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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 LXXVI

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Old 12-02-19, 10:24 AM
  #3376  
indyfabz
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Originally Posted by MoAlpha
I hope there's a valid reason and a sincere apology. My usual opening line was, "Have you waited long enough or would you like me to go away and come back in ten minutes?"
No valid reason. Checked in at 8:30 for a 9. Seems they forgot about me. Then they took me to the wrong exam room.

The administrative side of the institution is pretty much universally horrible.
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Old 12-02-19, 10:25 AM
  #3377  
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Originally Posted by indyfabz
No valid reason. Checked in at 8:30 for a 9. Seems they forgot about me. Then they took me to the wrong exam room.

The administrative side of the institution is pretty much universally horrible.
Things can only go up from here, right?

Hope it goes well.
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Old 12-02-19, 10:56 AM
  #3378  
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Originally Posted by indyfabz
No valid reason. Checked in at 8:30 for a 9. Seems they forgot about me. Then they took me to the wrong exam room.

The administrative side of the institution is pretty much universally horrible.
That's just offensive.
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Old 12-02-19, 11:34 AM
  #3379  
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Originally Posted by indyfabz
No valid reason. Checked in at 8:30 for a 9. Seems they forgot about me. Then they took me to the wrong exam room.

The administrative side of the institution is pretty much universally horrible.
Did you eventually get seen??
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Old 12-02-19, 11:52 AM
  #3380  
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Originally Posted by indyfabz
No valid reason. Checked in at 8:30 for a 9. Seems they forgot about me. Then they took me to the wrong exam room.

The administrative side of the institution is pretty much universally horrible.
Which institution, HUP?
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Old 12-02-19, 11:55 AM
  #3381  
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Originally Posted by MoAlpha
Which institution, HUP?
Where I went to med school, we always used to make fun of HUP. They may have the big name but we have the big nickel.
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Old 12-02-19, 11:59 AM
  #3382  
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Originally Posted by datlas
Where I went to med school, we always used to make fun of HUP. They may have the big name but we have the big nickel.
In Boston, the MGH (Boston hospitals all have a “the” like California interstates) was the “Massive Genital.”
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Old 12-02-19, 01:28 PM
  #3383  
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Originally Posted by datlas
Thank gooodness, no. On the descents into London and JFK, I was keeping my fingers crossed. That was painful. I don't want one ever again. I don't know how the pain of this relates to the pain of a migraine, but in any case it was really bad for a few minutes. So grateful it did not happen again.
15 years ago I was coming home from Iraq for my 2 weeks R&R and on the descents (there were a couple because it takes a lot of fuel to get from Kuwait to the US) I had horrible pain in my skull like my brain was being squeezed in a vice. It was brutal, because it lasted the entirety of the 30-45 minute descent and I just had to sit there with my eyes watering and couldn't do anything about it.

At the time I thought maybe something was wrong with the cabin pressurization. Then later I realized I was starting to come down with a sinus infection and didn't know it yet.

I've never had that happen again but Every. Single. Time. I fly I am now paranoid that it will happen again.
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Old 12-02-19, 01:56 PM
  #3384  
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Originally Posted by ksryder
15 years ago I was coming home from Iraq for my 2 weeks R&R and on the descents (there were a couple because it takes a lot of fuel to get from Kuwait to the US) I had horrible pain in my skull like my brain was being squeezed in a vice. It was brutal, because it lasted the entirety of the 30-45 minute descent and I just had to sit there with my eyes watering and couldn't do anything about it.

At the time I thought maybe something was wrong with the cabin pressurization. Then later I realized I was starting to come down with a sinus infection and didn't know it yet.

I've never had that happen again but Every. Single. Time. I fly I am now paranoid that it will happen again.
My wife pretreats with sudafed every time she flies.
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Old 12-02-19, 02:46 PM
  #3385  
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Originally Posted by rjones28
We got some too. I did not take a picture.
Me neither. Looks like work to me.
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Old 12-02-19, 02:55 PM
  #3386  
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Originally Posted by datlas
Thank gooodness, no. On the descents into London and JFK, I was keeping my fingers crossed. That was painful. I don't want one ever again. I don't know how the pain of this relates to the pain of a migraine, but in any case it was really bad for a few minutes. So grateful it did not happen again.
Originally Posted by ksryder
15 years ago I was coming home from Iraq for my 2 weeks R&R and on the descents (there were a couple because it takes a lot of fuel to get from Kuwait to the US) I had horrible pain in my skull like my brain was being squeezed in a vice. It was brutal, because it lasted the entirety of the 30-45 minute descent and I just had to sit there with my eyes watering and couldn't do anything about it.

At the time I thought maybe something was wrong with the cabin pressurization. Then later I realized I was starting to come down with a sinus infection and didn't know it yet.

I've never had that happen again but Every. Single. Time. I fly I am now paranoid that it will happen again.
Originally Posted by MoAlpha
My wife pretreats with sudafed every time she flies.
My wife had one unexpectedly while flying in a GA airplane over Thanksgiving, never had trouble before. The pain was apparently incapacitating. Unfortunately she was in the back seat alone and my father and I did not notice that she was in pain until we were on the ground, which was unfortunate since if we had known we would have halted the descent and let the pressure in her ears reach equilibrium with the outside.

FYI, my father who was a career USAF pilot swears by afrin. If you have recurring issues with flying, try to pre-dose before take-off and really load up prior to the descent. For most airliners cabin pressure is between 6000-8000 feet, so if you give yourself a dose when the announcement that the pilots are starting their descent you should have enough time from cruising altitude until you reach 8000 feet and the pressure starts to increase along with ambient pressure outside for the medicine to do its job. Also, chew gum, drink water, etc. Try to keep your Eustachian tubes open and free.
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Old 12-02-19, 03:13 PM
  #3387  
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Originally Posted by abshipp
My wife had one unexpectedly while flying in a GA airplane over Thanksgiving, never had trouble before. The pain was apparently incapacitating. Unfortunately she was in the back seat alone and my father and I did not notice that she was in pain until we were on the ground, which was unfortunate since if we had known we would have halted the descent and let the pressure in her ears reach equilibrium with the outside.

FYI, my father who was a career USAF pilot swears by afrin. If you have recurring issues with flying, try to pre-dose before take-off and really load up prior to the descent. For most airliners cabin pressure is between 6000-8000 feet, so if you give yourself a dose when the announcement that the pilots are starting their descent you should have enough time from cruising altitude until you reach 8000 feet and the pressure starts to increase along with ambient pressure outside for the medicine to do its job. Also, chew gum, drink water, etc. Try to keep your Eustachian tubes open and free.
Open eustachian tubes are obviously critical for equalizing pressure in the ear, but most of these issues are caused by blockage of the ostia (openings) of the sinuses. None of the eustachian tube maneuvers work for that.
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Old 12-02-19, 03:41 PM
  #3388  
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I have to admit I rarely have problems flying since I started scuba diving in the 90s, since valsalva works in most cases for me, but it's an acquired skill that requires practice. If I have a cold it doesn't work without decongestants.
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Old 12-02-19, 03:52 PM
  #3389  
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Originally Posted by BillyD
Me neither. Looks like work to me.
I took a picture. It's not a good picture yet, because most of the dogs are covered in that crap. Since I know nothing of inner ears, I figured a picture would be my 1,000 words.


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Old 12-02-19, 03:55 PM
  #3390  
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Originally Posted by LAJ
I took a picture. It's not a good picture yet, because most of the dogs are covered in that crap. Since I know nothing of inner ears, I figured a picture would be my 1,000 words.
Stunning!
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Old 12-02-19, 03:59 PM
  #3391  
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Originally Posted by sfrider
I have to admit I rarely have problems flying since I started scuba diving in the 90s, since valsalva works in most cases for me, but it's an acquired skill that requires practice. If I have a cold it doesn't work without decongestants.
Exhaling against a blocked nose (which is not the same as the Valsalva maneuver) only works to equalize the ears. Sinus squeezes are a different matter.
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Old 12-02-19, 04:02 PM
  #3392  
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Originally Posted by LAJ
I took a picture. It's not a good picture yet, because most of the dogs are covered in that crap. Since I know nothing of inner ears, I figured a picture would be my 1,000 words.

Oh my, got me beat.
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Old 12-02-19, 04:04 PM
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Originally Posted by WhyFi
Jack passed during the night. Given his behavior yesterday afternoon/evening, I kind of expected it - he'd snuggle a little bit, but then he'd keep crawling off to a quiet corner behind some furniture. When the boy was getting ready to turn in for the night, I told him to show Jack some love and to say his goodbyes. I'm glad I did - when the morning rolled around, I think that the boy took the news much better than he would have, otherwise. Man, from four animals to one, in the span of a little more than two years.

I have a feeling that the boy is going to ask for a kitten for Christmas.
sorry for your loss WhyFi.
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Old 12-02-19, 04:29 PM
  #3394  
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Originally Posted by MoAlpha
Exhaling against a blocked nose (which is not the same as the Valsalva maneuver) only works to equalize the ears. Sinus squeezes are a different matter.
Yes, right you are! I lost track of the context of the discussion... Of course it doesn't do squat for sinuses.
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Old 12-02-19, 04:56 PM
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Originally Posted by BillyD
Me neither. Looks like work to me.
We only got 4 or 5 inches over night. A couple more during the day. NBD.
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Old 12-02-19, 05:17 PM
  #3396  
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Originally Posted by sfrider
Yes, right you are! I lost track of the context of the discussion... Of course it doesn't do squat for sinuses.
Maybe it was I who lost track.
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Old 12-02-19, 05:36 PM
  #3397  
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Originally Posted by MoAlpha
Open eustachian tubes are obviously critical for equalizing pressure in the ear, but most of these issues are caused by blockage of the ostia (openings) of the sinuses. None of the eustachian tube maneuvers work for that.
Originally Posted by MoAlpha
Exhaling against a blocked nose (which is not the same as the Valsalva maneuver) only works to equalize the ears. Sinus squeezes are a different matter.
I swear I learn so much from this thread. Never knew the difference between a Valsalva and a sinus squeeze (which previously I thought were equivalent).

What's this thread about?
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Old 12-02-19, 05:43 PM
  #3398  
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Originally Posted by MoAlpha
Stunning!
Ditto! Way to go, Lloyd!
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Old 12-02-19, 06:16 PM
  #3399  
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Originally Posted by Trsnrtr
Ditto! Way to go, Lloyd!
Double Dog Ditto
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Old 12-02-19, 07:15 PM
  #3400  
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Originally Posted by abshipp
I swear I learn so much from this thread. Never knew the difference between a Valsalva and a sinus squeeze (which previously I thought were equivalent).

What's this thread about?
Well, let me pile on in full-on pedant mode, then!

The Valsalva maneuver is when you attempt to exhale against a closed glottis, the way you do to raise intra-abdominal pressure when taking a difficult crap. It also raises pressure in the chest, causing differential pressure changes in the two sides of the heart and a bunch of other interesting events. It's related to that thing you do with the nose to equalize the ears, but the two shouldn't be confused. "Squeeze" is a diving term referring to that painful thing we were talking about, where pressure cannot equalize in a bony cavity of the head.
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