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3 yr. ago

  • McKenzie method for low back pain is a starting point. It’s stretching, maybe strengthening I can’t remember. Hip flexors, hamstrings, calves are usually tight and can cause back pain. The front and back of the legs have to be balanced or they’ll pull your pelvis out of neutral. Modern day sitting doesn’t do us any good, tightening all the posterior compartment muscles in the legs.

    Core strengthening is important for good posture. Being aware of your overall posture is also really important too. Yoga is fantastic for stretching, posture, and strengthening.

    Caveat: sometimes it’s structural and this stuff may only help somewhat but chronic pain is treated with multiple modalities. If this stuff doesn’t improve it significantly along with NSAIDs, follow up with your primary care doc.

    How I know: I’m a physician who screwed up his back and had to figure all this out and now I teach my patients how to treat their back pain. I also use physical therapy liberally because it’s fucking awesome.

  • Man, that's old shit. I'm wearing a pink rugby, Carhartt doublee knee work pants, Zhanko duck print socks, and Quoody mules. I also wore an outfit I dubbed "70s French cocaine dealer" Motherfucking plague doctors left in the dust.

    On a serious note, most people in white coats aren't doctors anymore, they're midlevels. Or female physicians since they're mistaken for nurses a lot though less common.

  • Oh they’re definitely not judged the same. There’s a reason DOs interested in the more sought after specialties rarely try for MD programs. When you have a bunch of alpha nerds who base their self worth on test scores and other stuff like that, you get arbitrary stratification. And I’ve seen good doctors fail STEP tests and shit doctors who graduated from Harvard. There’s always those situations when some happen to be good at the stuff a system deems worthwhile but suck at being a person and vice versa.

  • A lot of DOs go to Osteopathic medical schools because getting into MD schools is crazy competitive. It’s just another path to becoming a doctor that’s an option if you don’t get into a US MD school. The medicine curriculum is basically the same between the two. Though I’ve worked with a bunch of DOs who believe in osteopathy and practice it.

  • So I'm a physician and I support most things people do to import their health but I do try to make sure they're fully informed. In terms of fasting, this cohort study found an adverse association between fasting and cardiovascular death. There are limitations to the study (self-reported diet, etc.) but it followed 20,000 people for 8yrs which is pretty good. Definitely need more study in this area, especially considering the complexity of human metabolism. Here's the highlights from the study but the full text is available at that link:

    • People who followed a pattern of eating all of their food across less than 8 hours per day had a 91% higher risk of death due to cardiovascular disease.
    • The increased risk of cardiovascular death was also seen in people living with heart disease or cancer.
    • Among people with existing cardiovascular disease, an eating duration of no less than 8 but less than 10 hours per day was also associated with a 66% higher risk of death from heart disease or stroke.
    • Time-restricted eating did not reduce the overall risk of death from any cause. An eating duration of more than 16 hours per day was associated with a lower risk of cancer mortality among people with cancer.
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  • Not videos that I know of but maybe? I Iove both of these though:

    Not Another D&D Podcast. Hour long or so a week with interspersed non-play episodes. Hilarious improv people, great characters, lots of jokes, some good emoti stuff. Bunch of prior campaigns to listen already.

    Pink Faux Hawk. Newish podcast playing Shadowrun. Funny, over-the-top action movie play style. One player has health issues so they're oe on uploads lately but I still love it.

  • Ha, sounds like you might have delivered in rural areas like I did.

  • Amazon drivers (the ones in budget or Amazon cans, not flex in personal cars) do okish. I just quit working for a third party company Amazon uses to shield them from liability and unions because it's miserable work but the pay was $22.50 which isn't too bad. The workload is crazy, it's all rush rush rush, and they don't care about you at all though so fuck them and Amazon. The drivers would appreciate the tip, they're generally hardworking and decent people.

  • I've been using Autosync for years with good results first with Drive and Dropbox and now Pcloud. Supports a lot of different cloud services though not Proton which is why I haven't started using that yet.

    Autosync

  • Well shit, I grew one town over from there. Pretty sure that's right by our cliff diving spot on the Croton Falls Reservoir. I never went in it most kids in highschool knew some "facts" about that mine.

  • Schwab app works for me on Graphene and that's my main bank/stocks app. I've found I don't really need all my credit card apps or my other bank app. I check once a day if that and just keep a bookmark. It hasn't been bad at all.