Search: Posts Made By: Cuyuna
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Forum: Commuting
10-13-18, 03:54 PM
Replies: 66
Views: 1,283
Posted By Cuyuna

You can ask or negotiate for any perks and...

You can ask or negotiate for any perks and conditions that strike your fancy. Ultimately, your "employer" will be the one to answer the question as to whether or not it's a reasonable request. It's...
Forum: Commuting
10-10-18, 03:32 PM
Replies: 66
Views: 1,283
Posted By Cuyuna

Before going too far in trying some kind of...

Before going too far in trying some kind of work-around for the OP's prospective employer's very reasonable request that he have a car, it might be useful to try to understand exactly why they want...
Forum: Commuting
10-08-18, 09:50 AM
Replies: 66
Views: 1,283
Posted By Cuyuna

The employer can require an employee bring a car...

The employer can require an employee bring a car to work. In the vast majority of cases, if the car is used for work (not just commuting) then they will reimburse on a per-mile basis at whatever the...
10-07-18, 08:06 PM
Replies: 1,450
Views: 306,458
Posted By Cuyuna

Not interested in building.

Not interested in building.
10-07-18, 06:59 AM
Replies: 47
Views: 757
Posted By Cuyuna

Reflux occurs when intragastric pressure exceeds...

Reflux occurs when intragastric pressure exceeds lower esophageal sphincter pressure. So anything that increases intragastric pressure (like obesity), or anything that decreases LES pressure (like...
10-06-18, 07:27 AM
Replies: 47
Views: 757
Posted By Cuyuna

Familial tendency is a pretty small component of...

Familial tendency is a pretty small component of the population who gets esophageal adenocarcinoma (about 5%), but because the prognosis is so poor, it’s clinically relevant. Family history of...
10-05-18, 09:53 PM
Replies: 47
Views: 757
Posted By Cuyuna

No. Alcohol intake is related to squamous cell...

No. Alcohol intake is related to squamous cell cancer of the esophagus, the incidence of which is declining. The increase in esophageal cancer is adenocarcinoma, which is directly related to...
10-05-18, 08:03 PM
Replies: 1,450
Views: 306,458
Posted By Cuyuna

My FX6s came with 25c tires. I love 'em, but I...

My FX6s came with 25c tires. I love 'em, but I only ride on the road. Riding anything other than pavement or asphalt and I'm on the EX8. For pedals, I use the XT -PDt8000 trekking pedals. I can...
10-05-18, 04:12 PM
Replies: 47
Views: 757
Posted By Cuyuna

But no biopsies, no followup, no plan for...

But no biopsies, no followup, no plan for surveillance? No management advice...just "esophageal spasm occurs in some people"? Good lord...such is the sad state of the treatment of GERD in 2018. It...
10-05-18, 10:00 AM
Replies: 47
Views: 757
Posted By Cuyuna

Stomach herniating through the diaphragmatic...

Stomach herniating through the diaphragmatic hiatus is called a lot of things, including "hiatal" hernia and "hiatus" hernia.
10-05-18, 09:31 AM
Replies: 47
Views: 757
Posted By Cuyuna

What about it?

What about it?
10-05-18, 07:53 AM
Replies: 47
Views: 757
Posted By Cuyuna

I think you need a real workup by someone who...

I think you need a real workup by someone who actually understands the disease and is committed to treating it.

I'm a long way from Georgia, but I know some very good reflux specialists in...
10-05-18, 07:03 AM
Replies: 47
Views: 757
Posted By Cuyuna

It wouldn't be possible to tell you anything...

It wouldn't be possible to tell you anything about your reflux condition based on what you've related above. The upper GI is generally a pointless test in the workup of GERD. You have erosions on...
10-04-18, 06:24 PM
Replies: 47
Views: 757
Posted By Cuyuna

Diagnosing and treating esophageal reflux is what...

Diagnosing and treating esophageal reflux is what I do for a living. Every. Single, Day. Arguing with you is pointless given your firm belief that your command of Google trumps my 4 years of medical...
10-03-18, 08:14 PM
Replies: 47
Views: 757
Posted By Cuyuna

I think you have some very significant gaps in...

I think you have some very significant gaps in your understanding of GERD, and what current physician practice is.
10-03-18, 05:04 PM
Replies: 47
Views: 757
Posted By Cuyuna

Omeprazole is a very effective drug. It controls...

Omeprazole is a very effective drug. It controls your symptoms by decreasing the amount of acid in your stomach. Decreasing symptoms is generally a good thing, but you are still refluxing bile salts...
10-03-18, 04:25 PM
Replies: 47
Views: 757
Posted By Cuyuna

Omeprazole is just masking the problem too. It...

Omeprazole is just masking the problem too. It doesn't stop reflux, it only changes the nature of what you're refluxing and isn't protective against esophageal cancer in people with GERD.
10-03-18, 09:34 AM
Replies: 47
Views: 757
Posted By Cuyuna

11 years ago. I do 1000 endoscopies a year....

11 years ago.

I do 1000 endoscopies a year. This graph is in my mind every single day. 60-75 year old men with reflux who eat Pepcid like candy are the prime demographic.
...
10-03-18, 08:23 AM
Replies: 47
Views: 757
Posted By Cuyuna

I've never heard of a cholecystectomy-mediated...

I've never heard of a cholecystectomy-mediated vitamin K deficiency and doubt that it's a factor. It would be easy enough to measure with a simple prothrombin time or INR and it wouldn't be...
09-30-18, 05:45 AM
Replies: 82
Views: 2,711
Posted By Cuyuna

I wouldn’t even engage. Any biker who would even...

I wouldn’t even engage. Any biker who would even care that you’re riding an e-bike and would go so far as to confront you with it has such an ingrained level of self-righteousness that any...
09-29-18, 07:29 AM
Replies: 97
Views: 9,122
Posted By Cuyuna

I had one physical therapy visit after my...

I had one physical therapy visit after my bilateral knee replacement. They checked the range of motion, said "keep bending it a lot". I told them that I had bought a stationary bike and they and told...
09-28-18, 05:18 AM
Replies: 44
Views: 1,115
Posted By Cuyuna

This looks intriguing... ...

This looks intriguing...

https://www.youtube.com/watch?v=-9gQ1KRhesM
09-23-18, 08:38 AM
Replies: 82
Views: 1,611
Posted By Cuyuna

You're trying to protect yourself from your own...

You're trying to protect yourself from your own germs?
Forum: Foo
09-23-18, 07:19 AM
Replies: 25
Views: 492
Posted By Cuyuna

That would be a very self-indulgent thing to do....

That would be a very self-indulgent thing to do. The only purpose it would serve would be to address your need for revenge. It would accomplish nothing.

I agree...you should get some counseling....
Replies: 11
Views: 568
Posted By Cuyuna

If you’re talking about road biking on...

If you’re talking about road biking on billboard-table smooth asphalt, no issues if you are wearing a good brace. If you’re talking about mountain biking on rocky singletrack or downhill, then it...
Showing results 1 to 25 of 156
 


 
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