) or that your mind was just preoccupied with other things and you just was not thinking about getting stuck.

Maybe. I also had blood work and that didn't bother me either, and I have blood work 2x a year and it's really hit or miss (so to speak) whether I am in agony/feel faint. I may have just gotten SuperNurse this time.
 
It was actually vampire serum. Enjoy it, but you are now the undead.

In Soviet Amerika, shot gets you.

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