Road Cycling “It is by riding a bicycle that you learn the contours of a country best, since you have to sweat up the hills and coast down them. Thus you remember them as they actually are, while in a motor car only a high hill impresses you, and you have no such accurate remembrance of country you have driven through as you gain by riding a bicycle.” -- Ernest Hemingway

Addiction LXXIII

Old 01-10-19, 09:21 AM
  #426  
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Nice pics @WhyFi!
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Originally Posted by RUOkie View Post
never underestimate the idiocy of BF.
Originally Posted by rjones28 View Post
Addiction is all about class.
Originally Posted by seedsbelize View Post
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Old 01-10-19, 11:06 AM
  #427  
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Originally Posted by BillyD View Post
Uh Oh. The force is strong again with the Dougs.
Originally Posted by rjones28 View Post
Dougs
I am afraid that we might not be the mighty Doug's any longer. But at least it is The Year of @datlas

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Old 01-10-19, 11:07 AM
  #428  
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Originally Posted by Dan333SP View Post
0 photos of my backside while riding. Very disappoint.
this is because he was ahead of you the entire time. Prolly.
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Old 01-10-19, 11:43 AM
  #429  
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Originally Posted by DougRNS View Post
this is because he was ahead of you the entire time. Prolly.
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Old 01-10-19, 12:03 PM
  #430  
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UPS man is in shorts today.
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Old 01-10-19, 12:55 PM
  #431  
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The insulin level on the second insulinoma suspect has come back sky high. Go figure, two insulinomas in two weeks.
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Old 01-10-19, 01:25 PM
  #432  
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Originally Posted by Heathpack View Post
The insulin level on the second insulinoma suspect has come back sky high. Go figure, two insulinomas in two weeks.
Do you guys in vet medicine measure C-Peptide? In humans it's sometimes more helpful than insulin levels.
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Old 01-10-19, 01:36 PM
  #433  
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Originally Posted by datlas View Post
Do you guys in vet medicine measure C-Peptide? In humans it's sometimes more helpful than insulin levels.
Could rule out Munchausen-by-proxy syndrome in such a case.
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Old 01-10-19, 01:36 PM
  #434  
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Originally Posted by datlas View Post
Do you guys in vet medicine measure C-Peptide? In humans it's sometimes more helpful than insulin levels.
Nope. I don't think its ever happened that I've thought a dog has an insulinoma and submitted a paired glucose-insulin sample and had confusing results. The hardest thing is catching the low BG and knowing when to be persistent about repeating BGs until you catch it. Obviously always follow up on any random low BG in the med record (keeping in mind that all my cases are referred and usually have some previous bloodwork) but also having the clinical suspicion in the right cases and aggressively following up on low-ish but normal BGs. And also making sure the BG is low enough on a glucometer that it will also be low at the lab (given that glucometers BG readings tend to be a little lower). But if I get a solidly low BG like 35 mg/dL in a mature dog that is otherwise well except for episodic weakness, confusion and/or seizures, pretty much the insulin level will reliably be diagnostic.
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Old 01-10-19, 01:46 PM
  #435  
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Originally Posted by MoAlpha View Post
Could rule out Munchausen-by-proxy syndrome in such a case.
Indeed. That is a thing.
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Old 01-10-19, 01:48 PM
  #436  
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Originally Posted by datlas View Post
Indeed. That is a thing.
Especially in a patient who can't talk. I'm just a suspicious old bastard.
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Old 01-10-19, 02:20 PM
  #437  
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We see insulin overdoses a lot. They are clinically different in that the patients are not adapted to chronic low BGs. So insulin overdoses are profoundly symptomatic with a BG of 35- obtunded, seizuring, nonambulatory, critically ill.

Insulinoma dogs, on the other hand, are standing there looking you in the eye and wagging their tails and otherwise acting normal. You check a BG and are shocked that its 35, enough so that you always recheck it on a fresh sample. Clinically a very different picture.
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Old 01-10-19, 02:36 PM
  #438  
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Originally Posted by Heathpack View Post
We see insulin overdoses a lot. They are clinically different in that the patients are not adapted to chronic low BGs. So insulin overdoses are profoundly symptomatic with a BG of 35- obtunded, seizuring, nonambulatory, critically ill.
Yeah, peoples don't walk and talk so good with glucose in that range, either, from what I remember.
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Old 01-10-19, 04:05 PM
  #439  
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Originally Posted by MoAlpha View Post
Yeah, peoples don't walk and talk so good with glucose in that range, either, from what I remember.
Correct. If a human goes much below 60 they are not going to like it.
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Old 01-10-19, 04:12 PM
  #440  
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Originally Posted by DougRNS View Post
Affliction? SMH
This is not April 1st.
wut
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Old 01-10-19, 04:21 PM
  #441  
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Originally Posted by datlas View Post
Correct. If a human goes much below 60 they are not going to like it.
And just think, our psychiatric colleagues used to that to their mortally depressed patients to them cheer them up, before Bini and Cerletti (who, I believe, were neurologists) revealed the antidepressant properties of AC current and got a Nobel prize.

Last edited by MoAlpha; 01-10-19 at 04:25 PM.
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Old 01-10-19, 04:21 PM
  #442  
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Originally Posted by Trsnrtr View Post
She's doing better. She has lingering back trouble and hand swelling for which she sees a specialist about in a week.

Worse than the injuries is that a woman who rode 3,000-5,000 miles a year for 37 seasons is afraid to go near a bicycle for fear of falling. I hope she changes her mind because I hate to see her give up a life she once loved.

In your case, your recovery has been miraculous. Hoping for a happy and healthy new year for all.


IMG_0451 by trsnrtr, on Flickr
Thanks for that. All my heart is with her recovery.

Cycling can still be a bit stressful to me on occasions, especially among traffic.

Do you have a trainer set-up at home that could be helpful in (a) fitness and (b) confidence.

Also, the Bike Fridays we bought several years have been the ride together because with the single horizontal tube, mine is easy to step over when mounting or getting off compared with full frames. They also can be fitted with slicks or off-road tyres.

Cheap well handling and balancing women's bikes might have the same benefits with confident riding. Don't get frustrated if she chooses short bike paths and short distances to for a while.
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Old 01-10-19, 04:23 PM
  #443  
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Originally Posted by BillyD View Post
wut
All is right with the world now.
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Old 01-10-19, 04:46 PM
  #444  
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When did we get relieved of our affliction? I had not noticed until ^^.
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Old 01-10-19, 04:47 PM
  #445  
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Originally Posted by DougRNS View Post
All is right with the world now.
You sure? It's still listed as a "Normal Thread." which may not be accurate.
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Old 01-10-19, 06:46 PM
  #446  
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Originally Posted by datlas View Post
You sure? It's still listed as a "Normal Thread." which may not be accurate.
Well for here it is "normal"...


maybe only partially accurate.
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Old 01-10-19, 07:11 PM
  #447  
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I found it much easier to deal with and justify my affliction, than my addiction.
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Old 01-10-19, 07:32 PM
  #448  
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Originally Posted by datlas View Post
You sure? It's still listed as a "Normal Thread." which may not be accurate.
it's the new normal.

In other news, I received my Marigold jacket today one day early! Things are looking up in The Year Of @datlas. I intend to ride tomorrow.
#DougPower
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Old 01-10-19, 07:39 PM
  #449  
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Originally Posted by DougRNS View Post
it's the new normal.

In other news, I received my Marigold jacket today one day early! Things are looking up in The Year Of @datlas. I intend to ride tomorrow.
#DougPower
Enjoy the jacket and the ride! Gonna be butt cold up here and I have to be at work and signed into a teleconference by 0800. Might keep the video off and change while I’m talking.
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Old 01-10-19, 07:58 PM
  #450  
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Did a little MTB today. Just need a hair more compression damping on the shock and I'll be satisfied.



The purple flowers are out!

Last edited by LesterOfPuppets; 01-10-19 at 08:06 PM.
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